The Effectiveness of Myofascial Release over Stretching on Pain and Range of Motion among Female College Students with Piriformis Syndrome

Sarmitha Rajendran, Subramanian Shenbaga Sundaram


Piriformis syndrome is a painful neuromuscular disorder that occurs when the piriformis muscle irritates and/or compresses the proximal sciatic nerve. Prolonged sitting position is the foremost cause of piriformis tightness in sedentary population that may eventually leads to piriformis syndrome. The incidence of piriformis has been reported to be six times more prevalent among females than males. Piriformis tightness will cause reduction in the range of motion, as well as limitations in walking, sitting and even running. Moreover, individuals will also feel pain in their butt muscles, which could be frustrating. Thus, the aim of this study is to determine the effectiveness of myofascial release over stretching on pain and range of motion among female college students with piriformis syndrome. Twenty participants aged between 19 to 25 years old with tight piriformis muscle for four weeks participated in the study based on the inclusion and exclusion criteria. Subjects were randomised and underwent myofascial release and stretching treatment twice in a week for four weeks. Before each session, the pain score and goniometer measurements were recorded. The experimental group and control group benefited through reduced pain and range of motion. Therefore, there are no significant effects of myofascial release found over stretching between the two groups.


Myofascial release, college students, piriformis syndrome, stretching, goniometer, pain score.

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Bell, J. (2008). Massage therapy helps to increase range of motion, decrease pain and assist in healing a client with low back pain and sciatica symptoms. Journal of Bodywork and Movement Therapies, 12(3), 281-289.

Boyajian-O'Neill, L. A., McClain, R. L., Coleman, M. K., & Thomas, P. P. (2008). Diagnosis and management of piriformis syndrome: an osteopathic approach. The Journal of the American Osteopathic Association, 108(11), 657-664.

Chamberlain, G. J. (1982). Cyriax's friction massage: a review. Journal of Orthopaedic & Sports Physical Therapy, 4(1), 16-22.

Clark, M. A., Lucett, S., & Corn, R. J. (2008). NASM essentials of personal fitness training. Lippincott Williams & Wilkins.

Cooper, G. (Ed.). (2007). Therapeutic Uses of botulinum toxin. Humana Press Incorporated.

Cosca, D. D., & Navazio, F. (2007). Common problems in endurance athletes. Am Fam Physician, 76(2), 237-44.

Fishman, L. M., Dombi, G. W., Michaelsen, C., Ringel, S., Rozbruch, J., Rosner, B., & Weber, C. (2002). Piriformis syndrome: diagnosis, treatment, and outcome—a 10-year study. Archives of Physical Medicine and Rehabilitation, 83(3), 295-301.

Frontera, W. R., Silver, J. K., & Rizzo, T. D. (2014). Essentials of Physical Medicine and Rehabilitation E-Book: Musculoskeletal Disorders, Pain, and Rehabilitation. Elsevier Health Sciences.

Hopayian, K., Song, F., Riera, R., & Sambandan, S. (2010). The clinical features of the piriformis syndrome: a systematic review. European Spine Journal, 19(12), 2095-2109.

Keys, P. M. (2014). The Effects of Myofascial Release vs Static Stretching on Hamstrings Range of Motion.

Kjaer, P., Leboeuf-Yde, C., Korsholm, L., Sorensen, J. S., & Bendix, T. (2005). Magnetic resonance imaging and low back pain in adults: a diagnostic imaging study of 40-year-old men and women. Spine, 30(10), 1173-1180.

Law, L. A. F., Evans, S., Knudtson, J., Nus, S., Scholl, K., & Sluka, K. A. (2008). Massage reduces pain perception and hyperalgesia in experimental muscle pain: a randomized, controlled trial. The Journal of Pain, 9(8), 714-721.

Marcus, D. A. (2007). Headache and chronic pain syndromes. Springer Science & Business Media.

Mitra, S. R., Roy, S., Dutta, A. S., Ghosh, A., Roy, R., & Jha, A. K. (2014). Piriformis Syndrome. Piriformis Syndrome: A review, (3753).

Mondal, M., Sarkar, B., Alam, S., Das, S., Malik, K., Kumar, P., & Sahay, P. (2017). Prevalence of piriformis tightness in healthy sedentary individuals: a cross-sectional study. IJHSR, 7(7), 134-142.

Myers, T. W. (2013). Anatomy Trains E-Book: Myofascial Meridians for Manual and Movement Therapists. Elsevier Health Sciences.

Norbury, J. W., Morris, J., Warren, K. M., Schreiber, A. L., Faulk, C., Moore, D. P., & Mandel, S. (2012). Diagnosis and management of piriformis syndrome. Practical Neurology, 24-7.

Owen, N., Healy, G. N., Matthews, C. E., & Dunstan, D. W. (2010). Too much sitting: the population-health science of sedentary behavior. Exercise and Sport Sciences Reviews, 38(3), 105.

Pal, U. S., Kumar, L., Mehta, G., Singh, N., Singh, G., Singh, M., & Yadav, H. K. (2014). Trends in management of myofacial pain. National Journal of Maxillofacial Surgery, 5(2), 109.

Papadopoulos, E. C., & Khan, S. N. (2004). Piriformis syndrome and low back pain: a new classification and review of the literature. The Orthopedic Clinics of North America, 35(1), 65-71.

Pawaria, S., & Kalra, S. (2015). Comparing effectiveness of myofascial release and muscle stretching on pain, disability and cervical range of motion in patients with trapezius myofascial trigger points. Indian Journal of Health Sciences and Care, 2(1), 8-13.

Robinson, D. R. (1947). Pyriformis syndrome in relation to sciatic pain. The American Journal of Surgery, 73(3), 355-358.

Schleip, R. (2003). Fascial mechanoreceptors and their potential role in deep tissue manipulation. Journal of Bodywork and Movement Therapies, 7(7), 104-116.