The Correlation between Sacroiliac Joint Dysfunction and Hip Adductor Tightness

Background. Low back pain is one of the ten most common causes of disability, and sacroiliac joint dysfunction is one of the most common causes of it. Objectives. This study aimed to find if there is any association between hip adductor tightness with sacroiliac joint dysfunction. Methods. Sixty people who had attended our Sports Medicine Clinic took part in this study (30 in each group). The case group contains patients who had sacroiliac joint dysfunction based on physical examination and the control group was patients with similar characteristics who attended for other reasons rather than spinal or lower limb problems. Tenderness and tightness of adductor muscles were assessed in both groups by a fixed sports medicine specialist. Results. The level of tenderness (Kendall Tau correlation coefficient equal to 0.440 and P <0.001) and tightness (Kendall Tow correlation coefficient equal to 0.479 and P <0.001) of the hip adductor muscles in the case group were significantly higher. More people in the case group reported hip adductor muscle pain than the control group (P <0.001). Conclusion. This study showed more hip adductor muscle involvement in people suffering from sacroiliac joint dysfunction.

[1]  T. Ohashi,et al.  Finite element analysis of load transition on sacroiliac joint during bipedal walking , 2020, Scientific Reports.

[2]  S. Hosseini,et al.  Lower limb kinematics in individuals with chronic low back pain during walking. , 2020, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[3]  V. Goel,et al.  Biomechanics of the Sacroiliac Joint: Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain , 2019, International Journal of Spine Surgery.

[4]  K. Wiech,et al.  Low back pain , 2018, Nature Reviews Disease Primers.

[5]  R. Bahr,et al.  Mechanisms of acute adductor longus injuries in male football players: a systematic visual video analysis , 2018, British Journal of Sports Medicine.

[6]  P. York,et al.  Diagnosis and Management of Sacroiliac Joint Dysfunction. , 2017, The Journal of bone and joint surgery. American volume.

[7]  T. Aizawa,et al.  Groin pain associated with sacroiliac joint dysfunction and lumbar disorders , 2017, Clinical Neurology and Neurosurgery.

[8]  Karlie Gross,et al.  Differences in lumbar spine and lower extremity kinematics during a step down functional task in people with and people without low back pain , 2017, Clinical biomechanics.

[9]  N. Karimi,et al.  Association between composites of selected motion palpation and pain provocation tests for sacroiliac joint disorders. , 2017, Journal of bodywork and movement therapies.

[10]  R. Hirata,et al.  Resisted adduction in hip neutral is a superior provocation test to assess adductor longus pain: An experimental pain study , 2016, Scandinavian journal of medicine & science in sports.

[11]  Osama Elattar,et al.  Groin Injuries (Athletic Pubalgia) and Return to Play , 2016, Sports health.

[12]  D. Ohnmeiss,et al.  Sacroiliac Joint Pain and Its Treatment. , 2016, Clinical spine surgery.

[13]  A. Fassa,et al.  Prevalence of chronic low back pain: systematic review , 2015, Revista de saude publica.

[14]  Alan D. Lopez,et al.  Common values in assessing health outcomes from disease and injury: disability weights measurement study for the Global Burden of Disease Study 2010 , 2012, The Lancet.

[15]  F. Blyth,et al.  The Epidemiology of low back pain. , 2010, Best practice & research. Clinical rheumatology.

[16]  N. Bogduk On the definitions and physiology of back pain, referred pain, and radicular pain , 2009, PAIN®.

[17]  J. Brox,et al.  The reliability of selected motion- and pain provocation tests for the sacroiliac joint. , 2007, Manual therapy.

[18]  R Dennis Leighton,et al.  A functional model to describe the action of the adductor muscles at the hip in the transverse plane , 2006, Physiotherapy theory and practice.

[19]  Barry W. McDonald,et al.  Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. , 2005, Manual therapy.

[20]  P. G. Brolinson,et al.  Sacroiliac joint dysfunction in athletes. , 2003, Current sports medicine reports.

[21]  J. Ross Is the sacroiliac joint mobile and how should it be treated? , 2000, British journal of sports medicine.

[22]  J. Tanner Sacroiliac joint pain. , 1997, Spine.

[23]  N. Bogduk,et al.  The Value of Medical History and Physical Examination in Diagnosing Sacroiliac Joint Pain , 1996, Spine.

[24]  D. Cher,et al.  Sacroiliac joint pain: burden of disease. , 2014, Medical devices.

[25]  Steven P. Cohen,et al.  Sacroiliac Joint Pain: A Comprehensive Review of Anatomy, Diagnosis, and Treatment , 2005, Anesthesia and analgesia.

[26]  S. Fukui,et al.  Pain patterns originating from the sacroiliac joints , 2002, Journal of Anesthesia.

[27]  M. Geraci Overuse injuries of the hip and pelvis. , 1996, Journal of back and musculoskeletal rehabilitation.