Telerehabilitation vs. Home Exercise in Piriformis Syndrome: A Comparative Study

NCT07502573 | Enrolling By Invitation DMC

• 1 other identifier: 2026-333
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to compare the effects of asynchronous telerehabilitation and home exercise programs on pain, fear of pain, functionality, and performance in individuals with piriformis syndrome.

Conditions

Piriformis Syndrome; Exercise Training; Telerehabilitation

Keywords

telerehabilitation; exercise training; piriformis syndrome; pain; physical performance

Outcome Measures

Primary Outcomes (1)

• Physical performance

  The Timed Up and Go Test (TUG) measures the time it takes for an individual to stand up from a chair upon command, walk around a point 3 meters away, and return to sit in the chair. A time exceeding 15 seconds indicates a risk of falling.

  before and after 8 week exercise programme

Secondary Outcomes (1)

• pain catastrophise

  before and after the 8 week exercise programme

Study Arms (2)

physical performance

ACTIVE COMPARATOR

Participants evaluted with 5 times sit stand test

Behavioral: Home exercise programme; Behavioral: telerehabilitation

pain

ACTIVE COMPARATOR

Pain levels of participants will evaluated

Behavioral: Home exercise programme; Behavioral: telerehabilitation

Interventions

Home exercise programme BEHAVIORAL

Applications to be used for telerehabilitation: Musclewiki, YouTube (Medstar Health) may be used. Participants will be directed to exercise for 45 minutes, 3 days a week, via recorded videos sent to them. The difficulty level of the exercises is planned to increase every two weeks.

pain; physical performance

telerehabilitation BEHAVIORAL

Applications to be used for telerehabilitation: Musclewiki, YouTube (Medstar Health) may be used. Participants will be directed to exercise for 45 minutes, 3 days a week, via recorded videos sent to them. The difficulty level of the exercises is planned to increase every two weeks.

pain; physical performance

Eligibility Criteria

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

You may qualify if:

• Be between the ages of 18 and 45,
• Be willing to participate in the study,
• Have been diagnosed with piriformis syndrome by a specialist doctor,
• Have positive Fair and Lasegue tests,
• Have pain between 3 and 9 on the Numerical Pain Scale,

You may not qualify if:

• Bilateral pain,
• Having a systemic disease,
• Recent injury to the lower extremity, having undergone surgery, having a pathology,
• Sacroiliac joint dysfunction, disc herniation, facet joint problem
• Having congenital problems,
• Having cognitive problems,

Sponsors & Collaborators

• Hacettepe University: lead
• Kocaeli City Hospital: collaborator
• Saglik Bilimleri Universitesi: collaborator

Study Sites (1)

Saglik Bilimleri University

Ankara, Kecioren, 06018, Turkey (Türkiye)

Location

Related Publications (4)

• Özden, F., Sarı, Z., Karaman, Ö.N. et al. The effect of video exercise-based telerehabilitation on clinical outcomes, expectation, satisfaction, and motivation in patients with chronic low back pain. Ir J Med Sci 191, 1229-1239 (2022). https://doi.org/10.1007/s11845-021-02727-8

  BACKGROUND

• Onan D, Demirci E, Turhan E, Ulger O. Spinal stabilization exercises for transversus abdominis and lumbar multifidus thickness via telerehabilitation and face-to-face approaches in patients with nonspecific chronic neck pain: a randomized controlled trial. Turk J Med Sci. 2024 Jul 12;54(4):811-821. doi: 10.55730/1300-0144.5853. eCollection 2024.

  PMID: 39295626 BACKGROUND

• Munoz-Tomas MT, Burillo-Lafuente M, Vicente-Parra A, Sanz-Rubio MC, Suarez-Serrano C, Marcen-Roman Y, Franco-Sierra MA. Telerehabilitation as a Therapeutic Exercise Tool versus Face-to-Face Physiotherapy: A Systematic Review. Int J Environ Res Public Health. 2023 Feb 28;20(5):4358. doi: 10.3390/ijerph20054358.

  PMID: 36901375 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

MeSH Terms

Conditions

Piriformis Muscle Syndrome; Pain

Interventions

Telerehabilitation

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

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services; Telemedicine; Delivery of Health Care; Patient Care Management; Health Services Administration

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Participants will be grouped using simple randomization. To prevent bias, randomization will be performed using the opaque sealed envelope method with one-to-one instant randomization.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: associate professor

Model Details: Stretching and nerve mobilization exercises will be performed before other exercises in telerehabilitation and home program groups. These exercises will be demonstrated to participants by the physical therapist in person during the first session.

Study Record Dates

• First Submitted: March 25, 2026
• First Posted: March 31, 2026
• Study Start: March 1, 2026
• Primary Completion (Estimated): September 1, 2026
• Study Completion (Estimated): May 30, 2027
• Last Updated: April 20, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)