A Study to Evaluate the Prognostic validity of Three Clinical Tests Serving as an Indicator of Dysfunction of the Sacroiliac Joint and Low Back Pain

Item

Title
A Study to Evaluate the Prognostic validity of Three Clinical Tests Serving as an Indicator of Dysfunction of the Sacroiliac Joint and Low Back Pain
Author(s)
Jung Judith
Abstract
Study Design: In a single blinded study, 50 subjects between the ages of 23 and 70 years were chosen to participate. They were divided into two groups, one with and the other without low back pain. They underwent the Downing Test, the Standing Flexion Test and the Sitting Flexion Test.

Goal: The aim of the study is to compare the Downing Test, the Standing Flexion Test and the Sitting Flexion Test in regards to their meaningfulness concerning a dysfunction of the sacroiliac joint as well as the usage on patients with low back pain.

Method: All three tests were done on each subject by an uninformed examiner (osteopath). The pelvis was measured in reference to the existence of an innominate torsion, an asymmetric crest level while standing and sitting, as well as measuring the leg length to determine any difference in length.

Results: According to this study the variables: innominate torsion; asymmetric crest level while standing or sitting; differences in leg lengths; have no effect on the test results and furthermore no influence on low back pain could be concluded. In reference to the results obtained by the Sitting Flexion Test - which tests the mobility of the sacrum on the ilium – no relationship to low back pain could be found, when interpreting the results .

However the results of this study show that the Downing Test has the greatest meaningfulness of these three tests, followed by the Standing Flexion Test.

Conclusion: The variables: innominate torsion; asymmetric crest level while standing or sitting; as well as a difference in leg length, that were taken into consideration have no effect on the test results attained by this study, and these factors under the examined circumstances do not influence low back pain .

The important result obtained by this study is that both the Downing Test and the Standing Flexion Test are useful tools for determining an iliosacral dysfunction and for the treatment of low back pain. Both examine the mobility of the ilium on the sacrum. An interesting aspect is that the Sitting Flexion Test which tests the mobility of the sacrum on the ilium, does not deliver such reliable results.
Date Accepted
0
Date Submitted
1.10.2001 00:00:00
Type
undergraduate_project
Language
English
Submitted by:
62
Pub-Identifier
12337
Inst-Identifier
781
Keywords
Sacroiliac Joint,Back Pain
Recommended
0
Item sets
Thesis

Jung Judith, “A Study to Evaluate the Prognostic validity of Three Clinical Tests Serving as an Indicator of Dysfunction of the Sacroiliac Joint and Low Back Pain”, Osteopathic Research Web, accessed April 17, 2024, https://www.osteopathic-research.com/s/orw/item/3055