Physiotherapy For Sacroiliac Joint Pain

Abstract

This study’s purpose is to examine the efficacy of physical therapy intervention in treating sacroiliac dysfunction (SIJD). [Subjects and Methods] MEDLINE, PUBMED, CINAHL, AMED, PEDro, and CIRRIE databases were searched and only relevant data from studies that matched the inclusion criteria were included. For critical evaluation, the CASP tools were used by researchers to determine whether studies had been included. [Results] Nine articles met the inclusion criteria, of which, three examined the effect of exercise on SIJD, three used kinesio tape and four studies examined the effect of manipulation. Different outcomes were considered, including Oswestry’s disability questionnaire (ODQ), the visual analogue (VAS) and Oswestry pain rating scales. Low to average quality was observed in the included studies. The CASP tools identified several weaknesses that could affect their validity. Results showed that SIJD can be treated with physiotherapy. The most common intervention is manipulation, which was most often used in physical therapy clinics. [Conclusion] SIJD treatment includes manipulation, exercise, and the use of kinesiotape to treat pain and disability.

Abstract

[Purpose] To determine the effectiveness or non-surgical physical therapy intervention for the treatment (SIJD) of sacroiliac and sacroiliac joint dysfunction (SIJD), this study has been conducted. [Subjects & methods] The MEDLINE, PUBMED and CINAHL databases were searched. Data from relevant studies were excluded if they did not match the inclusion criteria. CASP tools for critical appraisal were used to assess the quality of studies included. [Results] There were nine studies that fulfilled the inclusion criteria. Of these, three looked at exercise and SIJD. Three also used kinesio tape, four studied manipulation. A variety of outcomes were tested, such as the Oswestry handicap questionnaire (ODQ), visual and numerical analogue pain scores (VAS), Oswestry disabled questionnaire (ODQ), numerical and pain rating scales (NPRS) along with pelvic measurement (PALM/pilimeter, and photogrammetry). CASP tools found several flaws that affected the study’s validity, so the quality of included research varied between average and low. It was found that SIJD-related disability and pain can be reduced by physiotherapy intervention. In particular, manipulation is the most efficient and commonly employed in physical therapy clinics. [Conclusion] SIJD treatment includes manipulation, exercise, and the use of kinesiotape to treat pain and disability.

Keywords: Physiotherapy; Sacroiliac joint dysfunction; Systematic review.

Physiotherapy Treatment

Physiotherapy intervention is most effective in early presentations of SI dysfunction (where symptoms have been present for less than 3 months). Beyond 3 months, treatment with physiotherapy can be costly (more than six treatments) and there is a low rate of compliance.

SIJ dysfunction can often be diagnosed by physiotherapists (who are also more likely to overdiagnose it). The following are some options for treatment:

Extraction of the proximal, gluteal musculature. Most often, this is done badly by physiotherapists. This results in painful and sometimes even fatal treatments. These treatments are essential for recovery. They should be painless.

Joint mobilisations of the lumbar and sacroiliac muscles

The evidence supporting core strengthening and pelvic floor exercises is weak. This is because compliance is low and it’s unreasonable for third-party insurers not to cover this kind of rehabilitation.

Please note: There is absolutely no evidence that ultrasound can be used for any type of pathology.

Avoid therapists who advocate expensive rehab programs. The evidence to support efficacy is poor and patient compliances is poorer.

.Physiotherapy For Sacroiliac Joint Pain

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