Sameha Irshad, Arshad Nawaz Malik, Sahreen Anwar.
Lumbar postural syndrome; effectiveness of piriformis stretching with hip rotation.
Professional Med J Jan ;23(10):1232-6.

Background: The most prevalent disabling condition in clinical practice is low back pain. The poor posture has highest risk for the development of low back pain in young population. There is different conservative treatment approaches used to treat lumbar postural syndrome. Purpose of The Study: The objective was to determine the effectiveness of Piriformis stretching with hip external rotation in the treatment of lumbar postural syndrome. Study Design: Randomized control. Setting: District Headquarter hospital Faisalabad. Period: 06 month from 01st January- 30th June 2014. Materials and Methods: The purposive sampling technique was used to collect sample of 30 patients and then assigned to 2 groups randomly (Hip external rotation HER and Hip Internal rotation HIR group). Standardized treatment protocol include heating modality, hamstring stretching, back strengthening & stretching exercises and postural education was implemented to all patients. Participants in the hip external rotation (HER) group received Piriformis stretch with hip external rotation and participants in Hip Internal rotation (HIR) group received piriformis stretch with hip internal rotation as an additional treatment in order to compare both stretch positions. The changes in the symptoms were measured in the form of pain and Modified Oswestry Disability Index (MODI). Results: The statistical analysis showed the P value for total score of Modified Oswestry Disability Index (MODI) was (0.00<0.05). So there is a significant difference in both group showing that the piriformis stretching with hip external rotation is effective than hip internal rotation combined with conventional physical therapy in subjects with lumbar postural syndrome. Conclusions: It is concluded that piriformis stretching with hip external rotation together with conventional treatment is an effective treatment approach in treating lumbar postural syndrome.

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