Iliotibial band syndrome: an examination of the evidence behind a number of treatment options.

Hdl Handle:
http://hdl.handle.net/10147/201330
Title:
Iliotibial band syndrome: an examination of the evidence behind a number of treatment options.
Authors:
Falvey, E C; Clark, R A; Franklyn-Miller, A; Bryant, A L; Briggs, C; McCrory, P R
Affiliation:
Department of Rheumatology, Cork University Hospital, Wilton, Cork, Ireland, UK. e.falvey@mac.com
Citation:
Iliotibial band syndrome: an examination of the evidence behind a number of treatment options. 2010, 20 (4):580-7 Scand J Med Sci Sports
Journal:
Scandinavian journal of medicine & science in sports
Issue Date:
Aug-2010
URI:
http://hdl.handle.net/10147/201330
DOI:
10.1111/j.1600-0838.2009.00968.x
PubMed ID:
19706004
Abstract:
Iliotibial band (ITB) syndrome (ITBS) is a common cause of distal lateral thigh pain in athletes. Treatment often focuses on stretching the ITB and treating local inflammation at the lateral femoral condyle (LFC). We examine the area's anatomical and biomechanical properties. Anatomical studies of the ITB of 20 embalmed cadavers. The strain generated in the ITB by three typical stretching maneuvers (Ober test; Hip flexion, adduction and external rotation, with added knee flexion and straight leg raise to 30 degrees ) was measured in five unembalmed cadavers using strain gauges. Displacement of the Tensae Fasciae Latae (TFL)/ITB junction was measured on 20 subjects during isometric hip abduction. The ITB was uniformly a lateral thickening of the circumferential fascia lata, firmly attached along the linea aspera (femur) from greater trochanter up to and including the LFC. The microstrain values [median (IQR)] for the OBER [15.4(5.1-23.3)me], HIP [21.1(15.6-44.6)me] and SLR [9.4(5.1-10.7)me] showed marked disparity in the optimal inter-limb stretching protocol. HIP stretch invoked significantly (Z=2.10, P=0.036) greater strain than the SLR. TFL/ITB junction displacement was 2.0+/-1.6 mm and mean ITB lengthening was <0.5% (effect size=0.04). Our results challenge the reasoning behind a number of accepted means of treating ITBS. Future research must focus on stretching and lengthening the muscular component of the ITB/TFL complex.
Item Type:
Article
Language:
en
Description:
Iliotibial band (ITB) syndrome (ITBS) is a common cause of distal lateral thigh pain in athletes. Treatment often focuses on stretching the ITB and treating local inflammation at the lateral femoral condyle (LFC). We examine the area's anatomical and biomechanical properties. Anatomical studies of the ITB of 20 embalmed cadavers. The strain generated in the ITB by three typical stretching maneuvers (Ober test; Hip flexion, adduction and external rotation, with added knee flexion and straight leg raise to 30 degrees ) was measured in five unembalmed cadavers using strain gauges. Displacement of the Tensae Fasciae Latae (TFL)/ITB junction was measured on 20 subjects during isometric hip abduction. The ITB was uniformly a lateral thickening of the circumferential fascia lata, firmly attached along the linea aspera (femur) from greater trochanter up to and including the LFC. The microstrain values [median (IQR)] for the OBER [15.4(5.1-23.3)me], HIP [21.1(15.6-44.6)me] and SLR [9.4(5.1-10.7)me] showed marked disparity in the optimal inter-limb stretching protocol. HIP stretch invoked significantly (Z=2.10, P=0.036) greater strain than the SLR. TFL/ITB junction displacement was 2.0+/-1.6 mm and mean ITB lengthening was <0.5% (effect size=0.04). Our results challenge the reasoning behind a number of accepted means of treating ITBS. Future research must focus on stretching and lengthening the muscular component of the ITB/TFL complex.
MeSH:
Aged; Aged, 80 and over; Biomechanics; Cadaver; Evidence-Based Medicine; Fascia Lata; Female; Humans; Male; Pain Management; Syndrome
ISSN:
1600-0838

