Sacroiliac joint dysfunction (SIJD) accounts for up to 30% of patients with low back pain. Rigid taping techniques are often used for conservative treatment of SIJD related symptoms; however, its effectiveness has not been systematically evaluated.
OBJECTIVES:
The aim of our study was to investigate the effect of rigid tape on pain, malalignment and mobility deficits associated with anterior innominate SIJD.
METHODS:
Two groups ( 37; experimental and control) diagnosed with SIJD participated in a randomized, controlled trial. Tape was applied for 2 weeks in the experimental group, whereas the control group received no treatment. 2 2 (group time) GLM-MANOVA assessed effects of tape on pain; innominate rotation; and hip rotation range of motion. Chi-square and McNemar tests assessed the effect of tape on Gillet and Sitting forward flexion mobility tests; the Patrick, Posterior shear and Gaenslen pain provocation tests were used to test pain. Variables were assessed before (PRE) and after (POST) two weeks.
RESULTS:
No group differences were observed for any variable PRE. Pain intensity, innominate rotation ( 0.05) and number of positive mobility and pain provocation tests ( 0.05) decreased from PRE versus POST in the experimental group. No differences were observed in the control group.
CONCLUSION:
Two weeks of rigid tape for anterior innominate correction successfully reduced symptoms related to SIJD.
DonTignyRL. Anterior dysfunction of the sacroiliac joint as a major factor in the etiology of idiopathic low back pain syndrome. Phys Ther. 1990; 70(4): 250-65.
2.
FortinJDwyerAWestSPierJ. Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part I: Asymptomatic volunteers. Spine. 1994; 19(13): 1475-82.
3.
MaigneJYAivaliklisAPfeferF. Results of sacroiliac joint double block and value of sacroiliac pain provocation tests in 54 patients with low back pain. Spine. 1996; 21(16): 1889-92.
4.
SembranoJNPollyDW Jr. How often is low back pain not coming from the back? Spine. 2009; 34(1): E27-32.
5.
DreyfussPMichaelsenMPauzaKMcLartyJBogdukN. The value of medical history and physical examination in diagnosing sacroiliac joint pain. Spine. 1996; 21(22): 2594-602.
PorterfieldJA. The sacroiliac joint. In: GouldJADaviesGJ, eds. Orthopaedic and sports physical therapy. St. Louis: Mosby; 1985. pp. 550-79.
10.
CuppettMPaladinoJ. The anatomy and pathomechanics of the sacroiliac joint. Athl Ther Today. 2001; 6(4): 6-14.
11.
VleemingAPool-GoudzwaardALHammundoghluDStoeckartRSnijdersCJMensJM. The function of the long dorsal sacroiliac ligament: Its implication for understanding low back pain. Spine. 1996; 21(5): 556-62.
12.
LeeD. Instability of the sacroiliac joint and the consequences to gait. Manual Manip Ther. 1996; 4(1): 22-9.
CibulkaMT. Low back pain and its relation to the hip and foot. J Orthop Sports Phys Ther. 1999; 29(10): 595-601.
15.
BusseyMDMilosavljevicS. Asymmetric pelvic bracing and altered kinematics in patients with posterior pelvic pain who present with postural muscle delay. Clin Biomech. 2015; 30(1): 71-7.
16.
CibulkaMTDelittoAKoldehoffRM. Changes in innominate tilt after manipulation of the sacroiliac joint in patients with low back pain: An experimental study. Phys Ther. 1988; 68(9): 1359-63.
17.
HerzogWNiggBMReadLJ. Quantifying the effects of spinal manipulations on gait using patients with low back pain. J Manipul Physiol Ther. 1988; 11(3): 151-7.
18.
OsterbauerPJDe BoerKFWidmaierRPetermannEFuhrAW. Treatment and biomechanical assessment of patients with chronic sacroiliac joint syndrome. J Manipul Physiol Ther. 1993; 16(2): 82-90.
19.
BernardTNCassidyJD. The sacroiliac joint syndrome: pathophysiology, diagnosis, and management. In: FrymoyerJW, ed. The adult spine: principles and practice. New York, NY: Raven Press; 1991. pp. 2107-30.
20.
VaughnHTNitschW. Ilial anterior rotation hypermobility in a female collegiate tennis player. Phys Ther. 2008; 88(12): 1578-90.
21.
KangMHKimERKimYGKimTHOhJS. The effects of lumbo-pelvic postural taping on gait parameters in patients with lumbar spinal stenosis. Clin Biomech. 2013; 28(9-10): 956-60.
22.
AltWLohrerHGollhoferA. Functional properties of adhesive ankle taping: Neuromuscular and mechanical effects before and after exercise. Foot Ankle Int. 1999; 20(4): 238-45.
23.
CallaghanMJSelfeJBagleyPJOldhamJA. The effects of patellar taping on knee joint proprioception. J Athl Train. 2002; 37(1): 19-24.
24.
