An interventional study of Active release technique and Self-myofascial release in Piriformis Syndrome, sponsored by Sehat Medical Complex. Completed at 1 site in Pakistan. Open to participants aged 20 Years to 40 Years. Per ClinicalTrials.gov, last updated 2023-09-05.
Sponsored by Sehat Medical Complex · Not applicable, Interventional, and Treatment
The goal of this Randomized controlled trial is to examine comparative effect of active release technique versus self-myofascial release in improving piriformis syndrome. The main question it aims to answer is:
Participants will be a given consent form and after subjects read and sign the informed consent, they would be included in study according to eligibility criteria. 2 groups would be included in study, Active release technique will be applied on group A by the physiotherapist and self-myofascial release will be applied on group B by the patients themselves through the use of foam-rollers and massage ball to compare the results of both these techniques on reducing pain, improving range and functional disability among individuals with piriformis syndrome. We will measure outcome through different outcome measure tools.
Piriformis is a key internal rotator of the hip which develops muscular imbalance due to overuse and pressure. There are various disabling conditions caused due to a simple tightness of Piriformis muscle like low back pain, sciatic nerve pain through muscle hypertrophy or a nearby anomaly due to its anatomically closeness to the sciatic nerve, pain and aesthesia in hip, thigh, calf and foot are symptoms that commonly occur in Piriformis syndrome. Piriformis syndrome is defined as a peripheral neuritis of the branches of the sciatic nerve caused by an abnormal condition of the piriformis muscle (PM), such as an injured or irritated muscle.
MFR technique involves application of a low load-long duration stretch to the myofascial complex which intends to restore the optimal length, decrease pain and improve functional mobility of the muscle. A special technique within MFR is self-myofascial release (SMFR), performed by the patient independently, instead of by a therapist. This technique utilizes the patient's body mass and special tools such as massage balls or foam rollers to apply pressure and stretch the restricted soft tissue. Active Release Techniques (ART) are a soft tissue method that focuses on relieving tissue tension via the removal of fibrosis/adhesions which can develop in tissues as a result of overload due to repetitive use.
Active release technique will be applied on group A by the physiotherapist and self-myofascial release will be applied on group B by the patients themselves through the use of foam-rollers and massage ball to compare the results of both these techniques on reducing pain, improving range and functional disability among individuals with piriformis syndrome.
56 studies on the registry are indexed under Piriformis Muscle Syndrome; 23 are open to participants now.
This study's enrollment of 82 is above the median of 42 across 50 interventional studies indexed under Piriformis Muscle Syndrome.
Browse Piriformis Muscle Syndrome studies →Sehat Medical Complex is the lead sponsor of 25 studies on the registry; 5 are open to participants now.
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Exclusion Criteria:
Group A received Active release technique (ART)
Other: Active release technique
Group B received self-myofascial release (SMFR)
Other: Self-myofascial release
Active Release Technique was applied to patient in prone lying, knee flexed at 90. The therapist placed his elbow tip on taut band of piriformis and direct pressure applied, patient wias then asked to do internal rotation of hip, in order to achieve lengthening of the muscle. This was repeated 5-7 times. A total of 18 sessions was given over a period of 6 weeks (3 sessions per week)
Patient position in prone lying Therapist was standing beside the patient at the waistline, working on the contralateral side. Piriformis muscle was located by an imaginary line drawn between the midpoint of the lateral aspect of the sacrum and the greater trochanter. A contact was established in the gluteal area about 3 cm from the sacrum. Patent was guided to use a foam roller followed by a massage ball. A total of 18 sessions were given over a period of 6 weeks (3 sessions per week)
Likert pain scale (change is being assessed)
Pain intensity is principally assessed using rating scales such as the 11-point Likert scale. In general, frequent pain assessments are serially correlated and underdispersed. The aim of this investigation was to develop population models adapted to fit the 11-point pain scale.
Time frame: Change from Baseline at 6 weeks
Lower extremity functional scale (change is being assessed)
The lower extremity functional scale (LEFS) is a valid patient-rated outcome measure (PROM) for the measurement of lower extremity function. The maximum possible score is 80 points, indicating very high function. The minimum possible score is 0 points, indicating very low function.
Time frame: Change from Baseline at 6 weeks
Range of Motion by Goniometer (change is being assessed)
Range of straight leg raise (SLR) and Internal rotation range would be measured
Time frame: Change from Baseline range of motion at 6 weeks
Ran from Feb 2023 to primary completion in May 2023, 3 months.
Of 36 non-industry interventional studies with no phase under Piriformis Muscle Syndrome, half reached primary completion within 6 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 12. This study's 3 months is below that.
Counting every sponsor, half of 36 studies reached it within 6 months; a quarter within 4 and three quarters within 12.
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This study is completed, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.
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Sehat Medical Complex