Muscle Energy Technique and Stretching Exercise in Working Pregnant Women With Piriformis Syndrome

NCT05915858 | Unknown

• 1 other identifier: REC/RCR&AHS/23/0518
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Piriformis syndrome is a neuro muscular disorder which occur due to the compression and irritation of the sciatic nerve by the piriformis muscle causing pain, tingling, and numbness in the buttocks and along the sciatic nerve. Muscle energy technique is one of manual technique in which the muscle uses its own energy in the form of isometric contraction to relax the muscle by the autogenic inhibition of reciprocal inhibition. Reciprocal inhibition in muscle energy technique was succeeded in relieving pain and improves flexibility.

Conditions

Piriformis Syndrome

Keywords

muscle energy technique,stretching exercise, pain rom

Outcome Measures

Primary Outcomes (1)

• Numeric pain rating scale

  Measurement of pain intensity was done by using numeric pain rating scale.it is reliable and valid.subjects were explained about the scale and instructed to indicate the intensity of current,best and worst pain on a scale of zero(no pain) to ten(worst pain)

  6months

Secondary Outcomes (1)

• Measurements of pain Intensity

  6months

Study Arms (2)

muscle energy technique

EXPERIMENTAL

muscle energy technique

Other: muscle energy technique

stretching exercise

ACTIVE COMPARATOR

stretching exercises along with piriformis stretch

Other: stretching exercise

Interventions

muscle energy technique OTHER

Group 1: Group 2: Muscle energy technique (Reciprocal inhibition) Stretching exercises Static stretching 2 weeks (twelve treatment session) patient supine, the treated leg is placed into flexion at the hip and knee, so that the foot rests on the table lateral to the contra-lateral knee (the leg on the side to be treated is crossed over the other, straight leg). * The angle of hip flexion should not exceed 60 degree. * The practitioner places one hand on the contra-lateral ASIS to prevent pelvis motion, while the other hand is placed against the lateral flexed knee as this is pushed into resisted abduction to contract piriformis for 7-10 seconds.

muscle energy technique

stretching exercise OTHER

Following the contraction the practitioner eases the treated side leg into adduction until a sense of resistance is noted; this is held for 10-30 seconds. 2 week (twelve treatment session) practitioner manual stretches the piriformis: * The patient lies in supine position the affected leg is placed into flexion at hip and knee so that the foot rests on the table lateral to the contra-lateral knee. * The practitioner places one hand over the contra-lateral ASIS to stabilize the pelvis during the exercise and passively abducts and internally rotates the hip medially till the pain is bearable. * The process is repeated 3-5 times with a 30

stretching exercise

Eligibility Criteria

• Age: 25 Years - 45 Years
• Gender Eligibility Details: Female 25-45age
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age between 25-45 years .
• Tenderness of piriformis muscle.
• Chronic non-specific low back pain patients.
• Women in second trimester of pregnancy
• Multiparous women
• SLR positive below 60 degrees .
• VAS score: 6-10
• Internal rotation of hip less than 45 degrees.

You may not qualify if:

• SLR negative test
• Skin allergy
• Pre-eclampsia
• Gestational diabetes mellitus
• Clinical diagnosis of osteoarthritis or history of fracture of lower extremities

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Lady Willington

Lahore, Punjab Province, 54660, Pakistan

RECRUITING

MeSH Terms

Conditions

Piriformis Muscle Syndrome

Interventions

Muscle Stretching Exercises

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

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

• Hafiza Neelam, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

hafiza neelam, MS

CONTACT

03204097476; hafiza.neelam@riphah.edu.pk

Shfaq Naeem, MS*

CONTACT

03249567535; shafaqshazib@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 14, 2023
• First Posted: June 23, 2023
• Study Start: February 2, 2023
• Primary Completion: August 20, 2023
• Study Completion: August 20, 2023
• Last Updated: June 23, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)