The Impact of PNF Stretching on Pain and Range of Motion Compared to Static Stretching in Patients with Piriformis Syndrome: A Randomized Controlled Trial

Authors

  • Mahendran J
  • Karthikeyan Selvaganapathy
  • Kamalakannan M
  • Roshini Rajappan
  • Syed Abudaheer K

Keywords:

Range of Motion, Pain, Stretching, PNF Stretching, Piriformis syndrome

Abstract

Introduction: Piriformis syndrome is a neuromuscular disorder causing pain and restricted mobility. Proprioceptive Neuromuscular Facilitation (PNF) stretching is a technique used to improve muscle elasticity and range of motion (ROM), but its effectiveness in piriformis syndrome remains underexplored.

Objective: This study investigates the effectiveness of PNF stretching in alleviating pain and enhancing ROM in patients with piriformis syndrome.

Method: A randomized controlled trial with 30 participants (53.3% male, mean age45 ) was conducted. Both groups underwent a 4-week intervention comprising hot pack application, manual therapy, and stretching protocols. Pain levels were measured using the Visual Analogue Scale (VAS), and ROM was assessed with a goniometer.

Results: The experimental group showed significant improvements in ROM (extension: 110 ± 30; abduction: 310 ± 70; external rotation: 300 ± 60) and pain reduction (VAS: 5 ± 2) compared to the control group. Statistical analysis demonstrated greater significance for PNF stretching in improving ROM and pain reduction compared to static stretching.

Conclusion: PNF stretching significantly enhances ROM and reduces pain in piriformis syndrome patients, offering a promising rehabilitation strategy. Future studies should explore long-term benefits and variations in PNF protocols.

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Published

2025-05-06

How to Cite

1.
J M, Selvaganapathy K, M K, Rajappan R, Abudaheer K S. The Impact of PNF Stretching on Pain and Range of Motion Compared to Static Stretching in Patients with Piriformis Syndrome: A Randomized Controlled Trial. J Neonatal Surg [Internet]. 2025May6 [cited 2025Oct.23];14(15S):2348-52. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/5211