Biomechanics of Sacroiliac Joint Dysfunction and Clinical Disease

엉치엉덩관절 통증과 임상 질환에 대한 생체역학

  • Jeong, Seong-Gwan (Department of physical therapy, Daejeon St. Mary's Hospital, Catholic University) ;
  • Lee, Woo-Hyung (Department of physical therapy, PyeongHwa Neurosurgery Hospital) ;
  • Kim, Kyung-Hwan (Rehabilitation center of Bonifacio Hospital)
  • 정성관 (가톨릭대학교 대전성모병원 물리치료실) ;
  • 이우형 (평화신경외과의원 물리치료실) ;
  • 김경환 (보니파시오병원 재활센터)
  • Received : 2010.01.10
  • Accepted : 2010.02.15
  • Published : 2010.02.28

Abstract

Pain originating from the sacroiliac joint(SIJ) has been associated with poor performance, yet specific diagnosis of sacroiliac dysfunction(SID) has been difficult to achieve. Clinical presentation of SID appears that pain and poor performance is responsive to local analgesia of periarticular structures with poorly defined pathology, and poor performance with bony pathological changes present as a result of chronic instability. Previous research indicates that physical examination cannot diagnose SIJ pathology. Earlier studies have not reported sensitivities and specificities of composites of provocation tests known to have acceptable inter-examiner reliability. Tests based on mechanics as manual provocation for SIJ pain have formed the basis of tests used to diagnose SIJ dysfunction. In this review summary, the purpose of this study was to describe the sacroiliac tests with a model of examination, diagnosis, and management of SID. Further research is warranted to determine whether SIJ tests is reliable means of evaluating innominate impairments.

Keywords