STUDY OF TREATMENT OUTCOME OF PIRIFORMIS SYNDROME WITH AND WITHOUT PHYSIOTHERAPY TREATMENT

Abstract

Abstract

The purpose of this Study is to: Compare the effective-ness of Medicine, Physiotherapy and their combination in the management of Piriformis Syndrome (PS).

Methodology:  This interventional study was conduc-ted at the Department of Physiotherapy and Orthope-dics Unit I, King Edward Medical University/ Mayo Hospital Lahore. A total number of 50 people were taken in this study. The subjects were divided into 3 groups. In the first group 14 subjects were included, in the second group 20 subjects were included and the third group 16 subjects were taken. Group I: In this group patients were taken with using medicine only

Gondal M.J.I.¹

Physiotherapist, Mayo Hospital, Lahore

Iqbal M.A.²

Physiotherapist, Govt. Shahdara Hospital, Lahore

Nasir R.H.³

Physiotherapist, Riphah International University, Lahore

Tabassum R.⁴

Physiotherapist

Lahore Medical and Dental College, Lahore

Rasul A.⁵

M. Phil, Scholar Punjab University, Lahore

and was taken from OPD department unit I, Mayo Hospital Lahore. Group II: In this group those pati-ents were included who were already taking medicine and were also referred to get Physiotherapy treatment. Group III: In this group those patients were included who were taking only Physiotherapy treatment. These were taken from Physiotherapy Department, Mayo Hospital Lahore. Informed consent was taken from the patients or attendants. Patients included in the group who were taking only medicine were interviewed by direct and indirect method and were followed after every week about their conditions by phone or email, and were requested for reassessment after every two months up to six months.

Results:  The mean age of all patients was 46.26 ± 8.25 years. In this study flexion before the treatment and when measured at different intervals after the start of the treatment, it was different for all the treatment options which were used for patients and in the treat-ment group in which patient was given medical and physiotherapy flexion was quite improved as compa-red to other treatment groups. i.e. (p-value = 0.001). Lateral rotation before the treatment and when measu-red at different intervals after the start of the treatment it was different for all the treatment options which were used for patients and in treatment group in which patient was given medical and physiotherapy was quite improved as compared to other treatment groups. i.e. (p-value = 0.002). When patients were tested for Piri-formis. The pain level of patients in group II was sig-nificantly improved on (VAS). On follow-up it was seen that the patients with combined treatment groups were recovered significantly as compared to other gro-ups.

Conclusions:  Based on the results of statistical data analysis, it is concluded that the prognosis of the dise-ase is best in the group of patients whom both the phy-sical and medical treatment were given, rather than the other two groups whom only physical or only medical treatment was given. It justifies the hypothesis of this study report that "The combination of Physiotherapy and Medicine is a better management for the treatment of Piriformis Syndrome".

Key words:  Piriformis Syndrome, Physical Therapy.