Foam Rolling and Dynamic Stretching in Piriformis Syndrome

To compare the combined effects of foam rolling and dynamic stretching in patients with piriformis syndrome. 1. Warm-Up (2-3 minutes) Objective: Increase blood flow and prepare muscles for stretching. * Marching in Place - 30 seconds * Pelvic Tilts - 10 reps * Gentle Hip Circles - 10 reps each direction 2. Intervention Phase (8-10 minutes) Group 1: Foam Rolling Alone (FR) (\~10 minutes) * Piriformis Foam Rolling: 30-60 sec per side (2-3 sets) * Glutes \& Lower Back Foam Rolling: 30 sec each (2-3 sets) * Hamstrings \& IT Band Foam Rolling: 30 sec each (2-3 sets) Focus: Slow, controlled rolling with sustained pressure on tender spots. Group 2: Foam Rolling + Dynamic Stretching (FR+DS) (\~10-12 minutes) Step 1: Foam Rolling (\~5-6 minutes, same as Group 1) Step 2: Dynamic Stretching (\~5-6 minutes) * Dynamic Piriformis Stretch: Standing knee-to-opposite-shoulder pull (10 reps per leg) * Leg Swings: Forward and sideways (10 reps each leg) * Walking Lunges with Rotation: 10 reps per leg * Hip Circles \& Controlled Butt Kicks: 10 reps each 3. Cool-Down (2-3 minutes) Objective: Reduce muscle tension and promote recovery. * Seated Piriformis Stretch: 30 sec hold per side (2 sets) * Hamstring Stretch: 30 sec hold per leg * Lower Back Stretch (Child's Pose): 30 sec Progression \& Adjustments * Gradual increase in duration or intensity as tolerated. * Modify exercises if discomfort or pain occurs. * After week 4, increase dynamic stretch duration if flexibility improves. Outcome Measures The effectiveness of the intervention will be assessed through the following key outcome measures: 1. Pain Level - Evaluating changes in discomfort intensity during daily activities and movement. 2. Range of Motion (ROM) - Measuring improvements in hip flexibility and mobility.

NCT Number	NCT07278193
Lead Sponsor	University of Lahore
Conditions	Piriformis Syndrome
Enrollment	40 participants
Start Date	2025-10-31
Primary Completion	2025-12-25 (estimated)
Study Completion	2026-01-02 (estimated)
Updated on ClinicalTrials.gov	2025-12-11