ong-term Effects of Integrated Neuromuscular Inhibition Technique Compared with Positional Release Technique Or Stretching Exercises for Individuals with Piriformis Syndrome: A Randomized Controlled Trial

Musa Sani Danazumi0 sites60 target enrollmentAugust 20, 2021

Overview

No summary available.

Registry

who.int

Start Date

August 20, 2021

End Date

TBD

Last Updated

2 years ago

Study Type

Interventional

Sex

All

Sponsor

Musa Sani Danazumi

•Male and female participants aged 19 years and older with leg or buttock pain diagnosed as having a chronic (3 months or longer) PS without any spinal pathology or involvement will be eligible for enrollment in the study. The diagnostic criteria included: (1\) unilateral buttock pain and radiculopathy due to spasms of the piriformis muscle or sciatic nerve compression; (2\) buttock pain aggravated when sitting; (3\) external tenderness near the greater sciatic notch and pain with any maneuver (e.g., pain with passive internal rotation of the hip \[Freiberg sign]; provocation of sciatic symptoms by lifting and holding the affected leg 4 inches off the table when the participant lies on the unaffected leg (Beatty test); and reproduction of sciatic symptoms using a flexion, adduction, and internal rotation (FAIR) test performed with the patient in a lateral recumbent position with the affected side up, the hip flexed to an angle of 60°, the knee flexed to an angle of 60°–90° while stabilizing the hip, and the examiner internally rotating and adducting the hip by applying downward pressure to the knee) that increased piriformis muscle tension; and (4\) limited straight leg raising ability.

•Participants with the following will be excluded: (1\) psychiatric conditions that would have made it difficult to provide consent, as assessed by one author (M.S.D.) using Mini\-Mental State Examinations; (2\) any pathology or recent injury around the hip, sacroiliac joint, or lumbar spine; (3\) limb length discrepancy; (4\) recent buttock trauma and bladder/bowel dysfunction; or (5\) deep gluteal syndrome (entrapment of sciatic nerve in the deep gluteal space) or extrapelvic compression of the sciatic nerve or sacral plexus including sciatic neuritis due to gamelli\-obturator internus syndrome, compression of the pudendal nerves or increased mechanical stress on the innominate bones, compression of the fibular branch of the sciatic nerve, ischiogluteal/ischiofemoral bursitis or impingement, upper hamstrings tendinitis, or referred pain from gastrointestinal or pelvic causes (including colon cancer, endometriosis, and interstitial cystitis).