A Comparative Study Between Elongation Longitudinaux Avec Decoaption Osteo Articulaire (ELDOA) and Nerve Flossing Technique (NFT) to improve Pain and Flexibility in Piriformis Syndrome – An Experimental Study.

Abstract

BACKGROUND: Piriformis syndrome (PS) manifests as a neuromuscular condition characterized by discomfort in the hip and buttock regions, potentially leading to radiating pain in the lower back and thigh. A variety of anomalies, including the piriformis muscle's shortening, spasm, hypertrophy, or inflammation, or structural differences in the muscle that cause the sciatic nerve to be compressed, can cause the disorder. The incidence rate of PS among individuals experiencing low back pain ranges from 5% to 36%. This study aims to explore the impact of ELDOA (Elongation Longitudinaux avec Decoaptation Osteo-Articulaire) and the Nerve Flossing Technique on alleviating pain and enhancing flexibility in individuals with piriformis syndrome. METHOD: Thirty patients diagnosed with piriformis syndrome will be randomly assigned to two groups: Group A, consisting of 15 individuals, will undergo the ELDOA technique, while Group B, also comprising 15 participants, will receive the Nerve Flossing Technique. Additionally, both groups will be administered a conventional treatment protocol. The treatment sessions will be conducted three times a week over a period of four weeks. Pain levels and flexibility will be evaluated using the Numerical Pain Rating Scale (NPRS) and the piriformis length test at the commencement of the study and at the conclusion of the four-week intervention. RESULT:A statistically significant (p<0.05) effect was indicated by both within group and between group analysis for all the outcome measures following the intervention CONCLUSION: The study's outcomes indicate that both the ELDOA and Nerve Flossing Technique (NFT) are efficacious in ameliorating pain and enhancing flexibility in individuals with piriformis syndrome. However, the analysis suggests that NFT exhibits a superior effectiveness in improving both pain levels and flexibility compared to ELDOA in the context of piriformis syndrome.