Exercise Training, Piriformis Syndrome, Telerehabilitation
Conditions
Keywords
telerehabilitation, exercise training, piriformis syndrome, pain, physical performance
Brief summary
The aim of this study is to compare the effects of asynchronous telerehabilitation and home exercise programs on pain, fear of pain, functionality, and performance in individuals with piriformis syndrome.
Detailed description
In this randomized controlled trial, performance has been determined as the primary outcome measure. Pain, functionality, and fear of pain have been determined as secondary outcome measures. A 6-week asynchronous telerehabilitation protocol is planned for patients with Piriformis Syndrome, with a home program serving as the control group. Informed consent forms will be obtained from participants. Participants will be enrolled at the Physical Therapy and Rehabilitation Home Exercise Program Clinic of Kocaeli City Hospital Physical Therapy Hospital and the study will commence after obtaining ethical committee approval. The Helsinki Principles will be adhered to for individuals included in the study.
Interventions
BEHAVIORALHome exercise programme
Applications to be used for telerehabilitation: Musclewiki, YouTube (Medstar Health) may be used. Participants will be directed to exercise for 45 minutes, 3 days a week, via recorded videos sent to them. The difficulty level of the exercises is planned to increase every two weeks.
BEHAVIORALtelerehabilitation
Applications to be used for telerehabilitation: Musclewiki, YouTube (Medstar Health) may be used. Participants will be directed to exercise for 45 minutes, 3 days a week, via recorded videos sent to them. The difficulty level of the exercises is planned to increase every two weeks.
Sponsors
Hacettepe University
Kocaeli City Hospital
Saglik Bilimleri Universitesi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Masking description
Participants will be grouped using simple randomization. To prevent bias, randomization will be performed using the opaque sealed envelope method with one-to-one instant randomization.
Intervention model description
Stretching and nerve mobilization exercises will be performed before other exercises in telerehabilitation and home program groups. These exercises will be demonstrated to participants by the physical therapist in person during the first session.
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Be between the ages of 18 and 45, * Be willing to participate in the study, * Have been diagnosed with piriformis syndrome by a specialist doctor, * Have positive Fair and Lasegue tests, * Have pain between 3 and 9 on the Numerical Pain Scale,
Exclusion criteria
* Bilateral pain, * Having a systemic disease, * Recent injury to the lower extremity, having undergone surgery, having a pathology, * Sacroiliac joint dysfunction, disc herniation, facet joint problem * Having congenital problems, * Having cognitive problems,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical performance | before and after 8 week exercise programme | The Timed Up and Go Test (TUG) measures the time it takes for an individual to stand up from a chair upon command, walk around a point 3 meters away, and return to sit in the chair. A time exceeding 15 seconds indicates a risk of falling. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain catastrophise | before and after the 8 week exercise programme | This is a questionnaire developed to measure how much people are driven to disaster in response to pain. The questionnaire lists 13 situations using a 5-point Likert scale (0-4) that describes different feelings and thoughts that may be related to pain. The total score can range from 0 to 52. It consists of 3 subfactors: helplessness, magnification, rumination. High scale scores are associated with more pain and more functional impairment. |
Countries
Turkey (Türkiye)
Outcome results
None listed