Graston vs Manual Myofascial Release Technique in Piriformis Syndrome.

NCT04588779 | Completed

• 1 other identifier: REC/00689 Sonia Wali
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of our study is to compare the effects of Graston and manual myofascial release technique on pain, muscle length and functional status in patients with Piriformis syndrome.

Conditions

Piriformis Syndrome

Keywords

Graston technique; Myofascial release; Lower extremity functional scale; Piriformis syndrome

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale

  Changes from baseline and after 1st session, Numeric pain rating scale is a scale from 0 to 10. 0 indicating no pain and 10 indicating worse pain.

  9th day

• Piriformis muscle length

  Changes from baseline and after 1st session, in prone lying range of internal rotation is measured for piriformis muscle length

  9th day

• Lower extremity functional scale

  Changes from baseline and after 1st session, lower extremity functional scale is used to measure the functional status of patients with piriformis syndrome.

  9th day

Secondary Outcomes (1)

• Straight leg raise

  9th day

Study Arms (2)

Graston

EXPERIMENTAL

Ultrasound, Graston technique, piriformis stretching, home plan (hip abductor and extensor strengthening)

Other: Graston

Manual myofascial release

ACTIVE COMPARATOR

Ultrasound, Manual myofascial release, piriformis stretching, home plan (hip abductor and extensor strengthening)

Other: Manual myofascial release

Interventions

Graston OTHER

Ultrasound for 10 mins/1 set/ (3 sessions/week), Graston for 5 mins/1 set/ (3 sessions/week), Piriformis stretching exercises/ 10 reps with 30 sec hold/ 1 set/(3 sessions/week), Hip abductor strengthening/10 reps/1 set/(3 weeks), Hip extensor strengthening/10 reps/1 set/(3 weeks), A total of 9 sessions for 3 weeks (3 sessions/week) were given each consisting of 20 mins.

Graston

Manual myofascial release OTHER

Ultrasound for 10 mins/1 set/ (3 sessions/week), Manual myofascial release for 5 mins/1 set/ (3 sessions/week), Piriformis stretching exercises/ 10 reps with 30 sec hold/ 1 set/(3 sessions/week), Hip abductor strengthening/10 reps/1 set/(3 weeks), Hip extensor strengthening/10 reps/1 set/(3 weeks), A total of 9 sessions for 3 weeks (3 sessions/week) were given each consisting of 20 mins.

Manual myofascial release

Eligibility Criteria

• Age: 25 Years - 60 Years
• Gender Eligibility Details: According to the feasibility of patients and examiner for assessment, only female patients were included in the study.
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Pain more than 1 month.
• Piriformis syndrome diagnosed through screening test (FAIR test, Beatty test, Freiberg test, Sign of Pace)

You may not qualify if:

• Leg pain due to causes other than piriformis syndrome.
• Congenital spinal deformity.
• History of fracture.
• History of back or hip surgery.
• Any systemic illness like metastatic or infective disorders.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Federal government polyclinic hospital

Islamabad, Fedral, 46000, Pakistan

Location

Related Publications (5)

• Kukadia HA, Malshikare A, Palekar TJ. Effect of Passive Stretching v/s Myofascial Release in Improving Piriformis Flexibility in Females-A Comparative Study. Indian Journal of Physiotherapy and Occupational Therapy-An International Journal. 2019;13(4):57-61.

  BACKGROUND

• Stanek J, Sullivan T, Davis S. Comparison of Compressive Myofascial Release and the Graston Technique for Improving Ankle-Dorsiflexion Range of Motion. J Athl Train. 2018 Feb;53(2):160-167. doi: 10.4085/1062-6050-386-16. Epub 2018 Jan 26.

  PMID: 29373060 BACKGROUND

• Lee JH, Lee DK, Oh JS. The effect of Graston technique on the pain and range of motion in patients with chronic low back pain. J Phys Ther Sci. 2016 Jun;28(6):1852-5. doi: 10.1589/jpts.28.1852. Epub 2016 Jun 28.

  PMID: 27390432 BACKGROUND

• Kim D-H, Ms T-HK, Jung D-Y, Weon J-H. Effects of the graston technique and self-myofascial release on the range of motion of a knee joint. Journal of Korean Society of Physical Medicine. 2014;9(4):455-63.

  BACKGROUND

• Awan WA, Babur MN. EFFECTIVENESS OF DEEP FRICTION MASSAGE & STRETCHING EXERCISES IN PIRIFORMIS SYNDROME. IJCRB. 2011:378.

  BACKGROUND

MeSH Terms

Conditions

Piriformis Muscle Syndrome

Condition Hierarchy (Ancestors)

Sciatic Neuropathy; Mononeuropathies; Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases; Nerve Compression Syndromes; Neuralgia; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Pelvic Pain

Study Officials

• Asghar Khan, Phd

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants did not know which treatment techniques are given in the specified groups.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Both groups were treated simultaneously with their specified treatment techniques within given duration.

Study Record Dates

• First Submitted: October 9, 2020
• First Posted: October 19, 2020
• Study Start: January 11, 2020
• Primary Completion: September 17, 2020
• Study Completion: September 24, 2020
• Last Updated: October 19, 2020

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)