Effects of Neural Mobilization and Stretching in Piriformis Syndrome

Bahria University40 enrolled

Overview

This study compares the effects of piriformis stretching and neural mobilization of the sciatic nerve in individuals with piriformis syndrome, a condition that is frequently characterized by hip and buttock pain and discomfort brought on by the piriformis muscle compressing the sciatic nerve.

In a study involving 40 patients diagnosed with sciatica, researchers aimed to investigate whether neural mobilization of the sciatic nerve or stretching of the piriformis muscle was more effective in treating piriformis syndrome. The patients were divided into two groups, each containing 20 individuals. Group A underwent neural mobilization therapy, while Group B performed piriformis muscle stretches, with both groups receiving treatment three times a week for two weeks. Assessments, including Visual Analog Scale (VAS) for pain, hip range of motion (ROM) in flexion, abduction, and external rotation, as well as the FAIR test, were conducted before and after the interventions.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Piriformis Syndrome

Interventions

Neural MobilizationOTHER

A total of 20 patients were selected in Group A received neural mobilization of sciatic nerves treatment for 3 days a week for 2 weeks

StretchingOTHER

A total of 20 patients were selected in Group B received stretching of piriformis muscle treatment for 3 days a week for 2 weeks

Eligibility

Sex: ALLMin age: 22 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Positive lasegue sign * Positive piriformis sign * Tenderness at sciatic notch (over piriformis muscle). Exclusion Criteria: * • Prior surgery of lumbar spine (laminectomy) * Unrecognized pelvic fracture * Known case of renal stones * Disc herniation in lumbar spine * Myositis ossificans of piriformis muscle.

Locations (1)

Isra Institute of Rehabilitation Sciences

Karachi, Sindh, Pakistan

Outcomes

Primary Outcomes

Pain Reduction

Two different interventions were applied in groups after which pain was recorded before and after through visual analogue scale. Highest score means high level of pain and lower score refers to low pain. Maximum score 9 was reported pre study and minmum score 2 was reported after study by both groups on average.

Time frame: 2 weeks

Increase Range of Motion

Through neural mobilization and piriformis stretching renage of motion was assessed through inclino meter before and after study

Time frame: 2 weeks

Data from ClinicalTrials.gov

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