Effects of running biomechanics on the occurrence of iliotibial band syndrome in male runners during an eight-week running programme—a prospective study

Shen, Peixin; Mao, Dewei; Zhang, Cui; Sun, Wei; Song, Qipeng

doi:10.1080/14763141.2019.1584235

Cited by 7 publications

(14 citation statements)

References 26 publications

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“…In view of the close relationship between the biomechanics of running and the incidence of injuries [ 47 , 48 ], specific training in running technique should be carried out to reduce the risk of injury. Indeed, army recruits at risk of MTSS who were submitted to a 26-week gait retraining protocol consisting of plantar pressure system biofeedback.…”

Section: Discussionmentioning

confidence: 99%

Medial Tibial Stress Syndrome in Novice and Recreational Runners: A Systematic Review

Menéndez¹,

Batalla²,

Prieto³

et al. 2020

IJERPH

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This systematic review evaluates the existing literature about medial tibial stress syndrome (MTSS) in novice and recreational runners. PubMed/MEDLINE, EMBASE, Web of Science, Scopus, SPORTDiscus and CINAHL databases were searched until July 2020. Studies covering risk factors, diagnostic procedures, treatment methods and time to recovery of MTSS in novice and recreational runners were selected. Eleven studies met the inclusion criteria and were included. The risk factors of MTSS are mainly intrinsic and include higher pelvic tilt in the frontal plane, peak internal rotation of the hip, navicular drop and foot pronation, among others. Computed tomography (CT) and pressure algometry may be valid instruments to corroborate the presence of this injury and confirm the diagnosis. Regarding treatment procedures, arch-support foot orthoses are able to increase contact time, normalize foot pressure distribution and similarly to shockwave therapy, reduce pain. However, it is important to take into account the biases and poor methodological quality of the included studies, more research is needed to confirm these results.

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Section: Discussionmentioning

confidence: 99%

Medial Tibial Stress Syndrome in Novice and Recreational Runners: A Systematic Review

Menéndez¹,

Batalla²,

Prieto³

et al. 2020

IJERPH

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“…Some studies have focused on the relationship between dynamic alignment in the lower extremities and ITBS. Shen et al (11) found that ITBS might be related to the lack of timely gait adjustment, excessive trunk inclination, and anterior pelvic tilt angle. Taunton et al (1) reported that 33-55% of runners with genu varum knee alignments had experienced ITBS.…”

Section: Original Articlementioning

confidence: 99%

A quantitative MRI investigation of the association between iliotibial band syndrome and patellofemoral malalignment

Li¹,

Sheng²,

Qiu³

et al. 2021

Quant Imaging Med Surg

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Background: The iliotibial band (ITB) has a wide patellar insertion that provides lateral restraint to the patella and maintains the patellofemoral joint's stability. There has been limited investigation into the relationship between patellofemoral malalignment and iliotibial band syndrome (ITBS). Methods:We retrospectively analyzed 47 knees with ITBS by retrieving magnetic resonance imaging (MRI) data collected over an approximately 6-year period from our database. The Insall-Salvati ratio, lateral patellofemoral angle (LPA), lateral patellar tilt (LPT), lateral trochlear length (LTL), angle of the nonweight-bearing facet of the lateral femoral condyle (nwb-LFCA), and the ITB-lateral femoral condyle (IT-LFC) distance were measured on MR images. The knees of 47 age-and gender-matched subjects were enrolled as the normal group.Results: In the ITBS group, over one third (34%, 16/47) of knees had abnormal patellofemoral measurements, including 8 (17%, 8/47) knees with patellar alta, 11 (23.4%, 11/47) knees with an abnormally decreased LPA, and 5 (10.6%, 5/47) knees with an abnormally increased LPT indicating lateral patellar tilt.Moreover, 8 knees had simultaneous combinations of two or three abnormality parameters, and 8 (17%, 8/47) knees presented with superolateral Hoffa's fat pad edema. The Insall-Salvati ratio, LPT, and nwb-LFCA in the ITBS group were significantly higher than those in the normal group (P=0.001, P<0.001, and P<0.001, respectively); the LPA and IT-LFC distances in the ITBS group were significantly lower (P=0.003, P<0.001, respectively) than those in the normal group. There were mild to moderate correlations between the MRI parameters and ITBS (P=0.006, P<0.001, respectively).Conclusions: This study confirmed that a higher position or lateral tilt of the patella and a steeper morphology of the anterior part of the lateral femoral condyle were associated with the development of ITBS, which is helpful in understanding and further exploring the mechanism of ITBS.

