Comparasion of Autogenic Inhibition and Reciprocal Inhibition Muscle Energy Techniques (METS) in Piriformis Syndrome

NCT06460675 | Recruiting

• 1 other identifier: REC/RCR & AHS/23/01114
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

To compare the effects of Autogenic Inhibition and Reciprocal Inhibition Muscle Energy Techniques (METS) in Piriformis Syndrome

Conditions

Piriformis Syndrome

Keywords

Exercise; Manipulative therapies; Pain; Piriformis Syndrome; Range of Motion; Sciatic Nerve

Outcome Measures

Primary Outcomes (3)

• Pain : Numeric Pain Rating Scale (NPRS)

  Patients' overall assessment of pain will be provided using the numeric pain rating scale

  3 Weeks

• Range of Motion : Universal Goniometer

  It is frequently employed as a benchmark technique for the assessment of Range of Motion

  3 Weeks

• Lower Extremity Functional Scale (LEFS)

  The LEFS is a self-report questionnaire intended to assess functional status in patients with disability of the lower extremity (e.g., hip, thigh, ankle) containing 20 questions about a person's ability to perform everyday tasks

  3 Weeks

Study Arms (2)

Autogenic Inhibition Muscle Energy Technique

EXPERIMENTAL

This group will receive Autogenic Inhibition Muscle Energy Technique

Procedure: Autogenic Inhibition Muscle Energy Technique; Procedure: Reciprocal Inhibition Muscle Energy Technique

Reciprocal Inhibition Muscle Energy Technique

ACTIVE COMPARATOR

This group will receive Reciprocal Inhibition Muscle Energy Technique

Procedure: Autogenic Inhibition Muscle Energy Technique; Procedure: Reciprocal Inhibition Muscle Energy Technique

Interventions

Autogenic Inhibition Muscle Energy Technique PROCEDURE

No of repetitions: 1 set with 3 repetitions No of Sessions per week: 2 per weeks for 3 weeks (40 Min per Session)

Autogenic Inhibition Muscle Energy Technique; Reciprocal Inhibition Muscle Energy Technique

Reciprocal Inhibition Muscle Energy Technique PROCEDURE

No of repetitions: 1 set with 3 repetitions No of Sessions per week: 2 per week for 3 weeks (40 Min per Session)

Autogenic Inhibition Muscle Energy Technique; Reciprocal Inhibition Muscle Energy Technique

Eligibility Criteria

• Age: 25 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both genders with ages between 25-45 years.
• Patients diagnosed with Piriformis syndrome using the Piriformis FAIR test, Freiberg test, Lasegue test, Beaty test, and pace sign.
• Hip pain with a threshold of NPRS 3-6.
• Limited ROM of Hip Internal Rotation and Abduction measured using a goniometer.
• Buttock pain ≥ 3 months.
• Pain with prolonged sitting (more than 20 minutes)

You may not qualify if:

• Hip Degenerative changes.
• History of Trauma or Fracture
• Other Systemic Conditions
• Postural abnormality/deformity
• Diagnosed Psychological Disorders
• Pregnancy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

IIMCT Railway General Hospital

Rawalpindi, Punjab Province, 46000, Pakistan

RECRUITING

Related Publications (10)

• Sadiq M, Hussain SA, Meganath P. 'Hand on hip'sign: A novel screening test and diagnostic tool in piriformis syndrome. Journal of Orthopaedics, Trauma and Rehabilitation. 2020:2210491720961113.

  BACKGROUND

• Siahaan YMT, Tiffani P, Tanasia A. Ultrasound-Guided Measurement of Piriformis Muscle Thickness to Diagnose Piriformis Syndrome. Front Neurol. 2021 Sep 7;12:721966. doi: 10.3389/fneur.2021.721966. eCollection 2021.

  PMID: 34557150 BACKGROUND

• Tanveer F, Shahid S. Frequency of Piriformis tightness in professionals middle aged women. Rawal Medical Journal. 2018;43(4):685-.

  BACKGROUND

• Hopayian K, Danielyan A. Four symptoms define the piriformis syndrome: an updated systematic review of its clinical features. Eur J Orthop Surg Traumatol. 2018 Feb;28(2):155-164. doi: 10.1007/s00590-017-2031-8. Epub 2017 Aug 23.

  PMID: 28836092 BACKGROUND

• Siahaan YMT, Ketaren RJ, Hartoyo V, Tiffani P. The predisposing factors of piriformis syndrome: Study in a referral hospital. MNJ (Malang Neurology Journal). 2019;5(2):76-9.

  BACKGROUND

• Wu YY, Guo XY, Chen K, He FD, Quan JR. Feasibility and Reliability of an Ultrasound Examination to Diagnose Piriformis Syndrome. World Neurosurg. 2020 Feb;134:e1085-e1092. doi: 10.1016/j.wneu.2019.11.098. Epub 2019 Nov 25.

  PMID: 31778837 BACKGROUND

• Islam F, Mansha H, Gulzar K, Raza A, Raffique A, Haider S. Prevalence Of Piriformis Muscle Syndrome Among Individuals with Low Back Pain: Piriformis Muscle Syndrome Among Individuals with Low Back Pain. Pakistan Journal of Health Sciences. 2022:48-52.

  BACKGROUND

• Probst D, Stout A, Hunt D. Piriformis Syndrome: A Narrative Review of the Anatomy, Diagnosis, and Treatment. PM R. 2019 Aug;11 Suppl 1:S54-S63. doi: 10.1002/pmrj.12189. Epub 2019 Jul 22.

  PMID: 31102324 BACKGROUND

• Ahmad Siraj S, Dadgal R. Physiotherapy for Piriformis Syndrome Using Sciatic Nerve Mobilization and Piriformis Release. Cureus. 2022 Dec 26;14(12):e32952. doi: 10.7759/cureus.32952. eCollection 2022 Dec.

  PMID: 36712711 BACKGROUND

• Chang C, Jeno SH, Varacallo MA. Anatomy, Bony Pelvis and Lower Limb: Piriformis Muscle. 2023 Nov 13. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK519497/

  PMID: 30137781 BACKGROUND

MeSH Terms

Conditions

Piriformis Muscle Syndrome; Motor Activity; Pain

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; Behavior

Study Officials

• Rabiya Noor, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Mateen Asghar, MS-DPT

CONTACT

03046368317; mateen04443@gmail.com

Rabiya Noor, PhD

CONTACT

03344355660; rabiya.noor@riphah.edu.pk

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: SPONSOR

Study Record Dates

• First Submitted: June 11, 2024
• First Posted: June 14, 2024
• Study Start: February 1, 2024
• Primary Completion: October 10, 2024
• Study Completion: November 10, 2024
• Last Updated: June 14, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)