Is Kinesio Taping Treatment Effective in Sacroiliac Joint Dysfunction
Is Kinesio Taping Treatment Effective in Sacroiliac Joint Dysfunction
Low back pain is a common condition that affects 70% of people at least once. Sacroiliac
 joint Dysfunction (SIJD) is a skipped health problem that is ignored in patients with low
 back or hip pain. Fluoroscopy-guided SIJ injection showed that SIJD is a source of pain in
 13-30% of patients with chronic low back pain. Inadequate function of SIJ leads to abnormal
 gait pattern, pain during walking, increase in load on discs, long-term interdisciplinary
 stability and causing to increase of the listhesis. The pain worsens with running, climbing
 stairs or standing up from the sitting position. Pharmacological, non-pharmacological and if
 required surgical treatment may be applied in the osteoarthritis treatment.
 Non-pharmacological treatment includes patient education, exercise, massaging, SIJ,
 manipulation-mobilization, chiropractic applications, physical therapy modalities, use of the
 assistive device.

 Kinesio Taping is a treatment that has not been studied much and can be applied in SIJD. When
 investigators reviewed the literature, investigators found a study and a case report
 investigating the activity of Kinesio taping in sacroiliac joint dysfunction. Although the
 mechanism of Kinesio taping cannot be understood, it is claimed that it has four beneficial
 effects: normalizes muscular function, improves blood and lymphatic circulation, reduces
 pain, regulates possible disorders of joints. In studies showing the effectiveness of Kinesio
 banding in the reduction of pain in health problems related to the waist area with the
 highest number of publications, it was noted that the pain was reduced rapidly within three
 days, decreased the need for analgesics within two weeks and increased function in daily
 living activities.
The study is a randomized, controlled study. 52 participants will be included to study who
 apply to Dokuz Eylül University Faculty of Medicine, Department of Physical Medicine and
 Rehabilitation Clinic with the complaint of hip and back pain, aged between 18-60 years.
 Participants have diagnosed as Sacroiliac Joint Dysfunction according to The International
 Association for the Study of Pain (IASP) diagnostic criteria. These participants will be
 divided into two groups randomly (Treatment group n:26, control group n:26). Because the
 therapeutic effect may be seen with unsealed banding in Kinesio taping and the placebo effect
 may not be evaluated, After the last evaluation, participants in both groups will be given
 the necessary treatment and since there is no study on this subject in the literature, no
 treatment was given to the control group due to the fact that the actual effect of banding
 was desired. The treated group received Kinesio taping 3 times at 5-day intervals, one of the
 fan-shaped cut bands, 2-3 inches above the SIJ, and the other below 2-3 inches below the SIJ,
 and crossed each other by 90 degrees. Both groups were evaluated at baseline and on the 15th
 day by physical examination of the sacroiliac joint, visual analog scale, Modified Oswestry
 Pain Inquiry Form. The kinesiological taping group was also evaluated with VAS and positive
 SIJ pain provocation tests, 20 minutes after the first banding, to assess the acute effect.
Inclusion Criteria:

 1. Male and female patients aged 18-60

 2. Based on the diagnostic criteria proposed by the International Association for the
 Study of Pain (IASP):

 i.Pain in the SIE region (hip/groin or lower extremity) ii.The pain felt in SIS,
 revitalized by specific provocation tests

 3. Patients with sacroiliac joint dysfunction and validity-validity-tested provocation
 tests, at least 3 of 6 tests are positive

 1.Distraction 2.Compression 3.Gaenslen 4.POSH Test ( Thigh Thrust) 5.Sacral Push 6.FABER 4.
 Patients excluded from the presence of sacroiliitis by previous examinations and
 examinations 5. The signing of the informed consent form

 Exclusion Criteria:

 1. Severe cognitive dysfunction

 2. The presence of a neurological deficit in the lower extremity

 3. Presence of known central nervous system or peripheral nervous system disease

 4. Presence of known rheumatic disease (rheumatoid arthritis, ankylosing spondylitis,
 etc.)

 5. Have undergone major surgery for lower back and waist

 6. Pregnancy

 7. Spondylolisthesis

 8. Built-in osteoporosis

 9. The presence of malignancy