Effects of Neural Mobilization and Stretching in Piriformis Syndrome

Not Applicable

Completed

• Conditions: Piriformis Syndrome

• Registration Number: NCT06808659
• Lead Sponsor: Bahria University

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 Timeline

• Study Start: 2018-05-02
• Primary Completion: 2018-11-10
• Study Completion: 2018-12-28
• Study First Submitted: 2024-11-29
• Status Verified: 2025-01
• Study First Submitted QC: 2025-01-29
• Last Update Submitted: 2025-01-29
• Study First Posted: 2025-02-05
• Last Update Posted: 2025-02-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Pain Reduction	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	2 weeks	Through neural mobilization and piriformis stretching renage of motion was assessed through inclino meter before and after study

Trial Locations

Locations (1)

Isra Institute of Rehabilitation Sciences; 🇵🇰 Karachi, Sindh, Pakistan