Principles of Manual Treatment for Sacroiliac Joint Dysfunction

Katada, Shigehiko

doi:10.1007/978-981-13-6810-3_4

Cited by 3 publications

(3 citation statements)

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“…Among the movements observed within the SIJ are nutation and counter-nutation, which are forward and backward rotations of the sacrum on the sagittal plane relative to the ilium, respectively. The SIJ is considered highly stable in the counter-nutation position [ 6 ]. Unexpected force or repeated impact is believed to cause joint misalignment and instability and provoke pain arising from the SIJ [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Unexpected force or repeated impact is believed to cause joint misalignment and instability and provoke pain arising from the SIJ [ 7 , 8 ]. Typical conservative (non-surgical) treatment strategies to relieve the painful SIJ include pelvic belts [ 9 , 10 ], injection of local anesthetics into the joint [ 11 , 12 ] and physical therapy [ 6 , 13 ]. Surgical treatment aims to fuse the SIJ, using metal implants [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Numerical analysis of the effects of padded pelvic belts as a treatment for sacroiliac joint dysfunction

Toyohara

Hiramukai

Kurosawa

et al. 2023

BME

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BACKGROUND: Pain related to the sacroiliac joint (SIJ) accounts for low back pain in 15%–30% of patients. One of the most common treatment options is the use of pelvic belts. Various types of pelvic belts exist; however, the mechanisms underlying treatment and their effectiveness remain unclear to date. OBJECTIVE: To analyze stress distribution in the pelvis when a pelvic rubber belt or a padded pelvic belt is applied, to assess the effectiveness of treatment from a numerical biomechanical perspective. METHODS: The pressure distribution at the pelvic belts was measured using a device and subsequently modeled with the finite element method of a pelvis with soft tissues. The stress environment when wearing a pelvic belt in a double-leg stance was simulated. RESULTS: With the application of pelvic belts, the innominate bone rotated outward, which was termed an out-flare. This caused the SIJ to compress and cause reduction in sacrotuberous, sacrospinous, interosseous, and posterior sacroiliac ligament loading. Padded pelvic belts decreased the SIJ displacement to a greater extent than in pelvic rubber belts. CONCLUSION: Pelvic belts aid in compressing the SIJ and reduce its mobility.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Numerical analysis of the effects of padded pelvic belts as a treatment for sacroiliac joint dysfunction

Toyohara

Hiramukai

Kurosawa

et al. 2023

BME

View full text Add to dashboard Cite

show abstract

“…The sacrum is in a standing state, and the wedge is deeply driven into the pelvic ring fixed by the pubic symphysis and the posterior ligaments. This is considered to be the strongest state (close-packed position) 7 . Pain arising from the SIJ is considered to occur due to an unexpected force or repeated impact 8 .…”

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confidence: 99%

Finite element analysis of load transition on sacroiliac joint during bipedal walking

Toyohara

Kurosawa

Hammer

et al. 2020

Sci Rep

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Shin-ichi izumi 7,8 , eiichi Murakami 2 , Hiroshi ozawa 9 & toshiro ohashi 10 the sacroiliac joint (SiJ) is burdened with variant loads. However, no methods have allowed to measure objectively how the SiJ deforms during bipedal walking. in this study, in-vivo walking conditions were replicated in a kinematic model combining the finite element method with 3D walking analysis data divided into five phases in order to visualize the load transition on the SIJ and clarify the role of the SiJ. Both models with and without inclusion of the SiJ were investigated. in models with bilateral SIJs, the displacement differed greatly between the sacrum and both hip bones on the SIJ as the boundary. the movements of the sacrum involved a nutation movement in the stance phase and a counter-nutation in the swing phase relative to the ilium. in models without SiJs, the displacement of the pelvis and loads of pelvic ligaments decreased, and the equivalent stress of the SiJs increased compared to the model with SiJs. the walking loads cause distortion of the entire pelvis, and stress concentration at the SiJ are seen due to the morphology of the pelvic ring. However, the SiJs help dissipate the resulting stresses, and the surrounding ligaments are likewise involved in load transmission.

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Comparison of Mulligan Mobilization Technique Versus Mckenzie Exercises Among Patient With Sacroilliac Joint Dysfunction: a Randomized Clinical Trial

Ghafoor

Ahmad

Soomro

et al. 2022

Preprint

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Background: Sacroiliac joint dysfunction frequently causes pain in low back. Localized tenderness and pain around the sacroiliac joint are signs of sacroiliac joint dysfunction, which is made worse by strenuous activities. Objective: This study aimed to compare the effectiveness of mulligan mobilization Technique Versus McKenzie exercises among patients with sacroiliac joint Dysfunction. Methodology: Total 58 patients, with sacroiliac joint dysfunction were included who were fulfilled the eligibility criteria.This trial was registered with Registration number: NCT05404451 Dated 01-08-2022. This study is assessor blind. We have used the convenient sampling technique and the Lottery Method was used to randomly select a participant who met the criteria for participation, and participants were then divided into the two groups at random. The researcher and participants were not informed of the allocation process. A research assistant who was unrelated to the next stage of the study covered up the allocation method. In envelopes, the allocation was concealed. The study subjects were categorized into two groups. Group A received treatment with mulligan mobilization technique while group B received treatment with McKenzie exercises. Both groups received treatment for four weeks. Using the VAS and the MODI scale, pain and disability were evaluated before and after treatment. Results: Results indicated that individuals of both therapy group mulligan and McKenzie showed improvement in VAS and MODI ratings P value was (>0.005). Additionally, it was observed that McKenzie exercises were more effective than Mulligan mobilization techniques at reducing pain, disability, and enhancing sitting, standing, and walking in patients P value was (>0.005). While there was no significant difference has been observed in personal care lifting, sleeping, when comparing both groups P value was (>0.005). Conclusion: This study concluded that Mulligan's Mobilization and McKenzie exercises are both beneficial in reducing pain and improving disability. The McKenzie exercises, however, are more efficient than Mulligan's Mobilization technique when the two groups are compared (at reducing pain, disability, and enhancing sitting, standing, and walking in patients). Trial Registration number: NCT05404451 Dated 03-06-2022

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Principles of Manual Treatment for Sacroiliac Joint Dysfunction

Cited by 3 publications

References 0 publications

Numerical analysis of the effects of padded pelvic belts as a treatment for sacroiliac joint dysfunction

Numerical analysis of the effects of padded pelvic belts as a treatment for sacroiliac joint dysfunction

Finite element analysis of load transition on sacroiliac joint during bipedal walking

Comparison of Mulligan Mobilization Technique Versus Mckenzie Exercises Among Patient With Sacroilliac Joint Dysfunction: a Randomized Clinical Trial

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