Muscle length, pain, and function in young adults with sacroiliac joint dysfunction
Keywords:
low back pain, sacroiliac joint, latissimus dorsi, hamstrings, lumbar muscles, functionality.Abstract
Introduction: Sacroiliac joint dysfunction is a pathomechanical alteration, in which stability is lost and the functioning of the pelvic girdle is altered; the ability to transmit and dissipate forces from the lower limbs to the spine and vice versa is also modified. The shortening of muscles such as the latissimus dorsi, hamstrings and lumbar spinal muscles can alter motor control and generate low back pain.
Objective: To evaluate the muscle length of latissimus dorsi, hamstrings and lumbar spinal muscles, pain and functionality in young adults by comparing three study groups: pain, sacroiliac joint dysfunction and control.
Methods: A cross-sectional study was carried out. A total of 114 subjects of both sexes were included. Muscle length was assessed through muscle-specific tests. The Visual Analog Scale and the Oswestry were used to measure pain and functionality, respectively. Differences in variables between study groups were calculated with the Chi2 test.
Results: No differences in muscle length were observed in the study groups. The group with sacroiliac joint dysfunction presented more individuals with pain and moderate-severe functional limitation.
Conclusions: Latissimus dorsi, hamstring and lumbar spinal retractions were not related to low back pain or sacroiliac joint dysfunction; however, young adults in this group presented more discomfort and disability.
Downloads
References
1. Hungerford B, Gilleard W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine (Phila Pa 1976). 2003 [acceso 12/02/2018];28(14):1593-600. Disponible en: https://pubmed.ncbi.nlm.nih.gov/12865851/
2. Willard FH, Vleeming A, Schuenke MD, Danneels L, Schleip R. The thoracolumbar fascia: Anatomy, function and clinical considerations. J Anat. 2012;221(6):507-36. DOI: https://doi.org/10.1111/j.1469-7580.2012.01511.x
3. Clavel AL. Sacroiliac joint dysfunction: From a simple pain in the butt to integrated care for complex low back pain. Tech Reg Anesth Pain Manag. 2011;15(2):40-50. DOI: https://doi.org/10.1053/j.trap.2011.06.002
4. Zelle BA, Gruen GS, Brown S, George S. Sacroiliac joint dysfunction evaluation and management. Clin J Pain. 2005;21(5):446-55. DOI: https://doi.org/10.1097/01.ajp.0000131413.07468.8e
5. Cusi MF. Paradigm for assessment and treatment of SIJ mechanical dysfunction. J Bodyw Mov Ther. 2010;14(2):152-61. DOI: https://doi.org/10.1016/j.jbmt.2009.12.004
6. Arab AM, Nourbakhsh MR, Mohammadifar A. The relationship between hamstring length and gluteal muscle strength in individuals with sacroiliac joint dysfunction. J Man Manip Ther. 2011;19(1):5-10. DOI: https://doi.org/10.1179/106698110x12804993426848
7. Huijbregts P. Sacroiliac joint dysfunction: evidence-based diagnosis. Orthop Div Rev. 2004 [acceso 20/05/2018];8(1). Disponible en: https://www.shelbournephysio.ca/images/uploads/83/sijdevidence-based_dx.pdf
8. Van der Wurff P, Buijs EJ, Groen GJ. Intensity mapping of pain referral areas in sacroiliac joint pain patients. J Manipulative Physiol Ther. 2006;29(3):190-5. DOI: https://doi.org/10.1016/j.jmpt.2006.01.007
9. DonTigny RL. 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. DOI: https://doi.org/10.1093/ptj/70.4.250
10. Fortin JD, Kissling RO, O’Connor BL, Vilensky JA. Sacroiliac joint innervation and pain. Am J Orthop (Belle Mead NJ). 1999 [acceso 14/06/2018];28(12):687-90. Disponible en: https://pubmed.ncbi.nlm.nih.gov/10614759/
11. Simopoulos TT, Manchikanti L, Singh V, Gupta S, Hameed H, Diwan S, et al. A systematic evaluation of prevalence and diagnostic accuracy of sacroiliac joint interventions. Pain Physician. 2012 [acceso 14/06/2018];15(3):305-44. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22622915/
12. Raj M, Ampat G, Varacallo M. Sacroiliac (SI) joint pain. InStatPearls. 2020 [acceso 12/08/2020]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK470299/
