Abstract
Aim. The aim of the study was to compare the effectiveness of pinotherapy and manual therapy in the treatment of pain in the sacroiliac joints.
Method. The study included a group of 40 patients, who reported to the physiotherapist office with pain in the sacroiliac joints. The clinical evaluation involved: a Pain Numeric Rating Scale and the Oswestry Questionnaire. Patients were divided into two groups of 20 people. In the first group shock therapy was used, in the second group selected manual therapy techniques were used.
Results. After the therapy, a statistically significant reduction in pain in the sacroiliac joints was observed in both groups (Pain Numeric Rating Scale). The relative difference in the severity of pain reduction in both groups was similar.
Conclusions. The study showed that pinotherapy and manual therapy techniques are effective in treating pain in the sacroiliac joints. In addition, both methods show comparable efficiency of treatment of the abovementioned disorders, because of it is possible, they can be used interchangeably in patients depending on individual contraindications.
References
Polly R. The Sacroiliac Joint. Neurosurgery Clinics of North America. 2017;28(3):301-312.
Cox M, Ng G, Mashriqi F, Iwanaga J, Alonso F, Tubbs K et al. Innervation of the Anterior Sacroiliac Joint. World Neurosurgery. 2017;107:750-752.
Adhia D, Tumilty S, Mani R, Milosavljevic S, Bussey M. Can a Hip Abduction–External Rotation (HABER) test discriminate for low back pain of sacroiliac joint origin?. Physiotherapy. 2015;101:191-197.
Taheri A, Lajevardi M, Abad M, Zebardast J, Shaabani S. Sacroiliac Joint Intraarticular Injection in True Anteroposterior View: Description of a New C-Arm Guided Method. Pain Physician. 2018;21(1):61-66.
Hoffman M, Agnish V. Functional outcome from sacroiliac joint prolotherapy in patients with sacroiliac joint instability. Complementary Therapies in Medicine. 2018;37:64-68.
Kamali F, Zamanlou M, Ghanbari A, Alipour A, Bervis S. Comparison of manipulation and stabilization exercises in patients with sacroiliac joint dysfunction patients: A randomized clinical trial. Journal of Bodywork and Movement Therapies. 2019;23(1):177-182.
Sipko T, Paluszak A, Siudy A. Effect of Sacroiliac Joint Mobilization on the Level of Soft Tissue Pain Threshold in Asymptomatic Women. Journal of Manipulative and Physiological Therapeutics. 2018;41(3):258-264.
Nyström B, Gregebo B, Taube A, Almgren S, Schillberg B, Zhu Y. Clinical outcome following anterior arthrodesis in patients with presumed sacroiliac joint pain. Scandinavian Journal of Pain. 2017;17(1):22-29.
Murakami E, Aizawa T, Kurosawa D, Noguchi K. Leg symptoms associated with sacroiliac joint disorder and related pain. Clinical Neurology and Neurosurgery. 2017;157:55-58.
Prather H, Cheng A. Diagnosis and Treatment of Hip Girdle Pain in the Athlete. PM&R. 2016;8(3):S45-S60.
Kok H, Mumtaz A, O'Brien C, Kane D, Torreggiani W, Delaney H. Imaging the Patient With Sacroiliac Pain. Canadian Association of Radiologists Journal. 2016;67(1):41-51.
Salman O, Gad G, Mohamed A, Rafae H, Abdelfatah A. Randomized, controlled blind study comparing sacroiliac intra-articular steroid injection to radiofrequency denervation for sacroiliac joint pain. Egyptian Journal of Anaesthesia. 2016;32(2):219-225.
Cánovas Martínez L, Orduña Valls J, Paramés Mosquera E, Lamelas Rodríguez L, Rojas Gil S, Domínguez García M. Sacroiliac joint pain: Prospective, randomised, experimental and comparative study of thermal radiofrequency with sacroiliac joint block. Revista Española de Anestesiología y Reanimación (English Edition). 2016;63(5):267-272.
Moon Y, Seok H, Kim S, Lee S, Yeo J. Extracorporeal shock wave therapy for sacroiliac joint pain: A prospective, randomized, sham-controlled short-term trial. Journal of Back and Musculoskeletal Rehabilitation. 2017;30(4):779-784.
Farrar J, Young J, LaMoreaux L, Werth J, Poole M. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94(2):149-158.
Sieradzki M, Krajewska-Kułak E, Van Damme-Ostapowicz K. Ocena występowania zespołów bólowych dolnego odcinka kręgosłupa w populacji studentów kierunku fizjoterapia. Problemy Higieny i Epidemiologii. 2013;3(94):451-458.
Han H, Lee D, Lee S, Jeon C, Kim T. The effects of extracorporeal shock wave therapy on pain, disability, and depression of chronic low back pain patients. Journal of Physical Therapy Science. 2015;27(2):397-399.
Moon Y, Seok H, Kim S, Lee S, Yeo J. Extracorporeal shock wave therapy for sacroiliac joint pain: A prospective, randomized, sham-controlled short-term trial. Journal of Back and Musculoskeletal Rehabilitation. 2017;30(4):779-784.
Alkady S, Kamel R, AbuTaleb E, Lasheen Y, Alshaarawy F. Efficacy of Mulligan Mobilization Versus Muscle Energy Technique in Chronic Sacroiliac Joint Dysfunction. International Journal of Physiotherapy. 2017;4(5).
Graczykowski M., Skibiński K., Goślińska J., Hejdysz K.: Pinoterapia - innowacyjna polska metoda. Rehabilitacja w praktyce, 2022.
Składowski R., Pinoterapia – element składowy Medycyny Manualnej w Koncepcji Pięciu Układów Regulacyjnych, Rehabilitacja w praktyce, 2022.
Graczykowski M., Rafalski T., Skrypt do kursu PINOTERAPIA w ujęciu FRSc, pod redakcją Składowski R. 2022.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 Medicina Internacia Revuo
