Iliotibial band tightness and patellofemoral pain syndrome: A case-control study

Hudson, Zoë; Darthuy, Emma

doi:10.1016/j.math.2007.12.009

Cited by 73 publications

(34 citation statements)

References 18 publications

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“…Additionally, Witvrouw et al 57 reported reduced gastrocnemius flexibility may be a risk factor for PFP development. Inflexibility of the iliotibial band (ITB) has also been reported in individuals with PFP 58. Interestingly, stretching the ITB was not strongly advocated by experts interviewed, some stating it is not a modifiable factor or that stretching it is ineffective.…”

Section: Discussionmentioning

confidence: 99%

The ‘Best Practice Guide to Conservative Management of Patellofemoral Pain’: incorporating level 1 evidence with expert clinical reasoning

et al. 2015

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ImportancePatellofemoral pain (PFP) is both chronic and prevalent; it has complex aetiology and many conservative treatment options.ObjectiveDevelop a comprehensive contemporary guide to conservative management of PFP outlining key considerations for clinicians to follow.DesignMixed methods.MethodsWe synthesised the findings from sixhigh-qualitysystematic reviews to September 2013 with the opinions of 17 experts obtained via semistructured interviews. Experts had at least 5 years clinical experience with PFP as a specialist focus, were actively involved in PFP research and contributed to specialist international meetings. The interviews covered clinical reasoning, perception of current evidence and research priorities.ResultsMultimodal intervention including exercise to strengthen the gluteal and quadriceps musculature, manual therapy and taping possessed the strongest evidence. Evidence also supports use of foot orthoses and acupuncture. Interview transcript analysis identified 23 themes and 58 subthemes. Four key over-arching principles to ensure effective management included—(1) PFP is a multifactorial condition requiring an individually tailored multimodal approach. (2) Immediate pain relief should be a priority to gain patient trust. (3) Patient empowerment by emphasising active over passive interventions is important. (4) Good patient education and activity modification is essential. Future research priorities include identifying risk factors, testing effective prevention, developing education strategies, evaluating the influence of psychosocial factors on treatment outcomes and how to address them, evaluating the efficacy of movement pattern retraining and improving clinicians’ assessment skills to facilitate optimal individual prescription.Conclusions and relevanceEffective management of PFP requires consideration of a number of proven conservative interventions. An individually tailored multimodal intervention programme including gluteal and quadriceps strengthening, patellar taping and an emphasis on education and activity modification should be prescribed for patients with PFP. We provide a ‘Best Practice Guide to Conservative Management of Patellofemoral Pain’ outlining key considerations.

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Section: Discussionmentioning

confidence: 99%

The ‘Best Practice Guide to Conservative Management of Patellofemoral Pain’: incorporating level 1 evidence with expert clinical reasoning

et al. 2015

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“…Waren die knieumliegenden Muskeln im Befund auffällig, empfiehlt die Literatur zu detonisieren und zu dehnenvor allem den Tractus ilitiobialis [21].…”

Section: Dehnübungen Und Manuelle Therapieunclassified

“…Die Effekte der Manuellen Therapie erklären Experten durch zwei Aspekte: die Dehnung der extraartikulären lateralen Strukturen (Tractus iliotibialis, Retinaculum patellae lateralis) sowie die intraartikuläre Beeinflussung des Knorpels, bei der durch piezoelektrische Effekte die Proteoglycan-Synthese erhöht wird [21,22].…”

Section: Dehnübungen Und Manuelle Therapieunclassified

Das Läuferknie - Therapie bei Patellofemoralem Schmerzsyndrom

2017

Sportverletz Sportschaden

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“…4 The ITB has both a passive and dynamic role at the patellofemoral and hip joints. 1,5 The ITB provides stability by increasing tension and altering loading mechanics at these two joints. 6,7 Due to its origin and insertion, the ITB plays a vital role in movement, specifically during the stance and swing phase of running mechanics.…”

Section: Contentsmentioning

confidence: 99%

“…6,7,9 Additionally, since the ITB acts as a restraint to anterior tibial translation, tightness may result in an anterior pull of the tibia, 7 increasing the risk for anterior cruciate ligament injuries. 5,[10][11][12] ITB tightness is a common ailment among athletes and is especially common in long distance sports such as running and cycling 12 from repetitive hip and knee flexion and extension.…”

Section: Contentsmentioning

confidence: 99%

The Therapeutic Effects Of Dry Cupping On Iliotibial Band Tightness

Biehl¹

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Iliotibial band tightness and patellofemoral pain syndrome: A case-control study

Cited by 73 publications

References 18 publications

The ‘Best Practice Guide to Conservative Management of Patellofemoral Pain’: incorporating level 1 evidence with expert clinical reasoning

The ‘Best Practice Guide to Conservative Management of Patellofemoral Pain’: incorporating level 1 evidence with expert clinical reasoning

Das Läuferknie - Therapie bei Patellofemoralem Schmerzsyndrom

The Therapeutic Effects Of Dry Cupping On Iliotibial Band Tightness

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