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M.Tech. / Purpose: To compare the effectiveness of sacroiliac joint adjustments and the combination of sacroiliac and hip joint adjustments in the treatment of sacroiliac syndrome. Method: Thirty participants were randomly divided into two groups with fifteen participants in each group. Group A received sacroiliac joint adjustments and Group B received a combination of sacroiliac and hip joint adjustments. The trial consisted of seven visits over a treatment period of three weeks, of which the first six visits the participants received treatment and the seventh visit served the purpose of getting the final data. The data were gathered on the first, fourth and seventh visits. The data was always gathered before the treatment was performed. Objective data consisted of measuring lumbar range of motion by using the digital inclinometer, and internal and external rotation of the hip joint range of motion, using the goniometer. Subjective data was obtained by using the Numerical Pain Rating Scale (NPRS) and the Oswestry Pain and Disability Index. Results: Objectively, Group B showed statistical significance in right hip internal rotation (p = 0.002), left hip internal rotation (p = 0.001), right hip external rotation (p = 0.002) and left hip external rotation (p = 0.005). Group B hip joint range of motion increased more than Group A. Subjectively, both groups showed a statistically significant decrease in their subjective measurements of pain and its effect on the daily living, as perceived by the participant. There was no statistically significant difference between the groups in the NPRS, but there was a statistically significant difference (p = 0.003) between the groups in the Oswestry Pain and Disability Index. Both the groups showed effectiveness in decreasing the pain over the treatment period. Conclusion: The study showed that the combination of sacroiliac and hip joint adjustments was more effective in treating sacroiliac syndrome. The profession needs to look at the joint surrounding the effected joint as well as the muscular and ligamentous structures.

A dissertation presented in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Technikon Natal, 2000. / There has previously been a significant number of clinical trials supporting the efficacy of manipulation for the treatment of low back pain. In addition, the use of manipulation for the treatment of sacroiliac syndrome is well recognised. However, the management protocols involving the use of orthotics, used alone, or in combination with manipulation were found to be controversial. Orthotics seem to be frequently used in the clinical setting and yet there is a paucity of controlled clinical research advocating their application. The aim of this study was to determine the relative effectiveness of chiropractic manipulation used in combination with a non-stabilising sacroiliac orthotic (strapping) versus chiropractic manipulation used in combination with a stabilising sacroiliac orthotic in the treatment of sacroiliac syndrome. It was hypothesised that both treatment protocols would be effective in the management of sacroiliac syndrome, and that manipulation used in combination with a stabilising sacroiliac orthotic over a two week period would be more effective than manipulation used in combination with a non-stabilising sacroiliac orthotic, in terms of subjective and objective clinical f-Indings. The study design chosen was a comparative, randomised, controlled clinical trial. Sixty consecutive patients diagnosed with sacroiliac syndrome were randomly assigned either to the group receiving manipulation used in combination with a non-stabilising sacroiliac orthotic or the group receiving manipulation used in combination with a stabilising sacroiliac orthotic. The age range of patients extencled from eighteen to forty-nine, and included thirty-one males and thirty-three females. Statistically patients\x8F\x8F / M

A dissertation in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Durban Institute of Technology, 2002. / Low back pain (LBP) is a significant public health problem that has had a marked impact on quality of life and on health care costs (Weiner, et al. 2000:450). Toussaint, et al. (1999:134) established that the prevalence of sacroiliac joint dysfunction in the population has been noted in the medical literature to be between 19.3% and 47.9%. There is a lack of consensus among medical practitioners, chiropractors, osteopaths, physiotherapists and others as to the most appropriate therapy or management for sacroiliac syndrome. This study was designed to determine the effectiveness of manipulation of the symptomatic sacroiliac joint compared to manipulation of both the symptomatic and the asymptomatic sacroiliac joints in the treatment of unilateral sacroiliac syndrome. Anecdotal evidence would seem to indicate that the direction of the chiropractic manipulation is immaterial to clinical improvement (Till, 1994). Bilateral manipulation of the symptomatic and asymptomatic joints has been used in clinical practice in an attempt to increase the efficacy of chiropractic management for unilateral sacroiliac joint syndrome (Till, 1994, Lewis, 2001 and Nook, 2000). Walker (1992:914) was of the opinion that 'Unless reliability and validity of assessments and effectiveness of treatment procedures can be demonstrated, clinicians should temper their claims of measurement of, and direct effects on, the sacroiliac joint.' This randomized, comparative clinical trial consisted of sixty voluntary subjects each suffering from sacroiliac joint syndrome. There were two groups of thirty subjects, each of whom received five treatments within a three week period. Group one received manipulation of the symptomatic sacroiliac joint / M

M.Tech.

This dissertation is submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, 2003. / Knee joint pathologies, in general, are associated with a loss of knee-extensor muscle strength. This weakness has been attributed to arthrogenic muscle inhibition (AMI). Manipulation of the sacroiliac (SI) has been shown to significantly reduce AMI and increase the strength in the quadriceps muscle group. Although both the knee and SI joints have been linked to AMI of the quadriceps muscle group, no studies have been conducted showing that manipulating the tibio-femoral (knee) joint has any effect on quadriceps muscle strength or AMI. The purpose of this study was therefore to verify whether manipulation of the knee (tibio-femoral) joint is as effective as SI joint manipulation in increasing quadriceps muscle strength in PFPS patients. This study also investigated the effect of combining manipulative therapy of the tibio-femoral and SI joints on quadriceps muscle strength in PFPS patients. / M

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Thesis (M.S.)--West Virginia University, 2009. / Title from document title page. Document formatted into pages; contains vii, 94 p. : col. ill. Includes abstract. Includes bibliographical references.

Thesis (D.PT.)--Sage Colleges, 2009. / "May 2009." "A Capstone project for PTY 768 presented to the faculty of The Department of Physical Therapy Sage Graduate School in partial fulfillment of the requirements for the degree of Doctor of Physical Therapy." Includes bibliographical references.