THU0527 Effects of manual therapy, sacroılıac and lumbar exercıses ın patıents wıth sacroılıac joınt dysfunctıon syndrome

Abstract

Objectives: The aim of this study was to determine the effects of sacroiliac joint (SIJ) manipulation, sacroiliac and lumbar home exercises on pain, sacroiliac mobilisation levels and functional status in patients with sacroiliac joint dysfunction syndrome (SIJDS). Methods: In a prospective, randomised interventional trial 69 eligible women were assigned to SIJ manual therapy +sacroiliac home exercise group (Group 1, n=23), SIJ manual therapy +lumbar home exercise group (Group 2, n=23) (n=19), or lumbar home exercise group (Group 3, n=23). All the patients who were included in the study were evaluated on the 0 th, 28 th day and 90 th day of the treatment. Specific tests (motion palpation and pain provocation tests) for SIJ were perfomed. Activity and rest pain was assessed by using the Visual Analogue Scale (VAS). Functional status and quality of life were assessed using the Modified Oswestry Disability Index (MODI) and Short Form‐36 (SF‐36), respectively. Results: The VAS scores significantly decreased in all three groups (p<0,05). Gillet test, Vorlauf test, Posterior Shear Test (POSH), Irritation point test and Compression test showed significant decrease after treatment in both training groups (p<0.05). A significant improvement was determined in functional disability score (MODI), quality of life scores, Short Form‐36 (SF‐36) and neuropathic pain in all three groups (p<0.05). However, a more significant improvement was detected with manual therapy and sacroiliac home exercise program compared to patients in group 2 and group 3. Conclusions: Our data suggest that manual therapy, sacroiliac and lumbar exercises programs can be effective in patients with sacroiliac joint dysfunction syndrome. In SIJDS, a pathology that should be considered in patients with low back pain, it is necessary to know that special SIE exercises and SIE manipulation therapy can be applied in combination with lumbar exercises and SIE manipulation therapy, or that exercises alone can be given but the benefit expected from exercise alone is less than combined treatment revealed.