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1.  VALIDITY AND RELIABILITY OF CLINICAL TESTS FOR THE SACROILIAC JOINT 
PMCID: PMC2051081
Sacroiliac joint; reliability; validity; clinical tests; clinical challenge
2.  VALIDITY AND RELIABILITY OF CLINICAL TESTS FOR THE SACROILIAC JOINT 
Background: The sacroiliac joint (SIJ) can be a source of low back pain. The complexity of the system involving the SIJ and the varied SIJ pain referral pattern makes it difficult to clinically assess SIJ dysfunction. Despite the emergence of detail of the SIJ complex, the basis of the clinical tests has not been thoroughly investigated.
Objective: To review the literature from the last decade dealing with the validity and reliability of clinical tests for SIJ dysfunction in order to determine which tests are reliable and valid.
Discussion: For clinical tests with multiple studies, there was agreement on reliability for Gaenslens, Thigh Thrust test, Finger Point test and SIJ Pain Mapping and agreement on validity for Thigh Thrust test. However, Gillets Test, Patrick’s FABER and Sacral Thrust/Compression were considered invalid and unreliable, although these results may have been influenced by methodological shortcomings. Examination of the entire SIJ complex may mean that a series of tests are required.
PMCID: PMC2051080  PMID: 17987177
Sacroiliac joint; reliability; validity; clinical tests
3.  CHIROPRACTIC MANAGEMENT OF MIGRAINE WITHOUT AURA 
Objective: To assess the response of a patient with chronic migraines to a short program of chiropractic care (diversified technique).
Method: The study was run over a 13 week period with chiropractic spinal manipulative therapy (CSMT) on a once weekly schedule for 5 weeks, followed by an 8 week re-evaluation.
Outcome Measures: To measure the effect of treatment, a previously reported diary system was used which noted the intensity of a range of symptoms that are recorded following each migraine episode.
Results: The results attained showed there was a marked improvement in the migraine symptoms following the chiropractic care. The patient reported an improvement in frequency, intensity, duration and use of medication. These findings appear to also confirm other evidence which documented similar changes following a large randomised controlled trial of chiropractic treatment of migraine.
Discussion: The case is presented as further support for CSMT in the treatment of migraine. The outcome of this case is also discussed in relation to recent research that concludes that CSMT is a very effective treatment for some people with non-neuromusculoskeletal conditions.
Conclusion: It now appears clear that chiropractic care may be used to assist patients with migraine. Research is currently being undertaken to investigate the potential mechanisms of chiropractic in the treatment of migraine. This research should also assess what (if any) prognostic signs can be identified to assist practitioners making a more informed decision on the treatment of choice for migraine.
PMCID: PMC2051094  PMID: 17987195
Classic Migraine; chiropractic; manipulation; spinal; case report

Results 1-3 (3)