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Investigation of The Pain and Muscle Strength of Individuals with Sacroiliac Joint Dysfunction and Its Effect on Postural Stability

Year 2023, Volume: 9 Issue: 18, 1 - 7, 23.10.2023
https://doi.org/10.48121/jihsam.1244471

Abstract

ABSTRACT
Sacroiliac joint dysfunction(sijd) is created by repetitive stresses and is ligaments and muscles cause compressive and elastic forces [1].Muscles ligaments and joints are mechanoreceptors and retains stability and bearings of the body movements sense proprioception. [9].However there is a little research investigating the relationship between sijd and balance.

Aim: To investigate the relationship between sijd and static/dynamic balance.

Methods: 20 subjects with sijd and 20subjects without SIJ dysfunction(control group-CG)were evaluated by standing flexion,sitting flexion and Gillet's Test.In addition to sociodemographic features, visual analog scale(VAS) was used for pain assessment.Manuel Muscle Testing (MMT) was used for assessing strength of rectus abdominis and lumbar extensors.Static balance was evaluated by single leg stance test (SLST) with open and closed eyes.Dynamic balance was evaluated by Prokin PK200.

Results: For statistical analysis SPSS program was used.There were significant difference in static balance of the lower extremities without visual feedback between subjects with sijd and CG(p<0.05).There was no significant difference in dynamic balance values between two groups.There was a significant difference in mean rectus abdominis strength value between sijd group and CG. There were a negative correlations between rectus abdominis and lumbar extensors MMT values of sijd group and VAS values which means while the rectus abdominis muscle/lumbar extensor muscle strength increases, pain decreases at night.
Conclusions: The results suggest that strengthening of rectus abdominis is considered as a treatment option of low back pain relief. In our opinion all trunk stabilizer muscles should be strengthened and additional procedures may be required for management of dynamic balance disturbances in sijd.

