| Titre : | Conservative treatment of iliotibial band syndrome in runners : are we targeting the right goals? (2022) |
| Auteurs : | Miriam C. Friede ; Gunnar Innerhofer ; Christian Fink ; Luis M. Alegre ; Robert Csapo |
| Type de document : | Article |
| Dans : | Physical therapy in sport (Vol. 54, March 2022) |
| Article en page(s) : | p. 44-52 |
| Note générale : | https://doi.org/10.1016/j.ptsp.2021.12.006 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Articulation du genou ; Humains ; Objectifs ; Phénomènes biomécaniques ; Syndrome de la bandelette iliotibiale ; Thérapie ; Traitement conservateur |
| Mots-clés: | Iliotibial band syndrome ; Biomechanical model ; Etiology ; Conservative treatment |
| Résumé : | Objective Iliotibial band syndrome (ITBS) is presumably caused by excessive tension in the iliotibial band (ITB) leading to compression and inflammation of tissues lying beneath it. Usually managed conservatively, there is a lack of scientific evidence supporting the treatment recommendations, and high symptom recurrence rates cast doubt on their causal effectiveness. This review discusses the influence of common physiotherapeutic measures on risk factors contributing to tissue compression beneath the ITB. Methods The potential pathogenic factors are presented on the basis of a simple biomechanical model showing the forces acting on the lateral aspect of the knee. Existent literature on the most commonly prescribed physiotherapeutic interventions is critically discussed against the background of this model. Practical recommendations for the optimization of physiotherapy are derived. Results According to biomechanical considerations, ITBS may be promoted by anatomical predisposition, joint malalignments, aberrant activation of inserting muscles as well as excessive ITB stiffness. Hip abductor strengthening may correct excessive hip adduction but also increase ITB strain. Intermittent stretching interventions are unlikely to change the ITB's length or mechanical properties. Running retraining is a promising yet understudied intervention. Conclusions High-quality research directly testing different physiotherapeutic treatment approaches in randomized controlled trials is needed. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1466853X2100211X |
Bibliothèques HE Vinci
