A Comparative Study Between Muscle Energy Technique Wth Ultrasonic Therapy Versus Stretching with Ultrasonic Therapy in Subject with Piriformis Syndrome

Introduction: Piriformis Syndrome is a neuromuscular condition caused by the compression or irritation of the sciatic nerve due to Piriformis muscle tightness. It leads to pain, reduced range of motion, and functional limitations. Physiotherapy interventions, including Muscle Energy Technique (MET) and stretching, are widely used to alleviate symptoms. However, the comparative effectiveness of MET with Ultrasonic Therapy versus Stretching with Ultrasonic Therapy remains unclear. Objectives: This study aims to compare the effectiveness of Muscle Energy Technique with Ultrasonic Therapy versus Stretching with Ultrasonic Therapy in subjects with Piriformis Syndrome. The outcome measures used for assessment include the Visual Analog Scale (VAS) and the Lower Extremity Functional Scale (LEFS). Methodology: A comparative research design was implemented in the Outpatient Physiotherapy Department, Promhex Multi-speciality Hospital, Greater Noida. A total of 30 participants diagnosed with Piriformis Syndrome were selected using simple random sampling and divided into two groups (n=15 each). Group A: Received Muscle Energy Technique (MET) along with Ultrasonic Therapy (1 MHz, 0.8–1.5 W/cm², continuous mode, 5–10 min). Group B: Received Stretching along with Ultrasonic Therapy (1 MHz, 0.8–1.5 W/cm², continuous mode, 5–10 min). Both groups underwent treatment for two weeks (7 sessions per week). Pre- and post-treatment assessments were conducted using VAS and LEFS scores. Data were analyzed to determine the effectiveness of both interventions. Conclusion: The study findings indicate that Muscle Energy Technique (MET) with Ultrasonic Therapy showed greater improvement in reducing pain and enhancing functional mobility compared to Stretching with Ultrasonic Therapy. A statistically significant difference was observed in post-treatment VAS (p=0.0001) and LEFS (p=0.0005) scores between the two groups. Thus, MET with Ultrasonic Therapy is a more effective intervention for managing Piriformis Syndrome.