Impairment-based examination and disability management of an elderly woman with sacroiliac region pain.

Abstract:

BACKGROUND AND PURPOSE:The purpose of this case report is to describe the use of a cluster of sacroiliac tests in conjunction with an impairment-based model of examination, diagnosis, and management of sacroiliac region pain. CASE DESCRIPTION:The patient was a 74-year-old woman with an 18-month history of low back, left buttock, and groin pain following a misstep. The initial symptoms were intermittent. The symptoms became constant and limited her walking tolerance to 5 minutes, which affected her ability to care for her grandchildren. She was examined using a cluster of sacroiliac tests that examined: (1) innominate active mobility, (2) innominate positional symmetry, and (3) sacroiliac ligament tenderness. OUTCOMES:Following 4 treatments for identified impairments, the patient had unlimited walking tolerance and she resumed an active caregiving role for her grandchildren. DISCUSSION:This case illustrates the use of an impairment-based model for examination and management of an elderly patient with what appeared to be sacroiliac joint dysfunction.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Godges JJ,Varnum DR,Sanders KM

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

812-21

issue

8

eissn

0031-9023

issn

1538-6724

journal_volume

82

pub_type

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