References

  • Joseph, L.H. et al. (2015) ‘Pattern of changes in local and global muscle thickness among individuals with sacroiliac joint dysfunction’, Hong Kong Physiotherapy Journal, 33(1), pp. 28–33. doi:10.1016/j.hkpj.2014.12.003..
  • Gartenberg, A., Nessim, A., & Cho, W. (2021, July 16). Sacroiliac joint dysfunction: pathophysiology, diagnosis, and treatment. European Spine Journal, 30(10), 2936–2943. https://doi.org/10.1007/s00586-021-06927-9
  • Brolinson, P. G., Kozar, A. J., & Cibor, G. (2003, February). Sacroiliac Joint Dysfunction in Athletes. Current Sports Medicine Reports, 2(1), 47–56. https://doi.org/10.1249/00149619-200302000-00009
  • Schwarzer, A. C., Aprill, C. N., & Bogduk, N. (1995, January). The Sacroiliac Joint in Chronic Low Back Pain. Spine, 20(1), 31–37. https://doi.org/10.1097/00007632-199501000-00007
  • Dreyfuss, P., Dreyer, S. J., Cole, A., & Mayo, K. (2004, July). Sacroiliac Joint Pain. Journal of the American Academy of Orthopaedic Surgeons, 12(4), 255–265. https://doi.org/10.5435/00124635-200407000-00006
  • Cibulka, M. T. (1992, December 1). The Treatment of the Sacroiliac Joint Component to Low Back Pain: A Case Report. Physical Therapy, 72(12), 917–922. https://doi.org/10.1093/ptj/72.12.917
  • Rupert, M. P. (2009, March 14). Evaluation of Sacroiliac Joint Interventions: ASystematic Appraisal of the Literature. Pain Physician, 2;12(2;3), 399–418. https://doi.org/10.36076/ppj.2009/12/399
  • Alexander, K. M., & Kinney LaPier, T. L. (1998, December). Differences in Static Balance and Weight Distribution Between Normal Subjects and Subjects With Chronic Unilateral Low Back Pain. Journal of Orthopaedic & Sports Physical Therapy, 28(6), 378–383. https://doi.org/10.2519/jospt.1998.28.6.378
  • Sohn, M. K., Lee, S. S., & Song, H. T. (2013). Effects of Acute Low Back Pain on Postural Control. Annals of Rehabilitation Medicine, 37(1), 17. https://doi.org/10.5535/arm.2013.37.1.17
  • Ribeiro, R. P., Guerrero, F. G., Camargo, E. N., Pivotto, L. R., Aimi, M. A., Loss, J. F., & Candotti, C. T. (2021, September 22). Construct validity and reliability of tests for sacroiliac dysfunction: standing flexion test (STFT) and sitting flexion test (SIFT). Journal of Osteopathic Medicine, 121(11), 849–856. https://doi.org/10.1515/jom-2021-0025
  • Potter, N. A., & Rothstein, J. M. (1985, November 1). Intertester Reliability for Selected Clinical Tests of the Sacroiliac Joint. Physical Therapy, 65(11), 1671–1675. https://doi.org/10.1093/ptj/65.11.1671
  • Vincent-Smith, B., & Gibbons, P. (1999, May). Inter-examiner and intra-examiner reliability of the standing flexion test. Manual Therapy, 4(2), 87–93. https://doi.org/10.1054/math.1999.0173
  • Riddle, D. L., & Freburger, J. K. (2002, August 1). Evaluation of the Presence of Sacroiliac Joint Region Dysfunction Using a Combination of Tests: A Multicenter Intertester Reliability Study. Physical Therapy, 82(8), 772–781. https://doi.org/10.1093/ptj/82.8.772
  • Bernard TN, Jr, Kirkaldy-Willis WH: Recognizing specific characteristics of nonspecific low back pain. Clin Orthop Relat Res, (1987), (217): 266–280. [PubMed] [Google Scholar] https://doi.org/10.1097/00003086-198704000-00029
