The Iliotibial Band: A Complex Structure with Versatile Functions

Hutchinson, Laura; Lichtwark, Glen A.; Willy, Richard W.; Kelly, Luke A.

doi:10.1007/s40279-021-01634-3

Cited by 27 publications

(38 citation statements)

References 92 publications

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“…The tensor the fascia lata is connected to the patellofemoral through the iliotibial band (ITB) and the sateral patellar retinaculum. The increased tension of the tensor fascia lata increases thepatellar lateral translation and tilt and increases thelateral cartilage pressure [ 50 , 51 ]. (3).…”

Section: Discussionmentioning

confidence: 99%

Dry needling on latent and active myofascial trigger points versus oral diclofenac in patients with knee osteoarthritis: a randomized controlled trial

Dong

Wang

et al. 2023

BMC Musculoskelet Disord

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Background Latent and active myofascial trigger points (MTrPs) in knee-associated muscles may play a key role in pain management among patients with knee osteoarthritis (KOA). The aim of this study was to investigate the effect of dry needling treatment on pain intensity, disability, and range of motion (ROM) in patients with KOA. Methods This randomized, single-blinded, clinical trial was carried out for 6 weeks of treatment and 6-month follow-up. A total of 98 patients met the entry criteria and were randomly assigned to the dry needling latent and active myofascial trigger point (MTrPs) with the stretching group or the oral diclofenacwith the stretching group. Numeric Pain Rating Scale (NPRS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and ROM were statistically analyzed before and after treatment and at the 6-month follow-up. Results A total of 42 patients in the dry needling group (DNG) and 35 patients in the diclofenac group (DG), respectively, completed the study, and there was no significant difference in the general data between the two groups. After treatments, both the groups showed a good effect in knee pain, function, and ROM, However, the DNG showed a significantly better result than the DG. Especially in the results of the 6-month follow-up, the DNG showed much better results than the DG. Conclusions Dry needling on latent and active MTrPs combined with stretching and oral diclofenac combined with stretching can effectively relieve pain, improve function, and restore knee ROM affected by KOA. However, the effects of dry needling and stretching are better and longer lasting than those of oral diclofenac and stretching for at least 6 months. Trial registration Registered in the Chinese Clinical Trial Registry (www.chictr.org.cn) in 17/11/2017 with the following code: ChiCTR-INR-17013432.

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Section: Discussionmentioning

confidence: 99%

Dry needling on latent and active myofascial trigger points versus oral diclofenac in patients with knee osteoarthritis: a randomized controlled trial

Dong

Wang

et al. 2023

BMC Musculoskelet Disord

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show abstract

Section: Discussionmentioning

confidence: 99%

Dry Needling on Latent and Active Myofascial Trigger Points Versus Oral Diclofenac in Patients With Knee Osteoarthritis: a Randomized Controlled Trial

Dong

Wang

et al. 2022

Preprint

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Background: Latent and active myofascial trigger points (MTrPs) in knee-associated muscles may play a key role in pain management among patients with knee osteoarthritis (KOA). The aim of this study was to investigate the effect of dry needling treatment on pain intensity, disability, and range of motion (ROM) in patients with KOA. Methods: This randomized, single-blinded, clinical trial was carried out for 6 weeks of treatment and 6-monthfollow-up. A total of 98 patients met the entry criteria and were randomly assigned to the dry needling latent and active myofascial trigger point (MTrPs) with the stretching group or the oral diclofenacwith the stretching group. Numeric Pain Rating Scale (NPRS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and ROM were statistically analyzed before and after treatment and at the 6-month follow-up. Results: A total of 42 patients in the dry needling group (DNG)and 35 patients in the diclofenac group (DG), respectively,completed the study, and there was no significant difference in the general data between the two groups. After treatments, both the groups showed a good effect in knee pain, function, and ROM, However, the DNG showed asignificantly better result than the DG. Especially in the results of the 6-month follow-up, the DNG showed much better results than the DG. Conclusions: Dry needling on latent and active MTrPscombined with stretching and oral diclofenac combined with stretching can effectively relieve pain, improve function, and restore knee ROM affected by KOA. However, the effects of dry needling and stretching are better and longer lasting than those of oral diclofenac and stretchingfor at least 6 months. Trial registration: Registered in the Chinese Clinical Trial Registry (www.chictr.org.cn) in 17/11/2017 with the following code: ChiCTR-INR-17013432.

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“…Using the results of previous studies, Renne’s test and Noble’s compression test for VAS assessment, and Ober’s test for ITB flexibility assessment, were performed as diagnostic methods for ITBFS ( Table 2 ) [ 26 , 27 ]. In addition, a digital angle meter (AG-02LB, Gain Express Holdings Ltd., Kwawan, Hong Kong) was used to obtain accurate results.…”

Section: Methodsmentioning

confidence: 99%

Effect of Acute Self-Myofascial Release on Pain and Exercise Performance for Cycling Club Members with Iliotibial Band Friction Syndrome

Lee

Kim

2022

IJERPH

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Cycling is a popular sport, and the cycling population and prevalence of related injuries and diseases increase simultaneously. Iliotibial band friction syndrome is a common chronic overuse injury caused by repetitive knee use in cycling. Self-myofascial release using foam rollers is an effective intervention for this syndrome; however, studies reporting positive results on self-myofascial release in cycling are limited. Therefore, this study investigated the effect of self-myofascial release on pain and iliotibial band flexibility, heart rate, and exercise performance (cadence, power, and record) in adult male cyclists with iliotibial band friction syndrome. We evaluated the pain and exercise ability of the control (n = 11) and self-myofascial release (n = 11) groups before and after cycling twice. Significant differences were observed in the pain scale, the iliotibial band flexibility, and cycling pain and power. The posterior cadence of the self-myofascial release group was 3.2% higher than that of the control group. The control group’s record time increased by 74.64 s in the second cycling session compared to the first cycling session, while that of the self-myofascial release group decreased by 30.91 s in the second cycling session compared to the first cycling session. Self-myofascial release is effective in relieving pain and may improve cycling performance by increasing the iliotibial band flexibility.

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The Iliotibial Band: A Complex Structure with Versatile Functions

Cited by 27 publications

References 92 publications

Dry needling on latent and active myofascial trigger points versus oral diclofenac in patients with knee osteoarthritis: a randomized controlled trial

Dry needling on latent and active myofascial trigger points versus oral diclofenac in patients with knee osteoarthritis: a randomized controlled trial

Dry Needling on Latent and Active Myofascial Trigger Points Versus Oral Diclofenac in Patients With Knee Osteoarthritis: a Randomized Controlled Trial

Effect of Acute Self-Myofascial Release on Pain and Exercise Performance for Cycling Club Members with Iliotibial Band Friction Syndrome

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