Clinical Observation Of Three Steps And Nine Methods Of Sacroiliac Correction In The Treatment Of Sacroiliac Joint Disorders

Objective:To use"three-step and nine-method sacroiliac correction"for the treatment of sacroiliac joint disorders,and to evaluate its therapeutic value and provide new methods and approaches for manipulative treatment of sacroiliac joint disorders by observing its clinical efficacy and analyzing its mechanism of action.Methods:A total of 60 cases meeting the inclusion criteria were selected from the outpatient and inpatient department of Orthopaedics Department of Quanzhou Hospital of Traditional Chinese Medicine from January 2022 to March 2023,and randomly divided into 2 groups with 30 patients in each group by randomized control method.The experimental group was given three steps and nine methods of sacroiliac correction,while the control group was given traditional lateral position oblique plate method.The treatment frequency of both groups was once every 2 days,20 minutes each time,8 consecutive times as a course of treatment,a total of 1 course of treatment,during which the patients were instructed to adjust their diet,life and work habits.SIJ Diagnostic Scoring System（Diagnostic scoring system for sacroiliac joint disorders）^[1],VAS scoring scale,imaging observation indicators and JOA score were compared between the two groups before treatment and after one course of treatment.Data were collected and statistically analyzed to observe the clinical efficacy.The collected data were analyzed using SPSS 23.0 statistical software.Results:1.There was no statistical significance in the distribution of age,gender and course of disease between the two groups（P>0.05）,indicating comparability.2.VAS Scoring:There was no significant difference in VAS before treatment between the two groups（P>0.05）.Comparison of VAS before and after treatment between the two groups showed statistically significant differences（P<0.05）,indicating that both manipulations could improve the pain degree of patients.The comparison of VAS ratings after treatment between the two groups showed statistical significance（P<0.05）,indicating that the pain index of the experimental group decreased more significantly than that of the control group after treatment.3.SIJ Diagnostic System Scoring:There was no statistical significance in pre-treatment scoring between the two groups（P>0.05）.The intra-group comparison before and after treatment between the two groups showed statistically significant differences（P<0.05）,indicating that both manipulations could improve the pain degree of patients.After treatment,there were statistically significant differences between the two groups（P<0.05）,indicating that the reduction of sacroiliac joint disorder scoring system scale in the experimental group was more significant than that in the control group after treatment.4.Table of imaging observation values:Before treatment,there was no statistical difference in imaging observation values between the two groups（P>0.05）,so the imaging observation values of SIJD patients in the two groups were comparable before treatment.Before and after treatment,there were statistically significant differences in the intra-group scores between the two groups（P<0.05）,indicating that the imaging values of patients with SIJD were improved by the two treatments.After treatment,the score difference between the two groups was statistically significant（P<0.05）,indicating that the experimental group had a better improvement effect on the observed values of patients after treatment than the control group.5.The total effective rate of experimental group was 93.3%;The total effective rate of the control group was 83.3%.The total effective rate of the two groups was statistically significant（P<0.05）,indicating that the three steps and nine methods of sacroiliac correction had better clinical efficacy.Conclusions:Three steps and nine methods of sacroiliac correction and traditional lateral oblique manipulation for SIJD can effectively improve patients’lumbosacral pain and discomfort,lower limb pain or numbness and other clinical symptoms,and improve patients’quality of life.However,three steps and nine methods of sacroiliac correction showed better improvement.