A Pilot Study Examining Two Interventions for Gluteal Pain: Stretching and Positional Release Therapy
DOI:
https://doi.org/10.59994/ajamts.2026.1.6Keywords:
Gluteal Pain, Pain Management, Positional Release Technique, Stretching ExercisesAbstract
To compare stretching exercises and positional release technique (PRT) for reducing pain severity and improving functional ability among individuals with gluteal pain syndrome. In this pilot study, 18 participants (42% male, 58% female; mean age 44.9 ± 4.6 years) were randomly assigned to stretching (n = 9) or PRT (n = 9). Both interventions were delivered three times weekly for four weeks. Pain was measured using the Visual Analog Scale (VAS), and functional disability was assessed using the Roland-Morris Disability Questionnaire (RMQ), before and after treatment. Both interventions improved pain and function. In the stretching group, VAS scores decreased from 7.8 ± 0.89 to 4.2 ± 0.74 (p = 0.002), and RMQ scores decreased from 19.24 ± 5.7 to 14.22 ± 6.3 (p = 0.001). In the PRT group, VAS scores decreased from 8.4 ± 2.76 to 3.03 ± 3.07 (p = 0.001), and RMQ scores decreased from 20.1 ± 7.04 to 11.4 ± 9.42 (reported p = 0.001). Between-group comparisons favored PRT (p < 0.05). The small pilot sample and absence of long-term follow-up limit generalizability and do not establish the durability of treatment effects. PRT may be considered alongside stretching in rehabilitation plans for gluteal pain, while larger controlled studies are needed before firm treatment recommendations can be made. The study provides a preliminary direct comparison of stretching and PRT for gluteal pain syndrome in a Palestinian sample.
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