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

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.

Keywords

• :dynamic balance
• low back pain
• sacroiliac joint dysfunction
• static balance

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