Effectiveness of neurodynamic mobilization and MCGILL-type strengthening exercises in patients with piriformis syndrome: study protocol for a randomized controlled trial

David Marcelo Guevara Hernándeza; Shirley Mireya Ortiz Pérez; Franklin Baltodano Ardón; Cintya Lisbeth Tello Núñez; Joselyn Germania Otáñez Moreno

doi:10.15391/prrht.2024-9(3).08

Authors

David Marcelo Guevara Hernándeza Department of Physiotherapy, Faculty of Health Sciences, Universidad Nacional de Chimborazo, Chambo, Ecuador https://orcid.org/0000-0001-5063-0519
Shirley Mireya Ortiz Pérez Department of Physiotherapy, Faculty of Health Sciences, Universidad Nacional de Chimborazo, Riobamba, Ecuador https://orcid.org/0000-0003-0648-2381
Franklin Baltodano Ardón Department of Physiotherapy, Faculty of Health Sciences, Universidad Nacional de Chimborazo, Riobamba, Ecuador https://orcid.org/0000-0001-7393-7353
Cintya Lisbeth Tello Núñez Department of Business Administration, Faculty of Political and Administrative Sciences, Universidad Nacional de Chimborazo, Riobamba, Ecuador https://orcid.org/0009-0008-8045-6273
Joselyn Germania Otáñez Moreno Department of Physiotherapy, Centro de Rehabilitación Integral Neurofit ec, Chambo, Chimborazo, Ecuador https://orcid.org/0009-0001-7957-4191

DOI:

https://doi.org/10.15391/prrht.2024-9(3).08

Keywords:

piriformis syndrome, sciatica, neurodynamic mobilization, strengthening exercises.

Abstract

Abstract.

Purpose: Determine the effectiveness of adding a McGill-type strengthening exercise program to neurodynamic mobilization in patients with pyramidal syndrome (PS).

Material and methods: This study has a pre/post experimental design of a randomized single-blind clinical trial that will be carried out in the province of Chimborazo - Ecuador, with a duration of 8 months. The final sample will be formed by 58 patients with a diagnosis of SP who will be randomly assigned to a control group: neurodynamic mobilization and to an experimental group: neurodynamic mobilization plus McGill type strengthening exercises. Both groups will be evaluated before, immediately after and after two months of the intervention phase to determine changes in pain, disability, and range of motion.

Results: The comparison between the evaluations aims to reveal information on the effectiveness of combining neurodynamic mobilization plus McGill-type strengthening exercises, providing valuable information to contribute to the quality assurance of rehabilitation and physical activity behavior throughout rehabilitation patients.

Conclusions: Neurodynamic mobilization plus McGill-type strengthening exercises could reduce pain, improve range of motion and quality of life in patients diagnosed with SP.

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