Clinical trial NCT04603703: Sacroiliac Joint Manipulation Effect in Chronic Piriformis Syndrome.
Official title: Effects of Thrust Joint Manipulation of Sacroiliac Joint in Chronic Piriformis Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Piriformis Syndrome
Keywords: High Velocity Low Amplitude Thrust
Piriformis Syndrome
Sacroiliac joint manipulation
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2020-10-27
Enrollment: 30
Sex: ALL
Minimum age (years): 30
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Both groups were treated simultaneously with their specified treatment techniques within given duration.
Primary purpose: TREATMENT

Brief summary: The objective of the study was to determine the effects of sacroiliac joint thrust manipulation on pain, pain pressure threshold, piriformis length and straight leg raise, in chronic piriformis syndrome.

Detailed description: In 2017, a systematic review was conducted to measure the effectiveness of physical therapy approach for relieving the SIJ pain linked with PS. Participants were administered with conservative physical therapy, Kinesiology taping and sacroiliac joint manipulation in group A, group B and group C respectively. They have concluded that Sacroiliac joint manipulation was more effective as compare to the rest of the physiotherapy approach in lowering the SIJ pain associated with piriformis syndrome.

In 2014, an experimental study was conducted to compare the effects of nerve mobilization technique with conventional physical therapy approach. Pre and post treatment data was taken from the respective participants. The results of this study concluded that there is a significant differences in the outcome measures of both groups and nerve MOBS were proven to be more effective in relieving the sciatic nerve radiating pain associated with inflamed piriformis muscle in PS.

A study in July, 2012 was conducted to compare the effects of two possible physical therapy treatments in lowering the low back pain threshold associated with piriformis syndrome. These two techniques were METs and SCS. Their results concluded that both Muscle energy technique and Strain counter strain were proved to be equally effective in the management of functional disability and pain in low back associated with chronic PS.

An RCT was conducted in 2011, to measure the effectiveness of two possible manipulation methods which can be applied in patients with chronic piriformis syndrome. According to this study, manipulating the of SIJ along with lumber manipulation is more effective as compare to the SIJ manipulation alone to regain the total piriformis length for patients with Chronic PS.

Another study was conducted by Gopal Nambi and colleagues in Saudi Arabia. It was concluded that Program comprises of Post Isometric Relaxation is more effective as compare to conservative physical therapy in alleviating the pain, improving hip ROM and functional improvement in participants with PS.

Eligibility criteria: Inclusion Criteria:

* Patients having alteast 3 months chronic Piriformis syndrome
* FAIR test positive
* Unilateral or bilateral Piriformis Syndrome

Exclusion Criteria:

* Lumber Prolapsed Intervertebral Disc (PIVD)
* Patients having hip osteoarthritis
* Sacroiliatis (FABER test, Mennell's test, Sacral Thrust Test, Compression test, Distraction test, thigh thrust test)
* Lumbosacral instability
* Patients having any joint replacement in lumbosacral and hip regions.

Primary outcomes:
measure: Numeric Pain Rating Scale (NPRS)
timeFrame: 6th Day
Secondary outcomes:
measure: Pressure Pain Threshold
timeFrame: 6th Day
measure: Piriformis Length
timeFrame: 6th Day
measure: Straight Leg Raise
timeFrame: 6th Day
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: Max Rehab & Physical Therapy Centre G-8 Markaz
state: Federal
Study officials:
affiliation: Riphah International University
name: Asghar Khan, Phd
role: PRINCIPAL_INVESTIGATOR
References:
citation: Al-Subahi M, Alayat M, Alshehri MA, Helal O, Alhasan H, Alalawi A, Takrouni A, Alfaqeh A. The effectiveness of physiotherapy interventions for sacroiliac joint dysfunction: a systematic review. J Phys Ther Sci. 2017 Sep;29(9):1689-1694. doi: 10.1589/jpts.29.1689. Epub 2017 Sep 15.
citation: Kutty RK, Gebrekidan HG, Lerebo WT, Gebretsadik MA. Neural mobilization a therapeutic efficacy in a piriformis syndrome model: an experimental study. International journal of physiotherapy and research. 2014;2(3):577-83.
citation: Ellythy MA. Efficacy of muscle energy technique versus strain counter strain on low back dysfunction. Bulletin of Faculty of Physical Therapy. 2012;17(2).
citation: Rodrigue T, Hardy RW. Diagnosis and treatment of piriformis syndrome. Neurosurg Clin N Am. 2001 Apr;12(2):311-9.
citation: Bose GNSC, Dusad G. EFFECT OF RECIPROCAL INHIBITION AND POST ISOMETRIC RELAXATION; TYPES OF MUSCLE ENERGY TECHNIQUE IN PIRIFORMIS SYNDROME-A COMPARATIVE STUDY.