Management of sacroiliac dysfunction and lower extremity lymphedema using a comprehensive treatment approach: a case report.
Identifieur interne : 003159 ( Ncbi/Checkpoint ); précédent : 003158; suivant : 003160Management of sacroiliac dysfunction and lower extremity lymphedema using a comprehensive treatment approach: a case report.
Auteurs : Patricia Crane [États-Unis]Source :
- Physiotherapy theory and practice [ 1532-5040 ]
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Amplitude articulaire, Articulation sacro-iliaque (physiopathologie), Démarche, Femelle, Humains, Lombalgie (), Lombalgie (étiologie), Lymphoedème (), Maladies articulaires (), Maladies articulaires (physiopathologie), Maladies articulaires (étiologie), Marche à pied, Membre inférieur, Mesure de la douleur, Récupération fonctionnelle, Résultat thérapeutique, Techniques de physiothérapie, Évaluation de l'incapacité.
- MESH :
- physiopathologie : Articulation sacro-iliaque, Maladies articulaires.
- étiologie : Lombalgie, Maladies articulaires.
- Adulte d'âge moyen, Amplitude articulaire, Démarche, Femelle, Humains, Lombalgie, Lymphoedème, Maladies articulaires, Marche à pied, Membre inférieur, Mesure de la douleur, Récupération fonctionnelle, Résultat thérapeutique, Techniques de physiothérapie, Évaluation de l'incapacité.
English descriptors
- KwdEn :
- Disability Evaluation, Female, Gait, Humans, Joint Diseases (etiology), Joint Diseases (physiopathology), Joint Diseases (therapy), Low Back Pain (etiology), Low Back Pain (therapy), Lower Extremity, Lymphedema (complications), Lymphedema (therapy), Middle Aged, Pain Measurement, Physical Therapy Modalities, Range of Motion, Articular, Recovery of Function, Sacroiliac Joint (physiopathology), Treatment Outcome, Walking.
- MESH :
- complications : Lymphedema.
- etiology : Joint Diseases, Low Back Pain.
- physiopathology : Joint Diseases, Sacroiliac Joint.
- therapy : Joint Diseases, Low Back Pain, Lymphedema.
- Disability Evaluation, Female, Gait, Humans, Lower Extremity, Middle Aged, Pain Measurement, Physical Therapy Modalities, Range of Motion, Articular, Recovery of Function, Treatment Outcome, Walking.
Abstract
Sacroiliac joint (SIJ) dysfunction, a common source of low back and buttock pain, can occur from cumulative shear or torsional forces during activities such as walking that require weight to transfer from one extremity to the other. Individuals with lower extremity lymphedema may also experience SIJ dysfunction. The purpose of this article was to describe the examination, diagnosis, and intervention for a patient with lower extremity lymphedema and sacroiliac joint dysfunction. The patient was a 50-year-old female with increased left lower extremity lymphedema and left buttock and groin pain that was previously treated unsuccessfully with physical therapy. SIJ dysfunction was attributable to an alteration in gait pattern caused by increased limb volume associated with lymphedema. The patient was treated for 19 visits over six weeks with complete decongestive therapy (CDT), muscle energy techniques, core stabilization, and the application of a pelvic support belt. Objective changes include decreased lymphedema, increased lower abdominal and lumbar extension strength, and decreased Oswetry Disability Index ratings. The patient was able to ambulate community distances without an assistive device and to resume unsupervised strength and conditioning without pain.
DOI: 10.1080/09593980802622883
PubMed: 19140081
Affiliations:
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pubmed:19140081Le document en format XML
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pmetzger8@hotmail.com</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>3705 Genesee Drive, Philadelphia, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author></analytic><series><title level="j">Physiotherapy theory and practice</title><idno type="eISSN">1532-5040</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Disability Evaluation</term><term>Female</term><term>Gait</term><term>Humans</term><term>Joint Diseases (etiology)</term><term>Joint Diseases (physiopathology)</term><term>Joint Diseases (therapy)</term><term>Low Back Pain (etiology)</term><term>Low Back Pain (therapy)</term><term>Lower Extremity</term><term>Lymphedema (complications)</term><term>Lymphedema (therapy)</term><term>Middle Aged</term><term>Pain Measurement</term><term>Physical Therapy Modalities</term><term>Range of Motion, Articular</term><term>Recovery of Function</term><term>Sacroiliac Joint (physiopathology)</term><term>Treatment Outcome</term><term>Walking</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Amplitude articulaire</term><term>Articulation sacro-iliaque (physiopathologie)</term><term>Démarche</term><term>Femelle</term><term>Humains</term><term>Lombalgie ()</term><term>Lombalgie (étiologie)</term><term>Lymphoedème ()</term><term>Maladies articulaires ()</term><term>Maladies articulaires (physiopathologie)</term><term>Maladies articulaires (étiologie)</term><term>Marche à pied</term><term>Membre inférieur</term><term>Mesure de la douleur</term><term>Récupération fonctionnelle</term><term>Résultat thérapeutique</term><term>Techniques de physiothérapie</term><term>Évaluation de l'incapacité</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Joint Diseases</term><term>Low Back Pain</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Articulation sacro-iliaque</term><term>Maladies articulaires</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Joint Diseases</term><term>Sacroiliac Joint</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Joint Diseases</term><term>Low Back Pain</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lombalgie</term><term>Maladies articulaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Disability Evaluation</term><term>Female</term><term>Gait</term><term>Humans</term><term>Lower Extremity</term><term>Middle Aged</term><term>Pain Measurement</term><term>Physical Therapy Modalities</term><term>Range of Motion, Articular</term><term>Recovery of Function</term><term>Treatment Outcome</term><term>Walking</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Amplitude articulaire</term><term>Démarche</term><term>Femelle</term><term>Humains</term><term>Lombalgie</term><term>Lymphoedème</term><term>Maladies articulaires</term><term>Marche à pied</term><term>Membre inférieur</term><term>Mesure de la douleur</term><term>Récupération fonctionnelle</term><term>Résultat thérapeutique</term><term>Techniques de physiothérapie</term><term>Évaluation de l'incapacité</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Sacroiliac joint (SIJ) dysfunction, a common source of low back and buttock pain, can occur from cumulative shear or torsional forces during activities such as walking that require weight to transfer from one extremity to the other. Individuals with lower extremity lymphedema may also experience SIJ dysfunction. The purpose of this article was to describe the examination, diagnosis, and intervention for a patient with lower extremity lymphedema and sacroiliac joint dysfunction. The patient was a 50-year-old female with increased left lower extremity lymphedema and left buttock and groin pain that was previously treated unsuccessfully with physical therapy. SIJ dysfunction was attributable to an alteration in gait pattern caused by increased limb volume associated with lymphedema. The patient was treated for 19 visits over six weeks with complete decongestive therapy (CDT), muscle energy techniques, core stabilization, and the application of a pelvic support belt. Objective changes include decreased lymphedema, increased lower abdominal and lumbar extension strength, and decreased Oswetry Disability Index ratings. The patient was able to ambulate community distances without an assistive device and to resume unsupervised strength and conditioning without pain.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Crane, Patricia" sort="Crane, Patricia" uniqKey="Crane P" first="Patricia" last="Crane">Patricia Crane</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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