Kamali Fahimeh, Shokri Esmaeil
Center for Human Movement Science Research, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, P.O. Box 71347-1733, Shiraz 71947-33669, Iran.
J Bodyw Mov Ther. 2012 Jan;16(1):29-35. doi: 10.1016/j.jbmt.2011.02.002. Epub 2011 Mar 11.
To compare the effect of sacroiliac joint (SIJ) manipulation with SIJ and lumbar manipulation for the treatment of SIJ syndrome.
Thirty-two women with SIJ syndrome were randomly divided into two groups of 16 subjects. One group received the high-velocity low-amplitude (HVLA) manipulation to the SIJ and the other group received both SIJ and lumbar HVLA manipulation to both the SIJ and lumbar spine in a single session. The outcomes were assessed using visual analogue scale (VAS) at baseline, immediately, 48 h and one month after the treatment for pain and also Oswestry Disability Index (ODI) questionnaire at baseline, 48 h and one month after the treatment.
Analysis revealed a statistically significant improvement immediately, at 48 h and one month after treatment for pain and significant improvement at 48 h and one month after treatment for functional disability in the SIJ manipulated group. A significant improvement immediately, at 48 h and one month after treatment for pain and significant improvement at 48 h and one month after treatment for functional disability in the SIJ and lumbar manipulated group was also found. Furthermore, there were significant differences within groups in ODI and VAS when using Friedman test in both groups. By using Wilcoxon rank sum test no differences were observed in change scores between the two groups immediately, 48 h and one month after the treatment for VAS, or after 48 h and one month after the treatment for the ODI.
A single session of SIJ and lumbar manipulation was more effective for improving functional disability than SIJ manipulation alone in patients with SIJ syndrome. Spinal HVLA manipulation may be a beneficial addition to treatment for patients with SIJ syndrome.
比较骶髂关节（SIJ）手法治疗与SIJ联合腰椎手法治疗骶髂关节综合征的效果。
32例骶髂关节综合征女性患者被随机分为两组，每组16例。一组接受骶髂关节的高速低幅（HVLA）手法治疗，另一组在单次治疗中接受骶髂关节和腰椎的HVLA手法治疗。在基线、治疗后即刻、48小时和1个月时使用视觉模拟量表（VAS）评估疼痛情况，并在基线、48小时和1个月时使用Oswestry功能障碍指数（ODI）问卷评估功能障碍情况。
分析显示，骶髂关节手法治疗组在治疗后即刻、48小时和1个月时疼痛有统计学意义的显著改善，在48小时和1个月时功能障碍有显著改善。骶髂关节和腰椎手法治疗组在治疗后即刻、48小时和1个月时疼痛也有显著改善，在48小时和1个月时功能障碍有显著改善。此外，两组使用Friedman检验时，ODI和VAS在组内有显著差异。使用Wilcoxon秩和检验时，两组在治疗后即刻、48小时和1个月时VAS变化评分以及治疗后48小时和1个月时ODI变化评分均未观察到差异。
对于骶髂关节综合征患者，单次骶髂关节和腰椎手法治疗在改善功能障碍方面比单纯骶髂关节手法治疗更有效。脊柱HVLA手法治疗可能是骶髂关节综合征患者治疗的有益补充。
