Muscle Energy Technique and Stretching Exercise in Working Pregnant Women With Piriformis Syndrome

Not Applicable

Recruiting

• Conditions: Piriformis Syndrome
• Interventions: Other: stretching exercise; Other: muscle energy technique

• Registration Number: NCT05915858
• Lead Sponsor: Riphah International University

Brief Summary

Piriformis syndrome is a neuro muscular disorder which occur due to the compression and irritation of the sciatic nerve by the piriformis muscle causing pain, tingling, and numbness in the buttocks and along the sciatic nerve. Muscle energy technique is one of manual technique in which the muscle uses its own energy in the form of isometric contraction to relax the muscle by the autogenic inhibition of reciprocal inhibition. Reciprocal inhibition in muscle energy technique was succeeded in relieving pain and improves flexibility.

Detailed Description

Piriformis syndrome is a neuro muscular disorder which occur due to the compression and irritation of the sciatic nerve by the piriformis muscle causing pain, tingling, and numbness in the buttocks and along the sciatic nerve. Muscle energy technique is one of manual technique in which the muscle uses its own energy in the form of isometric contraction to relax the muscle by the autogenic inhibition of reciprocal inhibition. Reciprocal inhibition in muscle energy technique was succeeded in relieving pain and improves flexibility. Stretching exercises improves physical performance ability, prevents injury, reduces muscle pain and increases flexibility. Both muscle energy technique and stretching has shown significant improvement in reducing pain and lower extremity function and increase range of motion.

Randomized clinical trial will be conducted. Sample size of 30 patients will be taken. Non probability convenient sampling will be used.A written consent form will be taken from participants meeting inclusion criteria and will be randomly allocated into two groups, to either the muscle energy technique group or stretching exercises group.Treatment will be given twice a week for twelve treatment session..Numeric pain rating scale will be used to measure the intensity of pain,Lower extremity functional scale will be used to access lower extremity function. Standard goniometer is used to measure hip joint range of motion.All participants in both groups will be evaluated before and after treatment programme.Total duration of study will be six months.Data will be analyzed by using SPSS 25. Key words Muscle energy technique,Stretching exercises,Piriformis syndrome,Pain,Range of motion

Study Timeline

• Study Start: 2023-02-02
• Status Verified: 2023-06
• Study First Submitted: 2023-06-14
• Study First Submitted QC: 2023-06-14
• Last Update Submitted: 2023-06-14
• Study First Posted: 2023-06-23
• Last Update Posted: 2023-06-23
• Primary Completion: 2023-08-20
• Study Completion: 2023-08-20

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 30

Inclusion Criteria

• Age between 25-45 years .
• Tenderness of piriformis muscle.
• Chronic non-specific low back pain patients.
• Women in second trimester of pregnancy
• Multiparous women
• SLR positive below 60 degrees .
• VAS score: 6-10
• Internal rotation of hip less than 45 degrees.

Exclusion Criteria

• SLR negative test
• Skin allergy
• Pre-eclampsia
• Gestational diabetes mellitus
• Clinical diagnosis of osteoarthritis or history of fracture of lower extremities

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
stretching exercise	stretching exercise	stretching exercises along with piriformis stretch
muscle energy technique	muscle energy technique	muscle energy technique

Primary Outcome Measures

Name	Time	Method
Numeric pain rating scale	6months	Measurement of pain intensity was done by using numeric pain rating scale.it is reliable and valid.subjects were explained about the scale and instructed to indicate the intensity of current,best and worst pain on a scale of zero(no pain) to ten(worst pain)

Secondary Outcome Measures

Name	Time	Method
Measurements of pain Intensity	6months	measurement were taking at pre intervention and post intervention after the end of second week intervention.(10) Lower extremity functional scale Lower extremity functional scale is a questionnaire containing twenty question about persons ability to perform everyday task.The LEFS can be used by clinician as a measure of patients initial function,ongoing progress and out come as well as to set functional goals.; The LEFS has maximum scores of 80 points where lower the score greater disability

Trial Locations

Locations (1)

Lady Willington; 🇵🇰 Lahore, Punjab, Pakistan