Critical Reviews™ in Physical and Rehabilitation Medicine

ISSN for PRINT: 0896-2960

For Online Access

Best Paper Award Selection - Editorial Board Site

1999, Volume11

Issue 3&4

208 pages

Issue price - $326.00

David A. Egan
School of Physiotherapy, Dalhousie University, Halifax, Nova Scotia, Canada B3H 3J5

Einas Al-Eisa
School of Physiotherapy, Dalhousie University, Halifax, Nova Scotia, Canada B3H 3J5

A substantial amount of subjective information shows that asymmetry within the pelvic girdle (PSA) frequently has been thought to be a cause of altered function and low back pain. Numerous interventions have been described for correcting these spatial asymmetries, ostensibly for preventing potential sequelae and for promoting symptomatic relief and return to normal function. A search of the evidence revealed that the types, incidence, associated tissue changes, and effects of PSA, including postural control, were confusing and conflicting. This was due in large part to a lack of consistency, accuracy, reliability, validity, and generalizability of the various methods used to measure asymmetry. Furthermore, the widely perceived association between PSA and low back pain (LBP) could not be unequivocally supported or rejected on the available evidence. There are a dearth of reports that attempt to objectively examine the possible associations between PSA, function, LBP, and discomfort, and evidence of the use of normative data and combined measurement systems to investigate these parameters is very scarce. It is concluded that a strong case could be made for the need to more objectively reinvestigate the possible associations between these parameters, especially through the use of longitudinal and combined measurement studies.

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