HinmanRSCrossleyKMMcConnellJBennellKL. Efficacy of knee tape in the management of osteoarthritis of the knee: Blinded randomized controlled trial. BMJ. 2003; 327(7407): 135.
25.
SelkowNMGrindstaffTLCrossKMPughKHertelJSalibaS. Short-term effect of muscle energy technique on pain in individuals with non-specific lumbopelvic pain: A pilot study. J Manual and Manip Ther. 2009; 17(1): E14-8.
26.
O’SullivanPBBealesDJ. Changes in pelvic floor and diaphragm kinematics and respiratory patterns in subjects with sacroiliac joint pain following a motor learning intervention: A case series. Man Ther. 2007; 12(3): 209-18.
27.
HungerfordBGilleardWHodgesP. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine. 2003; 28(14): 1593-600.
28.
CibulkaMTSinacoreDRCromerGSDelittoA. Unilateral hip rotation range of motion asymmetry in patients with sacroiliac joint regional pain. Spine. 1998; 23(9): 1009-15.
29.
LeeJHYooWG. Application of posterior pelvic tilt taping for the treatment of chronic low back pain with sacroiliac joint dysfunction and increased sacral horizontal angle. Phys Ther Sport. 2012; 13(4): 279-85.
30.
KrawiecCJDenegarCRHertelJSalvaterraGFBuckleyWE. Static innominate asymmetry and leg length discrepancy in asymptomatic collegiate athletes. Man Ther. 2003; 8(4): 207-13.
31.
PreeceSJWillanPNesterCJGraham-SmithPHerringtonLBowkerP. Variation in pelvic morphology may prevent the identification of anterior pelvic tilt. J Man Manip Ther. 2008; 16(2): 113-7.
32.
HerzogWReadLJConwayPJShawLDMcEwenMC. Reliability of motion palpation procedures to detect sacroiliac joint. J Manipulative Physiol Ther. 1989; 12(2): 86-92.
33.
MeijneWvan NeerbosKAufdemkampeGvan der WurffP. Intraexaminer and interexaminer reliability of the Gillet test. J Manipulative Physiol Ther. 1999; 22(1): 4-9.
34.
ArabAMAbdollahiIJoghataeiMTGolafshaniZKazemnejadA. Inter- and intra-examiner reliability of single and composites of selected motion palpation and pain provocation tests for sacroiliac joint. Man Ther. 2009; 14(2): 213-21.
35.
LueckDSandreyMAEricksonMMartinR. Reliability of sacroiliac joint tests in experienced and inexperienced examiners. [master’s thesis]. Morgantown, WV: West Virginia University; 2009.
BroadhurstNABondMJ. Pain provocative tests for the assessment of sacroiliac joint dysfunction. J Spinal Disord. 1998; 11(4): 341-5.
38.
KokmeyerDJVan der WurffPAufdemkampeGFickenscherTC. The reliability of multitest regimens with sacroiliac pain provocation tests. J Manual and Manip Ther. 2002; 25(1): 42-8.
39.
LaslettMAprillCNMcDonaldBYoungSB. Diagnosis of sacroiliac joint pain: Validity of individual provocation tests and composites of tests. Man Ther. 2005; 10(3): 207-18.
40.
EllisonBERoseSJSahrmannSA. Patterns of hip rotation range of motion: A comparison between healthy subjects and patients with low back pain. Phys Ther. 1990; 70(9): 537-41.
41.
RoachSSan JuanJGSuprakDNLydaM. Concurrent validity of digital inclinometer and universal goniometer in assessing passive hip mobility in healthy subjects. Int J Sports Phys Ther. 2013; 8(5): 680-8.
42.
KrismerMvan TulderM. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 2007; 21(1): 77-91.
43.
BalagueFManionAFPelliseFCedraschiC. Non-specifi c low back pain. Lancet. 2012; 379(9814): 482-91.
44.
BockrathKWoodenCWorrellTIngersonCDFarrJ. Effects of patella taping on patella position and perceived pain. Med Sci Sports Exerc. 1993; 25(9): 989-92.
45.
WilsonE. Mobilisation with movement and adverse neural tension: An exploration of possible links. Manipulative Physiotherapist. 1995; 27(1): 40-4.
46.
GreigAMBennellKLBriggsAMHodgesPW. Postural taping decreases thoracic kyphosis but does not influence trunk muscle electromyographic activity or balance in women with osteoporosis. Man Ther. 2008; 13(3): 249-57.
47.
BarbaneraMMazuchiFABatistaJPUltremareJMIwashitaJSErvilhaUF. Semi-rigid brace and taping decrease variability of the ankle joint position sense. Motriz, Rio Claro. 2014; 20(4): 448-53.
48.
TullbergTBlombergSBranthBJohnssonR. Manipulation does not alter the position of the sacroiliac joint: A roentgen stereophotogrammetric analysis. Spine. 1998; 23(10): 1124-8.
