Comparing Instrument-Assisted Soft Tissue Mobilization and PNF Stretching for Treating Piriformis Syndrome in Athletes Aged 18 to 35

What this Trial Is About

Researchers are comparing two physiotherapy techniques, Instrument-Assisted Soft Tissue Mobilization IASTM and Proprioceptive Neuromuscular Facilitation PNF stretching, to manage Piriformis Syndrome in athletes aged 18 to 35 years. This 4-week randomized controlled trial involves 40 athletes experiencing chronic buttock and hip pain, aiming to reduce pain, improve muscle flexibility, and enhance functional outcomes. Both treatment groups receive care alongside education and ergonomic advice. Participants are randomly assigned to either the IASTM group, where a specialized instrument applies controlled pressure to the piriformis muscle and surrounding tissues, or the PNF stretching group, which uses hold-relax and contract-relax stretching techniques with active muscle contractions. Both groups also perform warm-up exercises, muscle activation or strengthening activities, and cool-down routines. Ice or heat therapy and home exercise programs are provided as needed. Before starting treatment, all participants undergo assessments for pain intensity using the Numeric Pain Rating Scale, hip joint range of motion with goniometric measurement, and functional disability via the Oswestry Disability Index. These outcomes are measured again after 6 weeks. The study involves 3 treatment sessions per week over 4 weeks, with monitoring of progress and safety throughout. Total participation spans 12 months including follow-up.

Instrument-Assisted Soft Tissue Mobilization Versus PNF Stretching in Athletes With Piriformis Syndrome