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“…For prospective studies on injuries, the inconsistent relations may be because laboratory-based studies have several limitations such as small sample sizes, a limited ability to measure the multifactorial nature of running injuries and they usually only determine the technique once before the follow-up, while technique can change during the follow-up period (e.g. (Shen, Mao, Zhang, Sun, & Song, 2019)). Data gathered in-field does not have these specific limitations and can therefore also be used to establish new relationships between running technique, injuries and performance (e.g.…”

Section: Which Running Technique Components Should Be Measured and Momentioning

confidence: 99%

“…Limited evidence for association of higher trunk flexion with iliotibial band syndrome (Shen et al, 2019) Inconsistent evidence (Folland et al, 2017;Williams & Cavanagh, 1987) and unclear trend Vertical displacement center of mass/pelvis during stance No evidence available Inconsistent evidence (Aubry et al, 2018;Folland et al, 2017;Lundby et al, 2017;Pizzuto et al, 2019;Slawinski & Billat, 2004;Tartaruga et al, 2012;Williams & Cavanagh, 1987), but trend for smaller displacement being associated with better economy Peak hip adduction at initial contact or peak during stance Inconsistent evidence (Becker, Nakajima, & Wu, 2018;Ceyssens et al, 2019;Shen et al, 2019), but trend for greater hip adduction being associated with several injuries Limited evidence for association of smaller hip adduction being more economical (Pizzuto et al, 2019) Hip flexion-extension range of motion during stance No evidence available Inconsistent evidence (Folland et al, 2017;Lundby et al, 2017;Pizzuto et al, 2019), but trend for smaller range of motion being associated with better economy if these tissues are not accustomed to this load (Chan et al, 2018;. In novice runners, larger technique modifications can be achieved without substantially affecting running economy (de Ruiter et al, 2014).…”

Section: Trunk Flexion During Whole Gait Cyclementioning

confidence: 99%

“…Continued* The most commonly investigated biomechanical components from a recent systematic review on the relation between running technique and running injuries among prospective studies (Ceyssens et al, 2019) are included in this figure. Four additional prospective studies that were published after the search of the systematic review was finished were also included (Becker et al, 2018;Morris et al, 2019;Shen et al, 2019;Winter et al, 2019). The methodological quality of these studies was determined using a modified Downs and Black scale (Downs & Black, 1998) from Ceyssens et al (2019) and can be found in supplementary file I.…”

Section: No Evidence Availablementioning

confidence: 99%

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Real-time feedback by wearables in running: Current approaches, challenges and suggestions for improvements

Hooren

Goudsmit

Restrepo

et al. 2019

Journal of Sports Sciences

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Injuries and lack of motivation are common reasons for discontinuation of running. Real-time feedback from wearables can reduce discontinuation by reducing injury risk and improving performance and motivation. There are however several limitations and challenges with current real-time feedback approaches. We discuss these limitations and challenges and provide a framework to optimise realtime feedback for reducing injury risk and improving performance and motivation. We first discuss the reasons why individuals run and propose that feedback targeted to these reasons can improve motivation and compliance. Secondly, we review the association of running technique and running workload with injuries and performance and we elaborate how real-time feedback on running technique and workload can be applied to reduce injury risk and improve performance and motivation. We also review different feedback modalities and motor learning feedback strategies and their application to real-time feedback. Briefly, the most effective feedback modality and frequency differ between variables and individuals, but a combination of modalities and mixture of real-time and delayed feedback is most effective. Moreover, feedback promoting perceived competence, autonomy and an external focus can improve motivation, learning and performance. Although the focus is on wearables, the challenges and practical applications are also relevant for laboratory-based gait retraining.

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Effects of running biomechanics on the occurrence of iliotibial band syndrome in male runners during an eight-week running programme—a prospective study

Cited by 7 publications

References 26 publications

Medial Tibial Stress Syndrome in Novice and Recreational Runners: A Systematic Review

Medial Tibial Stress Syndrome in Novice and Recreational Runners: A Systematic Review

A quantitative MRI investigation of the association between iliotibial band syndrome and patellofemoral malalignment

Real-time feedback by wearables in running: Current approaches, challenges and suggestions for improvements

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