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

Piriformis Syndrome Clinical Trial

Official title:

Comparative Effects of Hold Relax With Agonist Contraction and Active Release Therapy on Pain, Functional Disability and Sleep Quality in Piriformis Syndrome

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05370378
• Other study ID #: Nimra Ilyas
• Status: Completed
• Phase: N/A
• Start date: February 22, 2022
• Est. completion date: November 22, 2022

Study information

• Verified date: April 2023
• Source: University of Lahore
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 82
• Est. completion date: November 22, 2022
• Est. primary completion date: November 22, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 25 Years to 55 Years

Eligibility

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.

Related Conditions & MeSH terms

• Piriformis Muscle Syndrome
• Piriformis Syndrome
• Syndrome

Intervention

Other:
• Hold Relax with Agonist Contraction
Participant will be in prone lying and heating pad will be applied on gluteal region for 10 to 15 minutes. Passive sustained stretch to piriformis will be applied for 10 seconds. The participant will be asked to actively contract the muscle for about 10 seconds (isometric contraction) and then relax. Immediately after that participant is ask to again actively contract the muscle against therapist resistance for 6-10 seconds. 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. This maneuver is repeated for 3 to 4 repetitions, each starting from where the previous finished.
• Active Release Therapy
Specific muscle will be warmed up by applying heating pad for 10 to 15 minutes. Patient will be positioned prone lying and the therapist will be standing at the side of affected limb. Therapist will apply deep pressure at the area of tenderness while patient will actively move the limb from internal to external rotation repeatedly. This maneuver will take about 15 minutes to complete in one session and will be applied alternatively 3 days a week for two weeks. After this, cold pack is applied and general ROMs and strengthening exercises are performed to prevent soreness

Locations

Country	Name	City	State
Pakistan	The University of Lahore	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
University of Lahore

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Pain Intensity	Numeric Pain Rating Scale will be used to measure the intensity of pain	Pain score will be measured at the baseline, at end of first session and at 6th session on 2nd week
Primary	Change in Functional Disability	Ronald-Morris Disability Questionnaire will be used to a assess the level of disability	Change in functional status will be measured at the baseline, at end of first session and at end of 6th session
Primary	Sleep Quality	Chronic Pain Sleep Inventory will be used to to assess the quality of sleep on a 100 mm VAS scale	Sleep quality will be measured at the baseline, at end of first session and at end of 6th session