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Rehabilitation Department, Villa Fiorita Nursing Home, Prato, Italy
The sacroiliac joint (SIJ) is a complex and highly variable joint in terms of morphology, position and number of movement axes. Its anatomical features and sturdy periarticular structures make it an extremely stable joint and this has led researchers and clinicians to question its capacity to generate pain. However, increasing interest has been shown in this joint over in recent years. Although there is still much to be learned about biomechanics, it is now possible to formulate a sufficiently reliable diagnosis of SIJ dysfunction. Furthermore, some of the preliminary results of rehabilitation are encouraging. Further well-designed studies are needed to reach a consensus on the role and physiopathology of SIJ abnormalities, with a view to defining guide lines for clinicians and rehabilitators.