Type of Article : Review
Year: 2016 | Volume 4 | Issue 3 | Page No. 1484-1488
Date of Publication: 11-06-2016
EFFECTIVENESS OF THERAPEUTIC INTERVENTIONS IN SACROILIAC JOINT DYSFUNCTION: A SYSTEMATIC REVIEW
Bharti Neha *1, R. Arunmozhi 2, Arora Maneesh 3, Anand Pooja 4.
*1 Research Scholar, Department of Physiotherapy, Sardar Bhagwan Singh Post Graduate Institute of Biomedical Sciences and Research, Balawala, Dehradun, Uttarakhand, India.
2 Associate Professor, Department of Physiotherapy, Sardar Bhagwan Singh Post Graduate Insitute of Biomedical Sciences and Research, Balawala, Dehradun, Uttarakhand, India.
3 Professor and HOD, Department of Physiotherapy, Sardar Bhagwan Singh Post Graduate Insitute of Biomedical Sciences and Research, Balawala, Dehradun, Uttarakhand, India.
4 Assistant Professor, Department of Physiotherapy, Sardar Bhagwan Singh Post Graduate Insitute of Biomedical Sciences and Research, Balawala, Dehradun, Uttarakhand, India.
Corresponding author: Neha Bharti, Research Scholar, Department of Physiotherapy, Sardar Bhagwan Singh Post Graduate Insitute of Biomedical Sciences and Research, Balawala, Dehradun, Uttarakhand, India.
Background: Sacroiliac Joint Dysfunction is a term often used to describe pain in or around the region of the joint that is presumed to be due to traumatic, infection, Inflammatory, degenerative, metabolic and biomechanical disorders of the joint. The sacroiliac joint has been implicated as the primary source in 10% to 25% of the patient with low back pain. Patients with sacroiliac joint dysfunction and pain go through the various conservative interventions and surgical management option for managing sacroiliac joint pain and dysfunction. In addition, there continue to be significant variations in the application of various interventions as well as a paucity of literature.
Purpose: The study is to provide an overview of research studies focused on the various treatment procedures and find out the gap in the literature for the future studies the sacroiliac joint dysfunction.
Methods: Studies in any language were identified by searching through databases like Google Scholar, PubMed, and PEDro. Articles in which some form of treatment methods was used to manage the sacroiliac joint pain and dysfunction were included. The PRISMA guidelines were followed for methodological quality.
Results: 112 studies were considered for inclusion. Of these, 97 were excluded and 15 randomized clinical trials were included. The evidence for intra articular steroid injection, exercise therapy and minimally invasive sacroiliac joint fusion was fair; however neurotomy, radiofrequency denervation, intra articular prolotherapy, LASER, mesotherapy, manual and physical therapy were limited.
Conclusion: On analyzing the result it was found that there is lack of evidence of any standardized intervention for managing the sacroiliac joint dysfunction. Thus it can be concluded that more concentration should be imposed on other treatment method like soft tissue release and manual therapy for the effective treatment on the condition of sacroiliac joint pain and dysfunction.
Key Words: Low back pain, Sacroiliac joint pain, Sacroiliac joint dysfunction.
- Tulder VM, Koes B, Bombardier C. Low back pain. Best Pract Res Clin Rheumatolgy. 2002;16(5):761-775.
- Weksler N, Velan GJ, Semionor M, Gurvitch B, Klein M, Rozentsueig V and Rudich T. The role of sacroiliac joint dysfunction in the genesis of low back pain: the obvious is not always right. Arch Orthop Trauma Surg.2007;127(10):885-888.
- Cho BY and Yoon JG.The effect of training with shoe insert on the improvement of pain and gait in sacroiliac joint patients. J Phys Ther Sci. 2015;27:2469-2471.
- Whang P, Cher D, Polly D, Frank C, Lockstadt H, Glaser J, Limoni R, and Sembrano J. Sacroiliac Joint Fusion Using Triangular Titanium Implants vs Non-Surgical Management: Six-Month Outcomes from a prospective Randomized Controlled Trial. International Journal of Spine Surgery. 2006; 9(6):1-18.
- Hadi MA, Pasutharnchat K and Tan KH. Cooled radiology denervation for treatment of sacroiliac joint pain: two-year results from 20 cases. Journal of Pain Research.2013;6:505-511.
