The purpose of this study is to evaluate the comparative effects of post-isometric relaxation (PIR) and active isolated stretch (AIS) techniques on reducing pain, improving range of motion, and decreasing functional disability in individuals with piriformis syndrome. A total of 40 participants will be recruited, aged 20-55 yrs, with confirmed piriformis syndrome. Participants will be randomized into two equal groups. Group A (post isometric relaxation) and Group B (active isolated stretch). Both groups will receive Conventional Therapy (Thermotherapy, Electrotherapy).
Study variables include:
* Independent Variable: Post Isometric Relaxation and Active Isolated Stretching. * Dependent Variables: Pain (measured by Visual Analog Scale), Functional Disability (assessed via Oswestry Disability Index), Range of Motion (assessed via Goniometer). * Control Variables: Age, Gender, BMI, Baseline Pain/ Disability Scores/ROM
The intervention will last 2 weeks with 6 sessions (3 sessions per week). Assessments will be conducted at baseline (Week 1, Pre-treatment) and Post every second session. Data will be analyzed to compare immediate and short-term effects of the two interventions.
This study aims to provide evidence for targeted manual therapy approaches in priformis syndrome, potentially guiding clinicians toward the most effective technique for pain reduction, improve ROM and decrease functional disability.
Age between 20-55 years
Both genders
Buttock pain that may radiates to posterior thigh but not beyond the knee
Pain aggravated by sitting, climbing stairs or hip rotation.
Malignancies
History of steroid therapy over 3 months
Rheumatoid arthritis or osteoarthritis
Avascular necrosis of the femoral head
Parallel
Post Isometric Relaxation
Procedure/SurgeryParticipants allocated to this arm will receive Post Isometric Relaxation. Each participant will undergo 6 sessions over 2 weeks (3 Sessions/week), and receive Conventional Physiotherapy
Active Isolated Stretching
Procedure/SurgeryParticipants allocated to this arm will receive Active Isolated Stretching. Each participant will undergo 6 sessions over 2 weeks (3 Sessions/week), and receive Conventional Physiotherapy.
Pain Intensity
The Visual Analog Scale (VAS) will be used to measure the intensity of pain before and after the intervention. Participants will mark their level of pain on a 100 mm horizontal line, where: 0 mm indicates "no pain", and 100 mm indicates "the worst imaginable pain".
Range of Motion
A universal goniometer will be used to assess hip mobility in: Internal Rotation. ROM will be recorded in degrees.
Functional Disability
Oswestry Disability Index (ODI) It is used to measure functional disability. The Oswestry Disability Index (ODI) is one of the condition-specific questionnaires recommended for use with back pain patients. Interpretation: 0-20%: Minimal disability. 21-40%: Moderate disability. 41-60%: Severe disability (needs investigation). 61-80%: Crippled (needs active treatment). 81-100%: Bed-bound or exaggerating.
Click on the lead sponsor to view all of their trials.
