Graston vs Manual Myofascial Release Technique in Piriformis Syndrome.

Riphah International University

Status: Completed

Conditions: Piriformis Syndrome

Treatments: Other: Graston; Other: Manual myofascial release

Study type: Interventional

Funder types: Other

Identifiers

NCT04588779

REC/00689 Sonia Wali

Details and patient eligibility

About

The objective of our study is to compare the effects of Graston and manual myofascial release technique on pain, muscle length and functional status in patients with Piriformis syndrome.

Full description

In 2019, a study was conducted to conclude the effectiveness of Passive stretching v/s Myofascial release in improving Piriformis flexibility in females. They reported that myofascial release was more valuable than passive stretching exercises in enhancing piriformis flexibility in patients with piriformis tightness.

According to another study in 2018, after a single treatment, compressive myofascial release showed more improvement in ankle dorsiflexion than Graston technique, in participants with decrease dorsiflexion range.

In 2016, a study reported the effects of the Graston technique and general exercise in patients with chronic low back pain. Graston group showed greater improvement in pain and range of motion in patients with chronic low back pain.

According to a study conducted in 2014, self-myofascial release was more effective than Graston technique in improving knee joint flexibility, hamstring, and quadriceps strength.

In 2011, a study evaluated the effectiveness of deep soft tissue mobilization techniques and stretching exercises in piriformis syndrome and found that the deep soft tissue mobilization techniques along with stretching exercises significantly improved the piriformis syndrome.

Enrollment: 30 patients

Sex: Female

Ages: 25 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:•

• Pain more than 1 month.
• Piriformis syndrome diagnosed through screening test (FAIR test, Beatty test, Freiberg test, Sign of Pace)

Exclusion Criteria:

• Leg pain due to causes other than piriformis syndrome.
• Congenital spinal deformity.
• History of fracture.
• History of back or hip surgery.
• Any systemic illness like metastatic or infective disorders.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Graston

Experimental group

Description:

Ultrasound, Graston technique, piriformis stretching, home plan (hip abductor and extensor strengthening)

Treatment:

Other: Graston

Manual myofascial release

Active Comparator group

Description:

Ultrasound, Manual myofascial release, piriformis stretching, home plan (hip abductor and extensor strengthening)

Treatment:

Other: Manual myofascial release