[1]王寿梅,宋 媛,王敏佳,等.梨状肌综合征的运动康复诊疗研究进展[J].医学信息,2025,38(07):182-186,192.[doi:10.3969/j.issn.1006-1959.2025.07.037]
 WANG Shoumei,SONG Yuan,WANG Minjia,et al.Research Progress of Exercise Rehabilitation Diagnosis and Treatment of Piriformis Syndrome[J].Journal of Medical Information,2025,38(07):182-186,192.[doi:10.3969/j.issn.1006-1959.2025.07.037]
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梨状肌综合征的运动康复诊疗研究进展()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年07期
页码:
182-186,192
栏目:
综述
出版日期:
2025-04-01

文章信息/Info

Title:
Research Progress of Exercise Rehabilitation Diagnosis and Treatment of Piriformis Syndrome
文章编号:
1006-1959(2025)07-0182-06
作者:
王寿梅宋 媛王敏佳赵 莹
昆明医科大学第二附属医院康复医学部,云南 昆明 650000
Author(s):
WANG Shoumei SONG Yuan WANG Minjia ZHAO Ying
Department of Rehabilitation Medicine, the Second Affiliated Hospital of Kunming Medical University, Kunming 650000, Yunnan, China
关键词:
梨状肌综合征运动康复诊断
Keywords:
Piriformis syndrome Exercise rehabilitation Diagnosis
分类号:
R493
DOI:
10.3969/j.issn.1006-1959.2025.07.037
文献标志码:
A
摘要:
梨状肌综合征(PS)是引起腰、臀、腿等部位疼痛的常见综合征,由于对其损伤机制认识不充分,临床工作者对PS的评估还不全面,仅根据体格检查和病史做出诊断较为主观。近年来,超声、肌电图和磁共振成像(MRI)等辅助技术已被广泛用于确诊PS。尽管PS的治疗方法颇多,但已有研究证实运动康复疗法可以在最小副作用下获得更高疗效。然而,无论是诊断技术还是运动干预PS都需要更大样本量和更多研究来证实其对PS的相关效能。本文旨在综述与PS损伤机制和运动康复诊疗相关的实证研究,通过查阅分析现有研究结果,初步总结和分析运动康复干预PS的动作切入要点,以期为PS的运动康复诊疗和后续研究提供理论依据和研究基础。
Abstract:
Piriformis syndrome (PS) is a common syndrome that causes pain in the waist, buttocks and legs. Due to insufficient understanding of the mechanism of injury, the evaluation of PS by clinical workers is not comprehensive, and the diagnosis is subjective only based on physical examination and medical history. In recent years, assistive techniques such as ultrasound, electromyography, and magnetic resonance imaging (MRI) have been widely used to diagnose PS. Although there are many treatment methods for PS, it has been confirmed that exercise rehabilitation therapy can achieve higher efficacy with minimal side effects. However, both diagnostic techniques and exercise interventions for PS require larger sample sizes and more studies to confirm their efficacy on PS. The purpose of this paper is to review the empirical research related to PS injury mechanism and exercise rehabilitation diagnosis and treatment. By consulting and analyzing the existing research results, the key points of exercise rehabilitation intervention in PS are preliminarily summarized and analyzed, in order to provide theoretical basis and research basis for exercise rehabilitation diagnosis and treatment and follow-up research of PS.

参考文献/References:

