Piriformis Syndrome
Conditions
Keywords
Stecco-fascial Manipulation, Rolfing Structural Integration, Piriformis Muscle Syndrome, Manual Lymphatic Drainage, Muscle Recruitment
Brief summary
This study aims to compare the effectiveness of Stecco Fascial Manipulation and Rolfing Structural Integration in treating Piriformis syndrome, focusing on special outcomes like pain severity and functional outcomes. comparison will be done to check the effectiveness of Stecco-fascial Manipulation and Rolfing Structural Integration on patients of both groups. participants will: 1. get the treatment according to their respective groups 2. Both groups were given 4 sessions for 4 weeks.
Detailed description
This study will be a randomized clinical trial with a sample size of 42 participants as calculated with g power tool with 5% of attrition added. Subjects will be obtained by non- probability convenient sampling based on the inclusion and exclusion criteria. Participants will be randomly assigned into two groups, 21 subjects in each group. The group A will receive the stecco fascial manipulation along with the conventional therapy while group B will receive the rolfing structural integration along with conventional therapy. The conventional physiotherapy protocol will include TENS applied with a Hot- pack for 10 minutes that will be followed by piriformis stretch.The data analysis will be done by IBM SPSS 26.0 version. To check the normality Shaprio- Wilk test will be used.
Interventions
OTHERExperimental: GROUP A ( Stecco fascial Manipulation)
Stecco-fascial manipulation primary reduces pain, improves range of motion, restores normal muscle recruitment link in myofascial sequences, facilitates healing by improving microcirculation and lymphatic drainage.
OTHERExperimental: GROUP B (Rolfing Structural Integration)
Rolfing structural integration improves posture, reduces pain, lengthens fascial planes and enhances the movement efficiency. This research will determine which approach is more effective in treating the patient with piriformis syndrome.
Sponsors
Danyal Ahmad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
25 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
1. 25 to 45 age group. 2. For at least four weeks, there has been unilateral buttock discomfort, either with or without posterior thigh pain included buttock pain, pain that worsened when sitting. 3. Positive slump test and fair test decrease ranges of hip NPRS greater than
Exclusion criteria
1. Previous pelvic, ipsilateral hip, lumbar, or sacroiliac surgery that would have confused pain source. 2. Evidence of lumbar radiculopathy or another spinal condition that could be the origin of the symptoms (matching MRI/CT revealing nerve root compression or disc herniation). progressive neurologic disease or neuromuscular disease (e.g., peripheral neuropathy, myopathy, neuromuscular junction diseases)28. 3. During the research period, pregnancy or the planning of pregnancy (if interventions are employed) active pelvic or hip infection, malignancy, fracture, or systemic inflammation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Pain Intensity as Measured by the Numerical Pain Rating Rating Scale (NPRS) | 4 Weeks | The Numerical Pain Rating Scale (NPRS) is a self-intensity on an 11-point scale, ranging from 0 (no pain) to 10 (worst possible pain). It is widely used in both clinical and research demonstrated strong reliability and validity in measuring Scale (NPRS) is a self-reported tool used to assess pain point scale, ranging from 0 (no pain) to 10 (worst possible pain). It is research settings for musculoskeletal conditions, strong reliability and validity in measuring both acute and chronic pain reported tool used to assess pain point scale, ranging from 0 (no pain) to 10 (worst possible pain). It is conditions, and it has both acute and chronic pain |
| Universal Goniometer | 4 Weeks | A goniometer is an instrument used objective and reliable values that help evaluate mobility limitations i disorders such as piriformis syndrome used to measure joint range of motion (ROM). It provides objective and reliable values that help evaluate mobility limitations in musculoskeletal disorders such as piriformis syndrome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Slump Test | 4 Weeks | The Slump test is a neurodynamic examination used to assess neural tension, particularly performed by placing the patient in a seated slumped tension, particularly slumped position with controlled spinal and limb movements, helping to reproduce neurological symptoms The Slump test is a neurodynamic examination used to assess neural of the sciatic nerve. It is performed with controlled spinal and limb movements, helping to reproduce neurological symptoms associated with lumbosacral or piriformis with controlled spinal and limb movements, helping to reproduce neurological symptoms associated with lumbosacral or piriformis-related condition. |
| FAIR Test | 4 Weeks | The FAIR (Flexion, Adduction, and Internal Rotation) test is a provocation test specifically designed for diagnosing piriformis syndrome. It reproduces symptoms by stretching the piriformis muscle, The FAIR (Flexion, Adduction, and Internal Rotation) test is a provocation test specifically designed for diagnosing piriformis syndrome. It reproduces symptoms by which may compress or irritate the sciatic nerve. The FAIR (Flexion, Adduction, and Internal Rotation) test is a provocation test specifically designed for diagnosing piriformis syndrome. It reproduces symptoms by sciatic nerve. This test has been validated as a reliable diagnostic too has been validated as a reliable diagnostic tool in piriformis-related case |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORHAMZA ZAHID, MS OMPT
University of Management and Technology Sialkot Pakistan
Outcome results
None listed