Effects of Reciprocal Inhibition Versus Post Facilitation Muscle Energy Technique Along With Conventional Physical Therapy in Patients With Piriformis Syndrome: a Randomized Controlled Trial
Foundation University Islamabad
44 participants
May 31, 2024
INTERVENTIONAL
Conditions
Summary
This study is a randomized controlled trial and the purpose of this study is to compare the effects of reciprocal inhibition versus post facilitation muscle energy technique along with conventional physical therapy in patients with piriformis syndrome in terms of pain, range of motion at hip joint and functional disability.
Eligibility
Inclusion Criteria6
- Age: 20-50 years
- Both Genders
- Chronic pain in buttock and hip area (≥ 3 on NPRS) lasting more than 3 months.
- Shortened piriformis muscle (Internal rotation less than 30°) on muscle length assessment.
- A score of ≥ 8 on a 12-point clinical scoring system.
- At least two positive screening tests.
Exclusion Criteria8
- Active infection
- Lower lumbar radiculopathy
- Sacroiliac joint dysfunction
- Malignancies
- History of trauma
- Hip Arthroplasty
- Rheumatoid/ Osteoarthritis
- Any neurological dysfunction
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Interventions
Reciprocal Inhibition MET will be applied to the shortened piriformis muscle in supine and prone positions with participants using 30-50% of their maximum voluntary isometric contraction. It will include 30-50% isometric contraction of the muscle opposite to the muscle to be stretched for 7-10 seconds, followed by inhalation, exhalation and rest period of 5 seconds and then a stretch (through the new barrier with patients' assistance) of 10-60 seconds hold. RI-MET group will receive 3-5 repetitions.
Post-facilitation stretch technique for shortened piriformis muscle in supine and prone positions will be applied with participants using 20% of their maximum voluntary isometric contraction. It will include 20% maximal isometric contraction of the muscle to be stretched for 6-10 seconds, followed by a rapid stretch (through the new barrier) of 15 seconds hold. After stretch, the muscle is allowed to relax in the midrange for up to 30 seconds. PFS-MET group will receive 3-5 repetitions.
TENS and hot pack application to provide heating effect over the painful area (10 minutes) Both groups will receive conventional physical therapy which they will be taught as a home plan. Following exercises are guided to the patient as home plan. * Resisted abduction with Thera/resistance band * Resisted bridging with Thera/resistance band * Resisted clam exercise with Thera/resistance band
Locations(1)
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NCT06534788