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Review Papers | Paramedical Science | India | Volume 14 Issue 3, March 2025 | Popularity: 5.8 / 10
Effectiveness of Muscle Energy Technique among Piriformis Syndrome Patients with Pain, Disability, and Limitations in Internal Rotation Range of Motion of Hip Joint : A Systematic Review
Anuradha Arora, Ishani Sinha
Abstract: Introduction: Piriformis syndrome (PS), also known as pseudo sciatica or pseudo disc, is defined as a neuritis of the branches of the sciatic nerve caused by pressure from an injured or irritated piriformis muscle; mimics the signs and symptoms of low back pain. Due to high incidence of low back pain in our society, P.S frequently goes unrecognized or misdiagnosed in clinical settings. Piriformis syndrome occurs when the sciatic nerve becomes compressed or irritated due to the piriformis muscle, which is located deep in the buttock region. This condition can lead to pain in the lower back, hip area, and the back of the thigh, often radiating down to the leg and the outer part of the foot along the sciatic nerve pathway. Symptoms may worsen with prolonged sitting, stair climbing, or specific movements. Patient experiences pain, numbness, burning sensation, painful bowel Movements, trouble with walking and performing other functional activities. If untreated, it causes problems with prolonged sitting, walking and long standing. Methodology: A comprehensive literature review was performed, identifying 30 relevant studies, out of which 10 met the inclusion criteria. These studies involved varied populations and intervention approaches, highlighting the benefits of Muscle Energy Techniques (MET) in reducing pain, increasing flexibility, enhancing the internal rotation (IR) range of motion (ROM) of the hip joint, and improving the overall quality of life in individuals with piriformis syndrome. Discussion: This review analyzes the outcomes of the selected studies, highlighting the effectiveness of Muscle Energy Techniques (MET) interventions. It also identifies limitations such as small sample sizes and the lack of direct comparative studies. The findings emphasize the need for further research to establish standardized treatment protocols and assess these interventions in broader and more diverse populations. Conclusion: The findings of this study suggest that the Muscle Energy Technique (MET) is an effective intervention for patients with piriformis syndrome in reducing pain, improving functional ability, and increasing internal rotation range of motion (ROM) of the hip joint. Participants who underwent MET demonstrated significant improvements in pain relief, as measured by standardized pain assessment scales, and experienced enhanced mobility in daily activities. Additionally, the increase in hip joint internal rotation ROM indicates that MET effectively addresses muscle tightness and dysfunction associated with piriformis syndrome.
Keywords: Piriformis syndrome, MET, VAS, ODI, IR ROM
Edition: Volume 14 Issue 3, March 2025
Pages: 404 - 410
DOI: https://www.doi.org/10.21275/SR25309003007
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