Atik A Mulla, Pranjali Gosavi


Background: The purpose of this study was to assess the effect of Piriformis stretching and neural tissue mobilization in Piriformis syndrome.

Method: 30 subjects with Piriformis syndrome were included in this study. Following the data collection, the subjects were allotted into 2 groups by simple random sampling. Group A –Experimental group (Piriformis stretching, ultrasound and hot moist pack, neural tissue mobilization) B- Conventional group (Piriformis stretching, ultrasound and hot moist pack) Before and after the treatment protocol subjects were assessed by Roland morris back questionnaire, VAS, Hip flexion ROM these outcome measures were analysed.

Result: statistical analysis was performed using t-test and unpaired t-test. Intra group comparison (within group) was analysed and statistically using paired t-test for RMBQ, VAS and Hip flexion ROM. This shows there is extremely significant effect in group A as compare to group B, while inter group comparison (Between groups) statistically showed that during pre intervention there was no significant difference in RMBQ and VAS while very significant difference in hip flexion ROM and during post intervention there was extremely significant difference in RMBQ,VAS and hip flexion ROM.

Conclusion: From this study, it can be concluded that there was extremely significant improvement in subjects who underwent experimental group statistically and clinically. Overall there was significant difference found between the groups. Hence this study accepts the alternative hypothesis (H1).


Piriformis syndrome, neural tissue mobilization, Piriformis stretching.

Full Text:



Edward FO, “piriformis syndrome” in academy of applied osteopathy year book,carmel,CA academy of applied osteopathy 1962 , 39 – 41.

Martin, HD, reddy, M: Gomez .Hoyos, J (july 2015) “Deep gluteal syndrome” journal of hip presentation surgery 2 (2) 99 – 107.

Retzlaff EW.Berry ,Haight As et.al, The piriformis muscle syndrome J Am osteopath assoc 1974 : 73 : 799 -807.

Tepoorten BA. The piriformis muscle J Am osteopath Assoc 1969: 69, 150-160.

.Hallin Rp. Sciatic pain and the piriformis muscle postgrad med, 1983; 74: 69 -72.

Benson ER, schutzer sf post traumatic piriformis syndrome: diagnosis and result of operative treatment J bone joint surg Am 1999; 81: 941-949.

.Foster MR. piriformis syndrome Orthopedics. 2002; 25: 821-825.

.Digiovannna El, schiowitz s, dowling DJ eds an osteopathic approach to diag and fx 3 rd ed. Philadelphia, pa: lippinacott Williams and wilkins 2005.

steiner c, stabs c, gannon m, bulhinger c. piriformis syndrome: J Am osteopath assoc. 1987, 87; 318- 323.

Papadopolous EC, khan SN. piriformis syndrome and LBP : a new classification and review of the literature orthoclinic north Am 2004,35:65-71.

Magge Dj orthopedic physical assessment 3rd edition pjiladelphia PA WB saunders, co, 1997.

Kouichi Nakamura,PT,Ms1,20*,Takayuki Kodama,PT,PhD3)et.al:. Effects of active individual muscle stretching on miuscle function,journal of physical therapy science,

vol 26.(341-344),2014.

C.I.Morsel1,H.Degens2,O.R.seynnes et al; The acute effect of stretching on the passive stiffness of humen gastrocnemius muscle tendon unit,The journal of physiology,vol 586.1 (2008) (97-106).

Evan peck,MD1;Greg Chomko,DPT2;DanV.gaz,MS3 et al;The effects of stretching on performance, current sports and medicine reports, volume 13 & Nuumber 3 & May/June 2014 (179-185).

palak khichadiya, suraj kanse:Effect of specific transverse abdominal muscle strengthening and conventional therapy for trunk controlin paraplegic subjects .Indian journal of physiotherapy and occupational therapy2017 vol11 issue 2(184-187).

Bultler, D. The sensitive nervous system. Melbourne austrelia livengston. Livingstone, Edinburgh.

Sarkari1,E.andMultani,EfficacyofNeuralMobilisation in Sciatica N.K. Journal of Exercise

Science and Physiotherapy, 3(2): 136-141, 2007.


  • There are currently no refbacks.