Effects of Hold Relax With Agonist Contraction and Active Release Therapy on Clinical Outcomes in Piriformis Syndrome

NCT ID: NCT05370378

Last Updated: 2023-04-06

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 82 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-02-22
• Study Completion Date: 2022-11-22

Brief Summary

The aim of this study is to compare the effects of hold relax agonist contraction and active release therapy on reducing pain intensity, improving functioning and sleep quality in patient with piriformis syndrome.

Both these techniques are passive, non-invasive manual therapy techniques which are easy to perform and less time consuming and may yield better outcomes resulting improved quality of life.

Conditions

Piriformis Syndrome

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Group A

This group of participants will receive Hold Relax with Agonist Contraction (HR-AC) technique with routine physical therapy. The protocol will be given to the participants for two weeks (6 sessions on alternate days, 3 session per week). Each session will be of 60 minutes. The data will be collected before applying intervention, at first week and at 2nd week.

Group Type: EXPERIMENTAL

Hold Relax with Agonist Contraction

Intervention Type: OTHER

1. Participant will be in prone lying and heating pad will be applied on gluteal region for 10 to 15 minutes.

2. Passive sustained stretch to piriformis will be applied for 10 seconds.

3. The participant will be asked to actively contract the muscle for about 10 seconds (isometric contraction) and then relax.

4. Immediately after that participant is ask to again actively contract the muscle against therapist resistance for 6-10 seconds.

5. Ask the participant to relax while therapist will apply stretch the muscle to its new tissue tension barrier position and this position will be maintained for 30 seconds.

6. This maneuver is repeated for 3 to 4 repetitions, each starting from where the previous finished.

Group B

This group of participants will receive Active Release Therapy, a kind of soft tissue mobilization along with routine physical therapy. The protocol will be given to the participants for two weeks (6 sessions on alternate days, 3 session per week). Each session will be of 60 minutes. The data will be collected before applying intervention, at first week and at 2nd week.

Group Type: ACTIVE_COMPARATOR

Active Release Therapy

Intervention Type: OTHER

1. Specific muscle will be warmed up by applying heating pad for 10 to 15 minutes.

2. Patient will be positioned prone lying and the therapist will be standing at the side of affected limb.

3. Therapist will apply deep pressure at the area of tenderness while patient will actively move the limb from internal to external rotation repeatedly.

4. This maneuver will take about 15 minutes to complete in one session and will be applied alternatively 3 days a week for two weeks.

5. After this, cold pack is applied and general ROMs and strengthening exercises are performed to prevent soreness

Interventions

Hold Relax with Agonist Contraction

1. Participant will be in prone lying and heating pad will be applied on gluteal region for 10 to 15 minutes.

2. Passive sustained stretch to piriformis will be applied for 10 seconds.

3. The participant will be asked to actively contract the muscle for about 10 seconds (isometric contraction) and then relax.

4. Immediately after that participant is ask to again actively contract the muscle against therapist resistance for 6-10 seconds.

5. Ask the participant to relax while therapist will apply stretch the muscle to its new tissue tension barrier position and this position will be maintained for 30 seconds.

6. This maneuver is repeated for 3 to 4 repetitions, each starting from where the previous finished.

Intervention Type: OTHER

Active Release Therapy

1. Specific muscle will be warmed up by applying heating pad for 10 to 15 minutes.

2. Patient will be positioned prone lying and the therapist will be standing at the side of affected limb.

3. Therapist will apply deep pressure at the area of tenderness while patient will actively move the limb from internal to external rotation repeatedly.

4. This maneuver will take about 15 minutes to complete in one session and will be applied alternatively 3 days a week for two weeks.

5. After this, cold pack is applied and general ROMs and strengthening exercises are performed to prevent soreness

Intervention Type: OTHER

Other Intervention Names

Proprioceptive Neuromuscular Facilitation Technique; Soft Tissue Mobilization

Eligibility Criteria

Inclusion Criteria

1. Age group 25-55 years

2. Both male and female.

3. Gluteal pain with or without radicular symptoms.

4. Patients of piriformis syndrome diagnosed by orthopedic consultant.

5. Sub-acute and chronic piriformis syndrome.

6. Unilateral pain.

7. Pain score equal to and greater than 3 according to pain rating scale.

Exclusion Criteria

1. Intermittent vascular claudication and spondylolisthesis.

2. Past history of hip, femur or vertebral fracture

3. Past history of spinal surgery.

4. Spinal tuberculosis.

5. Rheumatoid disease.

6. Disc pathology, sacroiliac joint dysfunction or mechanical back pain.

7. History of infectious disease.

8. Leg length discrepancy.

9. Any postural abnormality or deformity.

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Ayesha Jamil

Dr. Ayesha Jamil

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ayesha Jamil, M.Phil

Role: STUDY_CHAIR

University of Lahore

Locations

The University of Lahore

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

Nimra Ilyas

Identifier Type: -

Identifier Source: org_study_id