Iliotibial Band Syndrome
Conditions
Keywords
integrated neuromuscular inhibition technique, iliotibial band friction syndrome, muscle energy technique, ischemic compression, positional release
Brief summary
The goal of this clinical trial is to find the effect of integrated neuromuscular inhibition technique for iliotibial band in iliotibial band friction syndrome on pain intensity level, pressure pain threshold, knee range of motion, knee function and knee angle . The main questions it aims to answer are: * Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on pain intensity level in iliotibial band friction syndrome? * Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on pressure pain threshold in iliotibial band friction syndrome? * Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on knee range of motion in iliotibial band friction syndrome? * Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on knee function in iliotibial friction syndrome? Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on knee angle in iliotibial band friction syndrome? Researchers will compare integrated neuromuscular inhibition technique to conventional physiotherapy to see if integrated neuromuscular inhibition technique works to treat iliotibial band syndrome. Participants will: * Take sessions for 2 weeks * Visit the department 3 times per week
Interventions
OTHERintegrated neuromuscular inhibition technique
integrated neuromuscular inhibition technique consists of: * ischemic compression * Positional release * Muscle energy technique
Conventional physical therapy treatment: * Ultrasound * Hotpacks * Iliotibial band stretching * Static quadriceps and hamstring exercises
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
30 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Body mass index from 25-30 kg/m2 * Both males and females will be included their age from 30-50. * The subjects that will be included in the study will be referred from orthopeadic physician with iliotibial band friction syndrome with these signs and symptoms * local tenderness of the lateral knee inferior to the epicondyle and superior to the joint line * Pain with ITBS can be reported anywhere along the iliotibial (IT) band from the lateral thigh to the lateral femoral condyle and Gerdy's tubercle. * Pain is most intense at approximately 30 degrees of knee. * A sharp, burning pain when the practitioner presses on the lateral epicondyle during knee flexion and extension associated with one of these cases: * Tibiofermoral knee pain. * Patellofemoral knee pain. * osteoarthritis with medial knee joint pain * Lateral patellar pressure syndrome. * Medial meniscus degeneration. * Excessive lateral pressure syndrome
Exclusion criteria
* Traumatic injury to the knee joint within 6 months. * Surgical procedure on the affected knee within the last 12 months. * Meniscus injury * knee ligaments injury * Malignancies, tumors or infections associated with the knee joint. * Impaired thermal sensation over the knee. * Subject with psychiatric disorder. * Peripheral vascular disease. * Severe joint deformity. * Current back or ankle pain. * Rheumatoid arthritis. * Lower extremity fracture. * Neurological defecit or movement disorder. * Athletes. * Menopause * Pregnancy * Auto immune disease * Chronic disease (Diabetes mellitus and Hypertension)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | after 2 weeks | The Visual Analogue Scale (VAS) was used to evaluate pain severity. It is a self-reported pain measurement scale, consisting of a horizontal or vertical line, usually 10 cm long. The extremes of the line are labeled as no pain and worst pain. Each subject was asked to mark the point on the line that exactly corresponded to his/her pain |
| lower extremity function | after 2 weeks | Lower extremity functional scale (LEFS): LEFS is a questionnaire containing 20 items assessing the lower extremity function based on the intensity of the related activities' performance. This scoring system is designed based on the five-score Likert scale ranging from zero as the worst condition to four as without bothersome. This scale scores from zero to eighty and the higher score represent a better condition. LEFS-Arabic version will be used to quantify activity limitation in Arabic-speaking individuals with lower extremity musculoskeletal disorders |
| Knee range of motion | after 2 weeks | Digital goniometer: A goniometer is a device that measures an angle or permits the rotation of an object to a definite position .To measure knee joint ROM goniometer was lined up with the lateral side of femur with the proximal arm between trochanter major and the middle of the lateral joint space of the knee and the distal arm between the middle of the lateral joint space of the knee and the lateral malleoli |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pressure pain threshold | after 2 weeks | The pressure algometer was applied three times at each of the three marked points. Each application of the pressure algometer was stopped when the participant perceived a change in sensation from pressure to pain at the measurement point. Using a mechanical pressure Fischer algometer . Pressure was increased with a speed (1kg/cm2). Steady and perpendicular to the identified trigger point, subjects were instructed to say now when they first began to feel change of pressure to either discomfort or pain. The mean of 3 trials over each point was calculated. It is important to place the tip of the algometer precisely on the MTrP region to avoid any major difference in readings among the consecutive measurements of the same MTrP. |
| knee angle | after 2 weeks | Kinovea is one of the most commonly used applications. Kinovea is a free 2D motion analysis software for computers that can be used to measure kinematic parameters. Subjects were required to stand and relaxed lower limbs, with feet forward and shoulder-width apart. The camera was set 3 m from the subject . The vertical axis of the camera was aligned with the midpoint between the lower limbs of the participant. The image was zoomed to the closest capture, where the stickers could be clearly visible, and always set in the same position. |
Countries
Egypt
Outcome results
None listed