Graston vs Manual Myofascial Release Technique in Piriformis Syndrome.

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-11

Study Completion Date

2020-09-24

Brief Summary

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The objective of our study is to compare the effects of Graston and manual myofascial release technique on pain, muscle length and functional status in patients with Piriformis syndrome.

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Detailed Description

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In 2019, a study was conducted to conclude the effectiveness of Passive stretching v/s Myofascial release in improving Piriformis flexibility in females. They reported that myofascial release was more valuable than passive stretching exercises in enhancing piriformis flexibility in patients with piriformis tightness.

According to another study in 2018, after a single treatment, compressive myofascial release showed more improvement in ankle dorsiflexion than Graston technique, in participants with decrease dorsiflexion range.

In 2016, a study reported the effects of the Graston technique and general exercise in patients with chronic low back pain. Graston group showed greater improvement in pain and range of motion in patients with chronic low back pain.

According to a study conducted in 2014, self-myofascial release was more effective than Graston technique in improving knee joint flexibility, hamstring, and quadriceps strength.

In 2011, a study evaluated the effectiveness of deep soft tissue mobilization techniques and stretching exercises in piriformis syndrome and found that the deep soft tissue mobilization techniques along with stretching exercises significantly improved the piriformis syndrome.

Conditions

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Piriformis Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Both groups were treated simultaneously with their specified treatment techniques within given duration.

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Participants did not know which treatment techniques are given in the specified groups.

Study Groups

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Graston

Ultrasound, Graston technique, piriformis stretching, home plan (hip abductor and extensor strengthening)

Group Type EXPERIMENTAL

Graston

Intervention Type OTHER

Ultrasound for 10 mins/1 set/ (3 sessions/week), Graston for 5 mins/1 set/ (3 sessions/week), Piriformis stretching exercises/ 10 reps with 30 sec hold/ 1 set/(3 sessions/week), Hip abductor strengthening/10 reps/1 set/(3 weeks), Hip extensor strengthening/10 reps/1 set/(3 weeks),

A total of 9 sessions for 3 weeks (3 sessions/week) were given each consisting of 20 mins.

Manual myofascial release

Ultrasound, Manual myofascial release, piriformis stretching, home plan (hip abductor and extensor strengthening)

Group Type ACTIVE_COMPARATOR

Manual myofascial release

Intervention Type OTHER

Ultrasound for 10 mins/1 set/ (3 sessions/week), Manual myofascial release for 5 mins/1 set/ (3 sessions/week), Piriformis stretching exercises/ 10 reps with 30 sec hold/ 1 set/(3 sessions/week), Hip abductor strengthening/10 reps/1 set/(3 weeks), Hip extensor strengthening/10 reps/1 set/(3 weeks),

A total of 9 sessions for 3 weeks (3 sessions/week) were given each consisting of 20 mins.

Interventions

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Graston

Ultrasound for 10 mins/1 set/ (3 sessions/week), Graston for 5 mins/1 set/ (3 sessions/week), Piriformis stretching exercises/ 10 reps with 30 sec hold/ 1 set/(3 sessions/week), Hip abductor strengthening/10 reps/1 set/(3 weeks), Hip extensor strengthening/10 reps/1 set/(3 weeks),

A total of 9 sessions for 3 weeks (3 sessions/week) were given each consisting of 20 mins.

Intervention Type OTHER

Manual myofascial release

Ultrasound for 10 mins/1 set/ (3 sessions/week), Manual myofascial release for 5 mins/1 set/ (3 sessions/week), Piriformis stretching exercises/ 10 reps with 30 sec hold/ 1 set/(3 sessions/week), Hip abductor strengthening/10 reps/1 set/(3 weeks), Hip extensor strengthening/10 reps/1 set/(3 weeks),

A total of 9 sessions for 3 weeks (3 sessions/week) were given each consisting of 20 mins.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Pain more than 1 month.
* Piriformis syndrome diagnosed through screening test (FAIR test, Beatty test, Freiberg test, Sign of Pace)

Exclusion Criteria

* Leg pain due to causes other than piriformis syndrome.
* Congenital spinal deformity.
* History of fracture.
* History of back or hip surgery.
* Any systemic illness like metastatic or infective disorders.

Minimum Eligible Age

25 Years

Maximum Eligible Age

60 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No