Effects of Facilitated Positional Release Technique ( FPRT) Vs Manual Myofascial Release Technique in Female Patients With Piriformis Syndrome.

NCT07044869 | Recruiting

• 1 other identifier: FUI/CTR/2024/81
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a randomized control trial, and the purpose of this study is to determine the "Effects of Facilitated Positional Release Technique ( FPRT) Vs Manual Myofascial Release Technique in Female Patients with Piriformis Syndrome.

Conditions

Piriformis Syndrome

Outcome Measures

Primary Outcomes (3)

• Piriformis Pain

  The NPRS which has eleven points ranging from zero (0) to ten (10) is used to quantify the degree of pain before and after. A score of 0 denotes "no pain", while score of 10 denotes: maximally felt pain".

  Before and after every 2 sessions for a total of 2 weeks

• Lower Extremity Functional Scale

  Lower extremity functional scale consisting of 20 questions about lower extremity function is used. The highest possible count is 80 points, indicating greatest function. The least possible count is 0 points, indicating poor function.

  Before and after every 2 sessions for a total of 2 weeks

• Range of Motion

  The ranges of hip abduction, hip adduction, hip internal and external rotations are measured using goniometer.

  Before and after every 2 sessions for a total of 2 weeks.

Study Arms (2)

Group A Positional Release group

ACTIVE COMPARATOR

On group A we will perform FACILITATED POSITIONAL RELEASE TECHNIQUE: we perform this technique on tight PIRIFORMIS muscle.

Procedure: FACILITATED POSITIONAL RELEASE TECHNIQUE

Group B Myofascial release group

EXPERIMENTAL

On group B we perform MANUAL MYOFASCIAL RELEASE TECHNIQUE on tight PIRIFORMIS muscle same as group A

Procedure: MANUAL MYOFASCIAL RELEASE TECHNIQUE

Interventions

FACILITATED POSITIONAL RELEASE TECHNIQUE PROCEDURE

Participants in experimental group A receive FPRT as a main intervention along with piriformis stretches. 30 minutes' session starts with application of 10 minutes hot pack, followed by FPRT and stretches respectively. For FPRT, the patient position was prone with the hip flexion approximately (60°-90°) and abduction. The therapist was seated on the side that was affected, and the treated leg was hanging off the table with the knee bent resting on the therapist thigh. The painful tender area was felt in the piriformis muscle's belly around midway between the greater trochanter and the inferior lateral angle of sacrum. At the point when tender area was palpated, therapist applied ischemic pressure over the area with finger pads. Pressure hold for 1 minute and two repetitions were performed (2 minutes' pressure for whole was given). After that piriformis stretches were performed with 5reps\*5 sec hold\*1set.

Group A Positional Release group

MANUAL MYOFASCIAL RELEASE TECHNIQUE PROCEDURE

Experimental Group B participants received MFRT as a main intervention along with application of hot pack and piriformis stretches. They also received 30 min session started with application of hot pack for 10 minutes followed by MFRT and piriformis stretches. For application of MFRT patient was in prone lying position. The therapist was standing at the affected/unaffected side of the patient. Myofascial release was provided, using the therapist's palm, finger pads or elbow directly on the piriformis muscle, pressure was provided on the tender area directly and held for a while (60 seconds approx.) and 3 repetitions were performed. Back and forth little kneading motions were applied in accordance with the muscle fiber's direction. After MFRT piriformis stretches were performed with frequency of 5 repetitions \*5 second hold\* 1 set.

Group B Myofascial release group

Eligibility Criteria

• Age: 25 Years - 50 Years
• Gender Eligibility Details: 25 to 50 years females suffering from piriformis syndrome
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 25-50 years Only females Diagnosed piriformis syndrome Pain from 2 months

You may not qualify if:

• Lumbar Radiculopathy Fracture trauma to lumbar spine surgery/ total hip replacement hip OA

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Islamabad, 44000, Pakistan

RECRUITING

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

Central Study Contacts

Fariya Maryam, DPT

CONTACT

+923102541357; fariyamaryam9@gmail.com

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: SPONSOR

Model Details: Randomized Control Trial

Study Record Dates

• First Submitted: June 1, 2025
• First Posted: July 1, 2025
• Study Start: July 26, 2024
• Primary Completion: August 20, 2025
• Study Completion: August 20, 2025
• Last Updated: July 1, 2025

Record last verified: 2025-06

Locations

PA (1)