Diagnosis and manipulative therapy of sacroiliac joint disorder.

Objective To present a case study and discuss the role of an orthopaedic medicine approach (OMA) to clinical diagnosis and treatment of sacroiliac joint (SIJ) disorder in the light of recent research evidence. Case study A 38-year-old female suffering from pain over the SIJ and right buttock was dia...

Descripción completa

Detalles Bibliográficos
Publicado en:International Musculoskeletal Medicine Vol. 33; no. 3; pp. 115 - 120
Autor principal: Bashir, Fouzia
Formato: case study tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2011
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Objective To present a case study and discuss the role of an orthopaedic medicine approach (OMA) to clinical diagnosis and treatment of sacroiliac joint (SIJ) disorder in the light of recent research evidence. Case study A 38-year-old female suffering from pain over the SIJ and right buttock was diagnosed to have an SIJ disorder using an orthopaedic medicine assessment. She was managed by a multi-disciplinary treatment approach in which improvement coincided with the addition of manipulation. The patient showed an improvement in the numerical pain rating scale from 6 to 0 and the revised Oswestry back disability score reduced from 25 to 3% at discharge. Discussion Latest research evidence suggests that a composite of tests is more valid and reliable in the diagnosis of SIJ dysfunction than individual tests. Conclusion The OMA may be improved by the use of a composite of tests for the diagnosis of SIJ disorder.