Effects of Hold Relax With Agonist Contraction and Active Release Therapy on Clinical Outcomes in Piriformis Syndrome

University of Lahore82 enrolled

Overview

The aim of this study is to compare the effects of hold relax agonist contraction and active release therapy on reducing pain intensity, improving functioning and sleep quality in patient with piriformis syndrome. Both these techniques are passive, non-invasive manual therapy techniques which are easy to perform and less time consuming and may yield better outcomes resulting improved quality of life.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Piriformis Syndrome

Interventions

Hold Relax with Agonist ContractionOTHER

1. Participant will be in prone lying and heating pad will be applied on gluteal region for 10 to 15 minutes. 2. Passive sustained stretch to piriformis will be applied for 10 seconds. 3. The participant will be asked to actively contract the muscle for about 10 seconds (isometric contraction) and then relax. 4. Immediately after that participant is ask to again actively contract the muscle against therapist resistance for 6-10 seconds. 5. Ask the participant to relax while therapist will apply stretch the muscle to its new tissue tension barrier position and this position will be maintained for 30 seconds. 6. This maneuver is repeated for 3 to 4 repetitions, each starting from where the previous finished.

Active Release TherapyOTHER

1. Specific muscle will be warmed up by applying heating pad for 10 to 15 minutes. 2. Patient will be positioned prone lying and the therapist will be standing at the side of affected limb. 3. Therapist will apply deep pressure at the area of tenderness while patient will actively move the limb from internal to external rotation repeatedly. 4. This maneuver will take about 15 minutes to complete in one session and will be applied alternatively 3 days a week for two weeks. 5. After this, cold pack is applied and general ROMs and strengthening exercises are performed to prevent soreness

Eligibility

Sex: ALLMin age: 25 YearsMax age: 55 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age group 25-55 years 2. Both male and female. 3. Gluteal pain with or without radicular symptoms. 4. Patients of piriformis syndrome diagnosed by orthopedic consultant. 5. Sub-acute and chronic piriformis syndrome. 6. Unilateral pain. 7. Pain score equal to and greater than 3 according to pain rating scale. Exclusion Criteria: 1. Intermittent vascular claudication and spondylolisthesis. 2. Past history of hip, femur or vertebral fracture 3. Past history of spinal surgery. 4. Spinal tuberculosis. 5. Rheumatoid disease. 6. Disc pathology, sacroiliac joint dysfunction or mechanical back pain. 7. History of infectious disease. 8. Leg length discrepancy. 9. Any postural abnormality or deformity.

Locations (1)

The University of Lahore

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Change in Pain Intensity

Numeric Pain Rating Scale will be used to measure the intensity of pain

Time frame: Pain score will be measured at the baseline, at end of first session and at 6th session on 2nd week

Change in Functional Disability

Ronald-Morris Disability Questionnaire will be used to a assess the level of disability

Time frame: Change in functional status will be measured at the baseline, at end of first session and at end of 6th session

Sleep Quality

Chronic Pain Sleep Inventory will be used to to assess the quality of sleep on a 100 mm VAS scale

Time frame: Sleep quality will be measured at the baseline, at end of first session and at end of 6th session

Data from ClinicalTrials.gov

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