RecruitingNot ApplicableNCT06406023

Effectiveness of Instrument Assisted Soft Tissue Mobilization in Management of Piriformis Syndrome

Sponsor

Riphah International University

Enrollment

38 participants

Start Date

Jan 10, 2024

Study Type

INTERVENTIONAL

Conditions

Piriformis Syndrome

Summary

This study aims to assess the effectiveness of IASTM on pain, ROM, Disability and Quality of life among Piriformis Syndrome patients. This study will add to the growing body of knowledge as there are very limited researches done in Pakistan using IASTM in patients with Piriformis Syndrome.

Eligibility

Sex: FEMALEMin Age: 30 YearsMax Age: 65 Years

Inclusion Criteria7

Diagnosed patients of Piriformis syndrome.
Only females will be included in this study.
Participants aged 30-65 years.
Pain due to non-discogenic sciatic nerve entrapment in sub gluteal space.
Pain aggravated by prolonged sitting, lying, standing.
Positive FAIR test, Pace sign, Laseque sign, Beatty maneuver and Freiberg test.
Negative Kemp sign, Milgram's test, Bowstring test, Braggard test and Lasegue differential test.

Exclusion Criteria5

Patients with any Intrinsic Etiology such as Haemarthrosis, rheumatoid arthritis or infection.
Patients with any recent severe trauma, fractures, subluxation or ligament injury.
Malignancy, Open wound Fracture, DVT, Compartment syndrome, Pregnancy.
Patients with irreversible nerve damage.
Patients with lumbar disc herniation or any disc pathology.

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Interventions

OTHERConventional treatment

Hot pack will be applied for 10 minutes. AROM's of Hip (5 reps x 2 sets each). Piriformis stretch 3 reps x 20 sec hold x 2 sets. SLR (5reps x 10 sec hold x 2 sets). Sciatic nerve stretch (5 reps x 10 sec hold x 2 sets) for 3 days/ week for 2 weeks. Strengthening exercises will be performed after 2 weeks of previous intervention of Hip abductors (Hip abduction with band in sitting, standing, side-lying hip raise), and hip extensors (Gluteal bridges, Prone hip extension, Prone hams curl). (5 reps x 2 sets each). SLR (5 reps x 10 sec hold x 2 sets) each exercise will be performed 3 days/ week for 2 weeks. Total treatment protocol will be followed for 4 weeks. Each session will be of 30 minutes.

OTHERInstrument assisted soft tissue mobilization

Instrument assisted soft tissue mobilization IASTM with Graston tool along with conventional treatment in first 6 sessions. Apply hot pack for 10 mins on low back as passive warm up then AROM's of Hip (5 reps x 2 sets each) will be performed. Apply Graston tool at 30-60 degrees angle along the length of following muscles Piriformis, Gluteus medius and Hamstrings after applying emollient for 40-120 seconds.