Strain-Counterstrain Treatment of Piriformis Pain
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Algometer - Change in pressure pain threshold
研究概览
简要总结
The purpose of this investigator-initiated study is to provide an efficient and non-invasive treatment option for pain caused by the piriformis muscle.
详细描述
There are two arms to the study: treatment and sham. The treatment group will receive strain-counterstrain for the piriformis muscle. The sham group will receive strain-counterstrain treatment for the hamstring muscle.
There will be two treatments, 1-2 weeks apart ideally.
Participants will fill out the Oswestry Disability Index Questionnaire before the first treatment and after the second treatment (which is 1-2 weeks after the first treatment).
Participants will also identify pain using the Visual Analog Scale (VAS) before and after each treatment. Participants will identify pain at rest prior to treatment using VAS. Participant will then identify pain at the start of treatment while pressure is applied to the piriformis muscle (4.5kg/cm2) and post treatment while pressure is applied to the piriformis muscle (4.5 kg/cm2).
An algometer will be used pre and post each treatment (2 treatments that are 1-2 weeks apart) to objectively measure any change in pain pressure threshold.
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, Outcomes Assessor)
盲法说明
Participant will not know the true positioning for strain counterstrain treatment of piriformis muscle versus hamstring muscle.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •18 to 65 years of age
- •Tender point (or trigger point) in piriformis muscle determined by physical exam
排除标准
- •Less than 45 degrees of active hip flexion, less than 5 degrees of active hip internal rotation or less than 30 degrees of active hip external rotation, on side of affected piriformis
- •Unable to lay prone
- •Non-English speaker
- •Inability to attend 2 sessions within the same month
- •Active cancer
- •Diagnosis of lumbar radiculopathy
- •Greater than grade 1 lumbar spondylolisthesis
- •Presence of lumbar region Pars Defect
- •Receiving massage, acupuncture, chiropractic treatments, osteopathic treatments during study period.
研究组 & 干预措施
Piriformis Strain-Counterstrain
The treatment group will receive strain-counterstrain for the piriformis muscle.
干预措施: Strain-Counterstrain treatment of piriformis muscle (Other)
Hamstring Strain-Counterstrain
The sham group will receive strain-counterstrain treatment for the hamstring muscle.
干预措施: Strain-Counterstrain treatment of piriformis muscle (Other)
结局指标
主要结局
Algometer - Change in pressure pain threshold
时间窗: Pre and post each treatment. There are 2 treatments, 1-2 weeks apart from one another.
Objective improvement in pressure/pain threshold
次要结局
- Change in Oswestry Disability Index(Before first treatment and after second treatment. Each treatment is 1-2 weeks apart (anticipated).)
- Change in Visual Analog Scale(Pre and post each treatment. There are 2 treatments, 1-2 weeks apart from one another.)