Highlights
- •Disturbed movement patterns can be observed in patients with sacroiliac joint dysfunction.
- •Patients have a slower walking speed with longer double support phase.
- •Patients lack balance during a single leg stance.
- •Patients have a slower sit-to-stance transition time.
- •Movement analysis may allow us to evaluate the effect of different therapies.
Abstract
Background
Patients with sacroiliac joint dysfunction are limited in daily life activities such
as gait, climbing stairs and rising from a chair. It is well known that individuals
with chronic low back pain have impaired balance compared to healthy individuals.
This cross-sectional case-control study aims to investigate spatiotemporal parameters,
center of pressure and mass, pelvic angles and other joint angles in patients with
sacroiliac joint dysfunction in comparison with healthy controls.
Methods
Motion analysis existed of three tasks: (1) normal gait, (2) single-leg-stance, and
(3) sit-to-stance. Spatiotemporal parameters, center of pressure, pelvic angles and
other joint angles were measured using a twelve-camera, three-dimensional motion capture
system and ground reaction force platforms.
Findings
Thirty subjects were recruited for this study; ten patients, ten matched controls
and ten healthy student controls. For gait, patients had a lower cadence, longer double
support phase, shorter step length and slower walking speed than controls. For single-leg-stance,
patients had a smaller hip angle of the risen leg than controls. Also, variability
in center of pressure was larger in patients. For sit-to-stance, the total time to
perform the task was almost doubled for patients compared to controls.
Interpretation
This study demonstrates that patients with sacroiliac joint dysfunction have an impaired
gait, more balance problems during standing and standing up compared to healthy controls.
This novel information assists to further comprehend the pathology and disease burden
of sacroiliac joint dysfunction, in addition, it may allow us to evaluate the effect
of current therapies.
Keywords
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Article info
Publication history
Published online: September 27, 2022
Accepted:
September 23,
2022
Received:
April 11,
2022
Identification
Copyright
© 2022 Elsevier Ltd. All rights reserved.
