• Title/Summary/Keyword: Sacroiliac Joint

Search Result 89, Processing Time 0.025 seconds

Case Report of Sacrum Malposition Analysed by Relative Research of Test (검사법의 비교연구로 살펴본 천골변위 증례보고)

  • Kim, Gyu-Sub;Kang, Woo-Jin;Moon, Ik-Ryoul;Park, Jae-Sung;Jeon, Jun-Hyeon;Jeong, Won-Choon;Heo, Su-Young
    • The Journal of Churna Manual Medicine for Spine and Nerves
    • /
    • v.10 no.1
    • /
    • pp.129-137
    • /
    • 2015
  • Objectives : The purpose of this study is to find out the relation between Orthopedic Test of sacroiliac joint and two Sacrum Malposition Tests. Methods : We investigated 56 cases of patients who complained of unilateral sacroiliac joint pain and were diagnosed as sacrum malposition. We used Gaenslen's Test, Sacroiliac Resisted Abduction Test and Patric's Test as Orthopedic Test for pain area, while used Thompson's Sacrum Test and Greenman's 4 Point Test for diagnosis of sacrum malposition. Results : P-value was 0.511 between Thompson's Sacrum Test and Greenman's 4 Point Test within negative Orthopedic Test, and was 0.523 within positive Orthopedic Test(p>0.05) Conclusions : The results suggested that the Thompson's Sacrum Test was not statistically correlation with Greenman's 4 Point Test within negative Orthopedic Test, and was not correlated within positive Orthopedic Test.

SAPHO Syndrome - A Case Report - (SAPHO 증후군 - 증례보고 -)

  • Seo, Mu-Sam;Park, Hyung-Taek;Park, Jong-Hoon
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.9 no.2
    • /
    • pp.206-211
    • /
    • 2003
  • Palmoplantar pustulosis may be associated with peculiar bone and joint conditions. Initially restricted to the anterior chest wall, these conditions were later found to involve peripheral bones and joints. The same aseptic pseudoinfectious bone and joint lesions were also found associated with severe acne. In 1987, Kahn et al suggested this acronym to describe a number of reports of peculiar bone, joint, and skin lesions published over the last 25 years. SAPHO sydrome stands for synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome. We report one case of SAPHO syndrome: A 27-year-old female presented left clavicular and right sacroiliac joint pain with hyperostosis and pustulosis palmaris.

  • PDF

Inter-Examiner and Intra-Examiner Reliability of Sacroiliac Anatomical Landmarks Palpation Test in Standing Posture (선 자세에서 엉치엉덩관절뼈 기준점 촉진의 검사자간, 검사자내 신뢰도)

  • Yim, Beom-Chang;Lee, Jung-Ah;Yi, Chung-Hwi
    • Physical Therapy Korea
    • /
    • v.14 no.2
    • /
    • pp.61-67
    • /
    • 2007
  • The purpose of this study was to examine inter- and intra-examiner reliability of the sacroiliac joint (SIJ) anatomical landmarks palpation. Two physical therapists and one doctor specializing in rehabilitation examined 22 asymptomatic subjects. They examined anterior superior iliac supine (ASIS), posterior superior iliac supine (PSIS) and iliac crest (IC). For the assessment of intra-examiner reliability, 3 examiners repeated the measurements 3 times over a 2-week interval. Kappa (Kg) yielded intra-examiner reliability that ranged between slight to fair for the ASIS (Kg=.06 to .26; mean Kg=.19), and slight for the PSIS(Kg=-.04 to .18; mean Kg=.07) and slight to fair for the IC (Kg=.06 to .32; mean Kg=.21). Inter-examiner reliability was slight (ASIS Kg=.13; PSIS Kg=.05; IC Kg=.14). These results suggest that the reliability of the assessing SIJ anatomical landmarks using palpation and observation as an indication of SIJ dysfunction still remains questionable. Before this test can be relied upon as an accurate indicator of SIJ dysfunction, it must undergo further research. This further research needs to examine not only reliability, but also validity, sensitivity and specificity.

  • PDF

Relation between Location of Pelvic bone Fractures and the Injury to the Urinary bladder, Urethra or Lower gastrointestinal tract (골반 골절 위치와 방광, 요도, 하부 위장관계 손상의 관련성)

