A Movement-System-Impairment Approach to the Evaluation and Treatment of a Patient with Piriformis Syndrome: A Case Report

• 영문명: A Movement-System-Impairment Approach to the Evaluation and Treatment of a Patient with Piriformis Syndrome: A Case Report
• 발행기관: KEMA학회
• 저자명: Jin-yong Lim Il-woo Lee Dong-hyun Kim
• 간행물 정보: 『Journal of Musculoskeletal Science and Technology』제2권 제2호, 43~49쪽, 전체 7쪽
• 주제분류: 의약학 > 재활의학
• 파일형태: PDF
• 발행일자: 2018.12.31

영문 초록

Background Piriformis syndrome (PS) is described as entrapment of the sciatic nerve at the level of the piriformis muscle. Selecting the most effective conservative treatment for PS continues to be a challenge. The movement-system-impairment (MSI) approach is based on the association of symptoms with incorrect movements of the hip. The purpose of this case report was to describe the MSI-based approach to diagnosis in a patient with PS. Study design Case report. Observations The patient was a 36-year-old man who presented with sciatic pain in the left lower extremity and anterior hip pain. He began to experience pain approximately 3 months prior to presentation. Prolonged periods spent in a sitting posture aggravated the pain and paresthesia. A clinical examination was performed and the MSI-based diagnosis of hip lateral rotation syndrome was determined. He was instructed to perform specific exercises to address these movement impairments. Exercises were prescribed to address impairments to muscle length, muscle strength, and motor control, all of which are proposed to contribute to the lateral rotation of the hip. The patient reported a reduction in pain and an improvement in his functional activities after 6 weeks of therapy. Conclusions The present study suggests that the therapeutic application of the MSI approach is effective in patients with PS.

목차

INTRODUCTION

CASE HISTORY

PHYSICAL EXAMINATION

DIAGNOSIS

TREATMENT

OUTCOME

DISCUSSION

CONCLUSIONS

REFERENCES

키워드

Movement system impairment Hip lateral rotation syndrome Sciatic nerve Piriformis shortness Piriformis syndrome