Effects of Instrument-Assisted Soft Tissue Mobilization Versus Proprioceptive Neuromuscular Facilitation Stretching in Athletes With Piriformis Syndrome
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Numeric Pain Rating Scale
Study Overview
Brief Summary
A 12-month randomized controlled trial will be conducted at Pakistan Sports Board, Lahore, with 40 athletes (18-35 years) randomly allocated to IASTM (n=20) or PNF (n=20) groups. Interventions were administered 3 times/week for 4 weeks. Outcomes included Numeric Pain Rating Scale (NPRS), goniometric hip ROM, and Oswestry Disability Index (ODI).
Detailed Description
The objective of this study will be to compare the effectiveness of IASTM versus PNF stretching to manage Piriformis Syndrome in a 4 - week randomized controlled trial (RCT). Random allocation was done to the IASTM group or the PNF stretching group. Physiotherapy interventions to reduce pain, increase muscle flexibility and increase functional outcomes will be given to both groups.
Before the intervention, all participants will underween a comprehensive assessment, including:
- Numeric Pain Rating Scale (NPRS) for pain intensity
- Oswestry Disability Index (ODI) for functional disability
- Goniometric measurement for hip joint range of motion (ROM)
Group A: Instrument-Assisted Soft Tissue Mobilization (IASTM) Group
IASTM therapy was provided to participants in whom a specialized instrument was used to apply controlled pressure over the piriformis muscle as well as surrounding soft tissues. The procedure included:
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Masking Description
Assesor Blinded
Eligibility Criteria
- Ages
- 18 Years to 35 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Professional Athletes aged 18 to 35 years.
- •Chronic pain in the buttock and hip area.
- •Inability to sit for a prolonged time.
- •Athletes having positive Faber test
- •Both male and female athletes
- •Practicing athletes who are in practice from last 2 years.
Exclusion Criteria
- •Trauma history from last 6 months.
- •Other injuries excluding hip pain.
- •Systemic illness.
- •Pre-existing neurological conditions affecting the lower limbs
- •History of lower back surgery
Arms & Interventions
Instrument-Assisted Soft Tissue Mobilization
IASTM therapy will be provided to participants in whom a specialized instrument wwill be used to apply controlled pressure over the piriformis muscle as well as surrounding soft tissues.
Intervention: Instrument-Assisted Soft Tissue Mobilization (Other)
Proprioceptive Neuromuscular Facilitation Stretching
PNF stretching (contract relax; hold relax) was implemented to stretch participants' muscles as flexibly and with as much control as possible.
Intervention: Proprioceptive Neuromuscular Facilitation Stretching (Other)
Outcomes
Primary Outcomes
Numeric Pain Rating Scale
Time Frame: 6 weeks
Numeric Pain Rating Scale
Hip ROM
Time Frame: 6 weeks
Goniometry
Oswestry Disability Index
Time Frame: 6 weeks
Questionaire
Secondary Outcomes
No secondary outcomes reported