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Clinical Diagnosis of Sacroiliac Joint Dysfunction

To the Editor:

I would like to comment on an article that appeared in the May 2001 issue titled "Using Published Evidence to Guide the Examination of the Sacroiliac Joint Region" by Janet Freburger and Daniel Riddle.

I read with great interest their description of how to determine the best evidence when identifying sacroiliac joint (SIJ) dysfunction. Surprisingly, when I read the same evidence, I disagreed with many of their conclusions. I believe a major problem is that considerable emphasis in the Update was placed on 2 types of studies: injection studies of the SIJ and movement studies using radiostereophotogrammetric (RSA) analysis. Both methods, however, have serious methodological flaws that were not discussed in the Update.

First, I agree that injection of the SIJ can be difficult to interpret because of insufficient infiltration; however, I believe the real problem is that no SIJ injection study has yet used a randomized . . . [Full Text of this Article]

Michael T CibulkaPT, MHS, OCS

Jefferson County Rehab & Sports Clinic
430 S Truman Blvd
Crystal City, MO 63019

Janet K Freburger and Daniel L Riddle

Cecil G Sheps Center for Health Services Research
University of North Carolina at Chapel Hill
725 Airport Rd, CB #7590
Chapel Hill, NC 27599-7590
Department of Physical Therapy
Virginia Commonwealth University
1200 E Broad St, PO Box 980224
Richmond, VA 23298-0224

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Related Article

Using Published Evidence to Guide the Examination of the Sacroiliac Joint Region

Janet K Freburger and Daniel L Riddle
Physical Therapy 2001 81: 1135-1143. [Extract] [Full Text] [PDF]