This study aims to compare the effectiveness of Stecco Fascial Manipulation and Rolfing Structural Integration in treating Piriformis syndrome, focusing on special outcomes like pain severity and functional outcomes. comparison will be done to check the effectiveness of Stecco-fascial Manipulation and Rolfing Structural Integration on patients of both groups. participants will: 1. get the treatment according to their respective groups 2. Both groups were given 4 sessions for 4 weeks.
This study will be a randomized clinical trial with a sample size of 42 participants as calculated with g power tool with 5% of attrition added. Subjects will be obtained by non- probability convenient sampling based on the inclusion and exclusion criteria. Participants will be randomly assigned into two groups, 21 subjects in each group. The group A will receive the stecco fascial manipulation along with the conventional therapy while group B will receive the rolfing structural integration along with conventional therapy. The conventional physiotherapy protocol will include TENS applied with a Hot- pack for 10 minutes that will be followed by piriformis stretch.The data analysis will be done by IBM SPSS 26.0 version. To check the normality Shaprio- Wilk test will be used.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
42
Stecco-fascial manipulation primary reduces pain, improves range of motion, restores normal muscle recruitment link in myofascial sequences, facilitates healing by improving microcirculation and lymphatic drainage.
Rolfing structural integration improves posture, reduces pain, lengthens fascial planes and enhances the movement efficiency. This research will determine which approach is more effective in treating the patient with piriformis syndrome.
Raheem Surgical Hospital Sambrial
Sambrial, Punjab Province, Pakistan
Bethania Hospital Sialkot
Sialkot, Punjab Province, Pakistan
University of Management and technology Sialkot Campus
Sialkot, Punjab Province, Pakistan
Change From Baseline in Pain Intensity as Measured by the Numerical Pain Rating Rating Scale (NPRS)
The Numerical Pain Rating Scale (NPRS) is a self-intensity on an 11-point scale, ranging from 0 (no pain) to 10 (worst possible pain). It is widely used in both clinical and research demonstrated strong reliability and validity in measuring Scale (NPRS) is a self-reported tool used to assess pain point scale, ranging from 0 (no pain) to 10 (worst possible pain). It is research settings for musculoskeletal conditions, strong reliability and validity in measuring both acute and chronic pain reported tool used to assess pain point scale, ranging from 0 (no pain) to 10 (worst possible pain). It is conditions, and it has both acute and chronic pain
Time frame: 4 Weeks
Universal Goniometer
A goniometer is an instrument used objective and reliable values that help evaluate mobility limitations i disorders such as piriformis syndrome used to measure joint range of motion (ROM). It provides objective and reliable values that help evaluate mobility limitations in musculoskeletal disorders such as piriformis syndrome.
Time frame: 4 Weeks
FAIR Test
The FAIR (Flexion, Adduction, and Internal Rotation) test is a provocation test specifically designed for diagnosing piriformis syndrome. It reproduces symptoms by stretching the piriformis muscle, The FAIR (Flexion, Adduction, and Internal Rotation) test is a provocation test specifically designed for diagnosing piriformis syndrome. It reproduces symptoms by which may compress or irritate the sciatic nerve. The FAIR (Flexion, Adduction, and Internal Rotation) test is a provocation test specifically designed for diagnosing piriformis syndrome. It reproduces symptoms by sciatic nerve. This test has been validated as a reliable diagnostic too has been validated as a reliable diagnostic tool in piriformis-related case
Time frame: 4 Weeks
Slump Test
The Slump test is a neurodynamic examination used to assess neural tension, particularly performed by placing the patient in a seated slumped tension, particularly slumped position with controlled spinal and limb movements, helping to reproduce neurological symptoms The Slump test is a neurodynamic examination used to assess neural of the sciatic nerve. It is performed with controlled spinal and limb movements, helping to reproduce neurological symptoms associated with lumbosacral or piriformis with controlled spinal and limb movements, helping to reproduce neurological symptoms associated with lumbosacral or piriformis-related condition.
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Time frame: 4 Weeks