  • D.J. Cher, W.C. Reckling, (2015) , Quality of life in preoperative patients with sacroiliac joint dysfunction is at least as depressed as in other lumbar spinal conditions, Med. Devices (Auckl)., 8, pp. 395-403, https://doi.org/10.2147/MDER.S92070
  • D.E. Enix, J.M. Mayer, (2019) , Sacroiliac joint hypermobility biomechanics and what it means for health care providers and patients, PM R., 11 (Suppl. 1), pp. S32-S39, https://doi.org/10.1002/pmrj.12176
  • Sem M.M. Hermans, Evy M.B. Paulussen , Remi A.J. Notermans , Bas D.M. Krijntjes, Martijn G.M. Schotanus a b, Jasper Most , Henk van Santbrink , Wouter L.W. van Hemert, Inez Curfs , (2022) Motion analysis in patients with postpartum sacroiliac joint dysfunction: A cross-sectional case-control study, Clinical Biomechanics 100 105773, https://doi.org/10.1016/j.clinbiomech.2022.105773.
  • Granacher, U., Gollhofer, A., Hortobágyi, T. et al. (2013), The Importance of Trunk Muscle Strength for Balance, Functional Performance, and Fall Prevention in Seniors: A Systematic Review. Sports Med 43, 627–641. https://doi.org/10.1007/s40279-013-0041-1
  • Hlaing SS, Puntumetakul R, Khine EE, Boucaut R (2021). Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial. BMC Musculoskelet Disord. Nov 30;22(1):998. doi: 10.1186/s12891-021-04858-6. PMID: 34847915; PMCID: PMC8630919
  • Hodges PW, Tucker K. (2011) Moving differently in pain: a new theory to explain the adaptation to pain. Pain.;152(3 Suppl):S90-8. doi: 10.1016/j.pain.2010.10.020. [PubMed: 21087823]
  • Bayramoglu, M., Akman, M.N., Kilinc, S., Cetin, N., Yavuz, N. and Ozker, R. (2001) Isokinetic measurement of trunk muscle strength in women with chronic low-back pain. American Journal of Physical Medicine and Rehabilitation 80, 650-655
  • Iwai K, Nakazato K, Irie K, Fujimoto H, Nakajima H. (2004)Trunk Muscle Strength and Disability Level of Low Back Pain in Collegiate Wrestlers. Medicine & Science in Sports & Exercise;36:1296.
  • Sjolie AN, Ljunggren AE. (2001), The Significance of High Lumbar Mobility and Low Lumbar Strength for Current and Future Low Back Pain In Adolescents. Spine;26:2629.
  • Descarreaux, M., Blouin, J. S., & Teasdale, N. (2004, February). Force Production Parameters in Patients With Low Back Pain and Healthy Control Study Participants. Spine, 29(3), 311–317. https://doi.org/10.1097/01.brs.0000105983.19980.a8
  • Richardson, C. A., Snijders, C. J., Hides, J. A., Damen, L., Pas, M. S., & Storm, J. (2002, February). The Relation Between the Transversus Abdominis Muscles, Sacroiliac Joint Mechanics, and Low Back Pain. Spine, 27(4), 399–405. https://doi.org/10.1097/00007632-200202150-00015
  • Kisner, C., & Colby, L. A. (2012, January 1). Therapeutic Exercise. F A Davis Company.
  • Nies N, Sinnott PL. (1991, March). Variations in Balance and Body Sway in Middle-Aged Adults. SPINE, 16(3), 325–330. https://doi.org/10.1097/00007632-199103000-00012Variations in balance and body sway in middle-aged adults: subjects with healthy backs compared with subjects with low-back dysfunction. Spine (Phila Pa 1976) 1991;16:325-30.
  • Mientjes, M., & Frank, J. (1999, December). Balance in chronic low back pain patients compared to healthy people under various conditions in upright standing. Clinical Biomechanics, 14(10), 710–716. https://doi.org/10.1016/s0268-0033(99)00025-x
Year 2023, Volume: 9 Issue: 18, 1 - 7, 23.10.2023
https://doi.org/10.48121/jihsam.1244471