Full metadata record

DC FieldValue Language
dc.contributor.authorFalvey, E Cen
dc.contributor.authorClark, R Aen
dc.contributor.authorFranklyn-Miller, Aen
dc.contributor.authorBryant, A Len
dc.contributor.authorBriggs, Cen
dc.contributor.authorMcCrory, P Ren
dc.date.accessioned2012-01-10T15:19:54Z-
dc.date.available2012-01-10T15:19:54Z-
dc.date.issued2010-08-
dc.identifier.citationIliotibial band syndrome: an examination of the evidence behind a number of treatment options. 2010, 20 (4):580-7 Scand J Med Sci Sportsen
dc.identifier.issn1600-0838-
dc.identifier.pmid19706004-
dc.identifier.doi10.1111/j.1600-0838.2009.00968.x-
dc.identifier.urihttp://hdl.handle.net/10147/201330-
dc.descriptionIliotibial band (ITB) syndrome (ITBS) is a common cause of distal lateral thigh pain in athletes. Treatment often focuses on stretching the ITB and treating local inflammation at the lateral femoral condyle (LFC). We examine the area's anatomical and biomechanical properties. Anatomical studies of the ITB of 20 embalmed cadavers. The strain generated in the ITB by three typical stretching maneuvers (Ober test; Hip flexion, adduction and external rotation, with added knee flexion and straight leg raise to 30 degrees ) was measured in five unembalmed cadavers using strain gauges. Displacement of the Tensae Fasciae Latae (TFL)/ITB junction was measured on 20 subjects during isometric hip abduction. The ITB was uniformly a lateral thickening of the circumferential fascia lata, firmly attached along the linea aspera (femur) from greater trochanter up to and including the LFC. The microstrain values [median (IQR)] for the OBER [15.4(5.1-23.3)me], HIP [21.1(15.6-44.6)me] and SLR [9.4(5.1-10.7)me] showed marked disparity in the optimal inter-limb stretching protocol. HIP stretch invoked significantly (Z=2.10, P=0.036) greater strain than the SLR. TFL/ITB junction displacement was 2.0+/-1.6 mm and mean ITB lengthening was <0.5% (effect size=0.04). Our results challenge the reasoning behind a number of accepted means of treating ITBS. Future research must focus on stretching and lengthening the muscular component of the ITB/TFL complex.en
dc.description.abstractIliotibial band (ITB) syndrome (ITBS) is a common cause of distal lateral thigh pain in athletes. Treatment often focuses on stretching the ITB and treating local inflammation at the lateral femoral condyle (LFC). We examine the area's anatomical and biomechanical properties. Anatomical studies of the ITB of 20 embalmed cadavers. The strain generated in the ITB by three typical stretching maneuvers (Ober test; Hip flexion, adduction and external rotation, with added knee flexion and straight leg raise to 30 degrees ) was measured in five unembalmed cadavers using strain gauges. Displacement of the Tensae Fasciae Latae (TFL)/ITB junction was measured on 20 subjects during isometric hip abduction. The ITB was uniformly a lateral thickening of the circumferential fascia lata, firmly attached along the linea aspera (femur) from greater trochanter up to and including the LFC. The microstrain values [median (IQR)] for the OBER [15.4(5.1-23.3)me], HIP [21.1(15.6-44.6)me] and SLR [9.4(5.1-10.7)me] showed marked disparity in the optimal inter-limb stretching protocol. HIP stretch invoked significantly (Z=2.10, P=0.036) greater strain than the SLR. TFL/ITB junction displacement was 2.0+/-1.6 mm and mean ITB lengthening was <0.5% (effect size=0.04). Our results challenge the reasoning behind a number of accepted means of treating ITBS. Future research must focus on stretching and lengthening the muscular component of the ITB/TFL complex.-
dc.language.isoenen
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshBiomechanics-
dc.subject.meshCadaver-
dc.subject.meshEvidence-Based Medicine-
dc.subject.meshFascia Lata-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshPain Management-
dc.subject.meshSyndrome-
dc.titleIliotibial band syndrome: an examination of the evidence behind a number of treatment options.en
dc.typeArticleen
dc.contributor.departmentDepartment of Rheumatology, Cork University Hospital, Wilton, Cork, Ireland, UK. e.falvey@mac.comen
dc.identifier.journalScandinavian journal of medicine & science in sportsen
dc.description.provinceMunster-

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