Sacroiliac Joint

Publication Title: 
Hippokrates
Author(s): 
Marnitz, H.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Traditionally, the chiropractic profession has employed two different methods to describe spatial relationships (i.e., listings) of subluxated vertebrae for corrective orientation purposes. These methods (Palmer- Gonstead - Firth and Diversified), in addition to being somewhat limited in their scope of application, do result in some confusion. This paper, therefore, proposes a new method designating vertebral position and movement based on the "right-handed orthogonal coordinate system" of White, Panjabi and others.

Author(s): 
Gerow, G.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A successfully treated case of sacroiliac syndrome coexisting with lumbosacral anomalies is presented. Spinal manipulative therapy is not contraindicated if properly modified to account for the anomalous anatomical orientation.

Author(s): 
Bressler, H. B.
Deltoff, M. N.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Early onset of disabling backache in acromegaly is infrequent. A case is presented of a young acromegalic with acute sacroiliac strain caused by improper occupational lifting, precipitated by the instability of joints due to hypersomatotropism and concomitant with lumbosacral facet tropism. The newly observed radiological feature of the acromegalic, hyperostosis of the spinous processes is believed to contribute to the aching in the low back. The patient resumed working after ten adjustments to the sacroiliac joint, supplemented with cryotherapy, sacral brace and postural education.

Author(s): 
Woo, C. C.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

The purpose of this investigation was to determine whether force platform measurements can be used to objectively assess short-term effects of spinal manipulation on patients with diagnosed, chronic unilateral "sacroiliac dyskinesia," here defined as decreased interarticular mobility of the sacroiliac joint. Nine patients walked across a force platform, were than manipulated by a chiropractor and then repeated the gait trials.

Author(s): 
Robinson, R. O.
Herzog, W.
Nigg, B. M.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

The purpose of this study was to operationally define and evaluate inter- and intra-examiner reliability of the standing sacroiliac mobility (Gillet) test on 53 college students. Both inter- and intra-examiner reliability data showed high mean percentages of agreement (85.3% and 89.2%, respectively.) Cohen's unweighted kappa statistic for concordance was applied yielding "fair" concordance for aggregate intra-examiner data and "slight" concordance for aggregate inter-examiner data.

Author(s): 
Carmichael, J. P.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

The purpose for conducting this study was to investigate the effects of chiropractic treatment on the gait of a group of subjects with sacroiliac joint syndromes. The clinical results suggest that chiropractic treatments reduce pain, increase mobility of the sacroiliac joint, and restore general functional ability of the patient. Force results obtained by using a force platform during gait of the subjects showed that external forces were significantly different for gait trials executed after chiropractic treatment compared to gait trials executed before chiropractic treatment.

Author(s): 
Herzog, W.
Nigg, B. M.
Read, L. J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

The purpose of this study was to assess the inter- and intraexaminer reliability of the Gillet-motion palpation procedure using 10 qualified chiropractors and 11 patients with a sacroiliac joint problem. Intraexaminer reliability was found to be statistically significant for all agreement scores investigated. Interexaminer reliability was found to be statistically significant for some of the agreement scores investigated but not for others. Severity of the low back problems did not seem to influence intra- or interexaminer agreement scores; however, chiropractor expertise did.

Author(s): 
Herzog, W.
Read, L. J.
Conway, P. J.
Shaw, L. D.
McEwen, M. C.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A case history demonstrating a cause-effect relationship between sacroiliac sprain and a 'snapping hip' is presented. Periodic iliac manipulation is shown to eliminate crepitus elicited by simultaneous active or passive extension of the knee and hip. The significance of this case history as evidence of the efficacy of iliac manipulation in the management of sacroiliac syndrome is discussed.

Author(s): 
Fickel, T. E.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A randomized controlled trial was performed to study the effect of various teaching techniques on students performing sacroiliac motion palpation tests. This trial assessed the interexaminer reliability of interns in their final year at a chiropractic college, and compared their results prior to and following 1 year of clinical experience. The study also compared the intra- and interexaminer reliability of experienced clinicians. The results were analyzed via the Kappa coefficient.

Author(s): 
Mior, S. A.
McGregor, M.
Schut, B.

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