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| Name | Class |
|---|---|
| Kocaeli City Hospital | OTHER_GOV |
| Saglik Bilimleri Universitesi | OTHER |
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The aim of this study is to compare the effects of asynchronous telerehabilitation and home exercise programs on pain, fear of pain, functionality, and performance in individuals with piriformis syndrome.
In this randomized controlled trial, performance has been determined as the primary outcome measure. Pain, functionality, and fear of pain have been determined as secondary outcome measures. A 6-week asynchronous telerehabilitation protocol is planned for patients with Piriformis Syndrome, with a home program serving as the control group. Informed consent forms will be obtained from participants. Participants will be enrolled at the Physical Therapy and Rehabilitation Home Exercise Program Clinic of Kocaeli City Hospital Physical Therapy Hospital and the study will commence after obtaining ethical committee approval. The Helsinki Principles will be adhered to for individuals included in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| physical performance | Active Comparator | Participants evaluted with 5 times sit stand test |
|
| pain | Active Comparator | Pain levels of participants will evaluated |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Home exercise programme | Behavioral | Applications to be used for telerehabilitation: Musclewiki, YouTube (Medstar Health) may be used. Participants will be directed to exercise for 45 minutes, 3 days a week, via recorded videos sent to them. The difficulty level of the exercises is planned to increase every two weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Physical performance | The Timed Up and Go Test (TUG) measures the time it takes for an individual to stand up from a chair upon command, walk around a point 3 meters away, and return to sit in the chair. A time exceeding 15 seconds indicates a risk of falling. | before and after 8 week exercise programme |
| Measure | Description | Time Frame |
|---|---|---|
| pain catastrophise | This is a questionnaire developed to measure how much people are driven to disaster in response to pain. The questionnaire lists 13 situations using a 5-point Likert scale (0-4) that describes different feelings and thoughts that may be related to pain. The total score can range from 0 to 52. It consists of 3 subfactors: helplessness, magnification, rumination. High scale scores are associated with more pain and more functional impairment. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saglik Bilimleri University | Ankara | Kecioren | 06018 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34357527 | Background | Ozden F, Sari Z, Karaman ON, Aydogmus H. The effect of video exercise-based telerehabilitation on clinical outcomes, expectation, satisfaction, and motivation in patients with chronic low back pain. Ir J Med Sci. 2022 Jun;191(3):1229-1239. doi: 10.1007/s11845-021-02727-8. Epub 2021 Aug 6. | |
| 39295626 | Background |
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| ID | Term |
|---|---|
| D055958 | Piriformis Muscle Syndrome |
| D010146 | Pain |
| ID | Term |
|---|---|
| D020426 | Sciatic Neuropathy |
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
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| ID | Term |
|---|---|
| D000069350 | Telerehabilitation |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
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Stretching and nerve mobilization exercises will be performed before other exercises in telerehabilitation and home program groups. These exercises will be demonstrated to participants by the physical therapist in person during the first session.
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Participants will be grouped using simple randomization. To prevent bias, randomization will be performed using the opaque sealed envelope method with one-to-one instant randomization.
|
| telerehabilitation | Behavioral | Applications to be used for telerehabilitation: Musclewiki, YouTube (Medstar Health) may be used. Participants will be directed to exercise for 45 minutes, 3 days a week, via recorded videos sent to them. The difficulty level of the exercises is planned to increase every two weeks. |
|
| before and after the 8 week exercise programme |
| Onan D, Demirci E, Turhan E, Ulger O. Spinal stabilization exercises for transversus abdominis and lumbar multifidus thickness via telerehabilitation and face-to-face approaches in patients with nonspecific chronic neck pain: a randomized controlled trial. Turk J Med Sci. 2024 Jul 12;54(4):811-821. doi: 10.55730/1300-0144.5853. eCollection 2024. |
| 36901375 | Background | Munoz-Tomas MT, Burillo-Lafuente M, Vicente-Parra A, Sanz-Rubio MC, Suarez-Serrano C, Marcen-Roman Y, Franco-Sierra MA. Telerehabilitation as a Therapeutic Exercise Tool versus Face-to-Face Physiotherapy: A Systematic Review. Int J Environ Res Public Health. 2023 Feb 28;20(5):4358. doi: 10.3390/ijerph20054358. |
| 36712711 | Background | Ahmad Siraj S, Dadgal R. Physiotherapy for Piriformis Syndrome Using Sciatic Nerve Mobilization and Piriformis Release. Cureus. 2022 Dec 26;14(12):e32952. doi: 10.7759/cureus.32952. eCollection 2022 Dec. |
| D009422 | Nervous System Diseases |
| D009408 | Nerve Compression Syndromes |
| D009437 | Neuralgia |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D017699 | Pelvic Pain |
| D013812 |
| Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D017216 | Telemedicine |
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |