Inter- and intra-tester reliability of selected clinical tests in examining patients with early phase lumbar spine and sacroiliac joint pain and dysfunction.
Of all patients with low back pain (LBP), 85% are diagnosed as “non-specific lumbar painâ€. It has been postulated that the only reliable test is a straight leg raise test for detecting sciatic pain, and for other diagnostic subgroups, tests are of varying value. Only a few standardized tests exist to test function, inspection, mobility, [...]
Running-related hamstring injuries: a neuromuscular approach
Sole, Gisela; Milosavljevic, Stephan; Sullivan, S. John; Nicholson, Helen The aim of this review is to explore the stabilising function of the hamstring muscle group, described as increasing the stiffness of the sacro-iliac and the knee joints during weight acceptance of stance. Loss of stability of segments proximal or distal to the hamstring muscles may [...]
Sacroiliac joint fusion and the implications for manual therapy diagnosis and treatment.
Dar G, Khamis S, Peleg S, Masharawi Y, Steinberg N, Peled N, Latimer B, Hershkovitz I The present paper examines gender differences and changes in prevalence of ankylosed sacroiliac joint (SIJ) with age. SIJs of 287 patients, aged 22-93 years, were examined for fusion, using 3-D CT images. Presence, side and location of the fusion [...]
Inter- and intra-examiner reliability of single and composites of selected motion palpation and pain provocation tests for sacroiliac jointstar, open
Amir Massoud Arab, Iraj Abdollahi, Mohammad Taghi Joghataei, Zahra Golafshani and Anoshirvan Kazemnejad This study examined the inter- and intra-examiner reliability of single and composites of the motion palpation and provocation tests together. Four motion palpation and three provocation tests were examined three times on both sides by two examiners in 25 patients. Intra- and [...]
Inter-examiner reliability of four static palpation tests used for assessing pelvic dysfunction
Ulrika Holmgren and Kerstin Waling The aim of this study was to test the inter-examiner reliability of static palpation of the transverse processes of L5 (L5), sacral sulci (SS), inferior lateral angles of the sacrum (ILA), and the medial malleoli (MM) in a clinical setting. Twenty-five participants, aged 18–78 years, with low back pain and/or [...]
Reliability of physical examination to assess asymmetry of anatomical landmarks indicative of pelvic somatic dysfunction in subjects with and without low back pain
Adrian Kmita and Nicholas P. Lucas The purpose of this study was to investigate the intra-examiner and inter-examiner reliability of physical examination to identify asymmetry of selected anatomical landmarks indicative of pelvic somatic dysfunction in subjects with and without low back pain. Four examiners (two students, two osteopaths) examined a sample of symptomatic and asymptomatic [...]
Evidence-based assessment and diagnosis of pelvic girdle disorders: a proposal for an alternate diagnostic category
Hazle, Charles R.; Nitz, Arthur J. Musculoskeletal syndromes of the pelvic girdle have long been the source of considerable controversy among clinicians and researchers. Widely varying approaches to caring for patients with presumed sacroiliac joint pain have contributed to the complexity of delivering optimal care to patients presenting with low back pain. Evidence is accumulating [...]
Effects of a program for trunk strength and stability on pain, low back and pelvis kinematics, and body balance: A pilot study
Felipe Pivetta Carpes, Fernanda Beatriz Reinehr and Carlos Bolli Mota The purpose of this pilot study was to investigate the effects of trunk strength and stability training on body balance and low back and pelvis kinematics during gait in females. Six subjects volunteered to do 20 sessions of training. Data collection involved a qualitative pain [...]
Evaluation of the Ability of Physical Therapists to Palpate Intrapelvic Motion With the Stork Test on the Support Side
Barbara A Hungerford, Wendy Gilleard, Michael Moran and Cathryn Emmerson The aim of this study was to investigate whether the pattern of intrapelvic motion could be detected reliably during a new clinical assessment test for functional load transfer: the Stork Test on the support side. Three physical therapists were randomly assigned to palpate the motion of the innominate bones and [...]