Back to Search
Start Over
The prevalence and clinical characteristics of sacroiliac joint dysfunction in adolescent baseball players
- Source :
- Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association. 27(2)
- Publication Year :
- 2020
-
Abstract
- Background Sacroiliac joint (SIJ) dysfunction is a potential source of low back pain (LBP) in baseball players, who are more likely to be affected by loading of the SIJ in the throwing motion. However, the prevalence and characteristics of this condition have not been studied thoroughly. This study aimed to investigate the prevalence and clinical characteristics of SIJ dysfunction among high school baseball players. Methods Participants comprised 891 high school baseball players who had undergone annual medical evaluations (a self-completed questionnaire and physical examination). The prevalence of SIJ dysfunction and associations with the measurements of the flexibility of the spine and lower extremities such as finger-floor-distance, straight-leg-raising angle, heel–buttock-distance, Thomas test, and passive range of motion of the hip were investigated. Results Twenty-two of 891 subjects (2.5%) met our criteria for SIJ dysfunction. Twelve subjects (55%) exhibited throwing arm side symptoms more commonly than in the non-throwing arm side (n = 3, 15%) or bilateral side (n = 7, 32%). Previous episodes of LBP were experienced significantly more frequently among subjects with SIJ dysfunction (n = 19, 86.4%) than among those without (n = 501, 57.7%; P = 0.015). The prevalence of present LBP that interfered with play was significantly higher among subjects with SIJ dysfunction (n = 9, 42.9%) than among those without (n = 118, 21.2%; P = 0.038). The prevalence of SIJ dysfunction as a source of LBP was estimated at 7.1% (9 of 127 subjects). After adjustment for associated factors using a logistic regression model, we observed a significant association between a limitation in hip internal rotation on the throwing arm side and SIJ dysfunction (odds ratio 3.11 [1.30–7.71]; P = 0.0109). Conclusions According to our criteria, the estimated prevalence of SIJ dysfunction among high school baseball players is 2.5%. There was a significant association between a limitation in hip internal rotation on the throwing arm side and SIJ dysfunction.
- Subjects :
- medicine.medical_specialty
Adolescent
education
Physical examination
Baseball
03 medical and health sciences
0302 clinical medicine
Sacroiliac joint dysfunction
medicine
Prevalence
Humans
Orthopedics and Sports Medicine
Range of Motion, Articular
Sacroiliac joint
030222 orthopedics
medicine.diagnostic_test
business.industry
Thomas test
Sacroiliac Joint
Odds ratio
Low back pain
Spine
body regions
medicine.anatomical_structure
Physical therapy
Surgery
medicine.symptom
Range of motion
business
human activities
Low Back Pain
030217 neurology & neurosurgery
Throwing
Subjects
Details
- ISSN :
- 14362023
- Volume :
- 27
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
- Accession number :
- edsair.doi.dedup.....325fbe5eefa076faf20bb4277b3ed1d6