year 10, Issue 3 (Autumn 2022)                   Ann Appl Sport Sci 2022, 10(3): 0-0 | Back to browse issues page


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1- Department of Sports and Exercise Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran , sarashams6990@gmail.com
4- Department of Community Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:   (3302 Views)
Background. Low back pain is one of the ten most common causes of disability, and sacroiliac joint dysfunction is one of the most common causes of it.
Objectives. This study aimed to find if there is any association between hip adductor tightness with sacroiliac joint dysfunction.
Methods. Sixty people who had attended our Sports Medicine Clinic took part in this study (30 in each group). The case group contains patients who had sacroiliac joint dysfunction based on physical examination, and the control group was patients with similar characteristics who attended for reasons other than spinal or lower limb problems. A fixed sports medicine specialist assessed both groups' tenderness and tightness of adductor muscles.
Results. The level of tenderness (Kendall Tau correlation coefficient equal to 0.440 and P<0.001) and tightness (Kendall Tow correlation coefficient equal to 0.479 and P <0.001) of the hip adductor muscles in the case group were significantly higher. More people in the case group reported hip adductor muscle pain than the control group (P <0.001).
Conclusion. This study showed more hip adductor muscle involvement in people suffering from sacroiliac joint dysfunction.
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APPLICABLE REMARKS
• This study has revealed a correlation between sacroiliac joint dysfunction and the involvement of hip adductor muscles for the first time.
• According to the results of this study, it is recommended that patients with SIJ pain and dysfunction be examined for hip adductors.

Type of Study: Original Article | Subject: Sport Biomechanics and its related branches
Received: 2021/09/12 | Accepted: 2021/11/10

