Effects Of Global Hip Versus Isolated Abductor Muscles Strengthening Exercise Program On Pain,Range Of Motion And Lower Extremity Function In Patients With Secondary Piriformis Syndrome

Abstract

Background: Sciatica is frequently caused by secondary piriformis syndrome, which happens when the piriformis muscle irritates the sciatic nerve, frequently as a result of trauma or muscle contractures. It has been demonstrated that strengthening exercises improve lower extremity function, increase range of motion, and lessen pain.

Objective: This study aimed to evaluate the effects of abductor muscle strengthening exercises versus global hip muscle strengthening exercises on pain, ROM, and LEF in individuals with secondary piriformis syndrome.

Study Design: it was a randomized controlled trial (RCT).

Place and Duration of study: The setting was Riphah Rehabilitation clinic, Lahore. After BASR approval, the study was completed in 8 months.

Methods: In this randomized controlled trial, 24 participants were assigned to two groups. Group A received hot packs and abductor muscle strengthening exercises,while Group B received hot packs with global hip muscle strengthening exercises. The intervention lasted 5 months, and pain, range of motion (ROM), and lower extremity function (LEF) were assessed using NPRS, goniometer, and LEFS at baseline, 3 weeks, and 6 weeks. Data were analyzed using SPSS 23.0.

Results: Both groups showed significant improvements in pain, ROM, and LEF. Group A, however, demonstrated a statistically significant improvement in hip abductor and extensor strength (p < 0.05). While ROM and LEFS improved in both groups, NPRS results showed no significant differences between them.

Conclusion: Both abductor and global hip muscle strengthening exercises improved pain, ROM, and LEF in patients with secondary piriformis syndrome, with Group A being more effective.