Abstract

References

  • Joseph, L.H. et al. (2015) ‘Pattern of changes in local and global muscle thickness among individuals with sacroiliac joint dysfunction’, Hong Kong Physiotherapy Journal, 33(1), pp. 28–33. doi:10.1016/j.hkpj.2014.12.003..
  • Gartenberg, A., Nessim, A., & Cho, W. (2021, July 16). Sacroiliac joint dysfunction: pathophysiology, diagnosis, and treatment. European Spine Journal, 30(10), 2936–2943. https://doi.org/10.1007/s00586-021-06927-9
  • Brolinson, P. G., Kozar, A. J., & Cibor, G. (2003, February). Sacroiliac Joint Dysfunction in Athletes. Current Sports Medicine Reports, 2(1), 47–56. https://doi.org/10.1249/00149619-200302000-00009
  • Schwarzer, A. C., Aprill, C. N., & Bogduk, N. (1995, January). The Sacroiliac Joint in Chronic Low Back Pain. Spine, 20(1), 31–37. https://doi.org/10.1097/00007632-199501000-00007
  • Dreyfuss, P., Dreyer, S. J., Cole, A., & Mayo, K. (2004, July). Sacroiliac Joint Pain. Journal of the American Academy of Orthopaedic Surgeons, 12(4), 255–265. https://doi.org/10.5435/00124635-200407000-00006
  • Cibulka, M. T. (1992, December 1). The Treatment of the Sacroiliac Joint Component to Low Back Pain: A Case Report. Physical Therapy, 72(12), 917–922. https://doi.org/10.1093/ptj/72.12.917
  • Rupert, M. P. (2009, March 14). Evaluation of Sacroiliac Joint Interventions: ASystematic Appraisal of the Literature. Pain Physician, 2;12(2;3), 399–418. https://doi.org/10.36076/ppj.2009/12/399
  • Alexander, K. M., & Kinney LaPier, T. L. (1998, December). Differences in Static Balance and Weight Distribution Between Normal Subjects and Subjects With Chronic Unilateral Low Back Pain. Journal of Orthopaedic & Sports Physical Therapy, 28(6), 378–383. https://doi.org/10.2519/jospt.1998.28.6.378
  • Sohn, M. K., Lee, S. S., & Song, H. T. (2013). Effects of Acute Low Back Pain on Postural Control. Annals of Rehabilitation Medicine, 37(1), 17. https://doi.org/10.5535/arm.2013.37.1.17
  • Ribeiro, R. P., Guerrero, F. G., Camargo, E. N., Pivotto, L. R., Aimi, M. A., Loss, J. F., & Candotti, C. T. (2021, September 22). Construct validity and reliability of tests for sacroiliac dysfunction: standing flexion test (STFT) and sitting flexion test (SIFT). Journal of Osteopathic Medicine, 121(11), 849–856. https://doi.org/10.1515/jom-2021-0025
  • Potter, N. A., & Rothstein, J. M. (1985, November 1). Intertester Reliability for Selected Clinical Tests of the Sacroiliac Joint. Physical Therapy, 65(11), 1671–1675. https://doi.org/10.1093/ptj/65.11.1671
  • Vincent-Smith, B., & Gibbons, P. (1999, May). Inter-examiner and intra-examiner reliability of the standing flexion test. Manual Therapy, 4(2), 87–93. https://doi.org/10.1054/math.1999.0173
  • Riddle, D. L., & Freburger, J. K. (2002, August 1). Evaluation of the Presence of Sacroiliac Joint Region Dysfunction Using a Combination of Tests: A Multicenter Intertester Reliability Study. Physical Therapy, 82(8), 772–781. https://doi.org/10.1093/ptj/82.8.772
  • Bernard TN, Jr, Kirkaldy-Willis WH: Recognizing specific characteristics of nonspecific low back pain. Clin Orthop Relat Res, (1987), (217): 266–280. [PubMed] [Google Scholar] https://doi.org/10.1097/00003086-198704000-00029
  • D.J. Cher, W.C. Reckling, (2015) , Quality of life in preoperative patients with sacroiliac joint dysfunction is at least as depressed as in other lumbar spinal conditions, Med. Devices (Auckl)., 8, pp. 395-403, https://doi.org/10.2147/MDER.S92070
  • D.E. Enix, J.M. Mayer, (2019) , Sacroiliac joint hypermobility biomechanics and what it means for health care providers and patients, PM R., 11 (Suppl. 1), pp. S32-S39, https://doi.org/10.1002/pmrj.12176
  • Sem M.M. Hermans, Evy M.B. Paulussen , Remi A.J. Notermans , Bas D.M. Krijntjes, Martijn G.M. Schotanus a b, Jasper Most , Henk van Santbrink , Wouter L.W. van Hemert, Inez Curfs , (2022) Motion analysis in patients with postpartum sacroiliac joint dysfunction: A cross-sectional case-control study, Clinical Biomechanics 100 105773, https://doi.org/10.1016/j.clinbiomech.2022.105773.
  • Granacher, U., Gollhofer, A., Hortobágyi, T. et al. (2013), The Importance of Trunk Muscle Strength for Balance, Functional Performance, and Fall Prevention in Seniors: A Systematic Review. Sports Med 43, 627–641. https://doi.org/10.1007/s40279-013-0041-1
  • Hlaing SS, Puntumetakul R, Khine EE, Boucaut R (2021). Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial. BMC Musculoskelet Disord. Nov 30;22(1):998. doi: 10.1186/s12891-021-04858-6. PMID: 34847915; PMCID: PMC8630919
  • Hodges PW, Tucker K. (2011) Moving differently in pain: a new theory to explain the adaptation to pain. Pain.;152(3 Suppl):S90-8. doi: 10.1016/j.pain.2010.10.020. [PubMed: 21087823]
  • Bayramoglu, M., Akman, M.N., Kilinc, S., Cetin, N., Yavuz, N. and Ozker, R. (2001) Isokinetic measurement of trunk muscle strength in women with chronic low-back pain. American Journal of Physical Medicine and Rehabilitation 80, 650-655
  • Iwai K, Nakazato K, Irie K, Fujimoto H, Nakajima H. (2004)Trunk Muscle Strength and Disability Level of Low Back Pain in Collegiate Wrestlers. Medicine & Science in Sports & Exercise;36:1296.
  • Sjolie AN, Ljunggren AE. (2001), The Significance of High Lumbar Mobility and Low Lumbar Strength for Current and Future Low Back Pain In Adolescents. Spine;26:2629.
  • Descarreaux, M., Blouin, J. S., & Teasdale, N. (2004, February). Force Production Parameters in Patients With Low Back Pain and Healthy Control Study Participants. Spine, 29(3), 311–317. https://doi.org/10.1097/01.brs.0000105983.19980.a8
  • Richardson, C. A., Snijders, C. J., Hides, J. A., Damen, L., Pas, M. S., & Storm, J. (2002, February). The Relation Between the Transversus Abdominis Muscles, Sacroiliac Joint Mechanics, and Low Back Pain. Spine, 27(4), 399–405. https://doi.org/10.1097/00007632-200202150-00015
  • Kisner, C., & Colby, L. A. (2012, January 1). Therapeutic Exercise. F A Davis Company.
  • Nies N, Sinnott PL. (1991, March). Variations in Balance and Body Sway in Middle-Aged Adults. SPINE, 16(3), 325–330. https://doi.org/10.1097/00007632-199103000-00012Variations in balance and body sway in middle-aged adults: subjects with healthy backs compared with subjects with low-back dysfunction. Spine (Phila Pa 1976) 1991;16:325-30.
  • Mientjes, M., & Frank, J. (1999, December). Balance in chronic low back pain patients compared to healthy people under various conditions in upright standing. Clinical Biomechanics, 14(10), 710–716. https://doi.org/10.1016/s0268-0033(99)00025-x
There are 28 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Orginal Research
Authors

