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首页> 外文期刊>manuelle medizin >The sacroiliac joint and sacroiliac dysfunction. Review of the literature
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The sacroiliac joint and sacroiliac dysfunction. Review of the literature

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摘要

Sacroiliac dysfunction (SD), i.e. the pain resulting from the sacroiliac joint and the periarticular structure, is classified in the many available publications as part of deep lying back pain. The diagnostic procedure and treatment of SD are, however, controversially discussed and there is no consensus in the literature. Just like all other methods in manual medicine, diagnostic and therapeutic techniques must be evaluated by scientific criteria with respect to the sacroiliac joint. For the diagnosis of SD, tests such as the pain provocation test and motility check or palpation tests are available. The reliability of the provocation test is much higher than the motility test and a good level of reliability and validity can be attained using several pain provo-cation tests. The effectiveness of local manual therapeutic treatment techniques for SD has been demonstrated in various studies and no differences between manipulation and mobilization have been demonstrated. In this article the anatomical characteristics, epidemiology, etiology and pathogenesis as well as the differential diagnosis using various diagnostic procedures and treatment options of SD will be described with respect to the individual evidence-based grading present.

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