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NCT Number: NCT07063017

Comparative Effects of Post-isometric Relaxation and Active Release Technique Patients With Deep Gluteal Syndrome

Deep gluteal syndrome included piriformis syndrome. Tight piriformis muscle gives symptoms of Sciatica in patients with Deep Gluteal Syndrome. Two different techniques which will be used to improve deep gluteal syndrome are Active release technique and Post-isometric relaxation. Active release therapy is a set of techniques for treating musculoskeletal problems. After feeling for the precise location of musculoskeletal dysfunction, practitioners aim to release affected tissues. The post-isometric relaxation technique begins by placing the muscle in a stretched position. Then an isometric contraction is exerted against minimal resistance. Relaxation and then gentle stretch follow as the muscle releases.

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Key information

Conditions

Deep Gluteal Syndrome Hip socket neuropathy Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

35 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ittefaq Hospital

Lahore, Punjab Province, 54000, Pakistan

About this study

This study will be a randomized controlled trial and will be conducted in Riphah Rehabilitation Clinic Lahore. Non-probability consecutive sampling will be used to collect the data. Sample size of 46 subjects with age group between 35-55 years of both male and female will be taken. Data will be collected from the patients having present complaint of pain in buttock, low back and radiating to leg. Outcome measures will be taken using Numeric Pain Rating Scale (NPRS) for pain, Low Extremity Functional Scale for disability and Universal Goniometer (GU) for Range of Motion. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups by random number generator table. Both the Groups will receive hot pack, TENS and ultrasound as well as stretching exercises of piriformis while Group A will receive Post-isometric relaxation and Group B will receive Active release technique. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 21.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • •Age group between 35 and 55 years
  • Both gender male and female
  • Having pain and tenderness in gluteal space
  • Gluteal pain radiating through the posterior of thigh and lower limb

Exclusion criteria

  • • Pregnancy
  • Malignancies
  • Degenerative spine disorders like lumber spondylosis, canal stenosis, spondylolisthesis, neural compressions due to intervertebral disc lesions
  • Any vertebral or hip fracture.
  • History of spinal surgery, TB spine, osteoarthritis, rheumatoid disease

Treatment and study plan

Post- Isometric Relaxation

Other

Post Isometric Relaxation Technique to Piriformis; Lay the patient in the supine position and have the practitioner stand on the same side as the affected piriformis muscle. Bend the knee of the affected side and place the foot of that side on the lateral aspect of the opposite knee. Have the practitioner push knee medially until meeting the restrictive barrier. Have the patient push against the practitioner's resistance for 3 to 5 seconds, allow for a period of isometric relaxation, then engage a new barrier; repeat three times. Return the patient to a neutral position and reassess using supine or prone piriformis testing.

Active Release Technique

Other

Patient position is side lying on the sound side. Therapist stands behind the patient. The upper leg must be in flexion on knee and slight extension Now apply pressure with both thumbs on piriformis and ask patient to flex and extend his hip and also external and internal rotation on hip in flexion. The gluteal muscle is taken from a shortened position to a fully lengthened position while the physiotherapist's contact hand holds tension longitudinally along the soft tissue fibers.

Primary outcomes

  1. Numerical Pain Rating Scale (NPRS)

    Time frame: upto 4 weeks

    Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicated "worst pain".

  2. Universal Goniometer (UG)

    Time frame: upto 4 weeks

    The range of motion will be measured using universal goniometer. A universal goniometer has 3 parts, which include the following: A body is designed like a protractor and may form a full or half-circle. It has a scale for the measurement of the angle. The scale can extend from 0 to 180 degrees for half-circle models or 0 to 360 degrees for full-circle models.

  3. Lower Extremity Functional Scale (LEFS)

    Time frame: upto 4 weeks

    The Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The LEFS can be used by clinicians as a measure of patients' initial function, ongoing progress and outcome, as well as to set functional goals.

Study contacts

Contact information is provided by the study sponsor or research team.

Samrood Akram, PhD Scholar

CONTACT

[email protected]

03324806143

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Comparative Effects of Post-isometric Relaxation and Active Release Technique in Pain, Range of Motion and Disability in Patients With Deep Gluteal Syndrome

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jul 14, 2025
Registry last updated
Jul 14, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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