Effects of Active Release Technique Versus Mulligan Techniques on Pain, Range of Motion and Functional Disability in Patients With Deep Gluteal Syndrome

Background: Deep gluteal syndrome is characterized by pain or loss of sensations in the hip, posterior thigh and buttock area, affects people of age 18-50 years. This syndrome is mostly under diagnosed and thus not get proper treatment, for this active release and Mulligan techniques, used as a co-adjuvant treatment with conventional physical therapy and found to be effective but the literature lacks the effectivenessbetween the two techniques. Purpose: To compare the effects of active release versus Mulligan technique on pain, range of motion, and functional mobility in patients deep gluteal syndrome. Methods: Twenty-four individuals (13 females and11males) with deep gluteal syndrome pre-diagnosed by an orthopedic, were assessed from Rehab Max Clinic Layyah. After fulfilling the inclusion criteria, the participants were randomly divided into two groups receiving active release and Mulligan along with conventional physiotherapy. Outcome measures were pain (NPRS), range of motion (UG), and function (LEFS) collected at the baseline, 6th session, and 12th session. Results: The mean age for participants was 30.58 ± 5.64 years. The within-group analysis showed a statistically significant improvement in pain, range of motion, and function among active release and Mulligan group (P<0.05). The between group analysis showed that both the groups active release and Mulligan group had equal effects on pain, ROM and function at the baseline, 6th and 12th session among patients with gluteal syndrome as the difference was not significant (P>0.05). Conclusion: Both the active release and Mulligan group had equal effects in alleviating pain, increasing range of motion as well as function among individuals with gluteal syndrome.