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Exercise for the Treatment of Sacroiliac Joint Dysfunction

1 May 2006


Title: The effectiveness of exercise in the treatment of sacroiliac joint dysfunction.

Clinical Bottom Line: Evidence suggests that specific exercises are beneficial for the treatment of sacroiliac joint dysfunction. Due to the lack of randomized, controlled, and blinded studies, it is difficult to determine if a specific exercise program alone contributed to the positive outcomes of the studies. Manual techniques in conjunction with specific exercises appear to also yield benefit for this population. In addition, research indicates that several different muscles become inhibited in people with sacroiliac joint dysfunction and that these muscles may be the ones best targeted by exercise.

Clinical Scenario: In physical therapy there are many different techniques used in the treatment of sacroiliac joint dysfunction. We would like to know if there is any evidence that exercise has superior results measured by patients’ reports of decreased pain and increased function.

My Clinically answerable question:

Population: The population that we are focusing on is patients diagnosed with sacroiliac joint dysfunction in the absence of pregnancy or other co-morbid conditions of the sacroiliac joint.

Intervention: We wish to determine the efficacy of conservative physical therapy treatment utilizing exercise. Comparison: Our comparison group is a control group of patients diagnosed with sacroiliac joint dysfunction, but receiving no intervention or a placebo treatment. Outcome: We wish to measure outcomes by patient reports of pain and function.


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