| AmreshKumar1,Dr.Surya Prakash Sharma2,Dr. Rushama Tandon3, Shyama Arora4,Priyank Mohan5,Ashish Aggarwal6,Deepak Kumar7,Lijin D. Raj8,Dinesh Dhakad9 Corresponding author: 1Sr.Physiotherapist/Northern Railway Central Hospital, New Delhi, India, Mail id:amreshnrch@gmail.com Co Author: 2Sr.DMO/Ortho/Northern Railway Central Hospital,New Delhi,India. 3Director IRPGIMSR & NRCH, New Delhi, India 4BPT Intern, Northern Railway Central Hospital, New Delhi, India. 5-7Sr.Physiotherapist/Northern Railway Central Hospital, New Delhi, India 8-9Physiotherapist/Northern Railway Central Hospital, New Delhi, India |
Abstract
| Backgroundof the study: Piriformis Syndrome (PS) is a neuromuscular disorder characterized by irritation or compression of the sciatic nerve by the piriformis muscle, often resulting in buttock pain and radiating sciatica-like symptoms. It is a significant cause of non-discogenic sciatica and often leads to considerable pain and functional limitations. Conservative management of PS primarily involves physical therapy modalities, manual techniques, stretching, strengthening exercises, and therapeutic modalities like Ultrasonic Therapy (UST) and Shockwave Therapy (SWT). This study aims to evaluate and compare the clinical effects of UST and SWT on pain intensity and functional disability, in individuals diagnosed with Piriformis Syndrome. Methodology: A randomized controlled trial (RCT) study design was used on participants of two groups, 10 patients in each group. Each intervention was administered for a period of 2 weeks, with sessions scheduled 3 times per week. In addition to the primary intervention, both groups received self-stretching of piriformis muscle. Pain Intensity using Visual Analogue Scale (VAS) and Functional Disability using Lower Extremity Functional Scale (LEFS) were evaluated on the first day and after 2 weeks. For between-group comparison Mann-Whitney U test were used for statistical analysis. Result: Statistically significant improvements were observed in both the outcome measures in the SWT group compared to the UST group, with SWT having higher mean ranks in both VAS (14.85) and LEFS (15.50) scores (p < .001). Conclusion: This study concludes that Shockwave Therapy demonstrates greater efficacy in reducing pain and improving functional outcomes than Ultrasonic Therapy. Keywords:Piriformis Syndrome, Ultrasonic Therapy, Shockwave Therapy, Pain, Functional Disability, Visual Analogue Scale, Lower Extremity Functional Scale, Neuromuscular Disorders. |
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