• The Korean Journal of Pain
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• 제8권2호
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• pp.293-297
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• 1995

Despite applying recent advances in research and technology and taking into acount proper histories and performing thorough physical examinations, a high percentage of patients with low back pain have no identifiable pathology. Problems especially of the sacroiliac joint are commonly missed. The purpose of this article is to describe the effects of sacroiliac injection of local anesthetics and corticosteroids on patients with acute sacroiliac sprain. The sacroiliac joints are essentially nonweight-bearing joints that allows a small amount of anteroposterior rotatory movement around transverse axis usually about 5 to 10 cm below the promontory of the sacrum vertically. The ligamentous portion of sacroiliac joint is vulnerable to rotatory movement particularly when the individual is in an awkward position. Injections of 3 ml of 2% lidocaine and 10 mg of methylprednisolone were given twice at two day intervals to 26 patients with acute sacroiliac sprain. Most of those patients obtained excellent results without any adverse effects.

• 혜화의학회지
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• 제16권1호
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• pp.133-138
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• 2007

Objectives : The purpose of this study IS to evaluate the effect of burning acupuncture therapy on the sacroihac Joint syndrome. Methods : This study was carried out on the 1 patient with sacroihac Joint syndrome Subject was treated by acupuncture, negative, burning acupuncture therapy Lumbar ROM and Visual Analog Scale(VAS) were evaluated before and during treatment. Results and Conclusions : VAS was improved 10 to 2 and lumbar Rom was improved In the study, burning acupuncture therapy was effective 10 sacroihac joint syndrome.

• 대한물리치료과학회지
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• 제13권1호
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• pp.53-59
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• 2006

This study was performed to assess the efficacy of manipulation for the sacroiliac joint subluxation patients. The subjects of this study ware 8 patients with sacroiliac joint subluxation who visited the out patient department of the physical therapy wooridul clinic, from January 1, 2005 through July 3, 2005. To find out the effect of manipulation, we sampled 8 patient treated with manipulation(Thompson technique), using by radiographic. All patients were treated 2days a week for 12 weeks. The results after 12 week treatment, compared with before treatment, were as follows : 1. The improved in sacrum lateral subluxation in the manipulation after 12 week treatment was very significant(p<.01) 2. The improved in sacrum rotation subluxation in the manipulation after 12 week treatment was significant(p<.05) 3. The improved in lumbo-sacral anger subluxation in the manipulation after 12 week treatment was very significant(p<.01).

• The Journal of Korean Physical Therapy
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• 제18권6호
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• pp.51-57
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• 2006

Purpose: This study was to figure out the effect of sacroiliac joints taping therapy on low back pain. Methods: 35 patients who visited to receive the treatments of the physical therapy in H orthopedic clinic in Kyoung-buk had been treated with spiral balance taping for 4weeks from 3 to 29, July 2006. They were divided 3 groups: acute, subacute, chronic. VAS(Visual Analogue Sacle) was analyzed for pain scale, and compared between the pre and post test among groups. Results: The acute patients' degree of the pain post therapy was decreased, the subacute patients' degree of the pain post therapy was decreased and the chronic patients' degree of the pain post therapy was decreased. There were statistically remarkable differences(p<0.05) in 3 groups. Conclusion: This results suggest that sacroiliac joints taping therapy to correct leg length inequality was effective on low back pain.

• 대한정형도수물리치료학회지
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• 제14권1호
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• pp.61-65
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• 2008

Purpose : The purpose of the study was to determine Effects of application on manual therapy of knee pain cause of Sacroiliac joint dysfunction. Methods : The patient with knee pain was 59years female. Muscle Energy Techniques, high-velocity, low-amplitude and modality(Hot pack, ultrasound, TENS) using during one month. Results : The patient has improve pain, muscle strength and function.

• 대한정형외과학회지
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• 제56권4호
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• pp.294-304
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• 2021

강직성 척추염은 천장 관절의 강직뿐만 아니라 척추체 주변의 관절막과 인대의 골화로 인해 척추 강직을 일으킨다. 이는 척추 움직임 제한을 일으키고 많은 경우에서 통증을 동반한 경추, 흉추, 요추 분절의 척추 변형을 유발한다. 방치할 경우 최종적으로는 전신 관절의 강직과 골화를 유발하게 되는 심각한 질환 중 하나이다. 일반적으로 30세 이전에 증상이 발현되며 질병의 점진적인 진행으로 신체적 기능, 환자의 직업적 능력과 삶의 질에 악영향을 끼치게 된다. 이는 우울증 같은 정신과적 질환으로 발전할 가능성을 높인다. 저자들은 이러한 심각성을 인지하고 전신 골화로 악화되기 이전에 다양한 약물 치료로 수술적 치료를 방지하고자 하는 최근의 경향과 연구를 소개하고자 하였으며, 또한 진행을 예방하지 못하여 수술적 치료에 이르게 된 환자들에서 시행되는 다양한 수술 방법과 그에 따른 합병증을 제시하고자 한다.

