Zheng Jingjing, Duan Chen, Ma Chaoyang
Department of Rehabilitation Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Medicine (Baltimore). 2024 Dec 13;103(50):e40350. doi: 10.1097/MD.0000000000040350.
This article provides a comprehensive review of recent research advancements in sacroiliac joint reduction therapy for addressing lumbosacral pain and gait balance issues, delving into its application efficacy, future outlook, and existing challenges. Current literatures were searched on sacroiliac joint reduction therapy, lumbosacral pain and gait balance disorders using the databases PubMed and Cochrane. There were no restrictions when conducting the literature search with regard to publication date, study language, or study type. Research indicates notable enhancements in various gait parameters, including stride length, gait speed, and cycle uniformity, among patients undergoing sacroiliac joint reduction therapy. These improvements translate into augmented walking stability and a reduced risk of falls. Despite its clinical efficacy, this therapeutic modality encounters several challenges in practical implementation. One major hurdle is the absence of standardized international diagnostic criteria for sacroiliac joint dysfunction, hindering the widespread adoption and standardization of this treatment approach. Further clinical investigations and longitudinal data are imperative to ascertain the long-term efficacy and potential risks associated with this therapy. Future research avenues should prioritize the development of precise diagnostic tools and standardized treatment protocols to enhance the efficacy and safety of sacroiliac joint reduction therapy. Moreover, interdisciplinary collaboration is paramount, leveraging the expertise of physical therapists, rehabilitation specialists, and spine surgeons to offer comprehensive treatment solutions. Sacroiliac joint reduction therapy emerges as a compelling therapeutic option for individuals grappling with lumbosacral pain and gait instability, showcasing significant clinical potential and promising future prospects.
本文全面综述了骶髂关节复位疗法在解决腰骶部疼痛和步态平衡问题方面的最新研究进展，深入探讨了其应用效果、未来前景和现存挑战。使用PubMed和Cochrane数据库检索了关于骶髂关节复位疗法、腰骶部疼痛和步态平衡障碍的当前文献。在进行文献检索时，对发表日期、研究语言或研究类型没有限制。研究表明，接受骶髂关节复位疗法的患者在包括步长、步态速度和周期均匀性等各种步态参数方面有显著改善。这些改善转化为行走稳定性增强和跌倒风险降低。尽管其具有临床疗效，但这种治疗方式在实际应用中仍面临一些挑战。一个主要障碍是缺乏骶髂关节功能障碍的标准化国际诊断标准，这阻碍了这种治疗方法的广泛采用和标准化。进一步的临床研究和纵向数据对于确定该疗法的长期疗效和潜在风险至关重要。未来的研究途径应优先开发精确的诊断工具和标准化的治疗方案，以提高骶髂关节复位疗法的疗效和安全性。此外，跨学科合作至关重要，利用物理治疗师、康复专家和脊柱外科医生的专业知识提供全面的治疗方案。对于患有腰骶部疼痛和步态不稳的个体而言，骶髂关节复位疗法是一种引人注目的治疗选择，展现出显著的临床潜力和广阔的未来前景。
