Effects of Hold Relax With Agonist Contraction and Active Release Therapy on Clinical Outcomes in Piriformis Syndrome

NCT05370378 | Completed

• 1 other identifier: Nimra Ilyas
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to compare the effects of hold relax agonist contraction and active release therapy on reducing pain intensity, improving functioning and sleep quality in patient with piriformis syndrome. Both these techniques are passive, non-invasive manual therapy techniques which are easy to perform and less time consuming and may yield better outcomes resulting improved quality of life.

Conditions

Piriformis Syndrome

Keywords

Function, Pain,Hold Relax ,Sleep Quality, Mobilization

Outcome Measures

Primary Outcomes (3)

• Change in Pain Intensity

  Numeric Pain Rating Scale will be used to measure the intensity of pain

  Pain score will be measured at the baseline, at end of first session and at 6th session on 2nd week

• Change in Functional Disability

  Ronald-Morris Disability Questionnaire will be used to a assess the level of disability

  Change in functional status will be measured at the baseline, at end of first session and at end of 6th session

• Sleep Quality

  Chronic Pain Sleep Inventory will be used to to assess the quality of sleep on a 100 mm VAS scale

  Sleep quality will be measured at the baseline, at end of first session and at end of 6th session

Study Arms (2)

Group A

EXPERIMENTAL

This group of participants will receive Hold Relax with Agonist Contraction (HR-AC) technique with routine physical therapy. The protocol will be given to the participants for two weeks (6 sessions on alternate days, 3 session per week). Each session will be of 60 minutes. The data will be collected before applying intervention, at first week and at 2nd week.

Other: Hold Relax with Agonist Contraction

Group B

ACTIVE COMPARATOR

This group of participants will receive Active Release Therapy, a kind of soft tissue mobilization along with routine physical therapy. The protocol will be given to the participants for two weeks (6 sessions on alternate days, 3 session per week). Each session will be of 60 minutes. The data will be collected before applying intervention, at first week and at 2nd week.

Other: Active Release Therapy

Interventions

Hold Relax with Agonist Contraction OTHER

1. Participant will be in prone lying and heating pad will be applied on gluteal region for 10 to 15 minutes. 2. Passive sustained stretch to piriformis will be applied for 10 seconds. 3. The participant will be asked to actively contract the muscle for about 10 seconds (isometric contraction) and then relax. 4. Immediately after that participant is ask to again actively contract the muscle against therapist resistance for 6-10 seconds. 5. Ask the participant to relax while therapist will apply stretch the muscle to its new tissue tension barrier position and this position will be maintained for 30 seconds. 6. This maneuver is repeated for 3 to 4 repetitions, each starting from where the previous finished.

Also known as: Proprioceptive Neuromuscular Facilitation Technique

Group A

Active Release Therapy OTHER

1. Specific muscle will be warmed up by applying heating pad for 10 to 15 minutes. 2. Patient will be positioned prone lying and the therapist will be standing at the side of affected limb. 3. Therapist will apply deep pressure at the area of tenderness while patient will actively move the limb from internal to external rotation repeatedly. 4. This maneuver will take about 15 minutes to complete in one session and will be applied alternatively 3 days a week for two weeks. 5. After this, cold pack is applied and general ROMs and strengthening exercises are performed to prevent soreness

Also known as: Soft Tissue Mobilization

Group B

Eligibility Criteria

• Age: 25 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age group 25-55 years
• Both male and female.
• Gluteal pain with or without radicular symptoms.
• Patients of piriformis syndrome diagnosed by orthopedic consultant.
• Sub-acute and chronic piriformis syndrome.
• Unilateral pain.
• Pain score equal to and greater than 3 according to pain rating scale.

You may not qualify if:

• Intermittent vascular claudication and spondylolisthesis.
• Past history of hip, femur or vertebral fracture
• Past history of spinal surgery.
• Spinal tuberculosis.
• Rheumatoid disease.
• Disc pathology, sacroiliac joint dysfunction or mechanical back pain.
• History of infectious disease.
• Leg length discrepancy.
• Any postural abnormality or deformity.

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

The University of Lahore

Lahore, Punjab Province, 54000, Pakistan

Location

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

• Ayesha Jamil, M.Phil

  University of Lahore

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Opaque Sealed Envelops will be provided to participants by investigator, with mentioned treatment group. A separate therapist serving as outcome assessor will be unaware of treatment group provided.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Ayesha Jamil

Model Details: Group A: Hold Relax with Agonist Contraction with Routine Physical Therapy Group B: Active Release Therapy with Routine Physical Therapy

Study Record Dates

• First Submitted: May 6, 2022
• First Posted: May 11, 2022
• Study Start: February 22, 2022
• Primary Completion: November 22, 2022
• Study Completion: November 22, 2022
• Last Updated: April 6, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Immediately following publication. Ending in 36 months.

Locations

PA (1)