References
1. Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010;24(6):769-781. https://doi.org/10.1016/j.berh.2011.01.019 [DOI:10.1016/j.berh.2010.10.002]
2. Salomon JA, Vos T, Hogan DR, Gagnon M, Naghavi M, Mokdad A. Common values in assessing health outcomes from disease and injury: disability weights measurement study for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2129-2143. [DOI:10.1016/S0140-6736(12)61680-8]
3. Vlaeyen JWS, Maher CG, Wiech K, Van Zundert J, Meloto CB, Diatchenko L, et al. Low back pain. Nat Rev Dis Primers. 2018;4(1):52. [DOI:10.1038/s41572-018-0052-1] [PMID]
4. Meucci RD, Fassa AG, Faria NM. Prevalence of chronic low back pain: systematic review. Rev Saude Publica. 2015;49. [DOI:10.1590/S0034-8910.2015049005874] [PMID] [PMCID]
5. Foley BS, Buschbacher RM. Sacroiliac joint pain: anatomy, biomechanics, diagnosis, and treatment. Am J Phys Med Rehabil. 2006;85(12):997-1006. [DOI:10.1097/01.phm.0000247633.68694.c1] [PMID]
6. Hernandez A, Gross K, Gombatto S. Differences in lumbar spine and lower extremity kinematics during a step down functional task in people with and people without low back pain. Clin Biomech (Bristol, Avon). 2017;47:46-52. [DOI:10.1016/j.clinbiomech.2017.05.012] [PMID]
7. Cher D, Polly D, Berven S. Sacroiliac joint pain: burden of disease. Med Devices (Auckl). 2014;7:73-81. https://doi.org/10.2147/MDER.S59437 [DOI:10.1016/j.spinee.2014.08.132] [PMID] [PMCID]
8. Bogduk N. On the definitions and physiology of back pain, referred pain, and radicular pain. Pain. 2009;147(1-3):17-19. [DOI:10.1016/j.pain.2009.08.020] [PMID]
9. Cohen SP. Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment. Anesth Analg. 2005;101(5):1440-1453. [DOI:10.1213/01.ANE.0000180831.60169.EA] [PMID]
10. Kiapour A, Joukar A, Elgafy H, Erbulut DU, Agarwal AK, Goel VK. Biomechanics of the Sacroiliac Joint: Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain. Int J Spine Surg. 2020;14(Suppl 1):3-13. [DOI:10.14444/6077] [PMID] [PMCID]
11. Geraci Jr MC. Overuse injuries of the hip and pelvis. J Back Muscul Rehabilit. 1996;6(1):5-19. https://doi.org/10.1016/1053-8127(95)00158-1 [DOI:10.3233/BMR-1996-6103]
12. Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther. 2005;10(3):207-218. [DOI:10.1016/j.math.2005.01.003] [PMID]
13. Fukui S, Nosaka S. Pain patterns originating from the sacroiliac joints. J Anesth. 2002;16(3):245-247. [DOI:10.1007/s005400200033] [PMID]
14. Soleimanifar M, Karimi N, Arab AM. Association between composites of selected motion palpation and pain provocation tests for sacroiliac joint disorders. J Bodyw Mov Ther. 2017;21(2):240-245. [DOI:10.1016/j.jbmt.2016.06.003] [PMID]
15. Robinson HS, Brox JI, Robinson R, Bjelland E, Solem S, Telje T. The reliability of selected motion- and pain provocation tests for the sacroiliac joint. Man Ther. 2007;12(1):72-79. [DOI:10.1016/j.math.2005.09.004] [PMID]
16. Rashbaum RF, Ohnmeiss DD, Lindley EM, Kitchel SH, Patel VV. Sacroiliac Joint Pain and Its Treatment. Clin Spine Surg. 2016;29(2):42-48. [DOI:10.1097/BSD.0000000000000359] [PMID]
17. Ou-Yang DC, York PJ, Kleck CJ, Patel VV. Diagnosis and Management of Sacroiliac Joint Dysfunction. J Bone Joint Surg Am. 2017;99(23):2027-2036. [DOI:10.2106/JBJS.17.00245] [PMID]
18. Dreyfuss P, Michaelsen M, Pauza K, McLarty J, Bogduk N. The value of medical history and physical examination in diagnosing sacroiliac joint pain. Spine (Phila Pa 1976). 1996;21(22):2594-2602. [DOI:10.1097/00007632-199611150-00009] [PMID]
19. Kiel J, Kaiser K. Adductor Strain. StatPearls [Internet].2019.
20. Drew MK, Palsson TS, Izumi M, Hirata RP, Lovell G, Chiarelli P, et al. Resisted adduction in hip neutral is a superior provocation test to assess adductor longus pain: An experimental pain study. Scand J Med Sci Sports. 2016;26(8):967-974. [DOI:10.1111/sms.12529] [PMID]
21. Rahimi A, Arab AM, Nourbakhsh MR, Hosseini SM, Forghany S. Lower limb kinematics in individuals with chronic low back pain during walking. J Electromyogr Kinesiol. 2020;51:102404. [DOI:10.1016/j.jelekin.2020.102404] [PMID]
22. Kurosawa D, Murakami E, Aizawa T. Groin pain associated with sacroiliac joint dysfunction and lumbar disorders. Clin Neurol Neurosurg. 2017;161:104-109. [DOI:10.1016/j.clineuro.2017.08.018] [PMID]
23. Brolinson PG, Kozar AJ, Cibor G. Sacroiliac joint dysfunction in athletes. Curr Sports Med Rep. 2003;2(1):47-56. [DOI:10.1249/00149619-200302000-00009] [PMID]
24. Ross J. Is the sacroiliac joint mobile and how should it be treated? Br J Sports Med. 2000;34(3):226. [DOI:10.1136/bjsm.34.3.226] [PMID] [PMCID]
25. Elattar O, Choi HR, Dills VD, Busconi B. Groin Injuries (Athletic Pubalgia) and Return to Play. Sports Health. 2016;8(4):313-323. [DOI:10.1177/1941738116653711] [PMID] [PMCID]
26. Serner A, Mosler AB, Tol JL, Bahr R, Weir A. Mechanisms of acute adductor longus injuries in male football players: a systematic visual video analysis. Br J Sports Med. 2019;53(3):158-164. [DOI:10.1136/bjsports-2018-099246] [PMID]
27. Toyohara R, Kurosawa D, Hammer N, Werner M, Honda K, Sekiguchi Y, et al. Finite element analysis of load transition on sacroiliac joint during bipedal walking. Sci Rep. 2020;10(1):13683. [DOI:10.1038/s41598-020-70676-w] [PMID] [PMCID]
28. Leighton RD. A functional model to describe the action of the adductor muscles at the hip in the transverse plane. Physiother Theory Pract. 2006;22(5):251-262. [DOI:10.1080/09593980600927385] [PMID]

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