Comparative Effect of Active Release Technique Versus Self-myofascial Release in Improving Piriformis Syndrome

NCT05742633 | Completed

• 1 other identifier: ramshaakbar20
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this Randomized controlled trial is to examine comparative effect of active release technique versus self-myofascial release in improving piriformis syndrome. The main question it aims to answer is: • To compare the effects of Active release technique (ART) and Self-Myofascial release (SMFR) on pain intensity, hip internal rotation and functional disability in patients with piriformis syndrome. Participants will be a given consent form and after subjects read and sign the informed consent, they would be included in study according to eligibility criteria. 2 groups would be included in study, Active release technique will be applied on group A by the physiotherapist and self-myofascial release will be applied on group B by the patients themselves through the use of foam-rollers and massage ball to compare the results of both these techniques on reducing pain, improving range and functional disability among individuals with piriformis syndrome. We will measure outcome through different outcome measure tools.

Conditions

Piriformis Syndrome

Outcome Measures

Primary Outcomes (3)

• Likert pain scale (change is being assessed)

  Pain intensity is principally assessed using rating scales such as the 11-point Likert scale. In general, frequent pain assessments are serially correlated and underdispersed. The aim of this investigation was to develop population models adapted to fit the 11-point pain scale.

  Change from Baseline at 6 weeks

• Lower extremity functional scale (change is being assessed)

  The lower extremity functional scale (LEFS) is a valid patient-rated outcome measure (PROM) for the measurement of lower extremity function. The maximum possible score is 80 points, indicating very high function. The minimum possible score is 0 points, indicating very low function.

  Change from Baseline at 6 weeks

• Range of Motion by Goniometer (change is being assessed)

  Range of straight leg raise (SLR) and Internal rotation range would be measured

  Change from Baseline range of motion at 6 weeks

Study Arms (2)

Group A

EXPERIMENTAL

Group A received Active release technique (ART)

Other: Active release technique

Group B

OTHER

Group B received self-myofascial release (SMFR)

Other: Self-myofascial release

Interventions

Active release technique OTHER

Active Release Technique was applied to patient in prone lying, knee flexed at 90. The therapist placed his elbow tip on taut band of piriformis and direct pressure applied, patient wias then asked to do internal rotation of hip, in order to achieve lengthening of the muscle. This was repeated 5-7 times. A total of 18 sessions was given over a period of 6 weeks (3 sessions per week)

Group A

Self-myofascial release OTHER

Patient position in prone lying Therapist was standing beside the patient at the waistline, working on the contralateral side. Piriformis muscle was located by an imaginary line drawn between the midpoint of the lateral aspect of the sacrum and the greater trochanter. A contact was established in the gluteal area about 3 cm from the sacrum. Patent was guided to use a foam roller followed by a massage ball. A total of 18 sessions were given over a period of 6 weeks (3 sessions per week)

Group B

Eligibility Criteria

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

You may qualify if:

• years
• males and females
• Pain more than 1 month.
• Piriformis syndrome diagnosed through screening tests (FAIR test, Beatty test, Freiberg test, Sign of Pace)
• A score ≥8 on a 12-point Clinical scoring system for diagnosis of piriformis syndrome

You may not qualify if:

• Inflammation, malignancy, arthritis, active infection, post-partum or pregnant females and post-op patients, any deformity.
• Leg pain due to causes other than piriformis syndrome
• Any traumatic History.

Sponsors & Collaborators

• Sehat Medical Complex: lead

Study Sites (1)

Sehat Medical Complex, Lahore

Lahore, Punjab Province, 55201, 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

• Ramsha Akbar

  University of Lahore

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Project Director

Study Record Dates

• First Submitted: February 15, 2023
• First Posted: February 24, 2023
• Study Start: February 3, 2023
• Primary Completion: May 30, 2023
• Study Completion: June 15, 2023
• Last Updated: September 5, 2023

Record last verified: 2023-08

Locations

PA (1)