O efeito da manipulação e mobilização articular no alívio da dor em indivíduos com disfunção sacroilíaca: uma revisão sistemática

Abstract

INTRODUCTION. The sacroiliac joints are located between the axial and appendicular skeletons and are responsible for transferring load from the trunk to the lower extremities. Neurophysiological, psychological, social factors and the prevalence of sacroiliac joint pain vary widely. A good diagnostic accuracy is achieved through a combination of tests with greater reliability and being able to direct the treatment. There are several types of treatment for pain or sacroiliac dysfunction, including clinical drug interventions and physical therapy interventions such as specific exercises, electrotherapy and manual therapy. OBJECTIVES. To evaluate, through a systematic review, the effect of joint manipulation and mobilization in reducing pain in individuals with sacroiliac dysfunction. METHODS. Searches were performed in the following electronic databases: Medline, EMBASE, United States National Library of Medicine (PubMed), Physiotherapy Evidence Database (PEDro) and Latin American and Caribbean Health Sciences Literature (LILACS). The protocol was previously submitted for registration with PROSPERO (CRD-Register) (CRD42021244783). The methodological qualities of the eligible studies were assessed using the PEDro scale and the Cochrane risk of bias assessment. RESULTS. After searching the databases, 5 articles were eligible for systematic review. The studies presented manual therapy treatment as manipulative techniques and joint mobility techniques. All researches had good results in the improvement of pain and also on functional incapacity. CONCLUSION. We conclude that the manipulation technique was more effective in the short and long term on pain and functional disability outcomes in individuals with sacroiliac dysfunction.