Open Access
Subscription Access
Open Access
Subscription Access
Effect of Iliotibial Band Stretching on Pain and Functional Activities in Patients with Knee Osteoarthritis
Subscribe/Renew Journal
Background: The iliotibial band is a long, non elastic collagen structure which crosses both hip and knee joints on the lateral thigh. The normal aging process brings changes in normal muscle functions including strength, endurance, agility and flexibility. Tight muscles further contribute to early degeneration of the joint. Routine physiotherapy includes hamstring, rectus femoris, and tendoachilis in the management of osteoarthritis. Thus, study aims to evaluate & compare effects of physical therapy intervention to improve the length of tight iliotibial band with respect to improvement in functional outcomes along with conventional physical therapy intervention.
Materials and Methods: 60 subjects having knee osteoarthritis with iliotibial muscle tightness participated in the study. They were divided into 2 groups: Group A and Group B, of 30 subjects each. Group A was given-iliotibial band stretching in Ober's test position and Conventional physical therapy (Ultrasound + Exercises). Group B was given- Conventional physical therapy only. Both the groups received the treatment for a period of 5 days.
Results: Results showed a statistically significant improvement on inter group comparison in the pain scores (on VAS) for walking, medial mobility of patella and Q angle. (p<0.001)
Conclusion: Conventional physical therapy is effective in improving pain and functional activities but Iliotibial band stretching has an added effect on functional activity of walking.
Keywords
Osteoarthritis, Ultrasound Stretching, Ober's Position
Subscription
Login to verify subscription
User
Font Size
Information
- Carolyn Kisner, Lynn Allen Colby. Therapeutic Exercises. 4th Edition. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2002. p.67-106,302- 304,p. 506-562.
- Carrie Hall, Lori Thein Brody .Therapeutic Exercise Moving Towards Function.PA, USA: Lippincott Williams &Wilkins; 1999. p.187, 192- 193,p.437-467.
- David J. Magee. Orthopaedic Physical Assessment. 4th Edition. New Delhi: Elsevier; 2002. p.729-731
- S.Brent Brotzman,Kevin E. Wilk.Clinical Orthopaedic Rehabilitation, 2nd edition. Philadelphia, USA: Mosby; 1996. p.251-369,520
- Www.cebp.nl/vault_public/filesystem/? ID=1482
- www.sportsinjurybulletin.com/archive/ proprioceptive-training.htm
- John Winslow, Evangeline Yoder.Patello femoral Pain in female Balllet Dancers: Correlation with Iliotibial Band tightness and Tibial External Rotation. JOSPT; July 1995. p.18- 21(Vol.22, No.1)
- John C. Gose & Paul Schweizer. Iliotibial Band Tightness.JOSPT; April 1989.
- Simon J Rouse. The Role of the iliotibial Tract in Patellofemoral pain and iliotibial band Friction Syndromes. Physiotherapy; (vol 82,no 3.)
- Maria Zuluaga, C. Briggs, S. Sandor, Michael A. R. Kenihan.Sports Physiotherapy.Churchill livingstone; p.588-592
- Andrew Guccione, Marian Minor, Arthritis. IN: Susan B O’Sullivan, Physical Rehabilitation: Assessment and treatment, 4th edition. New Delhi: Jaypee Brothers; 2001. p. 679-714
- Susan A Doucette ,Marlowe Goble. The effect of exercise on patellar tracking in lateral compression syndrome. The Americal Journal of Sports Medicine. 1992.( Vol 20, No. 4.)
- Dr. John Srbely. Ultrasound in the management of osteoarthritis:part 1: a review of the current literature. JCCA; 2008. (Vol 52.)
- John Fairclough,Koji et al.. Is iliotibial band really a frction syndrome?.Journal of science and medicine in sport. 2007.p 74-76.( Vol 10,)
- BellamyN, Buchanan WW, and Goldsmith.GH: Validation study of WOMAC: A health status instrument for measuring clinically important patients relevant, outcomes to anti-rheumatic drug therapy in patients with osteoarthritis of hip and knee. J Rheumatology. 1998;15,p.1833-1840
- The Lancet Husskisson EC. Measurement of pain. 197
- Thumboo J, Chew LJ, Soh.CH: Validation of the Western Ontario and McMaster University osteoarthritis cartilage, 2001:9(5),p.440-446
- Kisner C,Colby.LA. Therapeutic exercises.Foundation and techniques. 4th edition. Jaypee brothers; 2002.p.246-249
- Pamela K. Levangie,Cynthia C. Norkin. Joint Structure and Function. 4th Edition. Jaypee Brothers; 2006.p393-431
- By Michael J. Alter. Science of flexibility. Human Kinetics. 2004. p31-32
- Forster & Palastanga. Clayton’s electrotherapy. 9th Edition. A.I.T.B.S; 2002.p166-179 22. James R. Andrews. Physical Rehabilitation of the Injured Athlete. 3rd Edition. Elsevier; 2004. p157-184
- Melchione WE,Sullivan.MS. Reliability of measurements obtained by use of an instrument designed to indirectly measure iliotibial band length. JOSPT 1993 Sep; 18(3); p.511-5
- HerringtonL, Rirett n, Munro S. Man Ther. The relationship between patella position and length of the iliotibial band as assessed using Ober’s test. 2006.Aug,11(3);182-6.Epub2006Jul25
- SmithgTO,DaviesL,DonellST. The reliability and validity of assessing medio-lateral patellar position. ManTher 2009Aug; 14(4); 355-62. Epub 2008; Sep27
- Rutij AW, NueschE, SterchiR, JuniP. Therapeutic ultrasound for osteoarthritis of the knee or hip.Cohrane Database Syst Rev. 2010Jan; 20;(1)
- Herrington L, Nester C. Clin Biomech. 2004 Dec;19(10):1070-3.
- Puniello iliotibial band tightness and medial patellar glide in patients with patellofemoral dysfunction J Orthop Sports Physical Therapy. 1993 Mar;17(3):144-8. MS..
Abstract Views: 925
PDF Views: 0