COMPARATIVE EFFECTS OF POSITION RELEASE THERAPY AND RECIPROCAL INHIBITION ON PIRIFORMIS SYNDROME IN SOCCER PLAYERS

Main Article Content

Muhammad Ahsan Ali
Maryam Safdar
Muhammad Waqar Younas
Dr. Rida Ejaz
Rabia mahboob subhani
Zara Rauf
Ammara Tariq

Keywords

Position release therapy, Reciprocal inhibition, METS, Piriformis syndrome, Soccer players

Abstract

The flat piriformis muscle is located parallel to and below the gluteus medius posterior border. Piriformis muscular tension is frequently mistaken with Piriformis Syndrome, which is characterized as sciatic neuritis never brought on by an irritated or injured piriformis muscle. Muscular imbalance brought on by overuse and pressure on the muscles eventually results in the development of chronic lower back pain. The objective of the study was to compare the effects of Positional Release Therapy and Reciprocal Inhibition to manage pain, to improve range of motion and to improve activity of daily livings. 20 subjects were recruited (10 each group) with piriformis syndrome and randomly allocated in two groups: Positional release therapy and reciprocal inhibition technique. Pain [Numeric Pain Rating Scale NPRS)], Range of Motion (Goniometer), and Function [Lower extremity functional scale (LEFS)] were assessed at baseline and post-intervention.


Pain was assessed pretreatment of first session and after every treatment session. Range of motion was assessed at pretreatment of first session and post treatment of every week. Participants were obtained via clinical setup after complete physical examination, history and determining the inclusion and exclusion criteria. Results were analyzed through statistical package for the social sciences (SPSS) version 20. The result of study showed that Position Release Therapy and Reciprocal Inhibition exercises were very effective in alleviating pain, and increasing manual muscle testing, range of motion and lower extremity functional scale scores in soccer players with piriformis syndrome with p-value less than 0.05(add outcomes) .


Conclusion: This study concluded that both Positional release therapy and Reciprocal inhibition were significantly effective techniques to decrease pain, improving ROM, muscle strength and in piriformis syndrome in Soccer but Reciprocal inhibition was better and effective technique as compared to Positional release therapy.

Abstract 147 | Pdf Downloads 61

References

1. Bose G, Dusad G. Effect of reciprocal inhibition and post isometric relaxation; types of muscle energy technique in piriformis syndrome–a comparative study. European J Pharm Med Res. 2018;5:558-63.
2. Velappanchavadi C. Effectiveness of muscle energy technique versus stretching in subjects with piriformis syndrome. Int J Physiother Res. 2019;7(5):3252-56.
3. Siraj SA, Dadgal R. Physiotherapy for piriformis syndrome using sciatic nerve mobilization and piriformis release. Cureus. 2022;14(12).
4. Danazumi MS, Yakasai AM, Ibrahim AA, Shehu UT, Ibrahim SU. Effect of integrated neuromuscular inhibition technique compared with positional release technique in the management of piriformis syndrome. Journal of osteopathic medicine. 2021;121(8):693-703.
5. Singh KK, Singh S. RECIPROCAL INHIBITION MUSCLE ENERGY TECHNIQUE Vs STRETCHING IN PIRIFORMIS SYNDROME: A RANDOMIZED EXPERIMENTAL STUDY. INDIAN JOURNAL OF PHYSICAL THERAPY AND REHABILITATION.7.
6. Nazir S, Asmat G, Ashfaq U, Saeed T. Frequency of Piriformis Syndrome among Female Physiotherapy Students of Gujranwala, Pakistan: Piriformis Syndrome among Female Physiotherapy Students. Pakistan Biomedical Journal. 2022:103-7.
7. Vij N, Kiernan H, Bisht R, Singleton I, Cornett EM, Kaye AD, et al. Surgical and non-surgical treatment options for piriformis syndrome: A literature review. Anesthesiology and Pain Medicine. 2021;11(1).
8. Rajendran S, Sundaram SS. The effectiveness of myofascial release over stretching on pain and range of motion among female college students with piriformis syndrome. Malaysian Journal of Movement, Health & Exercise. 2020;9(2):45-56.
9. Rehman AU, Khan LG, Khalid M, Mumtaz U, Akhtar H, Gondal A, et al. Comparison of Active Release Technique and Post Isometric Relaxation in Patients with Piriformis Syndrome. Pakistan Journal of Medical & Health Sciences. 2022;16(05):683-.
10. Hartman LS. Handbook of osteopathic technique: Springer; 2013.
11. Zeren B, Canbek U, Oztekin H, İmerci A, Akgün U. Bilateral piriformis syndrome in two elite soccer players: Report of two cases. Orthopaedics & Traumatology: Surgery & Research. 2015;101(8):987-90.
12. Danazumi MS, Yakasai AM, Ibrahim SU. Effect of integrated neuromuscular inhibition technique in the management of piriformis syndrome: a case report. Middle East Journal of Rehabilitation and Health Studies. 2020;7(2).
13. Alarab A, Unver F. Stretching exercise versus tissue mobilization technique in piriformis syndrome. European Journal of Medical and Health Sciences. 2020;2(6).
14. Misirlioglu TO, Akgun K, Palamar D, Erden MG, Erbilir T. Piriformis syndrome: comparison of the effectiveness of local anesthetic and corticosteroid injections: a double-blinded, randomized controlled study. Pain physician. 2015;18(2):163.
15. Shetty D, Srivastava S, Mittal H. Positional Release Therapy And Its Application In Various Musculoskeletal Conditions: A Review Of Literature. Journal of Pharmaceutical Negative Results. 2022:3629-34.
16. MN M, AMF ES. Effect of therapeutic exercises with or without positional release technique in treatment of chronic mechanical low back pain patients: a randomized controlled trial. Egyptian Journal of Occupational Medicine. 2014;38(2):125-39.
17. Fritz K, Krupa K, Carr Jr CL. Physiology, counterstrain and facilitated positional release (FPR). StatPearls [Internet]: StatPearls Publishing; 2022.
18. Khakneshin A, Javaherian M, Attarbashi Moghadam B. The Efficacy of Physiotherapy Interventions for Recovery of Patients Suffering from Piriformis Syndrome: A Literature Review. Journal of Rafsanjan University of Medical Sciences. 2021;19(12):1304-18.
19. Dakou M, Iakovidis P, Lytras D, Kottaras A, Chasapis G, Kottaras I. The effect of physiotherapy in the treatment of piriformis syndrome: A narrative review. Natl J Clin Orthop. 2021;5:24-6.
20. Ergezen G, Sahin M. Comparison of self-myofascial release and stretching exercises in individuals with piriformis syndrome: a randomised controlled trial. International Journal of Therapy And Rehabilitation. 2023;30(11):1-10.
21. Popoola IS. A CASE STUDY: COMBINATION OF PHYSIOTHERAPY AND OSTEOPATHIC MANUAL THERAPY TECHNIQUE IN THE MANAGEMENT OF PIRIFORMIS SYNDROME: National University of Medical Sciences; 2020.
22. El MS, Mostafa DMM, Elshafey MA. Autogenic inhibition versus reciprocal inhibition techniques on spastic children. 2018.
23. Aleem A, Arfan MT, Razzaq A, Ali M. Effectiveness of Post Isometric Relaxation Versus Reciprocal Inhibition Technique on Hamstring Muscle Flexibility. Annals of King Edward Medical University. 2022;28(2):205-9.