Şule Hantal 0000-0002-9018-8777

Güzin Kaya Aytutuldu 0000-0002-0192-9861

Publication Date October 23, 2023
Published in Issue Year 2023 Volume: 9 Issue: 18

Cite

APA Hantal, Ş., & Kaya Aytutuldu, G. (2023). Investigation of The Pain and Muscle Strength of Individuals with Sacroiliac Joint Dysfunction and Its Effect on Postural Stability. Journal of International Health Sciences and Management, 9(18), 1-7. https://doi.org/10.48121/jihsam.1244471
AMA Hantal Ş, Kaya Aytutuldu G. Investigation of The Pain and Muscle Strength of Individuals with Sacroiliac Joint Dysfunction and Its Effect on Postural Stability. Journal of International Health Sciences and Management. October 2023;9(18):1-7. doi:10.48121/jihsam.1244471
Chicago Hantal, Şule, and Güzin Kaya Aytutuldu. “Investigation of The Pain and Muscle Strength of Individuals With Sacroiliac Joint Dysfunction and Its Effect on Postural Stability”. Journal of International Health Sciences and Management 9, no. 18 (October 2023): 1-7. https://doi.org/10.48121/jihsam.1244471.
EndNote Hantal Ş, Kaya Aytutuldu G (October 1, 2023) Investigation of The Pain and Muscle Strength of Individuals with Sacroiliac Joint Dysfunction and Its Effect on Postural Stability. Journal of International Health Sciences and Management 9 18 1–7.
IEEE Ş. Hantal and G. Kaya Aytutuldu, “Investigation of The Pain and Muscle Strength of Individuals with Sacroiliac Joint Dysfunction and Its Effect on Postural Stability”, Journal of International Health Sciences and Management, vol. 9, no. 18, pp. 1–7, 2023, doi: 10.48121/jihsam.1244471.
ISNAD Hantal, Şule - Kaya Aytutuldu, Güzin. “Investigation of The Pain and Muscle Strength of Individuals With Sacroiliac Joint Dysfunction and Its Effect on Postural Stability”. Journal of International Health Sciences and Management 9/18 (October 2023), 1-7. https://doi.org/10.48121/jihsam.1244471.
JAMA Hantal Ş, Kaya Aytutuldu G. Investigation of The Pain and Muscle Strength of Individuals with Sacroiliac Joint Dysfunction and Its Effect on Postural Stability. Journal of International Health Sciences and Management. 2023;9:1–7.
MLA Hantal, Şule and Güzin Kaya Aytutuldu. “Investigation of The Pain and Muscle Strength of Individuals With Sacroiliac Joint Dysfunction and Its Effect on Postural Stability”. Journal of International Health Sciences and Management, vol. 9, no. 18, 2023, pp. 1-7, doi:10.48121/jihsam.1244471.
Vancouver Hantal Ş, Kaya Aytutuldu G. Investigation of The Pain and Muscle Strength of Individuals with Sacroiliac Joint Dysfunction and Its Effect on Postural Stability. Journal of International Health Sciences and Management. 2023;9(18):1-7.