Nayan KADAV, Radha BHENDE, Sandeep SHİNDE

Proximal to distal posture correction protocol for IT band friction syndrome in female amateur runners

Anahtar Kelimeler:

Keywords:- Iliotibial band syndrome, IT band syndrome, ITBS, posture correction of lower limb, IT band treatment, Issues of female runners, amateur runners, running injury.

Proximal to distal posture correction protocol for IT band friction syndrome in female amateur runners

Iliotibial band friction syndrome is an overuse knee injury that is more common in runners. In IT band syndrome, pain, and tenderness are present over the lateral aspect of the knee. It is more common in females because of physiological and anatomical factors. The objective of this research was to determine and compare the effect of proximal to distal postural correction protocol with conventional physiotherapy program for IT band friction syndrome in female amateur runners. This study included 150 female amateur runners with IT band friction syndrome based on inclusion and exclusion criteria. Then the subjects were randomly allocated into group A and group B by simple random sampling method. Group A was given proximal to distal postural correction protocol and for group B conventional physiotherapy exercise program was given. Outcome measures used were a visual analog scale, postural assessment, tenderness assessment by palpation and Ober’s test. Pre and post-assessment of the above measures was taken to conform the results. The results showed a statistically significant effect of the proximal to distal postural correction protocol as compared to a conventional exercise program for IT band friction syndrome in female amateur runners. There was a significant reduction in pain (<0.0001) in individuals in group A than the group B. Postural abnormalities in IT band friction syndrome were also significantly (<0.0001) resolved and the Ober’s test came as 76% negative out of 100%positive patients. Based on results, it was concluded that the proximal to distal postural correction protocol is effective in female amateur runners.

Keywords:

IT band syndrome, posture correction of lower limb, IT band treatment, Issues of female runners, amateur runners, running injury. Keywords:- Iliotibial band syndrome, IT band syndrome, ITBS, posture correction of lower limb, IT band treatment, Issues of female runners, amateur runners, running injury.,

