Piriformis Syndrome
Conditions
Keywords
integrated neuromuscular inhibition technique, McGill exercises, pain, physical functional performance, piriformis syndrome, range of motion, trigger points
Brief summary
The study was conducted to determine the effects of McGill strengthening exercises program with and without integrated neuromuscular inhibition technique on pain, range of motion and function in patients with piriformis syndrome.
Interventions
OTHERMcGill strengthening exercises program
These exercises were divided into 3 phases, each lasting 2 weeks. Patients performed 4 repetitions of each exercise during 1st and 2nd week at each hospital visit. Then, increased by 4 repetitions every 2 weeks for up to 6 weeks. These exercises were performed with a maximum of 12 repetitions with a 1-minute of rest interval between each exercise. These exercises were performed by patients at each clinical visit, 3 days per week for total of 6 weeks.
OTHERIntegrated neuromuscular inhibition technique
This technique was applied at piriformis muscle. The procedure was repeated 3 times for up to 10 minutes at each clinical visit. This intervention was performed 3 days per week for total of 6 weeks.
These exercises were performed by patients at the end of each hospital visit (3 days per week for total of 6 weeks) and also at home twice a week during the 2 months follow-up period after treatment ends. 1. Continuous-mode ultrasound therapy was applied at a frequency of 1 MHz and an intensity of 1.0 W/cm² for 3 minutes to the tender or trigger points on the posterior aspect of the pelvis. 2. A hydrocollator pack (40°C) was applied for 10 minutes at lumbopelvic region. 3. Piriformis, hamstring/calf stretching was performed progressively in phases. * Phase 1 consists of weeks 1 and 2 with 1 set of 3 repetitions with 30 seconds hold per day. * Phase 2 consists of weeks 3 and 4 with 2 sets of 3 repetitions with 30 seconds hold per day. * Phase 3 consists of weeks 5 and 6 with 2 sets of 3 repetitions with 30 seconds hold twice per day. * Follow-up period consists of 2 sets of 3 repetitions with 30 seconds hold twice per day.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Both genders with age ranged from 25 and 45 years * Sedentary * Non-traumatic * Idiopathic * External tenderness near the greater sciatic notch * Pain for more than 1 month's duration * NPRS ranging from \>3 to ≤ 6 * Positive results on three of the following five tests: 1. FAIR 2. Beatty 3. Laségue 4. Pace 5. Freiberg
Exclusion criteria
* Acute low back pain and/or acute lumbar radiculopathy * History of Stroke or any other neurological disorders * Recent buttock trauma * Inflammatory, infectious or tumor diseases * Severe vascular disease * Osteoporosis * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale | From enrollment to 6 weeks of intervention with follow-up at 14 weeks. | Numeric Pain Rating Scale (NPRS) was used to assess the patient's pain intensity. This scale ranges from 0 to 10, where 0 indicates "no pain" and 10 indicates "worst pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range of Motion (Hip Abduction) | From enrollment to 6 weeks of intervention with follow-up at 14 weeks. | The universal goniometer was used to assess hip abduction range of motion. |
| Range of Motion (Hip Internal Rotation) | From enrollment to 6 weeks of intervention with follow-up at 14 weeks. | The universal goniometer was used to assess hip internal rotation range of motion. |
| Lower Extremity Functional Scale | From enrollment to 6 weeks of intervention with follow-up at 14 weeks. | Lower Extremity Functional Scale was used to assess the patient's functional status. Maximum score of this scale is 80. The greater the score, the lower the disability. |
Countries
Pakistan
Contacts
STUDY_DIRECTORSyed Shakil ur Rehman, PhD
Riphah International University
Outcome results
None listed