Piriformis Syndrome
Conditions
Keywords
integrated neuromuscular inhibition technique, muscle energy technique, piriformis syndrome, positional release technique, fascial distortion model
Brief summary
The aim of study will be to find the effects of fascial distortion model (FDM) with and without the Integrated neuromuscular inhibition technique (INIT) in piriformis syndrome.
Detailed description
Piriformis syndrome is a misdiagnosed cause of sciatica leg or buttock pain and disability. The male and female incidence ratio of PS is 6.1. The fascial distortion model is a targeted manual technique and decodes categorized manual gestures (pain-related body language) to 6 pathophysiological mechanisms involved in the etiology of pain. Integrated neuromuscular inhibition technique(INIT) is a combination of muscle energy technique(MET) and positional release technique(PRT). All previous studies in which integrated neuromuscular inhibition technique(INIT) and fascial distortion model(FDM) has been performed on different muscles of the body has shown greater improvement as compared to other techniques. Comparative effects of fascial distortion model with integrated neuromuscular inhibition technique and fascial distortion model on Piriformis Syndrome has not been addressed yet. There is very limited data available on this protocol. Therefore, this study aims to compare the effects of facial distortion model with and without integrated neuromuscular inhibition technique.
Interventions
OTHERFascial distortion method with neuromuscular inhibition technique
27 participants will receive FDM with INIT followed by neural mobilization for a total of 20 to 30 minutes, 3 times per week on alternate days for 6 weeks.
OTHERFascial distortion method
27 participants will receive FDM followed by neural mobilization for a total of 20 to 30 minutes, 3 times per week on alternate days for 6 weeks.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Unilateral buttock pain and radiculopathy due to spasms of the piriformis muscle or sciatic nerve compression. * Aggravate buttock pain in sitting and limited SLR. * Patient with Freiberg test positive. * Patient with FAIR test positive. * Patient with positive Pace test. * Patient with positive Beatty's maneuver.
Exclusion criteria
* Lumbar spinal pathology and recent injury around the hip, sacroiliac joint, or lumbar spine. * Patient with a positive Faber test * SIJ Pathology like SIJ dysfunction, innominate anterior or posterior rotation dysfunction, etc. * Deep gluteal syndrome. * Recent surgery like hip arthroplasty, surgical emplacement of a gluteal implant (buttock prosthesis); lip sculpture (fat transfer and liposuction); and body contouring (surgery and lip sculpture).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NPRS for pain | 6th week | The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain). |
| Sciatica bothersomeness Index for sciatica | 6th week | It is a composite score of four questions (each score ranging from 0-6) that include elements of leg pain and sensory and motor disturbances. |
| Short Form Health Survey (SF-36) questionnaire for quality of life | 6th week | It is used to indicate the health status of particular populations, to help with service planning and to measure the impact of clinical and social interventions. |
| Goniometer for range of motion | 6th week | It is a tool used to measure range of motions of different joints |
Countries
Pakistan
Contacts
Primary ContactImran Amjad, PhD
Outcome results
None listed