Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Cross-Sectional Study to Identify Iliotibial Band Syndrome Causes among Treadmill Runners and Its Impact on Functional Activities


Affiliations
1 MPT in Musculoskeletal Disorders and Sports, India
2 The Oxford College of Physiotherapy, Begur Road, Hongasandra, Bangalore, India
     

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Running causes overuse injuries and ITBS (Iliotibial band syndrome) is one of the most common injury. Risk factors of ITBS includes ITB tightness, abductor weakness and biomechanical differences. People using treadmill without ruling out faulty biomechanics leads to ITBS. Objectives: i) To find the causative factor for ITBS among treadmill runners. ii) To find out the impact of ITBS in functional activities among treadmill runners. Methodology: 120 samples fulfilling the selection criteria were included. Age, lateral knee pain, speed of running, number of days running per week, since how many months, for how many minutes were collected. Participants with lateral knee pain were assessed using NCT (Noble compression test). Subjects were assessed with hip abductor strength test, NPT (Navicular position test), TT test (tibial torsion test) and Q angle measurement. Common cause for ITBS among treadmill runners was evaluated. Participants were screened for their functional activity using the LEFS (lower extremity functional scale) and scored accordingly. Result: Mean age calculated is 27.88±3.91 yrs, running since 12.08±5.82 months, for 23.58±4.91 minutes, 4.06±0.8 days a weeks, with a speed of 6.75±0.57 m/sec. 40.83% of the subjects had ITBS due to hip abductor weakness, 15.83% of the subjects had a FF(flat feet) and int.TT while 14.17 % had int.TT. Increased Q angle and ext.TT was found in 9.17%. 5 % had hip abductor weakness and increased Q angle whereas 2.5% of the subjects had all the four components present. The mean score obtained by all the subjects with ITBS in the LEFS scale is 63.12±5.33. Conclusion: Study concludes that hip abductor weakness alone is the major cause of ITBS among treadmill runners. FF and int.TT being second most important cause. Mean score of ITBS in LEFS scale is 63.12±5.33

Keywords

ITBS, Tibial Torsion, Flat Feet, Hip Abductor Weakness, Q Angle, LEFS Scale.
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  • Cross-Sectional Study to Identify Iliotibial Band Syndrome Causes among Treadmill Runners and Its Impact on Functional Activities

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Authors

Sukanya Baruah
MPT in Musculoskeletal Disorders and Sports, India
R. V. Vijayakumar
The Oxford College of Physiotherapy, Begur Road, Hongasandra, Bangalore, India

Abstract


Running causes overuse injuries and ITBS (Iliotibial band syndrome) is one of the most common injury. Risk factors of ITBS includes ITB tightness, abductor weakness and biomechanical differences. People using treadmill without ruling out faulty biomechanics leads to ITBS. Objectives: i) To find the causative factor for ITBS among treadmill runners. ii) To find out the impact of ITBS in functional activities among treadmill runners. Methodology: 120 samples fulfilling the selection criteria were included. Age, lateral knee pain, speed of running, number of days running per week, since how many months, for how many minutes were collected. Participants with lateral knee pain were assessed using NCT (Noble compression test). Subjects were assessed with hip abductor strength test, NPT (Navicular position test), TT test (tibial torsion test) and Q angle measurement. Common cause for ITBS among treadmill runners was evaluated. Participants were screened for their functional activity using the LEFS (lower extremity functional scale) and scored accordingly. Result: Mean age calculated is 27.88±3.91 yrs, running since 12.08±5.82 months, for 23.58±4.91 minutes, 4.06±0.8 days a weeks, with a speed of 6.75±0.57 m/sec. 40.83% of the subjects had ITBS due to hip abductor weakness, 15.83% of the subjects had a FF(flat feet) and int.TT while 14.17 % had int.TT. Increased Q angle and ext.TT was found in 9.17%. 5 % had hip abductor weakness and increased Q angle whereas 2.5% of the subjects had all the four components present. The mean score obtained by all the subjects with ITBS in the LEFS scale is 63.12±5.33. Conclusion: Study concludes that hip abductor weakness alone is the major cause of ITBS among treadmill runners. FF and int.TT being second most important cause. Mean score of ITBS in LEFS scale is 63.12±5.33

Keywords


ITBS, Tibial Torsion, Flat Feet, Hip Abductor Weakness, Q Angle, LEFS Scale.

References