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Activator Methods International Ltd.
2950 N. Seventh Street, Suite 200
Phoenix, AZ 85014
ofc 602-224-0220
fax 602-224-0230
toll free 1-800-598-0224
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Subject: Sacroiliac Joint, Low Back Pain |
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| Title: Treatment and Biomechanical Assessment of Patients with Chronic Sacroiliac Joint Syndrome. |
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| Reference: Osterbauer PJ, DeBoer KF, Widmaier RS, Peterman EA, Fuhr AW. Treatment and biomechanical assessment of patients with chronic sacroiliac joint syndrome. J Manipulative Physiol Ther 1993; 16:82-90 |
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Abstract: Objective: To evaluate diagnostic and biomechanical correlates and treatment outcomes of manipulative/adjustive care in patients highly selected for sacroiliac joint syndrome (SIJS).
Design: Descriptive case series, 1 wk baseline, 1 yr follow-up.
Setting: Private chiropractic practice.
Patients: Ten out of 153 consecutive new patients (4 male and 6 female) with "primary," chronic, uncomplicated SIJS were selected over an 11-mo period on the basis of painful SIJ and provocation tests.
Main Outcome Measures: Back Pain (visual analogue scale), Oswestry disability index, lumbar provocation tests and biomechanical measures of gait and postural sway.
Intervention: Six-wk regimen of mechanical force, manually assisted, short lever adjustments (MFMA) with an Activator® instrument.
Results: Pain decreased significantly from a mean baseline value of 25 to 12 (t=2.28; p less than .05). Likewise, the average disability scores diminished from 28 to 13% (t=2.3; p less than .05), and a reduction in the number of positive provocation tests was noted (Fisher Exact Probability range z= 0.025-0.045). Gait and sway parameters were indistinguishable from normals, before or after treatment. Response to the 1-yr follow-up questionnaire (6/10) revealed stability of symptoms at a low level.
Conclusions: While the majority of subjects recorded some degree o outcome, we conclude that: a) discrete SIJS remains difficult to diagnose, but may be possible by judicious choice of screening tests; b) MFMA may benefit some patients with chronic SIJ pain; and c) gait and sway measurement yielded no correlation with clinical condition. J Manipulative Physiol Ther 1993; 16:82-90. |
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| Key Words: Chiropractic, Sacroiliac Joint, Diagnosis, Treatment, Orthopedic Manipulation, Low Back Pain. |
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