Comparing Two Soft Tissues Technique on Piriformis Syndrome Patients

ConditionsPiriformis Syndrome Musculoskeletal Abnormalities Sciatica

Trial statusNot yet recruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age20-50

SponsorUniversity of Faisalabad

About this trial

Piriformis Syndrome is a neuromuscular condition with symptoms of pain, numbness and tingling tracing the route of the sciatic nerve, due to the nerve impingement by the piriformis muscle. Two common manual therapy techniques used to treat musculoskeletal conditions are myofascial release and post-isometric relaxation. The intent of the research is to evaluate the effects of myofascial release (MFR) as compared to post-isometric relaxation (PIR) in improving pain and lower extremity function in piriformis syndrome (LEFS). The study population involved 32 individuals aged between 20 to 50 years who will be randomly assigned to two groups; a group that received MFR and a group that received PIR. Both groups received the baseline treatment for four weeks. The Visual Analog Scale (VAS) will be employed to gauge the amount of pain, while the LEFS was used to measure functional mobility

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Positive Lasegue sign

Positive FAIR test

Grade 1-3 tenderness on palpation of piriformis between sacrum and greater trochanter of femur

4 or more pain intensity on the VAS scale

Disqualifiers

Lower extremity injuries including ligament, tendon injuries, muscle strains as well as nerve injuries

Systemic diseases including tuberculosis, multiple sclerosis, Parkinson's disease as well as chronic inflammatory conditions

Congenital deformities including hip dysplasia, limb length discrepancy, scoliosis and congenital pelvic asymmetry

Cognitive issues including dementia, severe depression and severe psychotic disorders

Trial design

Design model

Parallel

Treatments tested in this trial

Myofascial Release
Other intervention
Myofascial release is performed with the patient positioned in prone lying. The piriformis muscle was identified. Sustained pressure was applied directly to the trigger point/piriformis muscle for 10-100 seconds while the patient actively moved the affected limb repeatedly from internal to external rotation. Kneading strokes parallel to the muscle fibers were then performed for 5 minutes to promote elongation. This sequence was repeated three times.
Post Isometric Relaxation
Other intervention
Post-isometric relaxation (PIR) is performed with the patient in supine and the hip in neutral rotation. The affected hip was passively moved into horizontal adduction until a mild stretch was felt, while the lumbar spine was stabilized. The patient performed a gentle isometric contraction into hip abduction for 7-10 seconds, followed by 2-3 seconds of relaxation. The leg was then moved into further adduction to a new barrier.

Treatment groups

26 Participants

are divided into 2 treatment groups

Group A: Myofascial releaseExperimental treatment 1 intervention

Group B: Post Isometric RelaxationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

Visual analogue scale

Comparison on effect of pain. The Visual Analog Scale is a self-reported measure of pain intensity. Participants rate their pain on a 10-cm scale ranging from 0 to 10, where 0 indicates "no pain" and 10 indicates "worst imaginable pain."

Time frame

Baseline and 4 week post intervention

Secondary outcomes

Lower Extremity Functional Scale

Comparison on effect of functional outcomes. The Lower Extremity Functional Scale (LEFS) is a self-reported questionnaire used to assess functional status and difficulty performing everyday activities in individuals with lower extremity musculoskeletal conditions. The scale consists of 20 items, each scored from 0 to 4, yielding a total score ranging from 0 to 80.

Time frame

Baseline and 4 week of post intervention

Locations

Map coordinates are unavailable for these locations. Locations are shown below instead.

The University of Faisalabad Status unavailable 38000, Faisalābad, Punjab Province

Pakistan

Sponsors and contacts

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University of Faisalabad

Lead sponsor

Source ClinicalTrials.gov

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