• To determine and compare the effectiveness of post facilitation stretch technique with myofascial release in the management of pain and range of motion in piriformis syndrome.
• To improve the quality of life of individuals suffering from Piriformis Syndrome.
Design
Community based, Parallel group, Single blind, Randomized controlled trial
Settings and conduct
Setting was Railway General Hospital, Rawalpindi. Single blind study
Participants/Inclusion and exclusion criteria
Inclusion Criteria:
Only Male Patients with Piriformis Tightness and pain along the distribution of Sciatic nerve
Age between 20-60
Exclusion Criteria:
Acute traumatic cases
Patient with disc Herniation
Spinal stenosis
Lumbar muscle strain
Back Pain
Intervention groups
Group A was treated with muscle energy technique (MET), Post facilitation stretch technique, 1 set of 5 repetition/ session, 3 sessions per week on alternate days & conventional physical therapy for six weeks.
Group B was treated with Myofascial release technique included 3 set of repetitions per session, 3 sessions per week on alternate days plus conventional Physical therapy. Treated for the period of six weeks. Initially sweep is given to gain analgesic effects. Generally it is applied for appropriate time to achieve desired effects. The position for Myofascial release technique was prone lying and side lying.
Effectiveness of Post Facilitation Stretch Technique versus Myofascial Release in Piriformis Syndrome; A Randomized Controlled Trial
Public title
Effectiveness of Post Facilitation Stretch Technique versus Myofascial Release in Piriformis Syndrome; A Randomized Controlled Trial
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Only male patients with piriformis muscle tightness
Patients with pain along the distribution of sciatic nerve
Aged between 20-60 years
Exclusion criteria:
Patients having spinal stenosis
Patients with lumbar muscle strain and facet arthrography
Acute traumatic cases
Disc herniation and back pain patients
Age
From 20 years old to 60 years old
Gender
Male
Phase
N/A
Groups that have been masked
Participant
Sample size
Target sample size:
40
Actual sample size reached:
30
Randomization (investigator's opinion)
Randomized
Randomization description
Recruited participants were randomly divided to two groups by coin tossing method.
Blinding (investigator's opinion)
Single blinded
Blinding description
The participants were not aware of their allotment to different groups. Apart that, they were also not aware of the treatment regarding the particular group being given to them.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Research ethical committee, RCRS.
Street address
274-Peshawer Road Rawalpindi
City
Islamabad
Postal code
46000
Approval date
2016-07-27, 1395/05/06
Ethics committee reference number
RIPHAH/RCRS/REC/Letter-000131
Health conditions studied
1
Description of health condition studied
Piriformis syndrome is one of the common causes of sciatic pain which negatively affects the activities of daily life of an individual and ultimately leads to poor quality of life. Stretching techniques have proven to produce optimal results in the management of piriformis syndrome; however, there is little evidence available on the type of the most effective stretching technique with respect to clinical outcome.
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Pain intensity, measured via Numeric pain rating scale (NPRS)
Timepoint
After 6 weeks
Method of measurement
Numeric Pain Rating Scale will be used to assess the Pain intensity level.
2
Description
Lower Extremity Functional level
Timepoint
After 6 weeks
Method of measurement
Lower Extremity Functional Scale (LEFS)
Secondary outcomes
1
Description
Rotation at joint and range of motion
Timepoint
After 6 weeks
Method of measurement
Goniometer
Intervention groups
1
Description
Intervention group:
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Research ethical committee, RCRS.
Full name of responsible person
Research ethical committee, RCRS.
Street address
274-Peshawer Road Rawalpindi
City
Islamabad
Postal code
46000
Phone
+92 51 8446000
Email
imran.amjad@riphah.edu.pk
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Riphah International University, Islamabad
Full name of responsible person
Dr. Imran Amjad
Street address
274-Peshawer Road Rawalpindi
City
Islamabad
Postal code
46000
Phone
+92 51 8446000
Email
imran.amjad@riphah.edu.pk
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Riphah International University, Islamabad
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Shifa Tameer e Millat University
Full name of responsible person
Dr. Muhammad Junaid Akram
Position
Lecturer
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Pitras Bukhari Road, H-8/1
City
Islamabad
Province
Islamabad
Postal code
44000
Phone
+92 51 8438060
Email
drjunaidmalik2@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Shifa Tameer e Millat University
Full name of responsible person
Dr. Muhammad Junaid Akram
Position
Lecturer
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Pitras Bukhari Road, H-8/1
City
Islamabad
Province
Islamabad
Postal code
44000
Phone
+92 51 8438060
Email
drjunaidmalik2@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Shifa Tameer e Millat University
Full name of responsible person
Dr. Muhammad Junaid Akram
Position
Lecturer
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Pitras Buhari Road, H-8/1
City
Islamabad
Province
Islamabad
Postal code
44000
Phone
+92 51 8438060
Email
drjunaidmalik2@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD