Comparative Effects of Stecco-fascial Manipulation and Rolfing Structural Integration in Patients With Piriformis Syndrome

NCT07322185 | Enrolling By Invitation DMC

• 1 other identifier: kuhs/dpt/umt-skt-026
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 3

Brief Summary

This study aims to compare the effectiveness of Stecco Fascial Manipulation and Rolfing Structural Integration in treating Piriformis syndrome, focusing on special outcomes like pain severity and functional outcomes. comparison will be done to check the effectiveness of Stecco-fascial Manipulation and Rolfing Structural Integration on patients of both groups. participants will:

1. 1.get the treatment according to their respective groups
2. 2.Both groups were given 4 sessions for 4 weeks.

Conditions

Piriformis Syndrome

Keywords

Stecco-fascial Manipulation; Rolfing Structural Integration; Piriformis Muscle Syndrome; Manual Lymphatic Drainage; Muscle Recruitment

Outcome Measures

Primary Outcomes (2)

• Change From Baseline in Pain Intensity as Measured by the Numerical Pain Rating Rating Scale (NPRS)

  The Numerical Pain Rating Scale (NPRS) is a self-intensity on an 11-point scale, ranging from 0 (no pain) to 10 (worst possible pain). It is widely used in both clinical and research demonstrated strong reliability and validity in measuring Scale (NPRS) is a self-reported tool used to assess pain point scale, ranging from 0 (no pain) to 10 (worst possible pain). It is research settings for musculoskeletal conditions, strong reliability and validity in measuring both acute and chronic pain reported tool used to assess pain point scale, ranging from 0 (no pain) to 10 (worst possible pain). It is conditions, and it has both acute and chronic pain

  4 Weeks

• Universal Goniometer

  A goniometer is an instrument used objective and reliable values that help evaluate mobility limitations i disorders such as piriformis syndrome used to measure joint range of motion (ROM). It provides objective and reliable values that help evaluate mobility limitations in musculoskeletal disorders such as piriformis syndrome.

  4 Weeks

Secondary Outcomes (2)

• FAIR Test

  4 Weeks

• Slump Test

  4 Weeks

Study Arms (2)

GROUP A ( Stecco fascial Manipulation)

EXPERIMENTAL

GROUP A ( Stecco fascial Manipulation) containing 21 participants who will be given Stecco fascial Manipulation for 30 minutes along with the conventional physiotherapy.

Other: Experimental: GROUP A ( Stecco fascial Manipulation)

GROUP B (Rolfing Structural Integration)

EXPERIMENTAL

GROUP B (Rolfing Structural Integration) containing 21 participants who were given Rolfing Structural Integration for 30 minutes along with the conventional physiotherapy.

Other: Experimental: GROUP B (Rolfing Structural Integration)

Interventions

Experimental: GROUP A ( Stecco fascial Manipulation) OTHER

Stecco-fascial manipulation primary reduces pain, improves range of motion, restores normal muscle recruitment link in myofascial sequences, facilitates healing by improving microcirculation and lymphatic drainage.

GROUP A ( Stecco fascial Manipulation)

Experimental: GROUP B (Rolfing Structural Integration) OTHER

Rolfing structural integration improves posture, reduces pain, lengthens fascial planes and enhances the movement efficiency. This research will determine which approach is more effective in treating the patient with piriformis syndrome.

GROUP B (Rolfing Structural Integration)

Eligibility Criteria

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

You may qualify if:

• to 45 age group.
• For at least four weeks, there has been unilateral buttock discomfort, either with or without posterior thigh pain included buttock pain, pain that worsened when sitting.
• Positive slump test and fair test decrease ranges of hip NPRS greater than

You may not qualify if:

• Previous pelvic, ipsilateral hip, lumbar, or sacroiliac surgery that would have confused pain source.
• Evidence of lumbar radiculopathy or another spinal condition that could be the origin of the symptoms (matching MRI/CT revealing nerve root compression or disc herniation). progressive neurologic disease or neuromuscular disease (e.g., peripheral neuropathy, myopathy, neuromuscular junction diseases)28.
• During the research period, pregnancy or the planning of pregnancy (if interventions are employed) active pelvic or hip infection, malignancy, fracture, or systemic inflammation.

Sponsors & Collaborators

• Danyal Ahmad: lead

Study Sites (3)

Raheem Surgical Hospital Sambrial

Sambrial, Punjab Province, 51040, Pakistan

Location

Bethania Hospital Sialkot

Sialkot, Punjab Province, 51310, Pakistan

Location

University of Management and technology Sialkot Campus

Sialkot, Punjab Province, 51310, 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

• HAMZA ZAHID, MS OMPT

  University of Management and Technology Sialkot Pakistan

  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: SPONSOR INVESTIGATOR
• PI Title: Head Of Department (HOD)

Study Record Dates

• First Submitted: December 22, 2025
• First Posted: January 7, 2026
• Study Start: March 1, 2025
• Primary Completion: March 30, 2026
• Study Completion (Estimated): June 30, 2026
• Last Updated: January 7, 2026

Record last verified: 2025-12

Locations

PA (3)