[1]Probst D,Stout A,Hunt D.Piriformis Syndrome: A Narrative Review of the Anatomy, Diagnosis, and Treatment[J].PM R,2019,11 Suppl 1:S54-S63.[2]Guner D,Ozcete ZA.Evaluation of the Efficacy of Ultrasound-Guided Dry Needling Therapy and Exercise in Piriformis Muscle Syndrome[J].Cureus,2023,15(8):e43804.[3]郑小芳,孟彬,徐燕,等.二维超声联合剪切波速度诊断梨状肌综合征[J].中国超声医学杂志,2023,39(9):1049-1052.[4]Othman IK,Raj NB,Siew Kuan C,et al.Association of Piriformis Thickness, Hip Muscle Strength, and Low Back Pain Patients with and without Piriformis Syndrome in Malaysia[J].Life (Basel),2023,13(5):1208.[5]Fishman LM,Zybert PA.Electrophysiologic evidence of piriformis syndrome[J].Arch Phys Med Rehabil,1992,73(4):359-364.[6]蒋益民,郭庆之,李雯.高场强磁共振和彩色多普勒超声对梨状肌综合征的诊断价值比较[J].影像科学与光化学,2020,38(3):555-559.[7]Beaton LE,Anson BJ.The relation of the sciatic nerve and of its subdivisions to the piriformis muscle[J].The Anatomical Record,1937,70(1):1-5.[8]Larionov A,Yotovski P,Filgueira L.Novel anatomical findings with implications on the etiology of the piriformis syndrome[J].Surg Radiol Anat,2022,44(10):1397-1407.[9]Annamalai A,Iwanaga J,Dumont AS,et al.An Extremely Rare Case of a Sciatic Nerve Variant[J].Kurume Med J,2023,68(3.4):255-258.[10]Michel F,Decavel P,Toussirot E,et al.Piriformis muscle syndrome: diagnostic criteria and treatment of a monocentric series of 250 patients[J].Ann Phys Rehabil Med,2013,56(5):371-383.[11]Hernando MF,Cerezal L,Pérez-Carro L,et al.Deep gluteal syndrome: anatomy, imaging, and management of sciatic nerve entrapments in the subgluteal space[J].Skeletal Radiol,2015,44(7):919-934.[12]Kozio?覥 T,Chaba W,Janda P,et al.A three-headed piriformis muscle: an anatomical case study and narrative review of literature[J].Folia Morphol (Warsz),2023,82(4):969-974.[13]Kim B,Yim J.Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Non-Specific Low Back Pain: A Randomized Controlled Trial[J].Tohoku J Exp Med,2020,251(3):193-206.[14]Delp SL,Hess WE,Hungerford DS,et al.Variation of rotation moment arms with hip flexion[J].J Biomech,1999,32(5):493-501.[15]Poutoglidou F,Piagkou M,Totlis T,et al.Sciatic Nerve Variants and the Piriformis Muscle: A Systematic Review and Meta-Analysis[J].Cureus,2020,12(11):e11531.[16]Yeoman W.The relation of arthritis of the sacro-iliac joint to sciatica, with an analysis of 100 cases[J].The Lancet,1928,212:1119-1123.[17]Wun-Schen C.Bipartite piriformis muscle: an unusual cause of sciatic nerve entrapment[J].Pain,1994,58(2):269-272.[18]Pecina M.Contribution to the etiological explanation of the piriformis syndrome[J].Acta Anat (Basel),1979,105(2):181-187.[19]Bartret AL,Beaulieu CF,Lutz AM.Is it painful to be different? Sciatic nerve anatomical variants on MRI and their relationship to piriformis syndrome[J].Eur Radiol,2018,28(11):4681-4686.[20]Natsis K,Totlis T,Konstantinidis GA,et al.Anatomical variations between the sciatic nerve and the piriformis muscle: a contribution to surgical anatomy in piriformis syndrome[J].Surg Radiol Anat,2014,36(3):273-280.[21]Kanakis DN,Lazaris AC,Papadopoulos EC,et al.Piriformis syndrome--an attempt to understand its pathology[J].Clin Neuropathol,2010,29(2):65-70.[22]Bagc?覦er F,Tufanoglu FH.A new treatment modality in piriformis syndrome: Ultrasound guided dry needling treatment. Piriformis sendromunda yeni bir tedavi modalitesi: Ultrason rehberliginde kuru igneleme tedavisi[J].Agri,2020,32(3):175-176.[23]Hopayian K,Danielyan A.Four symptoms define the piriformis syndrome: an updated systematic review of its clinical features[J].Eur J Orthop Surg Traumatol,2018,28(2):155-164.[24]Fishman LM,Dombi GW,Michaelsen C,et al.Piriformis syndrome: diagnosis, treatment, and outcome--a 10-year study[J].Arch Phys Med Rehabil,2002,83(3):295-301.[25]Fishman LM,Konnoth C,Rozner B.Botulinum neurotoxin type B and physical therapy in the treatment of piriformis syndrome: a dose-finding study[J].Am J Phys Med Rehabil,2004,83(1):42-53.[26]Bloom DA,Essilfie AA,Wolfert A,et al.Infected Hematoma After Endoscopic Sciatic Nerve Decompression[J].Arthrosc Sports Med Rehabil,2020,2(2):e171-e174.[27]Yoon SJ,Park MS,Matsuda DK,et al.Endoscopic resection of acetabular screw tip to decompress sciatic nerve following total hip arthroplasty[J].BMC Musculoskelet Disord,2018,19(1):184.[28]Neumann DA.Kinesiology of the hip: a focus on muscular actions[J].J Orthop Sports Phys Ther,2010,40(2):82-94.[29]Giphart JE,Stull JD,Laprade RF,et al.Recruitment and activity of the pectineus and piriformis muscles during hip rehabilitation exercises: an electromyography study[J].Am J Sports Med,2012,40(7):1654-1663.