PREVALENCE OF PIRIFORMIS TIGHTNESS AMONG MADRASSA STUDENTS OF GUJRANWALA DIVISION

Abstract

Background: Piriformis muscle tightness is a musculoskeletal condition associated with increased tension of the piriformis muscle, which may contribute to sciatic nerve irritation and lower extremity discomfort. Prolonged sitting and poor postural habits may increase the risk of piriformis-related symptoms among students involved in extended study activities.

Objective: To determine the prevalence of piriformis muscle tightness among female madrassa students of the Gujranwala Division.

Methods: A cross-sectional study was conducted over six months among 377 female madrassa students aged 18–25 years. The sample size was calculated using the Epitools software and through non-probability convenience sampling data was collected. Students with a daily sitting duration of 5–8 hours were included. Data were collected using a self-structured questionnaire, Flexion-Abduction-External Rotation (FAIR) test, and Numeric Pain Rating Scale (NPRS). Ethical approval was obtained from concerned madrassa administrations, and informed consent was taken from all participants. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 27.0.

Results: Piriformis muscle tightness was identified in 52.8% of participants, while 46.2% showed no evidence of tightness. A positive FAIR test was observed in 199 students. Moderate pain was reported by 55.4% of participants, mild pain by 34.0%, and severe pain by 10.6%. The buttock region was the most common site of pain (52.0%), followed by the posterior thigh region (40.6%). Most participants reported sitting on thin mats (67.6%), and symptoms commonly developed after 20–40 minutes of sitting (44.3%).

Conclusion: Piriformis muscle tightness was prevalent among female madrassa students engaged in prolonged sitting activities. Awareness regarding ergonomic sitting practices and preventive physiotherapy interventions may help reduce piriformis-related musculoskeletal symptoms