COMPARISON BETWEEN EFFECTS OF PASSIVE VERSUS SELF-MOBILIZATION OF SCIATIC NERVE IN PIRIFORMIS SYNDROME FOR RELIEVING PAIN AND IMPROVING HIP OUTCOMES

soi: 21-2017/re-trjvol06iss01p298

Abstract

Background: Piriformis syndrome is disorder which is neuromuscular, caused by sciatic nerve compression and lead to compromised Hip functions.  This problem, as well as the management for the restoration of hip functions need to addressed. Objective:  To determine the effectiveness of passive mobilization versus self-mobilization in managing pain and improving quality of life in patients with Piriformis syndrome. Methodology: A quasi-experimental study was conducted at Imran Idrees Hospital Sialkot from April to October 2019. The simple random sampling was used to collect n=30 subjects with pain in the gluteal region from more than 2 months, both genders in age of 30-50 years were included. The Passive Sciatic Mobilization was given in one group, while other group was only taught the self-mobilization of the sciatic nerve along with home planThe Visual analogue scale and hip outcomes were measured at baseline, 2nd, 3rd, and 4th week using International Hip Outcome Tool (IHOT) Repeated measurement ANOVA for within-group and independent-sample t-test between groups were used. The level of significance was set at 95% (p<0.05).Results: The mean age of participants in self-mobilization was 41.20 +5.79 and passive mobilization was 42.87 +4.82. Out of 30 participants, 17(56.66%) were male and 13(43.33%) were females participants. The mean of pain at baseline in experimental group was 4.86± 1.30 and reduced to 2.06 ± 1.09 after 4 weeks of passive mobilization and Hip functions at baseline was 131.73 ± 22.59 and improved to 232.00 ± 19.39. Between the groups comparison of pain and hip functions showing that both techniques were effective in reduction of pain and improving Hip functions but passive mobilization group has was dominant over the self-mobilization p value P =0.00 Conclusion: The current study concluded that passive mobilization of sciatic nerve was effective in the management of piriformis syndrome compared to the self-mobilization for improving pain and hip functions. 

Key words: Hip Functioning Pain, Nerve Mobilization, Piriformis Syndrome, Passive Mobilization,Sciatic Nerve, Self-stretching