Prevalence of Piriformis Tightness and Its Impact on Daily Life Activity Among Undergraduate University Students
DOI:
https://doi.org/10.55735/1j64t840Keywords:
IPAQ , Numeric pain scale , Piriformis muscle syndrome , Piriformis tightnessAbstract
Background: Piriformis Syndrome is a neuromuscular disorder characterised by pain and/or numbness in the buttock area caused by the compression or irritation of the sciatic nerve by piriformis muscle tightness. Early diagnosis and treatment of piriformis tightness are crucial to preventing long-term complications and improving the quality of life for individuals. Objective: to determine the prevalence of piriformis tightness and to determine the impact of piriformis tightness on physical activity and quality of life among undergraduate City University students. Methodology: The study was a cross-sectional design conducted at City University, Peshawar, Pakistan, with a sample size of 329 participants selected through non-probability convenient sampling. Ethical approval was obtained from the Research Committee of City University of Science and Information Technology. Inclusion criteria included undergraduate students aged 18-26 and those who are willing to participate, while exclusion criteria covered recent trauma, surgery in low back and lower limbs, psychological issues, lower limb disability, and lumbar radiculopathy. Tools used in the study were piriformis stretch test, numeric pain rating scale, and international physical activity questionnaire. Data was analyzed using SPSS version 26. Qualitative variables were calculated as frequency and percentages. Chi-square test was used to analyze the correlation between variables. The p-value ≤0.05 was considered statistically significant. Results: In a sample size of 329, 165 (50.2%) were males and 164 (49.8%) were females. The pain intensity among these participants was also distributed into different categories such as no pain, mild pain, moderate pain, and severe pain. The mild pain category had the highest frequency with 123 participants representing 37.4%% of the total sample. According to IPAQ score of the participants, the participants who are performing moderate physical activity had the highest frequency accounts for (54.4%). The mean sitting hours of the participants is 10.79±3.12. Conclusion: In conclusion, the prevalence of piriformis tightness and its impact on physical activity and quality of life are high among undergraduate university students, as a significant association was found between piriformis tightness and physical activity.
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1. Batool N, Azam N, Moafa HN, et al. Prevalence of piriformis syndrome and its associated risk factors among university students in Pakistan: a cross-sectional study. BMJ Open 2025; 15(1): e092383. DOI: 10.1136/Bmjopen-2024-092383 DOI: https://doi.org/10.1136/bmjopen-2024-092383
2. Chang C, Jeno SH, Varacallo M. Anatomy, Bony Pelvis and Lower Limb: Piriformis Muscle. StatPearls Publishing; 2022.
3. Islam F, Mansha H, Gulzar K, Raza A, Raffique A, Haider S. Prevalence Of Piriformis Muscle Syndrome Among Individuals with Low Back Pain: Piriformis Muscle Syndrome Among Individuals with Low Back Pain. Pakistan Journal of Health Sciences 2022: 48–52. DOI: 10.54393/pjhs.v3i04.98 DOI: https://doi.org/10.54393/pjhs.v3i04.98
4. Abu Bakar Siddiq M, Jahan I, Rasker JJ. Piriformis Syndrome: Epidemiology, Clinical Features, Diagnosis, and Treatment. Piriformis Syndrome: Springer; 2023: 75–87. DOI: 10.1007/978-3-031-40736-9_15 DOI: https://doi.org/10.1007/978-3-031-40736-9_15
5. Nazir S, Asmat G, Ashfaq U, Saeed T. Frequency of Piriformis Syndrome among Female Physiotherapy Students of Gujranwala, Pakistan: Piriformis Syndrome among Female Physiotherapy Students. Pakistan Biomedical Journal 2022: 103–7. DOI: 10.54393/pbmj.v5i1.175 DOI: https://doi.org/10.54393/pbmj.v5i1.175
6. Warner S, Munawar A, Ahmad A, Fatima M, Waqas M. Prevalence of piriformis syndrome among University of Lahore male students. Rawal Medical Journal 2018; 43(2): 306–8.
