Effects of Reciprocal Inhibition Versus Post Facilitation Muscle Energy Technique Along With Conventional Physical Therapy in Patients With Piriformis Syndrome: a Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 44
- Locations
- 2
- Primary Endpoint
- Pain Intensity
Study Overview
Brief Summary
This study is a randomized controlled trial and the purpose of this study is to compare the effects of reciprocal inhibition versus post facilitation muscle energy technique along with conventional physical therapy in patients with piriformis syndrome in terms of pain, range of motion at hip joint and functional disability.
Detailed Description
This study aims to compare the effects of reciprocal inhibition with post facilitation muscle energy technique along with conventional physical therapy in terms of pain, functional disability and range of motion at hip joint in patients with piriformis syndrome to find the best suitable and effective treatment for it based on the outcomes.
Males and females between the age of 20-50 years, having buttock pain of ≥ 3 on NPRS since 3 months or more and a score of ≥ 8 on a 12-point clinical scoring system as well as any two of the positive screening tests will be recruited in this study as patients of piriformis syndrome.
These subjects will be selected via non-probability purposive sampling technique, followed by randomization into two groups using blocked randomization method.
A total of 6 treatment sessions will be given to each participant over the duration of 2 weeks with a total of 3 follow-ups after every 2 sessions.
TENS and hot pack followed by reciprocal inhibition technique will be given to the experimental group A, while the active comparator group B will be given TENS and hot pack followed by post-facilitation muscle energy technique.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Masking Description
This will be a single blinded study because the treatment of both study group and control group will be done by the researcher and only the participants will be kept blinded about the allocation of participants to either the active comparator group or experimantal group.
Eligibility Criteria
- Ages
- 20 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age: 20-50 years
- •Both Genders
- •Chronic pain in buttock and hip area (≥ 3 on NPRS) lasting more than 3 months.
- •Shortened piriformis muscle (Internal rotation less than 30°) on muscle length assessment.
- •A score of ≥ 8 on a 12-point clinical scoring system.
- •At least two positive screening tests.
Exclusion Criteria
- •Active infection
- •Lower lumbar radiculopathy
- •Sacroiliac joint dysfunction
- •Malignancies
- •History of trauma
- •Hip Arthroplasty
- •Rheumatoid/ Osteoarthritis
- •Any neurological dysfunction
Outcomes
Primary Outcomes
Pain Intensity
Time Frame: 2 weeks
The pre and post pain intensity will be measured using Numeric Pain Rating Scale (NPRS) comprising of 11 points from 0 - 10 where 0 indicates "no pain" while 10 is "maximally felt pain".
Hip range of motion
Time Frame: 2 weeks
Goniometer will be used to measure the pre and post treatment ranges of internal rotation, external rotation, abduction and adduction at hip joint in supine and sitting positions.
Functional Disability
Time Frame: 2 weeks
Lower Extremity Functional Scale comprising of 20 questions regarding lower extremity function will be used. The maximum possible score is 80 points, indicating very high function. The minimum possible score is 0 points, indicating very low function.
Secondary Outcomes
No secondary outcomes reported