Radial Shockwave Versus Low Level Laser Therapy in Patients With Chronic Piriformis Muscle Syndrome
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Conventional treatment, shockwave therapy, low level laser therapy.
- Кому может быть актуально
- Состояния в реестре: Extracorporeal Shock Wave, Radial Shock Wave, Low Level Laser, Piriformis Muscle Syndrome. Базовые параметры: 30 лет — 50 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Египет
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Radial Extracorporeal Shockwave Versus Low Level Laser Therapy in Management of Patients With Chronic Piriformis Muscle Syndrome
Обзор
The study aims to compare the effects of radiation shockwave and low-level laser therapy on piriformis muscle thickness, lower extremity function, pain intensity, and hip range of motion in patients with piriformis syndrome.
Подробное описание
Low back pain affects 75%-84% of the general population in developed countries, with piriformis syndrome being more common in women. piriformis syndrome is a neuromuscular disorder caused by the compression of the sciatic nerve in the infra-piriformis canal, causing sciatic pain, tingling, and numbness. Few studies have examined the effectiveness of shockwave therapy in treating piriformis syndrome, but this study aims to compare results to improve treatment outcomes, save time and money, and add value to physical therapy.
Вмешательства
- Другое Conventional treatment
Physical therapy can be beneficial for patients with piriformis syndrome, including stretching exercises, local massage, and superficial heat. Traditional stretching techniques include external rotation, hip flexion, and adduction. A hot pack on the trigger point area for 10 minutes followed by passive stretching for 30 seconds each. - Устройство shockwave therapy
Shockwave therapy is a non-invasive alternative treatment for muscle disorders like sports and traumatic injuries, as it reduces pain and promotes soft tissue repair. In a study, patients in group A were treated with three sessions of Storz Medical Shock Wave MP100, each consisting of 2000 pulses with a total energy dose of 1080 mJ / mm. The study aimed to determine the location of the piriformis muscle in the prone position. - Устройство low level laser therapy
Low Level Laser Therapy, also known as Photo-biomodulation, is a low-intensity light therapy that triggers biochemical changes within cells, similar to photosynthesis in plants. It can treat nociceptive and neuropathic pain, but central pain has not been proven responsive to low level laser therapy.
Первичные конечные точки
- Assessing the change of body mass index [Срок оценки: at baseline and after 6 weeks]
- assessing the change of pain intensity [Срок оценки: at baseline and after 6 weeks]
Вторичные конечные точки (3)
- assessing the change of functional status [Срок оценки: at baseline and after 6 weeks]
- assessing the change of range of motion of lower limb [Срок оценки: at baseline and after 6 weeks]
- assessing the change of piriformis muscle thickness [Срок оценки: at baseline and after 6 weeks]
Критерии участия
Критерии включения
- Sixty patients' males and females with piriformis syndrome
- Their age will range from 30-50 years old
- Body mass index will be 25 to 30 (kg/m²).
- Both males and females.
- Low back pain radiating to posterior thigh, calf and Foot.
- Chronic piriformis syndrome due to micro trauma.
- Gluteal pain with or without radiation through sciatic nerve pathway.
- Faber test and Fair test and Beatty test positive.
- Diagnosed sub-acute and chronic piriformis syndrome.
- One-sided piriformis syndrome.
- Tenderness over lower back, buttocks and hip joint.
Критерии исключения
\- Piriformis syndrome due to macro trauma.
- Lumbo-sacral disc lesion and spinal stenosis.
- Lumbar spondylolisthesis.
- Pregnancy
- Recent fracture and surgery of spine, hip, knee and Ankle.
- Baker's cyst.
- Degenerative disease of spine and hip.
- Intermittent vascular claudication.
- Past history of vertebral fracture and spinal surgery
- Spinal tuberculosis.
- Rheumatoid disease.
- Disc pathology and mechanical back pain.
- Presence of malignant disease.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Простое слепое
- Основная цель
- Лечение
Центры проведения
Египет · 1 центр
- out-patient clinic in physiotherapy department at EL KATEB Hospital — Giza
Идентификаторы
NCT: NCT06762197 · Mohamed-004968