Sacroiliac joint involvement among low back dysfunction: A cross-sectional study

Hisham Mohamed Hussein; Ahmed Abdel Moniem Ibrahim; Abeer Saad Alshammari; Alanoud Mohammad Almuhana; Tahani Hamoud Alrasheidi; Ehab Mohamed Kamel

Hisham Mohamed Hussein Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza, Egypt; Department of Physical Therapy, College of Applied Medical Sciences, University of Ha’il, Ha’il, Saudi Arabia

Ahmed Abdel Moniem Ibrahim Department of Physical Therapy, College of Applied Medical Sciences, University of Hail, Hail, Saudi Arabia

Abeer Saad Alshammari Department of Physical Therapy, College of Applied Medical Sciences, University of Hail, Hail, Saudi Arabia

Alanoud Mohammad Almuhana Department of Physical Therapy, College of Applied Medical Sciences, University of Hail, Hail, Saudi Arabia

Tahani Hamoud Alrasheidi Department of Physical Therapy, College of Applied Medical Sciences, University of Hail, Hail, Saudi Arabia

Ehab Mohamed Kamel Department of Public Health, College of Public Health and Health Informatics, University of Ha’il, Ha’il, Saudi Arabia; Department of Physical Therapy, El Helal Hospital, Cairo, Egypt

To explore the percentage of sacroiliac joint (SIJ) involvement in patients diagnosed with low back dysfunction. A crosssectional study was conducted on 140 patients diagnosed with various low back dysfunctions and referred to receive physical therapy. SIJ involvement was clinically diagnosed using a cluster of 5 clinical tests. SIJ was considered positive if at least 3 out of the 5 tests were positive. The overall percentage of involvement and the percentage of involvement within each diagnosis was determined. Of the entire sample, 74 subjects (52.8%) demonstrated positive SIJ involvement. On the level of specific diagnoses, 50.8% of subjects diagnosed with discogenic LBP and 34.3% of those diagnosed with nonspecific LBP demonstrated positive SIJ involvement. SIJ involvement was positively associated with age, weight, and BMI while it was negatively associated with height. SIJ involvement is one of the major contributing factors in subjects with low back dysfunctions. Assessing SIJ should be performed in the basic examination of subjects having low back dysfunction.