• 대한족부족관절학회지
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• 제17권3호
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• pp.189-195
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• 2013

Purpose: We investigated a statistical difference of tibial-articular surface (TAS) angles between radiographs of standing ankle anteroposterior (AP) and whole lower extremity view, and evaluated whether the tibial axis obtained from the standing ankle AP view reflects the original mechanical axis of lower extremity. Materials and Methods: Both the standing ankle AP and whole lower extremity view were taken from 60 legs of 30 healthy volunteers without a history of ankle surgery or deformity of lower limb. To determine the tibial axis, Takakura's and Hintermann's method were employed in the standing ankle AP view. To compare these results with the original TAS angle, ANOVA and multiple comparison test were used. Results: The mean TAS angle was 88.3 degrees(from hip joint to ankle), 89.5 degrees (from knee joint to ankle), 88.5 degrees (Takakura's method), and 90.2 degrees(Hintermann's method). Although there was a statistical significance (p=0.000) between these results, Takakura's method had no significant difference, compared to the results of whole extremity view by the multiple comparison test. Conclusion: The tibial axis obtained by Takakura's method reflects the original mechanical axis of lower extremity. When a surgical procedure is planned, however, it is necessary to consider that the ankle radiographs do not provide any information on the proximal deformity without the whole lower extremity view.

• The Korean Journal of Pain
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• 제22권3호
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• pp.229-233
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• 2009

Background: Sacroiliac (SI) joint pain is a challenging condition that causes lower back or buttock pain; however, there is no universally accepted long-term treatment. There have been several reports of ligament prolotherapy for SI joint pain, but these have had inconsistent results, probably due to the lack of a specific diagnosis for patient selection and variability in the volume, number and sites of injection. Therefore, this study was conducted to assess the efficacy of intraarticular prolotherapy for relieving SI joint pain diagnosed by local anesthetic intraarticular injection. Methods: Twenty-two patients with SI joint pain confirmed by 50% or more improvement in response to local anesthetic block underwent intraarticular prolotherapy with 25% dextrose water every other week three times. The numeric rating scale (NRS) for pain and Oswestry disability index (ODI) were assessed at the initial visit and after completion of a series of prolotherapy and the NRS was checked during monthly follow-up sessions to evaluate the long-term effectiveness of this technique. Results: Twenty patients completed prolotherapy and followed up as scheduled. The NRS and ODI were significantly improved from 6 (4-8) and $34.1{\pm}15.5$ to 1 (0-3) and $12.6{\pm}9.8$ (P < 0.01), respectively, at 1 month after prolotherapy. The mean duration of pain relief of 50% or more was 12.2 months (95% CI, 10.0-14.3) as determined by Kaplan-Meier survival analysis. Conclusions: Intraarticular prolotherapy provided long-term relief of sacroiliac joint pain and may have more benefits than ligament prolotherapy or neurolysis.

• 대한물리치료과학회지
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• 제6권3호
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• pp.25-40
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• 1999

The hub of weight bearing in the human body for both static and dynamic activities is the lumbopelvic region. It is a key region of extraordinary stability, since the trunk and ground forces converage in this region. The two sacroiliac joints form an integral part of this lumbopelvic unit. Considerable effort has been expended to study and quantify the normal range of movement of the sacroiliac joints Mitchell suggests that the ilium rotates in a posterior direction at heel strike and progresses in an anterior direction as the individual passes through the stance phase. The overall key appears to lie in determining the weight-bearing pattern of the sacroiliac (lumbopelvic) region from above and below that results in the familiar pain of sacroiliac dysfunction, assessing the status of the injured tissues, and intervening with the proper treatment protocols that maximize the body's healing processes. The purpose of this chapter is to provide a comprehensive overview of the sacroiliac joint's tissues and biomechanics, as well as concepts of evaluation and treatment. This overview is aimed at assisting the clinician in identifying the forces that are potentially destructive to the lumbopelvic tissues.

• 대한정형도수물리치료학회지
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• 제26권1호
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• pp.73-78
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• 2020

Background: The leg length discrepancy (LLD) have been implicated with degenerative diseases since the early 1970s, which also causes musculoskeletal asymmetry problems. The LLD appears due to factors such as balance ability, response time, and muscle strength between the shorter and longer leg. In this study, the effect of manual therapy to LLD has been studied. Methods: Manual therapy has been applied on shorter leg of 30 patients with LLD. The manual therapy was conducted for 2~3 minutes 3 times a week for 4 weeks. Results: The leg length of shorter leg were measured at initial baseline and after 4 weeks. the average leg length of shorter leg increased from 94.10 cm to 94.33 cm. Conclusion: This paper reports that the manual therapy has positive effects on LLD. It was studied by conducting manual therapy on muscles and joints related to shorter leg. In the future, the muscles and joints of the longer leg should be considered and various age group should be studied to develop the understanding of the effect of manual therapy on LLD.