Fiona Cramp Fiona.Cramp@uwe.ac.uk
Professor in Long Term Conditions
Non-surgical management of piriformis syndrome: a systematic review
Cramp, Fiona (Alice); Bottrell, Oliver; Campbell, Hannah; Ellyatt, Peter; Smith, Claire; Wilde, Benjamin
Authors
Oliver Bottrell
Hannah Campbell
Peter Ellyatt
Claire Smith
Benjamin Wilde
Abstract
© 2007 Maney Publishing. The aim of this review was to identify and evaluate the evidence for the non-surgical management of Piriformis Syndrome. A systematic review of electronic databases was carried out up to February 2006. This was supplemented by hand searching journals and 'snow-balling' from reference lists. Strict inclusion/exclusion criteria were applied. Five independent observers reviewed the methodological quality of the core studies using the published Physiotherapy Evidence Database (PEDro) critique tool. Differences were resolved by consensus. Two studies met the inclusion/exclusion criteria. PEDro scores were 6/10 and 10/10. Both studies demonstrated positive effects for botulinum toxin type A (Botox) injections compared to a placebo or control treatment. One study identified this positive effect in addition to a physiotherapy protocol. Evidence implies that Botox is a potentially successful treatment for Piriformis Syndrome; however, a paucity of high-quality clinical trials limits evidence of its overall efficacy. Further clinical trials of the effectiveness of non-surgical measures in the management of this syndrome are indicated.
Journal Article Type | Review |
---|---|
Publication Date | Mar 1, 2007 |
Journal | Physical Therapy Reviews |
Print ISSN | 1083-3196 |
Electronic ISSN | 1743-288X |
Publisher | Taylor & Francis |
Peer Reviewed | Peer Reviewed |
Volume | 12 |
Issue | 1 |
Pages | 66-72 |
DOI | https://doi.org/10.1179/108331907X175014 |
Keywords | review, musculoskeletal, piriformis, botulinum toxin, systematic review, piriformis syndrome, physiotherapy |
Public URL | https://uwe-repository.worktribe.com/output/1029197 |
Publisher URL | http://dx.doi.org/10.1179/108331907X175014 |
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