Effectiveness of Instrument Assisted Soft Tissue Mobilization in Management of Piriformis Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 38
- 试验地点
- 1
- 主要终点
- Lower Extremity Functional Scale (LEFS)
研究概览
简要总结
This study aims to assess the effectiveness of IASTM on pain, ROM, Disability and Quality of life among Piriformis Syndrome patients. This study will add to the growing body of knowledge as there are very limited researches done in Pakistan using IASTM in patients with Piriformis Syndrome.
详细描述
Instrument assisted soft tissue mobilization (IASTM) is a skilled intervention that includes the use of specialized tools to manipulate the skin, myofascia, muscles, and tendons by various direct compressive stroke techniques. It has neurophysiological effect as it stimulates mechanosensitive neurons through skin deformation by using instrument. IASTM affects the vascular response to the injured soft tissue, through increasing the blood flow, reduce the stress and strain to the injured areas, decrease inflammation, increase muscle flexibility and strength, increase blood flow, break up scar tissue, promote proper tissue repair, enhance functional movements, accelerates fibroblast activity.
In 2022 there is a study that stated the overall Prevalence of piriformis muscle syndrome which is 18.3%. The Mean±SD of exact BMI were 27.43±6.859. Male and female Pace sign were 14.2% and 18.3% positive respectively.
Positive Prevalence of piriformis muscle syndrome in the general population in Age groups chi-square value is (47.753b) and P- Value (<0.001).
A 2018 study determined that Hip abductor and extensor strengthening along with neural mobilization and piriformis stretching have significant effect on improving hip abductor strength and lower extremity function when compared with neural mobilization and piriformis stretching alone in patients with Piriformis syndrome.
Another study conducted in 2022, showed the effects of IASTM in discogenic Sciatica along with neural mobilization and lumbar traction and concluded that IASTM alleviated pain and impairments in patients with sciatic nerve entrapment. Whereas, this study will assess the effectiveness of IASTM in non discogenic causes of piriformis syndrome.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 30 Years 至 65 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Diagnosed patients of Piriformis syndrome.
- •Only females will be included in this study.
- •Participants aged 30-65 years.
- •Pain due to non-discogenic sciatic nerve entrapment in sub gluteal space.
- •Pain aggravated by prolonged sitting, lying, standing.
- •Positive FAIR test, Pace sign, Laseque sign, Beatty maneuver and Freiberg test.
- •Negative Kemp sign, Milgram's test, Bowstring test, Braggard test and Lasegue differential test.
排除标准
- •Patients with any Intrinsic Etiology such as Haemarthrosis, rheumatoid arthritis or infection.
- •Patients with any recent severe trauma, fractures, subluxation or ligament injury.
- •Malignancy, Open wound Fracture, DVT, Compartment syndrome, Pregnancy.
- •Patients with irreversible nerve damage.
- •Patients with lumbar disc herniation or any disc pathology.
结局指标
主要结局
Lower Extremity Functional Scale (LEFS)
时间窗: 4th week
It is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The LEFS can be used by clinicians as a measure of patients' initial function, ongoing progress and outcome, as well as to set functional goals. The LEFS can be used to evaluate the functional impairment of a patient with a disorder of one or both lower extremities or to monitor the patient over time and to evaluate the effectiveness of an intervention. This scale scores ranges from 0-80 on a 5 point Likert scale. Changes from baseline, 2nd and 4th week LEFS will be taken.
12 item Short Form Survey (SF-12)
时间窗: 4th week
It is a self-reported outcome measure assessing the impact of health on an individual's everyday life. It is often used as a quality of life measure. The SF-12 is a shortened version of its predecessor, the SF-36. It consists of 12 item questions measuring quality of life. Changes from baseline, 2nd and 4th week SF-12 will be taken.
Sciatica Bothersomeness Index (SBI)
时间窗: 4th week
It is used to measure the participants' level of sciatica. The scale's ratings range from 0 to 6, with higher levels indicating severe sciatica discomfort. Changes from baseline, 2nd and 4th week SBI will be taken.
次要结局
- ROM of Hip Abduction(4th week)
- ROM of Hip Internal Rotation(4th week)
- NPRS(4th week)
- ROM of Hip Flexion(4th week)