Purpose. To determine if physical therapy intervention is beneficial in the management of sacroiliac joint dysfunction, and to determine which physical therapy interventions are effective in managing sacroiliac joint dysfunction in adults including the pregnant population. Method . Twelve studies were selected on the basis of inclusion and exclusion criteria and were evaluated independently by two reviewers using the Mc Dermid scale of evaluation and Sackett level of evidence. Disagreement between the two reviewers was resolved by third and fourth reviewers. Summary of findings. (A) Pregnant population - Nine of the twelve studies included only pregnant subjects. Of these, 7 were RCTs, 1 was a quasi experimental study and 1 was a case report. Six were high quality studies (46-41) and three were moderate (35-34) quality. The interventions most beneficial in reducing pain, and improving disability and/or laxity were a combination of specific stabilizing exercises, a non elastic pelvic belt and ergonomic education. (B) General Adult Population - Three of the studies were done on non-pregnant adult populations. Of these, 2 were low quality case studies (23 and 24/48) and 1 was a moderate quality (34/48) case series. These studies advocated sacroiliac manipulation, soft tissue mobilization, manual therapy techniques, postural alignment, use of a pelvic belt and exercises as the beneficial interventions. Conclusion. (1) Physical therapy is effective in management of sacroiliac joint dysfunction with specific stabilizing exercises and a non elastic pelvic belt in both the pregnant and non pregnant adult populations. There is moderate level of evidence for sacro-iliac joint manipulation, soft tissue mobilization, and muscle energy techniques.