Effects of Neural Mobilization and Stretching in Piriformis Syndrome

NCT06808659 | Completed

• 1 other identifier: IERC/IIRS-IU-KC/18/005
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study compares the effects of piriformis stretching and neural mobilization of the sciatic nerve in individuals with piriformis syndrome, a condition that is frequently characterized by hip and buttock pain and discomfort brought on by the piriformis muscle compressing the sciatic nerve.

Conditions

Piriformis Syndrome

Keywords

Physiotherapy; Piriformis Stretching; Visual Analog Scale (VAS); Pain Management; FAIR Test; Range of Motion

Outcome Measures

Primary Outcomes (2)

• Pain Reduction

  Two different interventions were applied in groups after which pain was recorded before and after through visual analogue scale. Highest score means high level of pain and lower score refers to low pain. Maximum score 9 was reported pre study and minmum score 2 was reported after study by both groups on average.

  2 weeks

• Increase Range of Motion

  Through neural mobilization and piriformis stretching renage of motion was assessed through inclino meter before and after study

  2 weeks

Study Arms (2)

Group A / Sciatic Nerve Mobilization

EXPERIMENTAL

Sciatic Nerve Mobilization was given to group A participants.

Other: Neural Mobilization

Group B / Piriformis Muscle Stretching

EXPERIMENTAL

Piriformis Muscles was stretched in group B participants.

Other: Stretching

Interventions

Neural Mobilization OTHER

A total of 20 patients were selected in Group A received neural mobilization of sciatic nerves treatment for 3 days a week for 2 weeks

Also known as: Sciatic Nerve Mobilization

Group A / Sciatic Nerve Mobilization

Stretching OTHER

A total of 20 patients were selected in Group B received stretching of piriformis muscle treatment for 3 days a week for 2 weeks

Also known as: Piriformis Stretching

Group B / Piriformis Muscle Stretching

Eligibility Criteria

• Age: 22 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Positive lasegue sign
• Positive piriformis sign
• Tenderness at sciatic notch (over piriformis muscle).

You may not qualify if:

• Prior surgery of lumbar spine (laminectomy)
• Unrecognized pelvic fracture
• Known case of renal stones
• Disc herniation in lumbar spine
• Myositis ossificans of piriformis muscle.

Sponsors & Collaborators

• Bahria University: lead

Study Sites (1)

Isra Institute of Rehabilitation Sciences

Karachi, Sindh, 74700, Pakistan

Location

Related Publications (7)

• Othman IK, Raj NB, Siew Kuan C, Sidek S, Wong LS, Djearamane S, Loganathan A, Selvaraj S. Association of Piriformis Thickness, Hip Muscle Strength, and Low Back Pain Patients with and without Piriformis Syndrome in Malaysia. Life (Basel). 2023 May 18;13(5):1208. doi: 10.3390/life13051208.

  PMID: 37240853 BACKGROUND

• Hu YE, Ho GWK, Tortland PD. Deep Gluteal Syndrome: A Pain in the Buttock. Curr Sports Med Rep. 2021 Jun 1;20(6):279-285. doi: 10.1249/JSR.0000000000000848.

  PMID: 34099604 BACKGROUND

• Danazumi MS, Yakasai AM, Ibrahim AA, Shehu UT, Ibrahim SU. Effect of integrated neuromuscular inhibition technique compared with positional release technique in the management of piriformis syndrome. J Osteopath Med. 2021 May 31;121(8):693-703. doi: 10.1515/jom-2020-0327.

  PMID: 34049428 BACKGROUND

• Burke CJ, Walter WR, Adler RS. Targeted Ultrasound-Guided Perineural Hydrodissection of the Sciatic Nerve for the Treatment of Piriformis Syndrome. Ultrasound Q. 2019 Jun;35(2):125-129. doi: 10.1097/RUQ.0000000000000360.

  PMID: 29727344 BACKGROUND

• Shahzad M, Rafique N, Shakil-Ur-Rehman S, Ali Hussain S. Effects of ELDOA and post-facilitation stretching technique on pain and functional performance in patients with piriformis syndrome: A randomized controlled trial. J Back Musculoskelet Rehabil. 2020;33(6):983-988. doi: 10.3233/BMR-181290.

  PMID: 32894238 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

• Ankar P, Ratnani GR, Ramteke SU, Jaiswal PR. Effect of Neuromuscular Training and Neurodynamic Solutions for Asymptomatic Prolapsed Intervertebral Disc and Coexisting Piriformis Syndrome in a 19-Year-Old: A Comprehensive Case Report. Cureus. 2024 Jan 27;16(1):e53050. doi: 10.7759/cureus.53050. eCollection 2024 Jan.

  PMID: 38410291 RESULT

Related Links

• Related Info

MeSH Terms

Conditions

Piriformis Muscle Syndrome; Agnosia

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; Perceptual Disorders; Neurobehavioral Manifestations

Study Officials

• Rabia Khan, Masters of Science

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: In a study involving 40 patients diagnosed with sciatica, researchers aimed to investigate whether neural mobilization of the sciatic nerve or stretching of the piriformis muscle was more effective in treating piriformis syndrome. The patients were divided into two groups, each containing 20 individuals. Group A underwent neural mobilization therapy, while Group B performed piriformis muscle stretches, with both groups receiving treatment three times a week for two weeks. Assessments, including Visual Analog Scale (VAS) for pain, hip range of motion (ROM) in flexion, abduction, and external rotation, as well as the FAIR test, were conducted before and after the interventions.

Study Record Dates

• First Submitted: November 29, 2024
• First Posted: February 5, 2025
• Study Start: May 2, 2018
• Primary Completion: November 10, 2018
• Study Completion: December 28, 2018
• Last Updated: February 5, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)