Sacroiliac Joint Manipulation Effect in Chronic Piriformis Syndrome.

NCT04603703 | Completed

• 1 other identifier: REC/00693 Benish Shahzadi
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of the study was to determine the effects of sacroiliac joint thrust manipulation on pain, pain pressure threshold, piriformis length and straight leg raise, in chronic piriformis syndrome.

Conditions

Piriformis Syndrome

Keywords

High Velocity Low Amplitude Thrust; Piriformis Syndrome; Sacroiliac joint manipulation

Outcome Measures

Primary Outcomes (1)

• Numeric Pain Rating Scale (NPRS)

  Changes from baseline, Numeric Pain Rating Scale is a scale for pain starting from 0 to 10 where 0 indicates no pain and 10 indicates severe pain.

  6th Day

Secondary Outcomes (3)

• Pressure Pain Threshold

  6th Day

• Piriformis Length

  6th Day

• Straight Leg Raise

  6th Day

Study Arms (2)

HVLAT Manipulation

EXPERIMENTAL

Ultrasound, moist hot pack, piriformis stretching, myofascial release, gluteal muscles strengthening, sciatic neurodynamics, HVLAT

Other: HVLAT Manipulation

Conventional physical therapy

ACTIVE COMPARATOR

Ultrasound, moist hot pack, piriformis stretching, myofascial release, gluteal muscles strengthening, sciatic neurodynamics

Other: Conventional Physical Therapy

Interventions

HVLAT Manipulation OTHER

Ultrasound for 10 mins/1 set/ (3 days/ week), Moist hot pack for 10 mins/1 set/ (3 days/ week), Piriformis stretching for 7 sec hold/ 7 repititions/ 1 set/ (3 days/ week), Myofascial release of lumbosacral paraspinal muscles for 3 mins/ 1 set/ (3 days/ week), Gluteal muscles strengthening for 10 sec hold/ 5 reps/ 1 set/ (3 days/ week), Sciatic Neurodynamics with 10 oscillations/ 3 sets/(3 days/ week), HVLAT manipulation/ 1 rep/ 1set/ (3 days/ week), A total of 2 weeks (6 sessions, 3 sessions/ week) were given each consisting of 30 mins.

HVLAT Manipulation

Conventional Physical Therapy OTHER

Ultrasound for 10 mins/1 set/ (3 days/ week), Moist hot pack for 10 mins/1 set/ (3 days/ week), Piriformis stretching for 7 sec hold/ 7 repititions/ 1 set/ (3 days/ week), Myofascial release of lumbosacral paraspinal muscles for 3 mins/ 1 set/ (3 days/ week), Gluteal muscles strengthening for 10 sec hold/ 5 reps/ 1 set/ (3 days/ week), Sciatic Neurodynamics with 10 oscillations/ 3 sets/(3 days/ week), A total of 2 weeks (6 sessions, 3 sessions/ week) were given each consisting of 30 mins.

Conventional physical therapy

Eligibility Criteria

• Age: 30 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients having alteast 3 months chronic Piriformis syndrome
• FAIR test positive
• Unilateral or bilateral Piriformis Syndrome

You may not qualify if:

• Lumber Prolapsed Intervertebral Disc (PIVD)
• Patients having hip osteoarthritis
• Sacroiliatis (FABER test, Mennell's test, Sacral Thrust Test, Compression test, Distraction test, thigh thrust test)
• Lumbosacral instability
• Patients having any joint replacement in lumbosacral and hip regions.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Max Rehab & Physical Therapy Centre G-8 Markaz

Islamabad, Federal, 46000, Pakistan

Location

Related Publications (5)

• Al-Subahi M, Alayat M, Alshehri MA, Helal O, Alhasan H, Alalawi A, Takrouni A, Alfaqeh A. The effectiveness of physiotherapy interventions for sacroiliac joint dysfunction: a systematic review. J Phys Ther Sci. 2017 Sep;29(9):1689-1694. doi: 10.1589/jpts.29.1689. Epub 2017 Sep 15.

  PMID: 28932014 BACKGROUND

• Kutty RK, Gebrekidan HG, Lerebo WT, Gebretsadik MA. Neural mobilization a therapeutic efficacy in a piriformis syndrome model: an experimental study. International journal of physiotherapy and research. 2014;2(3):577-83.

  BACKGROUND

• Ellythy MA. Efficacy of muscle energy technique versus strain counter strain on low back dysfunction. Bulletin of Faculty of Physical Therapy. 2012;17(2).

  BACKGROUND

• Rodrigue T, Hardy RW. Diagnosis and treatment of piriformis syndrome. Neurosurg Clin N Am. 2001 Apr;12(2):311-9.

  PMID: 11525209 BACKGROUND

• Bose GNSC, Dusad G. EFFECT OF RECIPROCAL INHIBITION AND POST ISOMETRIC RELAXATION; TYPES OF MUSCLE ENERGY TECHNIQUE IN PIRIFORMIS SYNDROME-A COMPARATIVE STUDY.

  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 13, 2020
• First Posted: October 27, 2020
• Study Start: May 9, 2020
• Primary Completion: September 8, 2020
• Study Completion: September 18, 2020
• Last Updated: October 27, 2020

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)