- Kamali F and Shokri E. The effect of two manipulative therapy techniques and their outcome in patient with sacroiliac joint syndrome. Journal of Bodyworks and Movement Therapies. 2012;16:29-35.
- Jee H, Lee JH, Park KD, Ahn J and Park,Y. Ultrasound-Guided Versus Fluroscopy-Guided sacroiliac joint intra-articular injections in the Noninflammatory sacroiliac Joint Dysfunction: A Prospective, randomized , Single-Blinded Study. Archives of Physical Medicine and Rehabilitation. 2014;95:330-7.
- Kim WM, Lee HG, Jeong CW, Kim CM and Yoon MH. A Randomized Controlled Trial of Intra-articular Prolotherapy Versus Steroid Injecton for sacroiliac Joint Pain. The Journal of Alternative and Complementary Medicine. 2010;16(12):1285-1290.
- Cohen SP, Hurley RW, Buckenmaier CC, Kurihara C, Morlando B and Dragovich A. Randomized placebo-Controlled study evaluating lateral branch denervation for sacroiliac joint pain. Anesthesiology. 2009;109(2):279-288.
- Monticone M, Moschi A and Negrini S. Symptomatic efficacy of stabilization treatment versus laser therapy for sub-acute low back pain with positive for sacroiliac dysfunction: a randomized clinical controlled trial with 1 year follow-up. Eur Med Phys. 2004;40:263-8.
- Polly DW, Ches DJ, Wine WD, Whang PG, Frank CJ, Harvey CF, Lockstadt, Glaser JA, Limoni RP and Sembrano JN. Randomized controlled trial of minimally invasive sacroiliac fusion using triangular titanium implants vs non surgical for sacroiliac joint dysfunction: 12-Month Outcomes. Neurosurgery.2015;77(5):674-691.
- Yin W, Willard F, Carreiro J and Dreyess P. Sensory Stimulation-Guided Sacroiliac Joint Radiofrequency Neurotomy: Technique Based on Neuroanatomy of the Dorsal Sacral Plexus. Spine. 2003;28(20):2419-242.
- Visser LH, Woudenberg NP, Verwer K, Jenniskens H and Den Oudsten BL. Treatment of the sacroiliac joint in patients with leg pain: a randomized- controlled trial. Eur Spine J. 2013;22:2310-2317.
- Grassi DDO, Souza MZD, Ferrareto SB, Montebelo MIDLM, Guirro ECDO. Immediate and lasting improvements in weight distribution seen in baropodometry following a high-velocity, low-amplitude thrust manipulation of the sacroiliac joint. Manual Therapy. 2011;16:495-500.
- Son JH, Park GD and Park HS. The effect of sacroiliac joint mobilization on pelvic deformation and the static balance ability of female university students with sacroiliac joint dysfunction. J Phys Ther Sci. 2014;26:845-848.
- Kanchan R, Nitesh B and Savita. Comparative analysis on the efficacy of G.D. Maitland’s concept of mobilization and muscle energy technique in treating sacroiliac joint dysfunction. Indian Journal of Physiotherapy and Occupational Therapy. 2009;3(2):18-21.
- Bindra S. A study on the Efficacy of Muscle Energy Technique as compared to Conventional Therapy on Lumbar Spine Range of Motion in Chronic Low Back Pain of Sacroiliac Origin. Indian Journal of Physiotherapy and Occupational Therapy.2013;2(4):336-349.
- Dhinkaran M and Arora AST. Comparative Analysis of Muscle Energy Technique and Conventional Physiotherapy in Treatment of Sacroiliac Joint Dysfunction. Indian Journal of Physiotherapy and Occupational Therapy.2011;5(4);127-131.
- Patel N, Gross A, Brown L and Gekht G. A Randomized, Placebo-Controlled Study to Assess the Efficacy of Lateral Branch Neurotomy for Chronic Sacroiliac Joint Pain. Pain medicine. 2015;13(3):383-398.
- Patel N. Twelve month follow up of a Randomized Trial Assessing Cooled Radiofrequency Denervation as a Treatment of Sacroiliac Region Pain. Pain Practice Journal. 2014;2(1).
Bharti Neha, R. Arunmozhi, Arora Maneesh, Anand Pooja. EFFECTIVENESS OF THERAPEUTIC INTERVENTIONS IN SACROILIAC JOINT DYSFUNCTION: A SYSTEMATIC REVIEW. Int J Physiother Res 2016;4(3):1484-1488. DOI: 10.16965/ijpr.2016.111