Iliotibial Band Syndrome
Conditions
Brief summary
Comparison of effects of autogenic inhibition and reciprocal inhibition muscle energy techniques on iliotibial band syndrome
Detailed description
A single-blinded randomized control trial will be conducted over a period of one year in Foundation University Islamabad. Forty participants will be assigned to two groups: Group A (AI) and Group B (RI), with 20 participants each. The AI technique will involve a maximal isometric contraction of the target muscle followed by a stretch, while the RI technique will involve a maximal isometric contraction of the antagonist muscle followed by a similar stretching protocol. Both groups will perform the exercises 3 times per week for 2 weeks. Pain, Hip range of motion (ROM) and lower extremity function will be assessed using Numeric Pain Rating Scale (NPRS), goniometer and Lower Extremity Functional Scale (LEFS) respectively. The outcomes will be measured in terms of improvements in pain score (NPRS), hip range of motion (ROM), and overall lower extremity function.
Interventions
PROCEDUREAutogenic Inhibition (AI) MET (Post Facilitation Stretch)
Autogenic Inhibition (AI) MET (Post Facilitation Stretch) 1. The shortened muscle (Tensor Fascia Latae) is placed in a mid-range position about halfway between a fully stretched and a fully relaxed state. 2. The patient contracts the muscle isometrically, using a maximum degree of effort for 5-10 seconds while the effort is resisted completely. 3. On release of the effort, a rapid stretch is made to a new barrier, without any 'bounce', and this is held for at least 10 seconds. 4. The patient relaxes for approximately 20 seconds and the procedure is repeated between three and five times more.
PROCEDUREReciprocal Inhibition (RI) MET
Reciprocal Inhibition (RI) MET 1. The shortened muscle (Tensor Fascia Latae) is placed in a mid-range position about halfway between a fully stretched and a fully relaxed state. 2. The patient contracts the antagonist muscles (hip adductors), using a maximum degree of effort for 5-10 seconds while the effort is resisted completely. 3. On release of the effort, a rapid stretch to TFL is made to a new barrier, without any 'bounce', and this is held for at least 10 seconds. 4. The patient relaxes for approximately 20 seconds and the procedure is repeated between three and five times more.
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
It will be a single blinded RCT in which assessor will be blinded to the group allocation of participants.
Intervention model description
Randomized Controlled Trial
Eligibility
Sex/Gender
ALL
Age
19 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Both male and female participants * Age : 19-45years (8) * Lateral knee pain (\>3 months) * Tenderness over lateral femoral condyle * Positive Flexibility Tests * Modified Ober's test (9) * Length assessment of Tensor Fasciae Latae and Iliotibial Band (10) * Positive Pain Provocation Tests * Renne's test * Noble's Compression test (11) \*(individuals with 3 positive tests out of above mentioned 4 tests will be included)
Exclusion criteria
* Recent lower limb or pelvic girdle surgery within the past 3 months * Lower limb fractures or trauma within the past year. * Multiple lower limb surgeries (\>2) * Presence of any structural or postural disorders (kyphosis or severe scoliosis) * Neurological disorders * Hip and knee Osteoarthritis * Rheumatoid Arthritis * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain severity | 2 weeks | Pain will be assessed using Numeric Pain Rating Scale (NPRS), |
| Range of motion | 2 weeks | Hip range of motion (ROM) will be assessed using goniometer |
| Functional status of lower limb | 2 weeks | Lower extremity function will be assessed using Lower Extremity Functional Scale (LEFS) |
Countries
Pakistan
Contacts
Primary ContactRida Ishtiaq, MS-MSKPT*
Outcome results
None listed