Graston vs Manual Myofascial Release Technique in Piriformis Syndrome.

Not Applicable

Completed

• Conditions: Piriformis Syndrome
• Interventions: Other: Graston; Other: Manual myofascial release

• Registration Number: NCT04588779
• Lead Sponsor: Riphah International University

Brief Summary

The objective of our study is to compare the effects of Graston and manual myofascial release technique on pain, muscle length and functional status in patients with Piriformis syndrome.

Detailed Description

In 2019, a study was conducted to conclude the effectiveness of Passive stretching v/s Myofascial release in improving Piriformis flexibility in females. They reported that myofascial release was more valuable than passive stretching exercises in enhancing piriformis flexibility in patients with piriformis tightness.

According to another study in 2018, after a single treatment, compressive myofascial release showed more improvement in ankle dorsiflexion than Graston technique, in participants with decrease dorsiflexion range.

In 2016, a study reported the effects of the Graston technique and general exercise in patients with chronic low back pain. Graston group showed greater improvement in pain and range of motion in patients with chronic low back pain.

According to a study conducted in 2014, self-myofascial release was more effective than Graston technique in improving knee joint flexibility, hamstring, and quadriceps strength.

In 2011, a study evaluated the effectiveness of deep soft tissue mobilization techniques and stretching exercises in piriformis syndrome and found that the deep soft tissue mobilization techniques along with stretching exercises significantly improved the piriformis syndrome.

Study Timeline

• Study Start: 2020-01-11
• Primary Completion: 2020-09-17
• Study Completion: 2020-09-24
• Status Verified: 2020-10
• Study First Submitted: 2020-10-09
• Study First Submitted QC: 2020-10-09
• Last Update Submitted: 2020-10-09
• Study First Posted: 2020-10-19
• Last Update Posted: 2020-10-19

Recruitment & Eligibility

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

Inclusion Criteria

•

• Pain more than 1 month.
• Piriformis syndrome diagnosed through screening test (FAIR test, Beatty test, Freiberg test, Sign of Pace)

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Exclusion Criteria

• Leg pain due to causes other than piriformis syndrome.
• Congenital spinal deformity.
• History of fracture.
• History of back or hip surgery.
• Any systemic illness like metastatic or infective disorders.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Graston	Graston	Ultrasound, Graston technique, piriformis stretching, home plan (hip abductor and extensor strengthening)
Manual myofascial release	Manual myofascial release	Ultrasound, Manual myofascial release, piriformis stretching, home plan (hip abductor and extensor strengthening)

Primary Outcome Measures

Name	Time	Method
Lower extremity functional scale	9th day	Changes from baseline and after 1st session, lower extremity functional scale is used to measure the functional status of patients with piriformis syndrome.
Numeric Pain Rating Scale	9th day	Changes from baseline and after 1st session, Numeric pain rating scale is a scale from 0 to 10. 0 indicating no pain and 10 indicating worse pain.
Piriformis muscle length	9th day	Changes from baseline and after 1st session, in prone lying range of internal rotation is measured for piriformis muscle length

Secondary Outcome Measures

Name	Time	Method
Straight leg raise	9th day	Changes from baseline and after 1st session, goniometer is used to measure the straight leg raise range.

Trial Locations

Locations (1)

Federal government polyclinic hospital; 🇵🇰 Islamabad, Fedral, Pakistan