The Sacroiliac Sprain; Neuromuscular Reactions, Diagnosis and Treatment with Pelvic Blocking

Knutson GJournal of the American Chiropractic AssociationAug. 2004, 41(8): 32-9

Abstract: Objective: To explore the incidence, neuromuscular reactions, and diagnosis of sacroiliac sprain. In the context of these findings, the treatment options of high-velocity, low-amplitude manipulation or padded wedge pelvic blocking are examined.

Data Sources: Medline and CINAHL databases were searched using combinations of keywords sacrum, sacral, sacroiliac, pelvic, pelvis, and sacro-occipital, along with searching the bibliographies of selected articles and textbooks.

Results: The incidence of sacroiliac sprain in the general population is unknown and the diagnostic tests have questionable validity. Neuromuscular reactions to sacroiliac joint stimulation are better described.

Conclusion: In cases where sacroiliac joint sprain is suspected, based on probable neuro-muscular reactions, low-load manipulation via pelvic blocking is advised. Testing of this hypothesis is recommended.

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