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The sacroiliac joint: a critical review
1School of Physiotherapy, Dalhousie University, Halifax, Nova Scotia, Canada.
Physical Therapy
|December 1, 1992
Summary
The sacroiliac joint (SIJ) is a key focus for low back pain research. This review examines current literature on SIJ morphology, changes over time, and motion to guide future clinical studies.
Area of Science:
- Orthopedics
- Anatomy
- Biomechanics
Background:
- The sacroiliac joint (SIJ) is increasingly recognized as a significant source of low back pain.
- Existing literature supports the SIJ's role in pain generation, with recent studies employing advanced methods.
Purpose of the Study:
- To critically review existing literature on sacroiliac joint (SIJ) morphology, age-related changes, and biomechanics.
- To evaluate the evidence supporting current theories regarding SIJ function and dysfunction.
- To identify gaps in knowledge and suggest directions for future research.
Main Methods:
- Comprehensive literature search of studies investigating SIJ morphology, lifespan changes, and motion.
- Analysis of quantitative data and methodological limitations of reported studies.
- Synthesis of findings to assess the support for current clinical beliefs and theories.
Main Results:
- While considerable literature exists, many studies have limitations (e.g., small sample size, lack of randomization).
- Quantitative data has enhanced understanding of SIJ morphology and motion.
- The complex nature of the SIJ presents challenges for research.
Conclusions:
- Further well-documented clinical case-study series are needed to advance understanding of SIJ treatments.
- Evidence supporting current beliefs about SIJ morphology, aging, and motion requires rigorous evaluation.
- Clinicians should contribute detailed case studies to improve therapeutic strategies for SIJ-related pain.
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