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IRCT20230216057434N4 IRCT 2023-03-15 Self funded Effectiveness of two manual therapy technique in piriformis syndrome Effectiveness of Active Release Technique and Myofascial Release technique on pain, range of motion and functional Disability in patients with Piriformis syndrome 2023-03-05 anticipated 44 Complete https://irct.ir/trial/68891 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization will be done through a computer software "Random allocation". The total sample size will be entered with requirement to be allocated in two groups. An automated randomization list will be achieved with attrition rate included, Blinding description: Blinding will be done on part of outcome assessor who will be an experienced therapist. Patients will be assessed by him at the end of treatment session. He will be blinded about the type of intervention patient will received Patients will also be blinded about the type of intervention they will receive. N/A Piriformis Syndrome. Intervention 1: Intervention Group A (active release technique) 22 patients in Group A will receive active release technique (ART) and conventional treatment in the form of hot pack for 10-15 minutes followed by piriformis muscle stretch for 10 seconds hold (3 sets of 10 repetitions) for a duration of 15 minutes. ART will be applied with patients in prone lying with knee flexed at 90°.the therapist will place his elbow tip on taunt band of piriformis muscle and will apply direct pressure on it. Patient will be instructed to perform hip internal rotation, in order to achieve lengthening of the muscle. This will be repeated 5-7 times. The total duration of this session will be 40-50 minutes. Intervention 2: Intervention group B (Myofascial Release Technique) 22 Patients in Group B will receive myofascial release technique (MRT) and conventional treatment in form of hot pack for 10-15 minutes over the hip region followed by piriformis muscle stretch comprising of 3 sets with 30 seconds hold of each set. For application of Myofascial release technique patient will be instructed to sit on top of foam roller that will be placed beneath the hip of affected side. Patient will be advised to roll over the foam roller for 5 – 8 minutes until his pain reduces. Leg of affected limb or side will cross towards the knee of unaffected side. Each session will last for 40-50 minutes. The session will repeat twice a week, 8 sessions over 4 weeks. No - There is not a plan to make this available Justification or reason for not sharing IPD is Real patient is involved
public Dr. Zainab Sheraz
house no. 32, street no. 2, Rehman Town, adjacent Shahzad Colony, Satyana Road, Faisalabad
Faisalabad Pakistan 38000 +92 335 6600141 zainab.48@hotmail.com Riphah International University, Faisalabad scientific Dr. Zainab Sheraz
house no. 32, street no. 2, Rehman Town, adjacent Shahzad Colony, Satyana Road, Faisalabad
Faisalabad Pakistan 38000 +92 335 6600141 zainab.48@hotmail.com Riphah International University, Faisalabad Pakistan Pakistan Age: 20- 40 years Gender: Both male and female Deep-seated buttock pain with radiating pain, especially intolerable sitting pain. Tenderness of the piriformis muscle. Fair test positive 20 years 40 years Both Intermittent vascular claudication, spondylolisthesis Past history of vertebral fracture Past history of spinal surgery Spinal tuberculosis Rheumatoid Arthritis/Osteoarthritis. Disc pathology and mechanical back pain. Avascular necrosis of femoral head Fracture of femur and hip joint dislocation G57.00 Lesion of sciatic nerve, unspecified lower limb Treatment - Other Treatment - Other Intervention Group A (active release technique) 22 patients in Group A will receive active release technique (ART) and conventional treatment in the form of hot pack for 10-15 minutes followed by piriformis muscle stretch for 10 seconds hold (3 sets of 10 repetitions) for a duration of 15 minutes. ART will be applied with patients in prone lying with knee flexed at 90°.the therapist will place his elbow tip on taunt band of piriformis muscle and will apply direct pressure on it. Patient will be instructed to perform hip internal rotation, in order to achieve lengthening of the muscle. This will be repeated 5-7 times. The total duration of this session will be 40-50 minutes Intervention group B (Myofascial Release Technique) 22 Patients in Group B will receive myofascial release technique (MRT) and conventional treatment in form of hot pack for 10-15 minutes over the hip region followed by piriformis muscle stretch comprising of 3 sets with 30 seconds hold of each set. For application of Myofascial release technique patient will be instructed to sit on top of foam roller that will be placed beneath the hip of affected side. Patient will be advised to roll over the foam roller for 5 – 8 minutes until his pain reduces. Leg of affected limb or side will cross towards the knee of unaffected side. Each session will last for 40-50 minutes. The session will repeat twice a week, 8 sessions over 4 weeks Pain. Timepoint: Assessment will be performed at 0 week (baseline) and at completion of 4 weeks treatment. Method of measurement: Numeric pain rating scale. Range of motion. Timepoint: Assessment will be performed at 0 week (baseline) and at completion of 4 weeks of treatment. Method of measurement: Goniometer. Functional Disability. Timepoint: Assessment will be performed at 0 week (baseline) and at completion of 4 weeks of treatment. Method of measurement: Oswestry Disability Index (ODI). N/A Approved 2023-01-26 Ethics committee of Riphah International University Faisalabad Riphah International University, Faisalabad Faisalabad Punjab Pakistan