Quantitative analysis of the relative effectiveness of 3 iliotibial band stretches

Fredericson, Michael; White, Jeremy J.; MacMahon, John M.; Andriacchi, Thomas P.

doi:10.1053/apmr.2002.31606

Cited by 70 publications

(38 citation statements)

References 7 publications

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“…The longitudinal and firm attachment (0.3 mm average thickness) of the ITB to the full length of the femur means that the potential for physiological lengthening is limited. This would appear at odds with a number of authors, which have stretched (Yinen, 1997; Fredericson et al, 2002), and even quantified, the lengthening of the ITB (Fredericson et al, 2002). This is likely to represent an apparent, rather than true lengthening, related to the lengthening of TFL rather than the ITB itself.…”

Section: Discussionmentioning

confidence: 99%

Iliotibial band syndrome: an examination of the evidence behind a number of treatment options

Falvey

Clark

Franklyn-Miller

et al. 2010

Scandinavian Med Sci Sports

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Iliotibial band (ITB) syndrome (ITBS) is a common cause of distal lateral thigh pain in athletes. Treatment often focuses on stretching the ITB and treating local inflammation at the lateral femoral condyle (LFC). We examine the area's anatomical and biomechanical properties. Anatomical studies of the ITB of 20 embalmed cadavers. The strain generated in the ITB by three typical stretching maneuvers (Ober test; Hip flexion, adduction and external rotation, with added knee flexion and straight leg raise to 30 degrees ) was measured in five unembalmed cadavers using strain gauges. Displacement of the Tensae Fasciae Latae (TFL)/ITB junction was measured on 20 subjects during isometric hip abduction. The ITB was uniformly a lateral thickening of the circumferential fascia lata, firmly attached along the linea aspera (femur) from greater trochanter up to and including the LFC. The microstrain values [median (IQR)] for the OBER [15.4(5.1-23.3)me], HIP [21.1(15.6-44.6)me] and SLR [9.4(5.1-10.7)me] showed marked disparity in the optimal inter-limb stretching protocol. HIP stretch invoked significantly (Z=2.10, P=0.036) greater strain than the SLR. TFL/ITB junction displacement was 2.0+/-1.6 mm and mean ITB lengthening was<0.5% (effect size=0.04). Our results challenge the reasoning behind a number of accepted means of treating ITBS. Future research must focus on stretching and lengthening the muscular component of the ITB/TFL complex.

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Section: Discussionmentioning

confidence: 99%

Iliotibial band syndrome: an examination of the evidence behind a number of treatment options

Falvey

Clark

Franklyn-Miller

et al. 2010

Scandinavian Med Sci Sports

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“…This motion continued until a stretch was felt on the left side of hip around the greater trochanter. The stretch held for 15-20 seconds and was repeated 3-5 times for 3 weeks [11].…”

Section: Itb Stretchingmentioning

confidence: 99%

“…With regard to its management, numerous treatment strate gies have been documented and employed by physical therapist, including cryotherapy, high voltage pulsed galvanic stimulation or iontophoresis, rest or modification of the activities [6], stretching [5,[11][12][13], moist heat pack [14][15][16], ultrasound [17], and ROM motion exercises [5,7,13]. The majority of the protocols utilized for the treatment of ITB tightness till now manage it as a local problem and focus largely on the tightness only, without visualizing its allied consequences.…”

Section: Introductionmentioning

confidence: 99%

Effect of right sidelying respiratory left adductor pull back exercise in subjects with iliotibial band tightness

Shori¹,

Joshi²

2018

Physiother Quart.

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Introduction. Many of the impairments associated with lumbo-pelvic-femoral conditions, like tightness of the iliotibial band, may be bound with postural asymmetry, abnormal chain pattern, and restriction of the range of motion. Although physical therapists currently utilize the right sidelying respiratory left adductor pull back (RSRLAPB) technique for numerous musculoskeletal conditions, there is little research published on the efficacy of the technique. Therefore, this study explored the effect of RSRLAPB exercise on hip adduction angle in subjects with iliotibial band tightness.Methods. The total of 30 participants (16 males, 14 females) were recruited on the basis of the inclusion and exclusion criteria, and randomized into two groups. Group 1 (experimental group) received moist heat pack, stretching, and RSRLAPB exercise for 3 weeks, while in group 2 (control group), moist heat pack and stretching were applied for 3 weeks. Both groups were tested at baseline and post-intervention for hip adduction angle.Results. Statistically significant differences in hip adduction angle were observed between groups 1 and 2 (p < 0.001), as well as within group 1 (p < 0.001) and within group 2 (p < 0.001). Conclusions.The results revealed that RSRLAPB exercise not only improves limited hip adduction in subjects with iliotibial band tightness but also rectifies postural asymmetry and establishes normal respiratory pattern.

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“…Stretching is regarded as an integral part of fitness and supplied to a diverse population; it is very important to accurately define and prescribe the types of stretching modality that are most effective for achieving the common goals of increased flexibility and decreased musculotendinous stiffness [3,5].…”

Section: Malarvizhi and Bhattmentioning

confidence: 99%

Effectiveness of Iliotibial Band Stretching and Strengthening Exercises in Patellofemoral Pain Syndrome

Malarvizhi

Bhatt²

2017

Asian J Pharm Clin Res

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Objective: The study objective was to find out the effectiveness of iliotibial band stretching and strengthening exercises in patellofemoral pain syndrome. Methods:The study design was Quasi-experimental study design. 20 patients with patellofemoral pain syndrome were taken, with the age group of 18-40 years. 20 patients undergone pre-and post-test measurement of hip angle of adduction with the help of inclinometer and were given interferential therapy and iliotibial band stretching and strengthening exercises for 1-week duration. Outcome measures were inclinometer and visual analog scale (VAS).Results: Statistical analysis was done using Paired t-test which showed a significant improvement in VAS score (2.57±1.09) and angle of hip adduction pre-and post-test (−6.85±2.50). Conclusion:This study concluded that 1 week of stretching and strengthening of iliotibial band exercises were effective in reducing pain and increasing hip adduction angle in patellofemoral pain syndrome.

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Quantitative analysis of the relative effectiveness of 3 iliotibial band stretches

Cited by 70 publications

References 7 publications

Iliotibial band syndrome: an examination of the evidence behind a number of treatment options

Iliotibial band syndrome: an examination of the evidence behind a number of treatment options

Effect of right sidelying respiratory left adductor pull back exercise in subjects with iliotibial band tightness

Effectiveness of Iliotibial Band Stretching and Strengthening Exercises in Patellofemoral Pain Syndrome

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