  • Kim, Chang Ho;Park, Jung Bae;Ryoo, Hyun Wook;Seo, Kang Suk;Seo, Jun Seok;Chung, Jae Myung;Je, Dong Wook;Sung, Ae Jin
    • Journal of Trauma and Injury
    • /
    • v.20 no.2
    • /
    • pp.90-95
    • /
    • 2007
  • Purpose: This research was conducted to study whether the specific location of pelvic-bone fractures could increase the risk for injury to the urinary bladder, urethra, or lower gastrointestinal tract. Methods: We retrospectively reviewed the data of 234 patients with pelvic-bone fractures who visited the emergency department of Kyungpook National University Hospital from January 2004 to December 2006. The location of the pelvic-bone fracture was divided into 8 parts. The association of fracture location with injury to the urinary bladder, urethra, or lower gastrointestinal tract was analyzed with Fisher' s-exact test and multiple logistic regression. Results: Nineteen(19) patients had urinary bladder injury, 8 had urethral injury, and 9 had lower gastrointestinal tract injury. The following fracture locations were found to be significant; urinary bladder: sacroiliac (SI) joint (p<0.001), symphysis pubis (p=0.011), and sacrum (p=0.005); urethra: SI joint (p=0.020); lower gastrointestinal tract: symphysis pubis (p=0.028). After the multiple logistic regression analysis, the primary and the independent predictors for each of the injuries were as follows; urinary bladder: sacroiliac joint (p=0.000, odds ratio [OR]=10.469); lower gastrointestinal tract: symphysis pubis (p=0.037, OR=7.009). Conclusion: Consideration of further workup for injuries to the lower gastrointestinal and urinary tract is needed for some locations of pelvic-bone fractures because certain pelvic-bone fracture locations, especially the sacroiliac joint and the symphysis pubis, are associated with increased risk for injury to the lower gastrointestinal and urinary tracts.

The Effect of Pelvic Stability Exercise Program on Pain and Hip Joint of Patients with Chronic Low Back Pain involving Sacroiliac Joint Pain (골반안정화 운동프로그램이 엉치엉덩관절 통증을 동반한 만성요통환자의 통증과 엉덩관절에 미치는 영향)

  • Kang, Jeong-Il;Choi, Hyun
    • Journal of Digital Convergence
    • /
    • v.11 no.4
    • /
    • pp.331-338
    • /
    • 2013
  • For this research, 27 out of 52 patients with chronic low back pain involving sacroiliac joint pain were classified into the experimental group to conduct pelvic exercise program and traditional physical therapies in parallel, and the remaining 25 ones were classified into the control group to only apply traditional physical therapies for 6 weeks. After that, their clinical samples were randomly extracted. Before the experiment, both of the experimental group and the control group had the Oswestry disability index test to see how big their pain was and their hip joint angles were analyzed during walking. After the post-test, finally, the results of the Oswestry disability index test and hip joint angles while walking before and after the experiment were compared between two groups to know the effect of pelvic stability exercise program. Within-group results and between-group results both displayed significantly reduced low back pain, and when comparing hip joint angles of the experimental group, there were differences between mid stance phase, terminal stance phase, pre swing phase and early swing phase of the right hip joint, and mid stance phase, terminal stance phase, pre swing phase and early swing phase of the left hip joint. In the control group, there were significant differences between mid stance phase, terminal stance phase and early swing phase of the right hip joint, and loading response phase, mid stance phase, terminal stance phase and pre swing phase of the left hip joint. as a result, pelvic stability exercise program is helpful to gait rhythm on stance phase and swing phase although effective to decrease Oswestry disability index including pain.

Etiopathogenesis of sacroiliitis: implications for assessment and management

  • Baronio, Manuela;Sadia, Hajra;Paolacci, Stefano;Prestamburgo, Domenico;Miotti, Danilo;Guardamagna, Vittorio A.;Natalini, Giuseppe;Bertelli, Matteo
    • The Korean Journal of Pain
    • /
    • v.33 no.4
    • /
    • pp.294-304
    • /
    • 2020
  • The sacroiliac joints connect the base of the sacrum to the ilium. When inflamed, they are suspected to cause low back pain. Inflammation of the sacroiliac joints is called sacroiliitis. The severity of the pain varies and depends on the degree of inflammation. Sacroiliitis is a hallmark of seronegative spondyloarthropathies. The presence or absence of chronic sacroiliitis is an important clue in the diagnosis of low back pain. This article aims to provide a concise overview of the anatomy, physiology, and molecular biology of sacroiliitis to aid clinicians in the assessment and management of sacroiliitis. For this narrative review, we evaluated articles in English published before August 2019 in PubMed. Then, we selected articles related to the painful manifestations of the sacroiliac joint. From the retrieved articles, we found that chronic sacroiliitis may be caused by various forms of spondyloarthritis, such as ankylosing spondyloarthritis. Sacroiliitis can also be associated with inflammatory bowel disease, Crohn's disease, gout, tuberculosis, brucellosis, and osteoarthritis, indicating common underlying etiological factors. The pathophysiology of sacroiliitis is complex and may involve internal, environmental, immunological, and genetic factors. Finally, genetic factors may also play a central role in progression of the disease. Knowing the genetic pre-disposition for sacroiliitis can be useful for diagnosis and for formulating treatment regimens, and may lead to a substantial reduction in disease severity and duration and to improved patient performance.

