Radial Extracorporeal Shockwave Versus Low Level Laser Therapy in Management of Patients With Chronic Piriformis Muscle Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 63
- 试验地点
- 1
- 主要终点
- Assessing the change of body mass index
研究概览
简要总结
The study aims to compare the effects of radiation shockwave and low-level laser therapy on piriformis muscle thickness, lower extremity function, pain intensity, and hip range of motion in patients with piriformis syndrome.
详细描述
Low back pain affects 75%-84% of the general population in developed countries, with piriformis syndrome being more common in women. piriformis syndrome is a neuromuscular disorder caused by the compression of the sciatic nerve in the infra-piriformis canal, causing sciatic pain, tingling, and numbness. Few studies have examined the effectiveness of shockwave therapy in treating piriformis syndrome, but this study aims to compare results to improve treatment outcomes, save time and money, and add value to physical therapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Sixty patients' males and females with piriformis syndrome
- •Their age will range from 30-50 years old
- •Body mass index will be 25 to 30 (kg/m²).
- •Both males and females.
- •Low back pain radiating to posterior thigh, calf and Foot.
- •Chronic piriformis syndrome due to micro trauma.
- •Gluteal pain with or without radiation through sciatic nerve pathway.
- •Faber test and Fair test and Beatty test positive.
- •Diagnosed sub-acute and chronic piriformis syndrome.
- •One-sided piriformis syndrome.
- •Tenderness over lower back, buttocks and hip joint.
排除标准
- •Piriformis syndrome due to macro trauma.
- •Lumbo-sacral disc lesion and spinal stenosis.
- •Lumbar spondylolisthesis.
- •Pregnancy
- •Recent fracture and surgery of spine, hip, knee and Ankle.
- •Baker's cyst.
- •Degenerative disease of spine and hip.
- •Intermittent vascular claudication.
- •Past history of vertebral fracture and spinal surgery
- •Spinal tuberculosis.
- •Rheumatoid disease.
- •Disc pathology and mechanical back pain.
- •Presence of malignant disease.
研究组 & 干预措施
conventional program
twenty one patients of chronic piriformis muscle syndrome will be treated by the conventional physical therapy program in the form of (hot packs, local massage and stretching exercise) for 6 weeks (two times per week).
干预措施: Conventional treatment (Other)
Radial Extracorporeal shock wave
twenty one patients of chronic piriformis muscle syndrome will be treated with Radial Extracorporeal shock wave in addition to the conventional physical therapy program in the form of (hot packs, local massage and stretching exercise) for 6 weeks (two times per week).
干预措施: Conventional treatment (Other)
Radial Extracorporeal shock wave
twenty one patients of chronic piriformis muscle syndrome will be treated with Radial Extracorporeal shock wave in addition to the conventional physical therapy program in the form of (hot packs, local massage and stretching exercise) for 6 weeks (two times per week).
干预措施: shockwave therapy (Device)
low level laser therapy
twenty one patients of chronic piriformis muscle syndrome will be treated with low level laser therapy in addition to the conventional physical therapy program in the form of (hot packs, local massage and stretching exercise) for 6 weeks (two times per week).
干预措施: Conventional treatment (Other)
low level laser therapy
twenty one patients of chronic piriformis muscle syndrome will be treated with low level laser therapy in addition to the conventional physical therapy program in the form of (hot packs, local massage and stretching exercise) for 6 weeks (two times per week).
干预措施: low level laser therapy (Device)
结局指标
主要结局
Assessing the change of body mass index
时间窗: at baseline and after 6 weeks
Weight and height Scale will be used to measure body mass index
assessing the change of pain intensity
时间窗: at baseline and after 6 weeks
The 10-cm visual analogue scale has been proven reliable, valid, and responsive for assessing pain levels, with 0 indicating no pain and 10 indicating the worst pain possible, demonstrating its effectiveness in measuring pain.
次要结局
- assessing the change of functional status(at baseline and after 6 weeks)
- assessing the change of range of motion of lower limb(at baseline and after 6 weeks)
- assessing the change of piriformis muscle thickness(at baseline and after 6 weeks)
研究者
Mohamed Mahdi Ali Ibrahim
principal investigator
Cairo University