Comparative Effects of Neural Mobilization of Sciatic Nerve Versus Stretching Among Patients With Piriformis Syndrome
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Bahria University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Pain Reduction
Study Overview
Brief Summary
This study compares the effects of piriformis stretching and neural mobilization of the sciatic nerve in individuals with piriformis syndrome, a condition that is frequently characterized by hip and buttock pain and discomfort brought on by the piriformis muscle compressing the sciatic nerve.
Detailed Description
In a study involving 40 patients diagnosed with sciatica, researchers aimed to investigate whether neural mobilization of the sciatic nerve or stretching of the piriformis muscle was more effective in treating piriformis syndrome. The patients were divided into two groups, each containing 20 individuals. Group A underwent neural mobilization therapy, while Group B performed piriformis muscle stretches, with both groups receiving treatment three times a week for two weeks. Assessments, including Visual Analog Scale (VAS) for pain, hip range of motion (ROM) in flexion, abduction, and external rotation, as well as the FAIR test, were conducted before and after the interventions.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 22 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Positive lasegue sign
- •Positive piriformis sign
- •Tenderness at sciatic notch (over piriformis muscle).
Exclusion Criteria
- •• Prior surgery of lumbar spine (laminectomy)
- •Unrecognized pelvic fracture
- •Known case of renal stones
- •Disc herniation in lumbar spine
- •Myositis ossificans of piriformis muscle.
Arms & Interventions
Group A / Sciatic Nerve Mobilization
Sciatic Nerve Mobilization was given to group A participants.
Intervention: Neural Mobilization (Other)
Group B / Piriformis Muscle Stretching
Piriformis Muscles was stretched in group B participants.
Intervention: Stretching (Other)
Outcomes
Primary Outcomes
Pain Reduction
Time Frame: 2 weeks
Two different interventions were applied in groups after which pain was recorded before and after through visual analogue scale. Highest score means high level of pain and lower score refers to low pain. Maximum score 9 was reported pre study and minmum score 2 was reported after study by both groups on average.
Increase Range of Motion
Time Frame: 2 weeks
Through neural mobilization and piriformis stretching renage of motion was assessed through inclino meter before and after study
Secondary Outcomes
No secondary outcomes reported
Investigators
Rabia Khan
Assistant Professor
Bahria University