Role of sacroiliac joint problem in low back pain.
- Conditions
- Low back pain, Buttock pain
- Registration Number
- CTRI/2011/12/002205
- Lead Sponsor
- Manipal University
- Brief Summary
**PROCEDURE**
The study was approved by the scientific research committee and Time bound Ethics Committee of K.M.C Mangalore.The subjects diagnosed to have low back pain, by the physician referred to physiotherapy department were given informed consent and purpose of the study was explained. Once informed consent was obtained, the subject was screened by the investigator for inclusion and exclusion criteria. The subjects who fulfilled the inclusion criteria were taken as case group. Similarly asymptomatic individuals who fulfilled their inclusion criteria were taken as control group. General musculoskeletal examination was performed for the case group and both the case and control group subjects were assessed for pelvic asymmetry. The total duration taken for the procedure was 20-30 min.xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /
**Measurement of pelvic asymmetry**:
The PALM instrument, (Performance Attainment Associates, St. Paul, MN) which combines the features of a calliper and an inclinometer, was used to measure the pelvic asymmetry.
Levelness of the floor was established with a carpenter’s level and 2 pieces of tape spaced 15 cm apart were placed on the floor. The tape strips marked the location on the floor where subjects would position their feet and standing in a fully erect posture with no bending of the ankles, knees, hips, or spine, with folding their arms across the chest.
To measure the differences in Posterior Superior Iliac Spines (PSIS) level the examiner palpated the most prominent aspect of PSIS from behind and placed the PALM calipers.The inclinometer ball was designed to move towards the shorter side. The extent of deflection was recorded in the record sheet.
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Then, the examiner placed the PALM at prominent point of Anterior Superior Iliac Spines (ASIS) from front for measuring ASIS differences and standing laterally for measuring one side innominate tilt by placing PALM calipers between ASIS and PSIS of the same side and deflection was recorded as before . During the procedure subjects were instructed to take a deep breath in, exhale, and to wait to inhale again until after the measurement was taken.
The subjects with pelvic asymmetry were not taken for further motion palpation tests.
**Motion palpation tests:**
Four motion palpation tests were performed in diagnosing SIJ aberrant motion. Reliability for cluster of two or three out of four tests was found to be substantial. The presence of asymmetry or positive motion palpation tests indicated SIJ dysfunction, which was tested on both case and control groups. The results were recorded in a record sheet .
**DATA ANALYSIS**
Chi square test and odds ratio was used to analyze the data. Data was evaluated with the Statistical program for Social Science (SPSS) 16.0 version. The level of significance of < 0.05 was considered to be statistically significant with 95% confidence interval.
- Chi square test was used for the comparison of age, gender, SIJ dysfunction, between the case and control group.
- The strength of association between SIJ pain, age and gender on SIJ dysfunction was calculated using estimated Odds Ratio.
**CONCLUSION**
Our study concluded there was significant association between pelvic asymmetry and SIJ pain of less than 1 year of duration. All the subjects with SIJ symptoms have to be checked for SIJ dysfunction. But, all the subjects with SIJ dysfunction need not be symptomatic. This information may be important in identifying the SI joint pain with and without pelvic asymmetry and restoring pelvic asymmetry as the part of treatment program. Our study also found that there was no association with age, gender and SIJ dysfunction.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 60
- Inclusion criteria for case group: •Age 21-50 years •Pain below L5 level •Pain around posterior superior iliac spine and buttock with or without leg pain.
- •Positive pain provocation tests Inclusion criteria for control group: Subjects with 21-50 years of age with no history of LBP for past one year, fractures of lower limb and no spinal deformities.
- •Midline or symmetrical pain above the level of L5 •Radicular pain with neurological deficit •History of spinal surgery •Fracture of spine, pelvis, and lower extremities •Limb length discrepancy •Pregnancy or postpartum duration of six months •Hip, knee and ankle pain and dysfunctions •Any systemic infections •Seronegative spondyloarthropathies.
- •Crystalline arthropathy.
- •Rheumatoid arthritis.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Sacroiliac joint Dysfunction, Pain (VAS) pain (VAS) was measuresd during initial general orthopaedic assessment and dysunction was measured after clearing inclusion and exclusion criteria.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
KMC hospitals - Attavara and Ambedkar circle
🇮🇳Kannada, KARNATAKA, India
KMC hospitals - Attavara and Ambedkar circle🇮🇳Kannada, KARNATAKA, IndiaSivaraman SPrincipal investigator9738312824siva_physio@hotmail.com