Comparative Effects of Post-isometric Relaxation and Active Release Technique Patients With Deep Gluteal Syndrome

Riphah International University

Status: Not yet enrolling

Conditions: Deep Gluteal Syndrome

Treatments: Other: Active Release Technique; Other: Post- Isometric Relaxation

Study type: Interventional

Funder types: Other

Identifiers

NCT07063017

REC/RCR &AHS/24/0161 Ujala

Details and patient eligibility

About

Deep gluteal syndrome included piriformis syndrome. Tight piriformis muscle gives symptoms of Sciatica in patients with Deep Gluteal Syndrome. Two different techniques which will be used to improve deep gluteal syndrome are Active release technique and Post-isometric relaxation. Active release therapy is a set of techniques for treating musculoskeletal problems. After feeling for the precise location of musculoskeletal dysfunction, practitioners aim to release affected tissues. The post-isometric relaxation technique begins by placing the muscle in a stretched position. Then an isometric contraction is exerted against minimal resistance. Relaxation and then gentle stretch follow as the muscle releases.

Full description

This study will be a randomized controlled trial and will be conducted in Riphah Rehabilitation Clinic Lahore. Non-probability consecutive sampling will be used to collect the data. Sample size of 46 subjects with age group between 35-55 years of both male and female will be taken. Data will be collected from the patients having present complaint of pain in buttock, low back and radiating to leg. Outcome measures will be taken using Numeric Pain Rating Scale (NPRS) for pain, Low Extremity Functional Scale for disability and Universal Goniometer (GU) for Range of Motion. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups by random number generator table. Both the Groups will receive hot pack, TENS and ultrasound as well as stretching exercises of piriformis while Group A will receive Post-isometric relaxation and Group B will receive Active release technique. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 21.

Enrollment: 46 estimated patients

Sex: All

Ages: 35 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• •Age group between 35 and 55 years

  • Both gender male and female
  • Having pain and tenderness in gluteal space
  • Gluteal pain radiating through the posterior of thigh and lower limb

Exclusion criteria

• • Pregnancy

  • Malignancies
  • Degenerative spine disorders like lumber spondylosis, canal stenosis, spondylolisthesis, neural compressions due to intervertebral disc lesions
  • Any vertebral or hip fracture.
  • History of spinal surgery, TB spine, osteoarthritis, rheumatoid disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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46 participants in 2 patient groups

Post- Isometric Relaxation

Experimental group

Description:

Post Isometric Relaxation Technique to Piriformis; Lay the patient in the supine position and have the practitioner stand on the same side as the affected piriformis muscle. Bend the knee of the affected side and place the foot of that side on the lateral aspect of the opposite knee. Have the practitioner push knee medially until meeting the restrictive barrier. Have the patient push against the practitioner's resistance for 3 to 5 seconds, allow for a period of isometric relaxation, then engage a new barrier; repeat three times. Return the patient to a neutral position and reassess using supine or prone piriformis testing.

Treatment:

Other: Post- Isometric Relaxation

Active Release Technique

Experimental group

Description:

Active Release Technique: Patient position is side lying on the sound side. Therapist stands behind the patient. The upper leg must be in flexion on knee and slight extension Now apply pressure with both thumbs on piriformis and ask patient to flex and extend his hip and also external and internal rotation on hip in flexion. The gluteal muscle is taken from a shortened position to a fully lengthened position while the physiotherapist's contact hand holds tension longitudinally along the soft tissue fibers.

Treatment:

Other: Active Release Technique