A Gait Analysis of the Women with Unilateral Posterior Rotated Ilium : A Clinical Case Report (편측 장골이 후방 회전된 여성의 보행분석 : 임상 사례보고)

  • Yang, Kyung-Hye
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.20 no.1
    • /
    • pp.27-34
    • /
    • 2014
  • Background: The purpose of this clinical case report is to confirm sacroiliac joint misalignment effects on the gait. Methods: A healthy women volunteered to participate in this case report. Measurement of the subject was performed two categories. One is physical examination of the pelvic by inspection, palpation, movement based tests and pain provocation tests. The other one is gait performance measurement by 3 dimentional motion analysis. Results: Diagnosis by physical examination of the subject was Lt. ilium posterior rotation. Pelvic, hip, knee and ankle in the 3 dimensional kinematic data, the most notable result was the ankle. Conclusion: To confirm the effect of the misalignment of the sacroiliac joint on the gait function, it must be evaluated by integrating the movement to the ankle from the lumbar.

Case study of application on manual therapy of knee pain cause of Sacroiliac joint dysfunction (천장관절기능부전으로 인해 발생된 무릎 통증환자의 도수치료 적용사례)

  • Choi, Sung-Hwan;Park, Huyn-Sik;Shin, Young-Il
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.14 no.1
    • /
    • pp.61-65
    • /
    • 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.

  • PDF

Sacroiliac Joint MRI Segmentation to Generate RoI of Ilium (장골의 관심영역 생성을 위한 천장관절 MRI 세그멘테이션)

  • Lee, Go-Eun;Min, Jae-Eun;Choi, Changhwan;Cho, Jungchan;Choi, Sang Tae;Choi, Sang-Il
    • Proceedings of the Korean Society of Computer Information Conference
    • /
    • 2022.07a
    • /
    • pp.223-224
    • /
    • 2022
  • 본 논문에서는 축형 척추관절염으로 발전할 수 있는 천장관절염 환자들을 진단하기 위해 장골의 관심영역을 자동 생성할 수 있는 세그멘테이션 방법을 제안한다. 다양한 MRI 기기로부터 얻은 천장관절염 환자의 영상에서 장골의 GT(Ground Truth)를 생성하였으며, 대장 용종 검출을 위한 세그멘테이션 모델인 PraNet과 지역 특징 간의 표현 능력을 활용할 수 있는 Position Attention Module을 사용하여 유의미한 성능 향상을 보여주었다.

  • PDF

Effects of Applying the Pelvic Compression Belt on the Trunk and Hip Extensor Electromyography Pattern in Female Patients With Sacroiliac Joint Pain During the One-Leg Standing (골반압박벨트 착용이 한발서기 시 여성 천장관절통증 환자의 체간과 고관절 신전근 활성 양상에 미치는 영향)

  • Jung, Hee-Seok;Jeon, Hye-Seon;Yi, Chung-Hwi;Kwon, Oh-Yun
    • Physical Therapy Korea
    • /
    • v.19 no.2
    • /
    • pp.1-11
    • /
    • 2012
  • The pelvic compression belt (PCB) contributes to improving sacroiliac joint stability, and it has been used as an additional therapeutic option for patients with sacroiliac joint pain (SIJP). This study aimed to investigate whether the muscle activation patterns of the supporting leg was different between asymptomatic subjects and subjects with SIJP during one-leg standing, and how it changes with the PCB. 15 subjects with SIJP and 10 asymptomatic subjects volunteered to participate in this study. Surface electromyography (EMG) data (reaction time [RT] and muscle activation) were collected from the internal oblique, lumbar multifidius, gluteus maximus and biceps femoris muscles during one-leg standing with and without the PCB. Without the PCB condition, in the SIJP group, the biceps femoris muscle showed the fastest RT among all muscles (p<.05), whereas in the asymptomatic group, the RT of the internal oblique muscle was the most rapid (p<.05). In condition without the PCB, the biceps femoris EMG amplitudes in the SIJP group were significantly greater than that in the asymptomatic group (p<.05). After the application of the PCB, the RT of the biceps femoris muscle was significantly increased only in the SIJP group (p<.05). Moreover, the biceps femoris EMG amplitudes significantly decreased and the gluteus maximus EMG amplitudes significant increased only in the SIJP group by applying the PCB (p<.05). However, this had no such effect on the gluteus maximus and biceps femoris EMG patterns in the asymptomatic group (p>.05). Thus, this study supports the applying the PCB to patients with SIJP can be used as a helpful option to modify the activation patterns of the gluteus maximus and biceps femoris muscle.