“To See The Effect Of Dry Needling & Manual Stretching In Patients With Piriformis Muscle Syndrome”
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Abstract
Background: Piriformis Muscle Syndrome (PMS) is a neuromuscular condition that can cause significant pain and functional impairment. This study aimed to compare the effectiveness of dry needling and manual stretching in managing PMS, focusing on pain intensity, functional disability, range of motion (ROM), and patient satisfaction.
Methods: A randomized controlled trial was conducted with 60 participants diagnosed with PMS. Participants were randomly assigned to either the dry needling group (Group A) or the manual stretching group (Group B). Interventions were administered over six weeks, with follow-up assessments conducted ten weeks from baseline. Outcome measures included pain intensity (Visual Analog Scale - VAS), functional disability (Oswestry Disability Index - ODI), hip internal rotation ROM, and patient satisfaction (Likert scale).
Results: Both interventions significantly improved all measured outcomes. Group A (Dry Needling) showed a greater reduction in VAS scores from 7.4 at baseline to 3.2 post- intervention and 2.9 at follow-up, compared to Group B (Manual Stretching), which showed a reduction from 7.3 to 4.5 and 3.9, respectively. Group A's ODI scores improved from 56.2% at baseline to 24.5% post-intervention and 22.1% at follow-up, while Group B's scores improved from 55.8% to 30.2% and 28.7%, respectively. ROM in Group A increased from 25.3 degrees to 38.2 degrees post-intervention and 36.9 degrees at follow-up, compared to an increase from 25.1 degrees to 34.7 degrees and 33.2 degrees in Group B. Patient satisfaction was higher in Group A, with scores of 4.7 post-intervention and 4.6 at follow-up, compared to 4.2 and 4.1 in Group B.
Conclusion: Dry needling is a highly effective intervention for managing PMS, providing superior outcomes in pain relief, functional improvement, ROM enhancement, and patient satisfaction compared to manual stretching. These findings suggest that dry needling should be considered a primary treatment modality for PMS. Further research is recommended to confirm these results and explore the long-term effects and broader impacts of these interventions.
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