The effectiveness of physiotherapy interventions for sacroiliac joint dysfunction: a systematic review.
Moayad Al-Subahi, Mohamed Alayat, Mansour Abdullah Alshehri and 5 others
PMID 28932014WHAT IT FOUND
Nine physiotherapy studies for sacroiliac joint dysfunction reported less pain, less disability, or improved pelvic tilt after programmes that included exercise, manipulation, or Kinesio tape, but study quality was low to medium and tape did not beat placebo tape.
Key findings
01Nine studies were included: four used manipulation, three used exercise, and three used Kinesio tape.
02In the placebo-controlled Kinesio tape trial, pain and disability decreased, but the improvement was similar to placebo tape.
03The review searched published studies from 2004 to 2014, and the included studies were low to medium quality.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only nine studies met the inclusion criteria. The included studies were small and used different designs, interventions, and follow-up periods. Several studies lacked blinding or randomisation. Some positive exercise results came from case studies or programmes where home exercise adherence was not checked. The review searched only English-language published studies from 2004 to 2014. The review analysed the data descriptively.
The easy way to misread this
Do not conclude that Kinesio tape is proven effective for sacroiliac joint dysfunction. In the placebo-controlled trial, pain and disability improved, but the improvement was similar to placebo tape.