13. Norkin C, White D. Measurement of joint motion: a guide to goniometry. 3 ed. Philadelphia: F.A Davis Company; 2003.
14. Kolber MJ, Hanney WJ. The reliability and concurrent validity of shoulder mobility measurements using a digital inclinometer and goniometer: a technical report. Int J Sports Phys Ther. 2012 [acceso 25/08/2020];7(3):306-13. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22666645/
15. Shariff M, Razif M, Yusof A. Interrater and intrarater reliability of the Active Knee Extension (AKE) Test among healthy adults. J Phys Ther Sci. 2013;25(8):957-61. DOI: https://doi.org/10.1589/jpts.25.957
16. Ayala F, Sainz P, Cejudo A, Santoja F. Pruebas angulares de estimación de la flexibilidad isquiosural: análisis de la fiabilidad y validez. Rev Andal Med Deport. 2012 [acceso 15/09/2018];5(2):67-74. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1888-75462013000300006
17. Rezvani A, Ergin O, Karacan I, Oncu M. Validity and reliability of the metric measurements in the assessment of lumbar spine motion in patients with ankylosing spondylitis. Spine (Phila Pa 1976). 2012;37(19):e1189-96. DOI: https://doi.org/10.1097/brs.0b013e31825ef954
18. Rahali H, Poiraudeau S, Fermanian J, Ben FZ, Dziri C, Revel M. Validité et reproductibilité des mesures cliniques rachidiennes dans la spondylarthrite ankylosante. Ann Readapt Med Phys. 2001;44(4):205-12. DOI: https://doi.org/10.1016/S0168-6054(01)00091-5
19. Dreyfuss P, Dreyer SJ, Cole A, Mayo K. Sacroiliac Joint Pain. J Am Acad Orthop Surg. 2004 [acceso 15/03/2019];12(4):255-65. Disponible en: http://www.jaaos.org/content/12/4/255.short
20. National Institute for Occupational Safety and Health (NIOSH). Applications Manual for the Revised NIOSH Lifting Equation. NIOSH; 2021. DOI: https://doi.org/10.26616/NIOSHPUB94110revised092021
21. Alcántara S, Flórez MT, Echávarri C, García F. Escala de incapacidad por dolor lumbar de Oswestry. Rehabil. 2006;40(3):150-8. DOI: https://doi.org/10.1016/S0048-7120(06)74881-2
22. Payares K, Lugo LH, Morales V, Londoño A. Validation in Colombia of the Oswestry disability questionnaire in patients with low back pain. Spine (Phila Pa 1976). 2011;36(26):e1730-5. DOI: https://doi.org/10.1097/brs.0b013e318219d184
23. Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: Validity of individual provocation tests and composites of tests. Man Ther. 2005;10(3):207-18. DOI: https://doi.org/10.1016/j.math.2005.01.003
24. Telli H, Telli S, Topal M. The validity and reliability of provocation tests in the diagnosis of sacroiliac joint dysfunction. Pain Physician. 2018 [acceso 10/04/2019];21(4):e367-76. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30045603/
25. Snijders CJ, Vleeming A, Stoeckart R. Transfer of lumbosacral load to iliac bones and legs. Part 2: Loading of the sacroiliac joints when lifting in a stooped posture. Clin Biomech. 1993;8(6):285-94. DOI: https://doi.org/10.1016/0268-0033(93)90003-Z
26. Cho B-Y, Yoon J-G. The effect of gait training with shoe inserts on the improvement of pain and gait in sacroiliac joint patients. J Phys Ther Sci. 2015 [acceso 11/08/2019];27(8):2469-71. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563292/pdf/jpts-27-2469.pdf
27. Dontigny R. Sacroiliac 201: dysfunction and management. A biomechanical solution. J Prolother. 2011 [acceso 11/08/2019];3(2):644-52. Disponible en: https://journalofprolotherapy.com/sacroiliac-201-dysfunction-and-management-a-biomechanical-solution/
28. Seoane P. Influencia del ciclo menstrual en la flexibilidad en natación sincronizada. AGON. 2013 [acceso 05/06/2020];3(2):53-9. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=4727152
29. Capobianco R, Cher D. Safety and effectiveness of minimally invasive sacroiliac joint fusion in women with persistent post-partum posterior pelvic girdle pain: 12-month outcomes from a prospective, multi-center trial. Springerplus. 2015;4(1):1-12. DOI: https://doi.org/10.1186%2Fs40064-015-1359-y
30. DePalma MJ, Ketchum JM, Saullo T. What is the source of chronic low back pain and does age play a role? Pain Med. 2011;12(2):224-33. DOI: https://doi.org/10.1111/j.1526-4637.2010.01045.x
Downloads
Published
How to Cite
Issue
Section
License
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes: Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons (CC-BY-NC 4.0) que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista. Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista. Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) antes y durante el proceso de envío, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).
Como Revista Cubana de Investigaciones Biomédicas forma parte de la red SciELO, una vez los artículos sean aceptados para entrar al proceso editorial (revisión), estos pueden ser depositados por parte de los autores, si estan de acuerdo, en SciELO preprints, siendo actualizados por los autores al concluir el proceso de revisión y las pruebas de maquetación.