[30]Shahzad M,Rafique N,Shakil-Ur-Rehman S,et al.Effects of ELDOA and post-facilitation stretching technique on pain and functional performance in patients with piriformis syndrome: A randomized controlled trial[J].J Back Musculoskelet Rehabil,2020,33(6):983-988.[31]Pace JB,Nagle D.Piriform syndrome[J].West J Med,1976,124(6):435-439.[32]Durrani Z,Winnie AP.Piriformis muscle syndrome: an underdiagnosed cause of sciatica[J].J Pain Symptom Manage,1991,6(6):374-379.[33]Hu YE,Ho GWK,Tortland PD.Deep Gluteal Syndrome: A Pain in the Buttock[J].Curr Sports Med Rep,2021,20(6):279-285.[34]Park JW,Lee YK,Lee YJ,et al.Deep gluteal syndrome as a cause of posterior hip pain and sciatica-like pain[J].Bone Joint J,2020,102-B(5):556-567.[35]Jankiewicz JJ,Hennrikus WL,Houkom JA.The appearance of the piriformis muscle syndrome in computed tomography and magnetic resonance imaging. A case report and review of the literature[J].Clin Orthop Relat Res,1991,(262):205-209.[36]Hudgins WR.The crossed-straight-leg-raising test[J].N Engl J Med,1977,297(20):1127.[37]Martin HD,Kivlan BR,Palmer IJ,et al.Diagnostic accuracy of clinical tests for sciatic nerve entrapment in the gluteal region[J].Knee Surg Sports Traumatol Arthrosc,2014,22(4):882-888.[38]Parodi D,Villegas D,Escobar G,et al.Deep Gluteal Pain Syndrome: Endoscopic Technique and Medium-Term Functional Outcomes[J].J Bone Joint Surg Am,2023,105(10):762-770.[39]Filippiadis D,Gkizas C,Velonakis G,et al.Computed Tomography-Guided Percutaneous Infiltrations for Piriformis Syndrome: A Single-Center Retrospective Study[J].J Long Term Eff Med Implants,2020,30(2):113-118.[40]Zhang W,Luo F,Sun H,et al.Ultrasound appears to be a reliable technique for the diagnosis of piriformis syndrome[J].Muscle Nerve,2019,59(4):411-416.[41]Siddiq MA,Hossain MS,Uddin MM,et al.Piriformis syndrome: a case series of 31 Bangladeshi people with literature review[J].Eur J Orthop Surg Traumatol,2017,27(2):193-203.[42]李守超,曹军英,高越,等.高频超声诊断梨状肌综合征价值研究[J].临床军医杂志,2021,49(12):1323-1326.[43]Ahadi T,Yousefi A,Sajadi S,et al.Comparing radial extracorporeal shockwave therapy and corticosteroid injection in the treatment of piriformis syndrome: A randomized clinical trial[J].J Bodyw Mov Ther,2023,33:182-188.[44]Kwon SY,Jun EH,Park SJ,et al.Botulinum toxin injection strategy of intractable and relapsed piriformis syndrome: A case report[J].Medicine (Baltimore),2022,101(42):e30950.[45]?魻ztürk GT,Erden E,Erden E,et al.Effects of ultrasound-guided platelet rich plasma injection in patients with piriformis syndrome[J].J Back Musculoskelet Rehabil,2022,35(3):633-639.[46]Danazumi MS,Yakasai AM,Ibrahim AA,et al.Effect of integrated neuromuscular inhibition technique compared with positional release technique in the management of piriformis syndrome[J].J Osteopath Med,2021,121(8):693-703.[47]Park MS,Yoon SJ,Jung SY,et al.Clinical results of endoscopic sciatic nerve decompression for deep gluteal syndrome: mean 2-year follow-up[J].BMC Musculoskelet Disord,2016,17:218.[48]Boyajian-O’Neill LA,McClain RL,Coleman MK,et al.Diagnosis and management of piriformis syndrome: an osteopathic approach[J].J Am Osteopath Assoc,2008,108(11):657-664.[49]Fishman LM,Wilkins AN,Rosner B.Electrophysiologically identified piriformis syndrome is successfully treated with incobotulinum toxin a and physical therapy[J].Muscle Nerve,2017,56(2):258-263.[50]冯思嘉,高寒,陈俊,等.运动疗法在运动系统相关疾病治疗中的应用[J].中国运动医学杂志,2023,42(1):74-79.[51]Leung FT,Mendis MD,Stanton WR,et al.The relationship between the piriformis muscle, low back pain, lower limb injuries and motor control training among elite football players[J].J Sci Med Sport,2015,18(4):407-411.[52]Papadopoulos EC,Khan SN.Piriformis syndrome and low back pain: a new classification and review of the literature[J].Orthop Clin North Am,2004,35(1):65-71.[53]Snijders CJ,Hermans PF,Kleinrensink GJ.Functional aspects of cross-legged sitting with special attention to piriformis muscles and sacroiliac joints[J].Clin Biomech (Bristol),2006,21(2):116-121.[54]Kennedy MJ,Lamontagne M,Beaulé PE.Femoroacetabular impingement alters hip and pelvic biomechanics during gait Walking biomechanics of FAI[J].Gait Posture,2009,30(1):41-44.[55]Koga H,Nakamae A,Shima Y,et al.Mechanisms for noncontact anterior cruciate ligament injuries: knee joint kinematics in 10 injury situations from female team handball and basketball[J].Am J Sports Med,2010,38(11):2218-2225.[56]Paterno MV,Schmitt LC,Ford KR,et al.Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport[J].Am J Sports Med,2010,38(10):1968-1978.

更新日期/Last Update: 1900-01-01