Proximal Band Friction Syndrome/ İliotibial Bant Sürtünme Sendromu
Title: Radial Extracorporeal Shockwave Therapy Compared with Manual Therapy in Runners with Iliotibial Band Syndrome
Abstract:
Objective: Iliotibial band syndrome (ITBS) is a common overuse injury among runners, often leading to pain and functional limitations. This study aimed to compare the effectiveness of radial extracorporeal shockwave therapy (rESWT) with manual therapy in treating runners with ITBS.
Methods: A total of 40 recreational runners diagnosed with ITBS were randomly assigned to two groups: the rESWT group (n = 20) and the manual therapy group (n = 20). The rESWT group received three sessions of radial extracorporeal shockwave therapy, while the manual therapy group received three sessions of manual therapy over a three-week period. Outcome measures included the Visual Analog Scale (VAS) for pain, the Lower Extremity Functional Scale (LEFS), and the Iliotibial Band Syndrome Severity Score (ISSS). Assessments were conducted at baseline, three weeks, and six weeks post-treatment.
Results: Both groups demonstrated significant improvements in pain reduction, function, and ITBS severity scores after treatment. However, the rESWT group exhibited a more rapid improvement in VAS scores at the three-week follow-up compared to the manual therapy group. At the six-week follow-up, both groups showed similar improvements in VAS scores, LEFS, and ISSS, with no significant differences between them.
Conclusion: Radial extracorporeal shockwave therapy and manual therapy are effective interventions for runners with ITBS, resulting in pain reduction and improved function. rESWT may offer a faster initial pain relief response, while both treatments ultimately yield similar outcomes in the medium term. The choice between these treatments may depend on patient preferences and clinician expertise.
Keywords: Iliotibial band syndrome, runners, radial extracorporeal shockwave therapy, manual therapy, rehabilitation.
Title: Proximal to distal posture correction protocol for IT band friction syndrome in female amateur runners
Authors: Nayan KADAV Radha BHENDE Sandeep SHİNDE*
Abstract: 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 were 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 injuries.