7. Papadopoulos EC, Khan SN. Piriformis syndrome and low back pain: a new classification and review of the literature. Orthopaedic Clinics 2004; 35(1): 65–71. DOI: 10.1016/S0030-5898(03)00105-6 DOI: https://doi.org/10.1016/S0030-5898(03)00105-6
8. Siddiq MAB. Piriformis syndrome with red flag signs. International Journal of Clinical Rheumatology 2019: 13(6):338-340. DOI: 10.4172/1758-4272.1000207 DOI: https://doi.org/10.4172/1758-4272.1000207
9. Pandurangan B, Ramkumar S. The Prevalence of Piriformis Syndrome Among College Students. International Journal of Scientific Development and Research 2024: Vol.9, Issue 5, 1529-1533. DOI: 10.5281/zenodo.11575549
10. Desai VS, Anand S. Prevalence of Piriformis Tightness with Relevance of Sitting Duration in Bankers. Indian Journal of Forensic Medicine & Toxicology 2020; 14(3). DOI: 10.37506/ijfmt.v14i3.10458 DOI: https://doi.org/10.37506/ijfmt.v14i3.10458
11. Cardim JM, Santos DM, Quaresma EC, et al. The Differential Diagnosis and Physiotherapeutic Treatment of Piriformis Syndrome: A Systematic Review. Archives of Current Research International 2024: Vol. 24, Issue 6, 48-57. DOI: 10.9734/acri/2024/v24i6763 DOI: https://doi.org/10.9734/acri/2024/v24i6763
12. Gajjar R, Patel A, Patel G. An Immediate Effect of Neurodynamic Mobilization of Femoral Nerve Vs Post Isometric Relaxation on Flexibility for Desk Worker With iliopsoas Muscle Tightness-A Pilot Study. Archives of Physiotherapy and Global Research 2023; 26(2): 25–30. DOI: 10.5604/01.3001.0054.4378 DOI: https://doi.org/10.5604/01.3001.0054.4378
13. Nazir S, Asmat G, Ashfaq U, Saeed T. Frequency of Piriformis Syndrome among Female Physiotherapy Students of Gujranwala, Pakistan. DOI: 10.54393/pbmj.v5i1.175 DOI: https://doi.org/10.54393/pbmj.v5i1.175
14. Cholewa J, Niczyporuk J, Onyśk M, et al. Piriformis syndrome-anatomical causes. Diagnosis and treatment. Journal of Pre-Clinical & Clinical Research 2024; 18(3). DOI: 10.26444/jpccr/189967 DOI: https://doi.org/10.26444/jpccr/189967
15. Muhammad A, Rana MR, Amin T, Angela C, Pereira FA, Bhutto MA. Prevalence of Piriformis Muscle Tightness among Undergraduate Medical Students. Pakistan Journal of Medical & Health Sciences 2022; 16(02): 964–966. DOI: 10.53350/pjmhs22162964 DOI: https://doi.org/10.53350/pjmhs22162964
16. Aslam S, Rahim R, Ejaz U, Tariq ZB, Guftar F. Effects of Myofascial Release Technique on Pain, Range of Motion and Functional Disability in Patients with Piriformis Syndrome. The Healer Journal of Physiotherapy and Rehabilitation Sciences 2025; 5(2): 56–61. DOI: 10.55735/hjprs.v5i2.334 DOI: https://doi.org/10.55735/hjprs.v5i2.334
17. Gilani MHZ, Hanif HMB, Ilyas A, Afzal MW, Akram S, Naeem M. Effectiveness of adding muscle energy technique to routine physical therapy for pain management, range of motion, and functional disability in piriformis syndrome. Pakistan Journal of Rehabilitation 2025; 14(1): 16–24. DOI: 10.36283/pjr.zu.14.1/004
18. Posadzki P, Pieper D, Bajpai R, et al. Exercise/physical activity and health outcomes: an overview of Cochrane systematic reviews. BMC Public Health 2020; 20(1): 1724. DOI: 10.1186/s12889-020-09855-3
19. Jardak M, Chaari F, Bouchaala F, et al. Does piriformis muscle syndrome impair postural balance? A case control study. Somatosensory & Motor Research 2021; 38(4): 315–21. DOI: 10.1080/08990220.2021.1973404 DOI: https://doi.org/10.1080/08990220.2021.1973404
20. Duszka K. Stretching and self-myofascial release in piriformis syndrome. Physiotherapy Review 2022; 26(2): 20–32. DOI: 10.5114/phr.2022.117579 DOI: https://doi.org/10.5114/phr.2022.117579
21. Probst D, Stout A, Hunt D. Piriformis syndrome: a narrative review of the anatomy, diagnosis, and treatment. Physical Medicine and Rehabilitation Journal 2019; 11: S54–S63. DOI: 10.1002/pmrj.12189 DOI: https://doi.org/10.1002/pmrj.12189
22. Bennie JA, De Cocker K, Teychenne MJ, Brown WJ, Biddle SJ. The epidemiology of aerobic physical activity and muscle-strengthening activity guideline adherence among 383,928 US adults. International Journal of Behavioural Nutrition and Physical Activity 2019; 16: 1–11. DOI: 10.1186/s12966-019-0797-2 DOI: https://doi.org/10.1186/s12966-019-0797-2
23. Organisation WH. 2021 physical activity factsheets for the European Union Member States in the WHO European Region: World Health Organisation. Regional Office for Europe, 2021.
24. Varenika V, Lutz AM, Beaulieu CF, Bucknor MD. Detection and prevalence of variant sciatic nerve anatomy in relation to the piriformis muscle on MRI. Skeletal Radiology 2017; 46(6): 751–7. DOI: 10.1007/s00256-017-2597-6 DOI: https://doi.org/10.1007/s00256-017-2597-6
25. Pradip B, Sudhir B, Nidhi B. Prevalence of tightness in hip muscles in middle-aged Indian men engaging in prolonged desk jobs: A descriptive study. International Journal of Physical Education, Sports and Health 2018; 5(2): 15–21.
26. Lo JK, Robinson LR. Piriformis syndrome. Handbook of Clinical Neurology 2024; 201: 203–26. DOI: 10.1016/B978-0-323-90108-6.00002-8 DOI: https://doi.org/10.1016/B978-0-323-90108-6.00002-8

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