• 한방재활의학과학회지
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• 제20권3호
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• pp.75-91
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• 2010

Objectives : Although the controversy surrounding the biomechanics of the sacroiliac joint remains unresolved at this time, the clinical importance of this joint in the cause of back pain has been established since 1930's. Recently, there has been renewed interest in the sacroiliac joint. This study was performed to evaluate the effects of pulsed electromagnetic therapy(PEMT) with acupuncture therapy for patients, who were suffering from sacroiliac joint syndrome, and to conduct more researches in the usage of acupuncture therapy for treating sacroiliac joint syndrome. Methods : 25 patients, who were diagnosed as sacroiliac joint syndrome were selected. They were treated twice a week during 3 weeks. They were measured after all the treatment and firs week and fourth week after termination of treatment by using visual analogue scale(VAS) and Roland Morris disability index(RMDI). The VAS and RMDI patterns were analyzed by using 'pared T-test' and 'Kruskal-Wallis' test. Results : 1. Each times of PEMT with acupuncture therapy, there were statistical significance in improvement of VAS(p<0.05) and each times of therapy except 1st one, there were statistical significance in improvement of RMDI(p<0.05). 2. After 4th therapy, there were most significant improvement of VAS with RMDI(p<0.001), when we compared the change in VAS and RMDI before and after the each therapy. 3. There was no statistical significance in VAS and RMDI by onset, sex and age. Conclusions : The results indicate that pulsed electromagnetic therapy and acupuncture therapy had good effect on sacroiliac joint syndrome.

• 디지털융복합연구
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• 제12권12호
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• pp.651-658
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• 2014

본 연구는 천장관절 증후군으로 진단받은 중년남성 17명을 대상으로 슬링을 이용한 요부 안정화 운동이 근체형 및 주관적 통증에 영향을 주는지를 규명하여 슬링을 이용한 요부안정화 운동의 효과성을 증명하는데 있다. 본 연구의 대상자는 C시에 소재한 S정형외과에서 X-Ray 등의 검사를 통하여 천장관절 증후군으로 진단 받은 6개월 이상의 병력이 있는 만성 요통환자를 대상으로 슬링을 이용한 요부안정화 운동을 8주간 주 3회씩 1회 30분 통 24회 실시한 후 3차원 Moire 근체형검사기를 사용하여 근체형의 변화와 변형된 VAS통증 자각도를 이용하여 주관적 통증정도의 전 후 변화를 다음과 같은 결과를 얻었다. 근체형의 변화는 운동전과 운동 후 통계적으로 유의하게 향상됐고 주관적 통증정도 역시 통계적으로 유의한 감소를 나타내었다. 따라서 슬링을 이용한 요부안정화 운동은 천장관절 증후군 환자의 근체형 및 통증개선에 긍정적인 영향을 주는 것으로 판명되었다.

• 대한골관절종양학회지
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• 제9권2호
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• pp.206-211
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• 2003

수장족저 농포증은 특별한 골, 관절계 질환과 관련이 있을 수 있다. 초기 전흉벽에 국한되었던 이러한 질환은 이후 말초 골, 관절계를 침범하는 것으로 밝혀졌다. 무균성 가감염성 골, 관절 질환 역시 심한 여드름과 관련이 있는 것으로 밝혀졌다. 1987년 Kahn 등은 과거 25년간 발표된 특별한 골, 관절 그리고 피부병변에 관한 수많은 보고들을 기술하기 위하여 약성어를 제시하였다. SAPHO 증후군은 Synovitis, Acne, Pustulosis, Hyperostosis and Osteitis syndrome을 뜻한다. 저자들은 SAPHO 증후군으로 의심되는 과골증을 동반한 좌측 쇄골 및 우측 천장 관절 동통과 수장 농포증이 있는 27세 여자 환자 1예를 경험하였기에 보고하고자 한다.

• 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.

• 대한정형도수물리치료학회지
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• 제29권3호
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• pp.85-99
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• 2023

Background: This study aimed to investigate the effects of a complex manual therapy program on hip and knee pain occurring together with menstrual pain and iliotibial band tightness in a woman with sacroiliac joint dysfunction. Methods: This study was carried out over a period of 3 months by dividing the treatment process into three sequential stages. Intensities of menstrual pain, hip pain, and knee pain, and hip range of motion (ROM) in the participant were assessed at baseline and at the end of each stage, and a modified intervention was applied according to results of assessments after each stage. Results: There was a decrease in the intensity of menstrual pain after the first and third stages of treatment, and there were reductions in the intensities of hip and knee pain after the third stage. Hip ROM was rather decreased after the second stage, but it was increased after the third stage. Conclusion: The findings of this study indicate that treatment of the instability and positional fault of sacroiliac joint can relieve hip and knee pain, improve hip ROM, and alleviate primary dysmenorrhea in patients with sacroiliac joint dysfunction.

