Iliotibial Band Syndrome
Conditions
Keywords
Iliotibial Band Syndrome, ITBS, ESWT, rESWT, Extracorporeal Shockwave Therapy, Radial Extracorporeal Shockwave Therapy
Brief summary
The goal of this Clinical Trial Study is to evaluate the clinical effectiveness of Radial Electrocorporeal Shockwave Therapy (rESWT) combined with exercise in individuals with iliotibial band syndrome (ITBS).The main question it aims to answer is : Does the addition of rESWT to standard ITBS exercise program reduce pain intensity and pain pressure threshold while improving lower extremity function and hip muscle strength in Individuals with Iliotibial Band syndrome (ITBS). Participants will be divided into two groups to be compared : The ShamTherapy Group (Control Group) that will receive the standard ITBS exercise program in addition to Sham rESWT, while the experimental group will receive the standard ITBS exercise program in addition to Radial Extracorporeal Shockwave Therapy.
Detailed description
The Iliotibial Band Syndrome is a frequently occurring overuse condition among runners and active individuals that often leads to persistent lateral knee pain and reduced function. Although exercise, particularly hip abductor strengthening, is considered effective, the optimal rehabilitation approach remains unclear. Recent evidence suggests that combining Radial Extracorporeal Shockwave Therapy with exercise may improve pain and function more than exercise alone.Therefore, evaluating whether the combination of rESWT and exercise is more effective than exercise alone is clinically relevant.
Interventions
OTHERStandard ITBS Exercise Program
Standard ITBS Exercise Program : Flexibility and Strengthening Exercises will be delivered three times weekly over a 4-week period
Radial Extracorporeal Shockwave Therapy will be delivered once weekly for 4 weeks only.
DEVICESham Extracorporal Shockwave Therapy
Sham Extracorporal Shockwave therapy will be administered once a week for 4 weeks.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Physically active individuals aged 18 and 45 years * Have a clinical diagnosis of iliotibial band syndrome (ITBS) confirmed by physician within the previous four weeks. * Report lateral knee pain during running or other functional activities * No history of direct trauma * Have a positive Noble compression or/and Ober test.
Exclusion criteria
* History of knee surgery,fracture , meniscal or ligamentous injury within the past year * Any fracture involving the lower extremity within the previous six months * Neurological disorders * Lumbar radiculopathy * Systemic inflammatory disease * Any medical condition affecting gat or lower extremity function. * Have received corticosteroid injection, shockwave therapy, or physical therapy treatment for ITBS within the previous six months * Use of NDAID's or analgesics later than 2 weeks * Individuals with contraindications to ESWT, including pregnancy, bleeding disorders, or use of anticoagulant medication.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Pain Rating Scale Score (NPRS) | baseline , immediately after the 4-week intervention period ( post intervention ) ,4 weeks after the intervention cessation as follow-up. | To assess lateral knee pain intensity at rest and during activity Scores range from 0 (no pain) to 10 (worst pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lower extremity Functional Scale (LEFS) | baseline , immediately after the 4-week intervention period ( post intervention ) ,4 weeks after the intervention cessation as follow-up. | to assess the functional status of lower extremities. It consists of 20 items, each item is scored according to its difficulty : from 0 (extreme difficulty) to 4 (no difficulty),with a maximum score of 80 ( full function). |
| Hip muscle strength dynamometer testing | baseline , immediately after the 4-week intervention period ( post intervention ) ,4 weeks after the intervention cessation as follow-up. | Hip ABD , ADD , IR and ER strength will be measured. Each strength will be measured twice using a hand held dynamometer . The mean value of the two values will be calculated. |
| Pain Pressure Threshold algometry testing (PPT) | baseline , immediately after the 4-week intervention period ( post intervention ) ,4 weeks after the intervention cessation as follow-up. | PPT is measured three times using algometry that applies a gradually increasing pressure over the lateral femoral condyle\\distal ITB region until PPT is reached. The average of the 3 measurements will be calculated. |
Countries
Egypt
Contacts
CONTACTAhmad El Melhat, PhD
PRINCIPAL_INVESTIGATORAhmed El Melhat, PhD
Cairo University
Outcome results
None listed