This study is a randomized control trial, and the purpose of this study is to determine the "Effects of Facilitated Positional Release Technique ( FPRT) Vs Manual Myofascial Release Technique in Female Patients with Piriformis Syndrome.
• 25-50 years Only females Diagnosed piriformis syndrome Pain from 2 months
Lumbar Radiculopathy Fracture trauma to lumbar spine surgery/ total hip replacement hip OA
Parallel
FACILITATED POSITIONAL RELEASE TECHNIQUE
Procedure/SurgeryParticipants in experimental group A receive FPRT as a main intervention along with piriformis stretches. 30 minutes' session starts with application of 10 minutes hot pack, followed by FPRT and stretches respectively. For FPRT, the patient position was prone with the hip flexion approximately (60°-90°) and abduction. The therapist was seated on the side that was affected, and the treated leg was hanging off the table with the knee bent resting on the therapist thigh. The painful tender area was felt in the piriformis muscle's belly around midway between the greater trochanter and the inferior lateral angle of sacrum. At the point when tender area was palpated, therapist applied ischemic pressure over the area with finger pads. Pressure hold for 1 minute and two repetitions were performed (2 minutes' pressure for whole was given). After that piriformis stretches were performed with 5reps\*5 sec hold\*1set.
MANUAL MYOFASCIAL RELEASE TECHNIQUE
Procedure/SurgeryExperimental Group B participants received MFRT as a main intervention along with application of hot pack and piriformis stretches. They also received 30 min session started with application of hot pack for 10 minutes followed by MFRT and piriformis stretches. For application of MFRT patient was in prone lying position. The therapist was standing at the affected/unaffected side of the patient. Myofascial release was provided, using the therapist's palm, finger pads or elbow directly on the piriformis muscle, pressure was provided on the tender area directly and held for a while (60 seconds approx.) and 3 repetitions were performed. Back and forth little kneading motions were applied in accordance with the muscle fiber's direction. After MFRT piriformis stretches were performed with frequency of 5 repetitions \*5 second hold\* 1 set.
Piriformis Pain
The NPRS which has eleven points ranging from zero (0) to ten (10) is used to quantify the degree of pain before and after. A score of 0 denotes "no pain", while score of 10 denotes: maximally felt pain".
Lower Extremity Functional Scale
Lower extremity functional scale consisting of 20 questions about lower extremity function is used. The highest possible count is 80 points, indicating greatest function. The least possible count is 0 points, indicating poor function.
Range of Motion
The ranges of hip abduction, hip adduction, hip internal and external rotations are measured using goniometer.
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