Principles of Manual Treatment for Sacroiliac Joint Dysfunction

Abstract

Dysfunction of the joint causes restriction in movement. Joint motion consists of both bone and intra-articular movements (accessory movement). The interaction of these movements eases the operation of the joints. Joint dysfunction simultaneously disturbs both the bone and intra-articular movements. The sacroiliac joint (SIJ) is an amphiarthrosis that has less movement, and as a result, the SIJ frequently causes joint dysfunction resulting in low back pain or, to a lesser extent, pain in the lower extremities. Therapeutic exercises have traditionally been performed for the treatment of low back pain and lower extremities pain. However, these exercises have had little effect on the SIJ. They are not able to approach the SIJ, but rather, are often the cause of pain.