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Balachandar, V., Hampton,M., Riaz, O. And Woods, S. (2019). Iliotibial Band Friction Syndrome: A Systematic Review and Meta-analysis to evaluate lower-limb biomechanics and conservative treatment. Muscle Ligaments and Tendons Journal;9 (2):181-193. DOI:10.32098/MLTJ.02.2019.05
Barnier, I. & Viseux, F. (2019). Effect of postural insoles on iliotibial band syndrome in runners: a multicentre prospective study. Doi: 10.13140/RG.2.2.19325.92645.
Beers, A., Ryan, M., Kasubuchi, Z., Fraser, S. and Taunton, JE. (2008). Effects of multi-modal physiotherapy, including hip abductor strengthening, in patients with iliotibial band friction syndrome. Physiother Can;60:180-188.. doi: https://doi.org/ 10.3138 /physio. 60.2.180
Beynnon, D.B. and Shultz, J.S. (2008) Anatomic Alignment, Menstrual Cycle Phase, and The Risk of Anterior Cruciate Ligament Injury. Journal of Athletic Training; Vol. 43,No. 5,pp.541-542.doi: https://doi.org/10.4085/1062-6050-43.5.541
Bhore, P. and Shinde, S. (2023). Effect of multi-component exercises program on pain-related gait adaptations among individuals with osteoarthritis of the knee joint. Journal of Education and Health Promotion; 1;12(1): 138. doi:10.4103/jehp.jehp_1628_22
Bonaldi, VM., Chhem, RK., Drolet, R., Garcia, P., Gallix, B. and Sarazin, L.(1998). Iliotibial band friction syndrome: sonographic findings. J Ultrasound Med; Apr;17(4):257-60. doi: 10.7863/jum.1998.17.4.257. PMID: 9544609.
Beals, C. and David Flanigan, D. (2013). "A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population ", Journal of sports medicine; vol., Article ID 367169, 6 pages, .doi: https:// doi.org/ 10.1155/2013/367169
de Araujo, MK., Baeza, RM., Zalada, SR., Alves, PB. and de Mattos CA.(2015). Injuries among amateur runners. Rev Bras Ortop; Sep 8;50(5):537-40. doi: 10.1016/j.rboe. 2015.08. 012. PMID: 26535199; PMCID: PMC 461 0991.
Ferber, R., Noehren, B., Hamill, J. and Davis, IS. (2010). Competitive female runners with a history of iliotibial band syndrome demonstrate atypical hip and knee kinematics. J Orthop Sports Phys Ther; Feb;40(2):52-8. doi: 10.2519/jospt.2010. 3028. PMID: 20118523.
Francis, P., Whatman, C., Sheerin, K., Hume, P. and Johnson, MI. (2019). The Proportion of Lower Limb Running Injuries by Gender, Anatomical Location and Specific Pathology: A Systematic Review. J Sports Sci Med; 11;18(1):21-31. PMID: 30787648; PMCID: PMC6370968.
Fredericson, M. and Wolf, C. (2005). Iliotibial band syndrome in runners: innovations in treatment. Sports Medicine; 35: 451-9. doi:https:// doi.org/10.1016/j.pmr.2015. 08. 0 01 Friede, MC., Innerhofer, G., Fink, C., Alegre, LM. and Csapo, R. (2021). Conservative treatment of iliotibial band syndrome in runners: Are we targeting the right goals?. Physical Therapy in Sport;Dec 27. doi:https://doi.org/10.1016/j.ptsp.2021.12.006
Gerçek, H., Işık, İ.D., Gürel, M.N., Özünlü Pekyavaş, N. and Altıntaş, A. (2023). Comparison of Sports Injury Anxiety in Athletes Doing Sports on Different Surfaces. Int J Disabil Sports Health Sci;5(2):1-7.https://doi.org/10.33438/ijdshs.1194 307
Hewett, T.E., Myer, G.D., Ford, K.R. (2005) Biomechanical Measures of Neuromuscular Control and Valgus Loading of the Knee Predict Anterior Cruciate Ligament Injury Risk in Female Athletes: A Prospective Study. The American Journal of Sports Medicine: 2005, Vol. 33, No. 4, pp492501. doi:https://doi.org/10.1177/ 036354 65042 6959
IAAF Competition Rules for Road Races”. International Association of Athletics Federations. 2009. Archived from the original on 23 September 2015. Retrieved 1 November 2010. doi: http://hdl.handle.net/ 11394/6250
Kolhatkar, AS. and Shinde, SB. (2020). Effectiveness of a Conditioning Program on Amateur Female Marathon Runners. Journal of Evolution of Medical and Dental Sciences; Jul 20;9(29):2040-5. doi: 10.14260/jemds /2020/444
McKay, J., Maffulli, N., Aicale, R. and Taunton, J. (2020). Iliotibial band syndrome rehabilitation in female runners: a pilot randomized study. Journal of orthopaedic surgery and research; Dec;15(1):1-8. doi:: 10.1186/s13018-020-01713-7
Nurfadhilah, MI. and Yudhistira, JF. (2023). Correlation between Leg Length Discrepancies (LLD) with ITB Syndrome: A Systematic Review. Orthopaedic Journal of Sports Medicine; Jan 31;11(2_suppl):232 5967121S00865.
Sawant Janhavi, M. and Shinde, S. (2021). Effect of lower limb proximal to distal muscle imbalance correction on functional pes planus deformity in young adults”. Journal of medical pharmaceutical and allied sciences; 10(4) 3469-3473. doi: 10.22270/jmpas. V10 I4.1477
Schreiber, R. and Louw, Q. (2011). The effect of gluteus medius training on hip kinematics in a runner with iliotibial band syndrome. South African Journal of Physiotherapy;Jan 5;67(2):23-8.DOI: https://doi.org/10.4102/ sajp.v67i2.42
Shamus, J. and Shamus, E. (2015). The management of iliotibial band syndrome with a multifaceted approach: a double case report. Int J Sports Phys Ther; Jun;10(3): 378-90. PMID: 26075154; PMCID: PMC 4458926.
Ünüvar, B.S. and Demirdel, E. (2022). The Relationship of Ober Tilt Angle with Pressure Pain Threshold and Hip Abductor Muscle Strength in Athletes with Iliotibial Band Tension. Süleyman Demirel University Journal of Health Sciences. 2022; 13(1):92-99. doi:https://doi.org/10.22312/sdusbed.949307
van der Worp, MP., van der Horst, N., de Wijer, A., Backx, FJ. and Nijhuis-van der Sanden, MW. (2012). Iliotibial band syndrome in runners: a systematic review. Sports Med; Nov 1;42(11):969-92. doi: 10.2165/11635400-000000000-00000.PMID: 22994651.