Effects of Neural Mobilization and Stretching in Piriformis Syndrome

NCT ID: NCT06808659

Last Updated: 2025-02-05

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-02

Study Completion Date

2018-12-28

Brief Summary

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This study compares the effects of piriformis stretching and neural mobilization of the sciatic nerve in individuals with piriformis syndrome, a condition that is frequently characterized by hip and buttock pain and discomfort brought on by the piriformis muscle compressing the sciatic nerve.

Detailed Description

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In a study involving 40 patients diagnosed with sciatica, researchers aimed to investigate whether neural mobilization of the sciatic nerve or stretching of the piriformis muscle was more effective in treating piriformis syndrome. The patients were divided into two groups, each containing 20 individuals. Group A underwent neural mobilization therapy, while Group B performed piriformis muscle stretches, with both groups receiving treatment three times a week for two weeks. Assessments, including Visual Analog Scale (VAS) for pain, hip range of motion (ROM) in flexion, abduction, and external rotation, as well as the FAIR test, were conducted before and after the interventions.

Conditions

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Piriformis Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

In a study involving 40 patients diagnosed with sciatica, researchers aimed to investigate whether neural mobilization of the sciatic nerve or stretching of the piriformis muscle was more effective in treating piriformis syndrome. The patients were divided into two groups, each containing 20 individuals. Group A underwent neural mobilization therapy, while Group B performed piriformis muscle stretches, with both groups receiving treatment three times a week for two weeks. Assessments, including Visual Analog Scale (VAS) for pain, hip range of motion (ROM) in flexion, abduction, and external rotation, as well as the FAIR test, were conducted before and after the interventions.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A / Sciatic Nerve Mobilization

Sciatic Nerve Mobilization was given to group A participants.

Group Type EXPERIMENTAL

Neural Mobilization

Intervention Type OTHER

A total of 20 patients were selected in Group A received neural mobilization of sciatic nerves treatment for 3 days a week for 2 weeks

Group B / Piriformis Muscle Stretching

Piriformis Muscles was stretched in group B participants.

Group Type EXPERIMENTAL

Stretching

Intervention Type OTHER

A total of 20 patients were selected in Group B received stretching of piriformis muscle treatment for 3 days a week for 2 weeks

Interventions

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Neural Mobilization

A total of 20 patients were selected in Group A received neural mobilization of sciatic nerves treatment for 3 days a week for 2 weeks

Intervention Type OTHER

Stretching

A total of 20 patients were selected in Group B received stretching of piriformis muscle treatment for 3 days a week for 2 weeks

Intervention Type OTHER

Other Intervention Names

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Sciatic Nerve Mobilization Piriformis Stretching

Eligibility Criteria

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Inclusion Criteria

* Positive lasegue sign
* Positive piriformis sign
* Tenderness at sciatic notch (over piriformis muscle).

Exclusion Criteria

* • Prior surgery of lumbar spine (laminectomy)

* Unrecognized pelvic fracture
* Known case of renal stones
* Disc herniation in lumbar spine
* Myositis ossificans of piriformis muscle.
Minimum Eligible Age

22 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Bahria University

OTHER

Sponsor Role lead

Responsible Party

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Rabia Khan

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rabia Khan, Masters of Science

Role: PRINCIPAL_INVESTIGATOR

Locations

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Isra Institute of Rehabilitation Sciences

Karachi, Sindh, Pakistan

Site Status

Countries

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Pakistan

References

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Othman IK, Raj NB, Siew Kuan C, Sidek S, Wong LS, Djearamane S, Loganathan A, Selvaraj S. Association of Piriformis Thickness, Hip Muscle Strength, and Low Back Pain Patients with and without Piriformis Syndrome in Malaysia. Life (Basel). 2023 May 18;13(5):1208. doi: 10.3390/life13051208.

Reference Type BACKGROUND
PMID: 37240853 (View on PubMed)

Hu YE, Ho GWK, Tortland PD. Deep Gluteal Syndrome: A Pain in the Buttock. Curr Sports Med Rep. 2021 Jun 1;20(6):279-285. doi: 10.1249/JSR.0000000000000848.

Reference Type BACKGROUND
PMID: 34099604 (View on PubMed)

Danazumi MS, Yakasai AM, Ibrahim AA, Shehu UT, Ibrahim SU. Effect of integrated neuromuscular inhibition technique compared with positional release technique in the management of piriformis syndrome. J Osteopath Med. 2021 May 31;121(8):693-703. doi: 10.1515/jom-2020-0327.

Reference Type BACKGROUND
PMID: 34049428 (View on PubMed)

Burke CJ, Walter WR, Adler RS. Targeted Ultrasound-Guided Perineural Hydrodissection of the Sciatic Nerve for the Treatment of Piriformis Syndrome. Ultrasound Q. 2019 Jun;35(2):125-129. doi: 10.1097/RUQ.0000000000000360.

Reference Type BACKGROUND
PMID: 29727344 (View on PubMed)

Shahzad M, Rafique N, Shakil-Ur-Rehman S, Ali Hussain S. Effects of ELDOA and post-facilitation stretching technique on pain and functional performance in patients with piriformis syndrome: A randomized controlled trial. J Back Musculoskelet Rehabil. 2020;33(6):983-988. doi: 10.3233/BMR-181290.

Reference Type BACKGROUND
PMID: 32894238 (View on PubMed)

Ahmad Siraj S, Dadgal R. Physiotherapy for Piriformis Syndrome Using Sciatic Nerve Mobilization and Piriformis Release. Cureus. 2022 Dec 26;14(12):e32952. doi: 10.7759/cureus.32952. eCollection 2022 Dec.

Reference Type BACKGROUND
PMID: 36712711 (View on PubMed)

Ankar P, Ratnani GR, Ramteke SU, Jaiswal PR. Effect of Neuromuscular Training and Neurodynamic Solutions for Asymptomatic Prolapsed Intervertebral Disc and Coexisting Piriformis Syndrome in a 19-Year-Old: A Comprehensive Case Report. Cureus. 2024 Jan 27;16(1):e53050. doi: 10.7759/cureus.53050. eCollection 2024 Jan.

Reference Type RESULT
PMID: 38410291 (View on PubMed)

Related Links

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Other Identifiers

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IERC/IIRS-IU-KC/18/005

Identifier Type: -

Identifier Source: org_study_id

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