Combined Effects of Foam Rolling and Dynamic Stretching in Patients With Piriformis Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Goniometer
研究概览
简要总结
To compare the combined effects of foam rolling and dynamic stretching in patients with piriformis syndrome.
- Warm-Up (2-3 minutes) Objective: Increase blood flow and prepare muscles for stretching.
- Marching in Place - 30 seconds
- Pelvic Tilts - 10 reps
- Gentle Hip Circles - 10 reps each direction
- Intervention Phase (8-10 minutes) Group 1: Foam Rolling Alone (FR) (~10 minutes)
- Piriformis Foam Rolling: 30-60 sec per side (2-3 sets)
- Glutes & Lower Back Foam Rolling: 30 sec each (2-3 sets)
- Hamstrings & IT Band Foam Rolling: 30 sec each (2-3 sets)
Focus: Slow, controlled rolling with sustained pressure on tender spots. Group 2: Foam Rolling + Dynamic Stretching (FR+DS) (~10-12 minutes) Step 1: Foam Rolling (~5-6 minutes, same as Group 1) Step 2: Dynamic Stretching (~5-6 minutes)
- Dynamic Piriformis Stretch: Standing knee-to-opposite-shoulder pull (10 reps per leg)
- Leg Swings: Forward and sideways (10 reps each leg)
- Walking Lunges with Rotation: 10 reps per leg
- Hip Circles & Controlled Butt Kicks: 10 reps each
- Cool-Down (2-3 minutes) Objective: Reduce muscle tension and promote recovery.
- Seated Piriformis Stretch: 30 sec hold per side (2 sets)
- Hamstring Stretch: 30 sec hold per leg
- Lower Back Stretch (Child's Pose): 30 sec
Progression & Adjustments
- Gradual increase in duration or intensity as tolerated.
- Modify exercises if discomfort or pain occurs.
- After week 4, increase dynamic stretch duration if flexibility improves.
Outcome Measures
The effectiveness of the intervention will be assessed through the following key outcome measures:
- Pain Level - Evaluating changes in discomfort intensity during daily activities and movement.
- Range of Motion (ROM) - Measuring improvements in hip flexibility and mobility.
详细描述
To compare the combined effects of foam rolling and dynamic stretching in patients with piriformis syndrome.
Inclusion Criteria:
- Age 35-50 years diagnosed with Piriformis Syndrome based on clinical findings. (Chang et al., 2024)
- Having positive FAIR test is commonly used to diagnose piriformis syndrome.
- Pain intensity of at least 4 on the numeric pain rating scale (NPRS) at baseline(A Penichet-Tomas et al., 2021).
DIAGNOSTIC CRITERIA OF PIRIFORMIS SYNDROME
The diagnostic criteria for piriformis syndrome include clinical history, physical examination findings. The symptoms include buttock pain radiating to the posterior thigh or leg, worsened by sitting, climbing stairs, or activities that stretch the piriformis muscle. Physical examination, tenderness over the piriformis muscle or sciatic notch and a positive FAIR test (Flexion, Adduction, and Internal Rotation) are indicative. Additional tests, such as the Pace test and Straight Leg Raise with external rotation.
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
Masking Description
入排标准
- 年龄范围
- 35 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 35-50 years diagnosed with Piriformis Syndrome based on clinical findings. (Chang et al., 2024)
- •Having positive FAIR test is commonly used to diagnose piriformis syndrome.
- •Pain intensity of at least 4 on the numeric pain rating scale (NPRS) at baseline(A Penichet-Tomas et al., 2021).
- •DIAGNOSTIC CRITERIA OF PIRIFORMIS SYNDROME
- •The diagnostic criteria for piriformis syndrome include clinical history, physical examination findings. The symptoms include buttock pain radiating to the posterior thigh or leg, worsened by sitting, climbing stairs, or activities that stretch the piriformis muscle. Physical examination, tenderness over the piriformis muscle or sciatic notch and a positive FAIR test (Flexion, Adduction, and Internal Rotation) are indicative. Additional tests, such as the Pace test and Straight Leg Raise with external rotation.
排除标准
- •Current use of medications such as strong analgesics or muscle relaxants. (e.g., injections, surgery) within the last three months.
- •Uncontrolled medical conditions, such as active infections, cancer, or cardiovascular issues that may interfere with the study or the participant's ability to complete the protocol safely(Alfonso Penichet-Tomas et al., 2021).
- •History of lumbar disc herniation, spinal stenosis, or other serious lumbar spine pathologies that may cause similar symptoms.
- •Prior surgeries in the lumbar spine, hip, or pelvis that may interfere with the study's outcomes(Pişirici et al., 2020).
结局指标
主要结局
Goniometer
时间窗: At baseline, 4th week and 8th week
Range of motion will be measured using the Goniometer. Its primary function is external rotation of the hip with a normal range of motion (ROM) of 0°- 45°additionally, the piriformis assists in hip abduction with a typical range of 0°-45°. Interestingly, the piriformis also supports internal rotation with a normal ROM of 0°-35°.
NPRS (Numeric pain rating scale)
时间窗: Each outcome variable will be measured at baseline, mid-intervention and post-intervention
Pain will be measured using the NPRS (Numeric pain rating scale) which assesses the intensity of pain on a scale ranging from 0 no pain to 10 worst imaginable pain. Participants will report their pain levels at baseline and post-intervention to determine the efficacy of foam rolling and dynamic stretching
次要结局
- SF-12 (Short Form Health Survey)(At baseline, 4th week and 8th week)
研究者
Rabia Kanwal
PT
University of Lahore