• 대한핵의학회지
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• 제16권2호
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• pp.63-70
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• 1982

To evaluate the diagnostic usefulness and significance of quantitative sacroiliac joint scintigraphy in the assessment of sacroiliitis, we measured Sacroiliac Joint/Sacrum Uptake Ratio(SIS Ratio) by region of interest(ROI) method using $^{99m}Tc-methylene$ diphosphonate. The observed results were as follows: 1. Using ROI method, the SIS ratios for the control group of 65 persons were $1.05{\pm}0.08$(left) and $1.06{\pm}0.07$(right) which were narrower in range than those of slice method $(mean{\pm}S.D.)$. 2. The effects of age, gender and laterality on SIS ratio were not significant. 3. In left side, one of 6 patients with rheumatoid arthritis had SIS ratio in excess of 2 standard deviation of normal control group, and remainder had SIS ratios within normal limit. In right side, 3 patients had SIS ratios in excess of 2 standard deviation of normal control group, and remainder, within normal limit. 4. In both sacroiliac joint, 2 of 3 patients having sacroiliitis clinically with Reiter's syndrome whose pelvis A-P X-ray findings showed normal had high SIS ratios (left/right; 1.31/1.69, 1.90/1.80), but SIS ratio of one patient who had no evidence of sacroiliitis clinically was within normal limit. 5. In 6 patients with ankylosing spondylitis in both sacroiliac joints, 4 whose pelvis A-P Xray findings showed severe sclerotic change of sacroiliac joints had SIS ratio within normal limit or below that of normal control group, and SIS ratios of 2 patients whose pelvis A-P X-ray findings showed were increased. 6. 4 of 5 patients with low back pain of which cause could not be evaluated clinically and radiologically had SIS ratios in excess of that of normal control group. It would be concluded that quantitative sacroiliac joint scintigraphy is useful and sensitive screening method in the diagnosis as well as in the assessment clinical activity of sacroiliitis.

• The Korean Journal of Pain
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• 제21권1호
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• pp.1-10
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• 2008

Spinal joint pain syndrome is composed of atlanto-occipital, atlanto-axial, facet, and sacro-iliac joints pain. The syndrome is characterized as referred pain which is originated from deep somatic tissues, which is quietly different from radicular pain with dermatomal distribution originated from nerve root ganglion. The prevalence of facet joint pain in patients with chronic spinal pain of cervical, thoracic, and lumbar regions has been known 56%, 42%, and 31% as in order. It is generally accepted in clinical practice that diagnostic blocks are the most reliable means for diagnosing spinal joints as pain generators. The sacroiliac joint has been shown to be a source of 10% to 27% of suspected cases with chronic low back pain utilizing controlled comparative local anesthetic blocks. The treatment of spinal joints ideally consists of a multimodal approach comprising conservative therapy, medical management, procedural interventions, and if indicated.

• Clinical Pain
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• 제20권1호
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• pp.49-52
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• 2021

Bertolotti's syndrome (BS) refers to chronic low back pain (LBP) associated with lumbosacral transitional vertebrae (LSTV). Many studies suggest that the anomalous articulation alters biomechanics, resulting in discomfort on the ipsilateral side. Herein, we present an unusual case of BS presenting pain on the non-articulated side. A 46-year-old man visited our clinic with history of chronic LBP, refractory to treatment of analgesics, modalities and manual therapies. Electrodiagnostic studies showed no evidence of lumbosacral radiculopathy. Radiographies noted unilateral pseudoarticulation of L5~S1 vertebrae, on the contralateral side of his pain. The pain improved dramatically after sacroiliac joint block and facet joint block with iliolumbar ligament infiltration on the non-articulated side. Clinicians should be cautious that the unaffected joint in BS may serve an important role in altered lumbopelvic biomechanism, since it might eventually lead to intractable chronic LBP when overlooked.

• The Korean Journal of Pain
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• 제8권1호
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• pp.149-151
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• 1995

Piriformis syndrome is a syndrome of low back and leg radiating pain thought to be due to a chronic contracture of the piriformis muscle that causes irritation of the sciatic nerve. The piriformis muscle is a flat pyramidal muscle, an external rotator and abductor of the hip, originating from the front of the sacrum and inner aspect of the sacroiliac joint, then passes laterally out of the sciatic notch to attach posteriorly to the greater trochanter of the femur, the sciatic nerve passes between the two bellies of the muscle. Mechanical irritation of the sciatic nerve by an inflammatory reaction of the piriformis muscle and its fascia at this pelvic level causes pain to radiate in the dermatomal regions of the nerve roots similar to that disk entrapment. diagnosis of piriformis syndrome is made primary on the basis of history and clinical examination. The incidence is considerably higher in women, with the reported ratio of women to men of 6:1. These patients frequently present with associated symptoms of pelvic pain and/or dyspareunia. Symptoms are usually unilateral but occasionally be bilateral. We had a 42 year-old woman patient with low back and left leg radiating pain and dyspareunia treated by caudal steroid and local anesthetic.

• The Korean Journal of Pain
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• 제8권2호
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• pp.341-346
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• 1995

Piriformis Syndrome is characterized by pain of the low back, groin, perineum, buttock, hip, posterior thigh, leg and foot. Symptoms are aggravated by sitting, prolonged combination of hip flexion, adduction, the medial rotation, or by activity. In addition, patient may complain of painful swelling of the limb and sexual dysfunction-dyspareunia in female, and impotence in male. It currently appears that three specific conditions may contribute to the piriformis syndrome: (a) myofascial pain; (b) nerve and vascular entrapment; (c) dysfunction of the sacroiliac joint. The important keys of diagnosis are history and physical examination. There is no known objective diagnostic method. We described the clinical features of four cases of piriformis syndrome and reviewed foreign literature.