Self Myofascial Release in Individuals With Piriformis Syndrome

NCT05660005 | Completed DMC

• 1 other identifier: E.10304 / 29.03.2018
• Study Type: interventional
• Target: 63
• Locations: 1 country
• Sites: 1

Brief Summary

Piriformis syndrome is pain that extends from the hip to the knee, caused by the pressure of the piriformis muscle in the hip on the sciatic nerve. There is no valid protocol for the treatment of this syndrome. Physiotherapists generally use hip strengthening exercises and modalities for pain. In this study, in addition to the classical treatment, we will give two different programs consisting of self-myofascial relaxation and stretching exercises to two different groups for 4 weeks as home exercise. We will question the level of pain that people felt in the hip before starting the exercises and at the 4th week after starting the exercises and measured the hip joint range of motion.

Conditions

Piriformis Muscle Syndrome

Keywords

Piriformis syndrome; Pain; hip; range of motion; sciatica

Outcome Measures

Primary Outcomes (1)

• Pain Intensity

  The severity of sciatic pain extending along the hip and leg was questioned with the Visual Analog Scale (VAS). The assessment was based on a horizontal 10 cm scale from 1 (least pain) to 10 (the worst pain ever)

  4 weeks

Secondary Outcomes (6)

• Extension Range of motion of the hip angle

  4 weeks

• Flexion Range of motion of the hip angle

  4 weeks

• Adduction Range of motion of the hip angle

  4 weeks

• Abduction Range of motion of the hip angle

  4 weeks

• External Rotation Range of motion of the hip angle

  4 weeks

Study Arms (3)

Piriformis Muscle Stretching

ACTIVE COMPARATOR

Stretching based on the FAIR (flexion, adduction and internal rotation) position, which provides the most effective stretching on the piriformis muscle, was demonstrated, and a illustrated brochure containing the explanatory information of the application was given to the group participants. With the ipsilateral hip flexion, adduction and internal rotation, the foot is positioned to the lateral side of the contralateral knee, thus long-term passive stretching is targeted in this position. Individuals were asked to leave a 2-days gap between the two stretching exercise sessions by performing 10 repetitions (minimum duration of 15 s stretching, 30 s rest period between repetitions) 3 sets and 3 days of a week.

Other: Muscle Stretching

Piriformis Muscle Self Myofascial Release

ACTIVE COMPARATOR

The patient was presented with the anatomically localized area of the PiM on a visual anatomy map and they were encouraged to find this area on their body. They were asked to verify the trigger points along the PiM and then sat on the trigger points with the help of a tennis ball. Individuals were taught the PiM-SMR exercise, in which they would make forward-backward, right-left, diagonal and circular movements on the ball using their body weight. There was a continuation of the application with an interval of 2 days; 3 times a day with 10 repetitions (the application was for 1 min and 30s rest period between repetitions).

Other: Self Myofascial Release

Control Group

EXPERIMENTAL

The individuals who refused to apply stretching or releasing included to the control group. They perform only home exercises of hip strengthening

Other: home exercises

Interventions

Muscle Stretching OTHER

Stretching based on the FAIR (flexion, adduction and internal rotation) position, which provides the most effective stretching on the piriformis muscle, was demonstrated, and a illustrated brochure containing the explanatory information of the application was given to the group participants. With the ipsilateral hip flexion, adduction and internal rotation, the foot is positioned to the lateral side of the contralateral knee, thus long-term passive stretching is targeted in this position. Individuals were asked to leave a 2-days gap between the two stretching exercise sessions by performing 10 repetitions (minimum duration of 15 s stretching, 30 s rest period between repetitions) 3 sets and 3 days of a week.

Also known as: Piriformis Muscle Stretching

Piriformis Muscle Stretching

Self Myofascial Release OTHER

The patient was presented with the anatomically localized area of the PiM on a visual anatomy map and they were encouraged to find this area on their body. They were asked to verify the trigger points along the PiM and then sat on the trigger points with the help of a tennis ball. Individuals were taught the PiM-SMR exercise, in which they would make forward-backward, right-left, diagonal and circular movements on the ball using their body weight. There was a continuation of the application with an interval of 2 days; 3 times a day with 10 repetitions (the application was for 1 min and 30s rest period between repetitions).

Piriformis Muscle Self Myofascial Release

home exercises OTHER

The exercise brochure consists of 5 different exercises that include isometric and isotonic strengthening of the hip and surrounding muscles. Isometric contraction of gluteus maximus, hip march, external/internal rotation of hips with theraband, 4 sided straight leg raises were the exercises and prescribed 5 days a week, 10 repetitions, 3 sets. All participants were advised to use analgesics determined by the physician in case of unbearable pain and to apply a hot pack for 10-20 minutes before sessions.

Control Group

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Male and female participants
• Aged 20 to 40 years
• Presented leg or hip posterior compartment pain
• Diagnosed with chronic PS and without any other source of pain

You may not qualify if:

• Any pathology or acute injury around the hip, sacroiliac joint, or lumbar spine;
• Limb length discrepancy,
• Recent buttock trauma,
• Deep gluteal syndrome,
• Extrapelvic compression of the sciatic nerve or sacral plexus ischiogluteal/ischiofemoral bursitis or impingement, Upper hamstring tendinitis,
• Fibromyalgia, myofascial pain syndrome
• Pregnancy.

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

Gizem Ergezen

Istanbul, Beykoz, 34810, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Piriformis Muscle Syndrome; Pain; Sciatica

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Gizem Ergezen, PhD

  Medipol University

  PRINCIPAL INVESTIGATOR

• Mustafa Sahin, PhD

  Medipol University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Parallel group study

Study Record Dates

• First Submitted: December 5, 2022
• First Posted: December 21, 2022
• Study Start: March 8, 2019
• Primary Completion: May 7, 2022
• Study Completion: December 3, 2022
• Last Updated: December 21, 2022

Record last verified: 2022-12

Locations

TU (1)