Motion Capture Analysis of Sacroiliac Joint Motion After Manipulation

The Sacroiliac (SI) joint is a diarthrodial joint with the contradictory biomechanical
function of transmitting compressive loads from the lumbar spine to the lower extremity
while maintaining a nutating motion in the pelvis.

Recent studies identify the Sacroiliac (SI) joints as a significant source of pain in
patients with chronic low back pain, contributing up to 27%. Recent studies have
demonstrated that historical and physical examination findings and radiological imaging
alone are insufficient to diagnose SI joint pain.

The purpose of this study is to examine the effects of manipulation on sacroiliac joint
motion using a Polhemus motion capture system. The Absolute angular deviation of sacroiliac
joint motion will be assessed during the normal gait cycle with the Polhemus Liberty motion
capture system. Six sensors will be attached to specific anatomical landmarks of the pelvis
which recorded motion characteristics while walking on a treadmill at 5 mph. The subjects
then receive a HVLA manipulation to the SI joint and were retested at the same treadmill
speed.

The Motion capture system tracks objects at a speed of 240 updates per second on all sensors
simultaneously. The latency of data sampling is less than 4ms; 240 x 60 sec x 8 Sensors
totaling 115,200 data points per minute. The system generates and tracks electromagnetic
fields (EMF), computes position and orientation of sensors in an X, Y, and Z coordinate
system while interfacing with a computer. The EMF source contains electromagnetic coils
that emit a magnetic field. The source is the system's reference frame for sensor
measurements. The sensor contains electromagnetic coils (accelerometers) that detect the
position and orientation of the magnetic fields emitted by the EMF source.

Inclusion Criteria:

- Ages between 20 and 40

- Ability to maintain normal balance

- Willingness to undergo HVLA manipulation to the SI Joints

- Normal blood pressure

Exclusion Criteria:

- Any visual or vestibular condition or systemic illness that would affect balance

- Any recent surgery, unstable joints of the lower extremity, recent hip and knee joint
replacements or fitted hip or knee pins, bolts and/or plates

- Currently have any infection, acute inflammation, recent wounds, injury, tumors or
other malignancy

- Currently taking any medications; prescription or herbal muscle stimulants,
relaxants, etc.

- A history of acute disc herniation, discopathy or spondylolysis

- A history of acute thrombosis, serious cardiovascular disease, diabetes, have
irregular heartbeats(arrhythmia) or wear a pacemaker

- Any implanted device or prosthesis type of device

- Any Spinal manipulation within 48 hours

- Ages under 20 and over 40

- Estimated BMI greater than 30