Principles of Manual Medicine for Sacroiliac Joint Dysfunction (eBook)

Preface 5
Acknowledgment 6
Contents 7
1: The History of Developing the  AKA-Hakata Method for Sacroiliac Joint Dysfunction 8
1.1 Background 8
1.2 Trial to Treat Joint Pain 8
1.3 Focus on the Sacroiliac Joint 9
1.4 Development of Manual Technique for Sacroiliac Joint 9
1.5 The First Turning Point of Manual Technique for Sacroiliac Joint: Intensity of Procedures 11
1.6 Classification of Pathological Condition in Sacroiliac Joint 11
1.7 The Second Turning Point: Articular Neurology 12
1.8 The Name of the Technique: AKA-Hakata Method 14
References 14
2: Introduction to the Principle of the AKA-Hakata Method and Sacroiliac Joint Dysfunction 15
2.1 Definition of AKA-Hakata Method 15
2.2 Pain in Joint Dysfunction 15
2.3 Sacroiliac Joint Dysfunction 15
Reference 15
3: Anatomical Aspects of the Sacroiliac Joint and Their Clinical Applications 16
3.1 Arthrokinematics and Osteokinematics 16
3.2 Bone Movements of the SIJ 17
3.2.1 Nutation, Counter-Nutation, and Rotation 17
3.2.2 The SIJ in Standing Posture 17
3.2.3 Osteokinematics of SIJ in Walking 18
3.2.4 Osteokinematics of the SIJ in Sitting 19
3.3 Articular Neurology and Clinical Applications 19
3.4 Accessory Movements of Joints and Clinical Applications 21
3.5 Accessory Movements of SIJ and Dysfunction 23
3.6 Symptoms Originating from SIJ Dysfunction 24
3.7 Causes of SIJ Dysfunction 24
3.7.1 Primary SIJ Dysfunction 24
3.7.2 Secondary SIJ Dysfunction 25
3.8 Arthrostatic Hyper-Reflex Chain 25
3.9 Joint Dysfunction and Inflammation 25
3.10 Silent Afferent Neurons 25
3.11 The Transmission Pathway of Joint Pain 26
References 26
4: Principles of Manual Treatment for Sacroiliac Joint Dysfunction 27
4.1 Joint Dysfunction and Restriction in Movement 27
4.2 Development of Techniques for the Accessory Movement 27
4.3 The Accessory Movement and Its Techniques 27
4.4 The Accessory Movement of SIJ 27
4.5 Techniques of the Accessory Movement and “Joint Position” 28
4.6 The Joint Receptor and Techniques for the Accessory Movement 28
4.7 Improving the Accessory Movement Without an Arthrostatic Reflex Occurrence 28
4.8 Strength and Frequency Required for Techniques of the Accessory Movement 28
4.9 Mastering the Points of the AKA-H Techniques 29
5: Evaluation Maneuvers of Sacroiliac Joint Dysfunction Before and After the AKA-H Treatment 30
5.1 Diagnosis and Evaluation of Sacroiliac Joint Dysfunction 30
5.2 Maneuvers of the AKA-H to Treat SIJ Dysfunction 32
5.2.1 Gliding Method for the SIJ 32
5.2.2 The Distraction Method of the SIJ 33
5.3 Assessing the After-Treatment 34
6: Manual Techniques for Sacroiliac Joint Dysfunction 35
6.1 The Superior Distraction (Fig. 6.1) 35
6.2 The Inferior Distraction (Fig. 6.8) 37
6.3 The Gliding Method 38
6.3.1 The Upward Gliding for the Right SIJ (Fig. 6.17) 38
6.3.2 The Downward Gliding for the Right SIJ (Fig. 6.21) 41
6.3.3 Upward and Downward Gliding for the Left SIJ (Fig. 6.24) 42
6.4 Points Requiring Extra Attention During the Procedure 43
6.5 Summary of Each Technique 45
6.5.1 Distraction Method 45
6.5.2 The Gliding Method 45
7: Classification of Sacroiliac Joint Pathological Conditions in the AKA-Hakata Method 46
7.1 Sacroiliac Joint Dysfunction 46
7.2 Simple Sacroiliac Arthritis 46
7.3 Complex Sacroiliac Arthritis 47
8: Articular Originating Referred Pain Area 48
8.1 Introduction 48
8.2 The Principles of Treatment by the AKA-H Method 48
8.3 The Order in which the Joints Should Be Treated Is Shown in the Figures 48
9: Evidence of the AKA-Hakata Method 56
9.1 Randomized-Controlled Trial and EBM 56
9.2 A Randomized-Controlled Trial of the AKA-Hakata Method for the Treatment of Chronic Low Back Pain 56
9.3 RCT of AKA-Hakata Method for Acute Low Back Pain 58
9.4 Effects of the AKA-Hakata Method on Health-Related Quality of Life (QOL) 58
References 59
10: Cases 60
10.1 Acute Low Back Pain (LBP) and Pain in the Lower Extremity with No Trigger 60
10.2 Acute LBP from a Triggering Event 60
10.3 Acute LBP with Lower Extremity Numbness 61
10.4 Acute LBP with Spondylolisthesis and Scoliosis 62
10.5 Acute Severe LBP 63
10.6 Chronic LBP with No Pain Relief by Epidural Injections 64
10.7 Chronic LBP with Lumbar Spondylolisthesis and Stenosis 65
10.8 Chronic LBP, Which Was Relieved by AKA-H After Removal of Lumbar Implants 66
10.9 LBP Misdiagnosed as Psychogenic Pain 66