Effects of MET and MFR on Piriformis Syndrome
ConditionPiriformis Syndrome
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorIgdir University
About this trial
The aim of this study is to comparatively evaluate the effects of two different manual therapy approaches, Muscle Energy Technique (MET) and Myofascial Release Technique (MFR), on pain threshold, muscle activation patterns, and muscle strength in individuals diagnosed with piriformis syndrome.
In this study, the physiological effects of both interventions on the musculoskeletal system will be assessed using objective measurement tools such as an algometer, digital dynamometer, and electromyography (EMG). The study aims to provide evidence-based data regarding the most effective and preferable manual therapy approach in the conservative treatment of piriformis syndrome.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Individuals diagnosed with piriformis syndrome
Presence of piriformis tenderness and sciatic symptoms
Aged between 18 and 65 years
Voluntary agreement to participate in the study
Disqualifiers
Individuals younger than 18 years or older than 65 years
Presence of any musculoskeletal disorder affecting the lower extremity
Presence of neurological, cardiac, pulmonary, or orthopedic disorders preventing participation in exercise
Presence of neurological deficits (muscle strength loss)
Trial design
Design model
Parallel
Treatments tested in this trial
Muscle Energy Technique
Procedure/SurgeryMuscle Energy Technique (MET) will be applied to participants by a trained physiotherapist in addition to conventional physical therapy. The intervention will be performed for 8 weeks, 2 sessions per week, totaling 16 sessions. The technique will include voluntary muscle contractions followed by relaxation and stretching procedures targeting the piriformis muscle.
Myofascial Release Technique
Procedure/SurgeryMyofascial Release Technique (MFR) will be applied to participants by a trained physiotherapist in addition to conventional physical therapy. The intervention will be performed for 8 weeks, 2 sessions per week, totaling 16 sessions. The technique will involve sustained manual pressure and soft tissue release techniques targeting the piriformis muscle and surrounding fascia.
Conventional Physical Therapy
Procedure/SurgeryParticipants in the control group will receive conventional physical therapy for 8 weeks, 2 sessions per week, totaling 16 sessions.
Treatment groups
72 Participants
are divided into 3 treatment groupsGroup A: Muscle Energy Technique GroupExperimental treatment 1 intervention
Group B: Myofascial Release Technique GroupExperimental treatment 1 intervention
Group C: Conventional Physical Therapy GroupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Pressure Pain Threshold
Assessment of pressure pain threshold using an algometer.
Time frame
Baseline and after 8 weeks of treatmentSecondary outcomes
1
Pain Severity (SF-MPQ)
Pain intensity and pain characteristics will be evaluated using the Short-Form McGill Pain Questionnaire (SF-MPQ). Higher scores indicate greater pain severity.
Time frame
Baseline and after 8 weeks of treatment2
Muscle Strength
Assessment of lower extremity muscle strength using a digital dynamometer.
Time frame
Baseline and after 8 weeks of treatment3
Muscle Activation Pattern
Assessment of muscle activation patterns using surface electromyography (sEMG) in the FAIR position.
Time frame
Baseline and after 8 weeks of treatment4
Lower Extremity Functional Scale (LEFS)
Assessment of lower extremity functional status using the Lower Extremity Functional Scale (LEFS).
Time frame
Baseline and after 8 weeks of treatmentSponsors and contacts
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Source ClinicalTrials.gov
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