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Sacroiliac dysfunction in construction workers.

R Toussaint1, C S Gawlik, U Rehder

  • 1Department of Orthopedics, University Hospital Eppendorf, Hamburg, Germany.

Journal of Manipulative and Physiological Therapeutics
|April 30, 1999
PubMed
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Sacroiliac joint dysfunction is common in construction workers, affecting 29% and 6.3% in two categories. However, this study found no link between sacroiliac dysfunction and low back pain in this group.

Area of Science:

  • Orthopedics
  • Occupational Health
  • Manual Medicine

Background:

  • The sacroiliac joint is a recognized source of low back pain in manual medicine.
  • However, sacroiliac joint dysfunction can occur without concurrent low back pain.
  • Prevalence rates for sacroiliac dysfunction range from 19.3% to 47.9% in the general population, but are unknown for construction workers.

Purpose of the Study:

  • To investigate the prevalence of sacroiliac joint dysfunction in male construction workers.
  • To examine the association between sacroiliac joint dysfunction and low back pain within this occupational group.

Main Methods:

  • A cross-sectional study involving 480 male construction workers.
  • Sacroiliac joint diagnostics were assessed using manual examination techniques.

Related Experiment Videos

  • Specific tests included the standing flexion test, spine test, iliac compression test, and iliac springing test, categorizing dysfunction into types I and II.

    • Main Results:

    • A prevalence of 29.0% for sacroiliac dysfunction I and 6.3% for dysfunction II was observed.
    • The coprevalence of low back pain and sacroiliac dysfunction on the examination day was 7.9%.
    • No statistically significant associations were found between low back pain and sacroiliac joint dysfunction in this cohort.

    Conclusions:

    • The study highlights a significant prevalence of sacroiliac dysfunction among construction workers.
    • The lack of association between dysfunction and pain suggests that symptomatic and asymptomatic cases exist for unexplained reasons.
    • Further prospective research is needed to identify pain-provoking factors and clarify the relationship between sacroiliac dysfunction and low back pain.