Effects of Fascial Distortion Model With and Without Neuromuscular Inhibition in Patients With Piriformis Syndrome

Riphah International University

Status: Unknown

Conditions: Piriformis Syndrome

Treatments: Other: Fascial distortion method with neuromuscular inhibition technique; Other: Fascial distortion method

Study type: Interventional

Funder types: Other

Identifiers

NCT05404607

REC/RCR & AHS/22/0120

Details and patient eligibility

About

The aim of study will be to find the effects of fascial distortion model (FDM) with and without the Integrated neuromuscular inhibition technique (INIT) in piriformis syndrome.

Full description

Piriformis syndrome is a misdiagnosed cause of sciatica leg or buttock pain and disability. The male and female incidence ratio of PS is 6.1. The fascial distortion model is a targeted manual technique and decodes categorized manual gestures (pain-related body language) to 6 pathophysiological mechanisms involved in the etiology of pain. Integrated neuromuscular inhibition technique(INIT) is a combination of muscle energy technique(MET) and positional release technique(PRT).

All previous studies in which integrated neuromuscular inhibition technique(INIT) and fascial distortion model(FDM) has been performed on different muscles of the body has shown greater improvement as compared to other techniques. Comparative effects of fascial distortion model with integrated neuromuscular inhibition technique and fascial distortion model on Piriformis Syndrome has not been addressed yet. There is very limited data available on this protocol. Therefore, this study aims to compare the effects of facial distortion model with and without integrated neuromuscular inhibition technique.

Enrollment: 54 estimated patients

Sex: All

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Unilateral buttock pain and radiculopathy due to spasms of the piriformis muscle or sciatic nerve compression.
• Aggravate buttock pain in sitting and limited SLR.
• Patient with Freiberg test positive.
• Patient with FAIR test positive.
• Patient with positive Pace test.
• Patient with positive Beatty's maneuver.

Exclusion criteria

• Lumbar spinal pathology and recent injury around the hip, sacroiliac joint, or lumbar spine.
• Patient with a positive Faber test
• SIJ Pathology like SIJ dysfunction, innominate anterior or posterior rotation dysfunction, etc.
• Deep gluteal syndrome.
• Recent surgery like hip arthroplasty, surgical emplacement of a gluteal implant (buttock prosthesis); lip sculpture (fat transfer and liposuction); and body contouring (surgery and lip sculpture).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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54 participants in 2 patient groups

Fascial distortion method with neuromuscular inhibition technique

Experimental group

Description:

27 participants will receive the fascial distortion method followed by the neuromuscular inhibition technique for trigger points. After this, neural mobilization will be given as stander treatment.

Treatment:

Other: Fascial distortion method with neuromuscular inhibition technique

Fascial distortion method

Active Comparator group

Description:

Fascial distortion will be applied to 27 participants where the tip of the thumb worms its way through the peripheral tissue until it rests on the distortion. Force is focused directly on the most painful spot until the provider feels like a button-slipping-into-a-buttonhole. After this, neural mobilization will be given as a stander treatment.

Treatment:

Other: Fascial distortion method