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Набор скоро начнётся NCT07661485

Comparing Two Soft Tissues Technique on Piriformis Syndrome Patients

Без фазы С лечением Piriformis Syndrome Musculoskeletal Abnormalities Sciatica

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: Myofascial Release, Post Isometric Relaxation.
Кому может быть актуально
Состояния в реестре: Piriformis Syndrome, Musculoskeletal Abnormalities, Sciatica. Базовые параметры: 20 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
Пакистан
Следующий шаг
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Официальное название

Effect of Myofascial Release as Compared to Post Isometric Relaxation in Improving Pain and Lower Extremity Function in Piriformis Syndrome

Обзор

Piriformis Syndrome is a neuromuscular condition with symptoms of pain, numbness and tingling tracing the route of the sciatic nerve, due to the nerve impingement by the piriformis muscle. Two common manual therapy techniques used to treat musculoskeletal conditions are myofascial release and post-isometric relaxation. The intent of the research is to evaluate the effects of myofascial release (MFR) as compared to post-isometric relaxation (PIR) in improving pain and lower extremity function in piriformis syndrome (LEFS). The study population involved 32 individuals aged between 20 to 50 years who will be randomly assigned to two groups; a group that received MFR and a group that received PIR. Both groups received the baseline treatment for four weeks. The Visual Analog Scale (VAS) will be employed to gauge the amount of pain, while the LEFS was used to measure functional mobility

Подробное описание

This is Multiple-center, randomized controlled trail. Participants age 20-50 years with diagnosed piriformis syndrome will be referred from neuro physician and orthopedic department of Madina Teaching hospital (MTH) to Physiotherapy ward, Jafar Physiotherapy Clinic and Madina Specilaists Clinic. After informed consent Participants will be randomly assign to one of two parallel groups using a random number generator. Group A (Experimental): Receive MFR 3 sessions per week for total duration 4 weeks. Group B (Active Comparator) receive the PIR 3 sessions per week for total duration 4 weeks. Outcome measures (pain via VAS, functional status via LEFS) are taken at baseline and end of treatment. Data will be analyzed using Spss version 20.

Вмешательства

  • Другое Myofascial Release
    Myofascial release is performed with the patient positioned in prone lying. The piriformis muscle was identified. Sustained pressure was applied directly to the trigger point/piriformis muscle for 10-100 seconds while the patient actively moved the affected limb repeatedly from internal to external rotation. Kneading strokes parallel to the muscle fibers were then performed for 5 minutes to promote elongation. This sequence was repeated three times.
  • Другое Post Isometric Relaxation
    Post-isometric relaxation (PIR) is performed with the patient in supine and the hip in neutral rotation. The affected hip was passively moved into horizontal adduction until a mild stretch was felt, while the lumbar spine was stabilized. The patient performed a gentle isometric contraction into hip abduction for 7-10 seconds, followed by 2-3 seconds of relaxation. The leg was then moved into further adduction to a new barrier.

Первичные конечные точки

  • Visual analogue scale [Срок оценки: Baseline and 4 week post intervention]
Вторичные конечные точки (1)
  • Lower Extremity Functional Scale [Срок оценки: Baseline and 4 week of post intervention]

Критерии участия

Критерии включения

  • Positive Lasegue sign
  • Positive FAIR test
  • Grade 1-3 tenderness on palpation of piriformis between sacrum and greater trochanter of femur
  • 4 or more pain intensity on the VAS scale

Критерии исключения

  • Lower extremity injuries including ligament, tendon injuries, muscle strains as well as nerve injuries
  • Systemic diseases including tuberculosis, multiple sclerosis, Parkinson's disease as well as chronic inflammatory conditions
  • Congenital deformities including hip dysplasia, limb length discrepancy, scoliosis and congenital pelvic asymmetry
  • Cognitive issues including dementia, severe depression and severe psychotic disorders
  • Lumbar Radiculopathy
  • SIJ Dysfunction
  • Lower Extremity Fractures
  • Pregnancy
  • Malignancy

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
Двойное слепое
Основная цель
Лечение

Центры проведения

Пакистан · 1 центр
  • The University of Faisalabad — Faisalābad

Публикации

  • This citation will not be hyperlinked on ClinicalTrials.gov. Aleem A, Arfan MT, Razzaq et al. (2022) Effectiveness of post isometric relaxation versus reciprocal inhibition technique on hamstring muscle flexibility. Annals of King Edward Medical University 28(2): 205-209.
  • Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. J Bodyw Mov Ther. 2015 Jan;19(1):102-12. doi: 10.1016/j.jbmt.2014.06.001. Epub 2014 Jun 13. PMID 25603749

Идентификаторы

NCT: NCT07661485 · TUF/EIRB/148/2025

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