Comparison of Efficacy of Ultrasound-Guided Steroid Injection and Dry Needling in Piriformis Muscle Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 主要终点
- Visual Analog Scale (VAS) (Resting)
研究概览
简要总结
The aim of this study is to to compare its effectiveness ultrasound-guided steroid injection, dry needling treatments and exercises in patients diagnosed with piriformis syndrome.
详细描述
Piriformis syndrome is a painful entrapment neuropathy caused by compression of the sciatic nerve under the piriformis muscle. The most common cause is myofascial pain syndrome. There is no gold standard treatment for piriformis syndrome. The main purpose of treatment methods is to reduce local pain, muscle tension and spasm. This work; it will contribute to the literature by comparing steroid, dry needling and exercise treatments in patients with piriformis syndrome.
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 (Outcomes Assessor)
盲法说明
Outcome measures will be evaluated by an independent physiatrist, blinded for the assigned treatment.
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 18-60,
- •Hip pain for ≥1 month
- •Local piriformis pain with prolonged sitting (>20 minutes) and increased sensitivity
- •Patients with suspected piriformis syndrome based on clinical maneuvers
- •Signing and informed consent from showing consent to participate in the study
排除标准
- •Hip surgery
- •Lumbar disc disease
- •History of inflammatory hip disease
- •Medical treatment for pain is started
- •Neurological deficit
- •Breastfeeding or pregnant
- •Allergy to local anesthetic
- •Use of anticoagulants
- •Body mass index >35
- •Active psychiatric illness
- •Uncontrolled hypertension and diabetes mellitus disease
- •Noncompensated chronic lung/heart/renal failure
- •History of vascular/tumoral disease
结局指标
主要结局
Visual Analog Scale (VAS) (Resting)
时间窗: at baseline and change from baseline VAS (resting) at 4 weeks and 12 weeks
Average hip pain intensity at rest over the past week is a visual analog scale. (VAS; ranging from 0 to 10, 0 = no pain and 10 = worst possible pain)
Visual Analogue Scale (VAS) (Sitting)
时间窗: at baseline and change from baseline VAS (sitting) at 4 weeks and 12 weeks
Average hip pain intensity in a sitting position over the past 24 hours, a visual analog scale. (VAS; ranging from 0 to 10, 0 = no pain and 10 = worst possible pain)
Visual Analog Scale (VAS) (Movement)
时间窗: at baseline and change from baseline VAS (movement) at 4 weeks and 12 weeks
Average hip pain intensity during movement over the past 1 week is a visual analog scale. (VAS; ranging from 0 to 10, 0 = no pain and 10 = worst possible pain)
次要结局
- Oswestry disability index (ODI)(at baseline and change from baseline ODI at 4 weeks and 12 weeks)
研究者
Yasin Demir
Associate Professor
Gaziler Physical Medicine and Rehabilitation Education and Research Hospital