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Journal of Education, Health and Sport

Development of diagnosis and treatment in the iliotibial band syndrome
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Development of diagnosis and treatment in the iliotibial band syndrome

Authors

  • Mateusz Pawlina Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0001-7354-4883
  • Natalia Pawełczak Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0001-9933-258X
  • Aleksander Oskroba Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0003-0783-4895
  • Aleksandra Orzechowska Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0002-6919-0928
  • Karolina Ziętara Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0002-6754-9263
  • Cezary Stawikowski Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0003-3026-8617
  • Bartłomiej Zielonka Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0001-7788-1342
  • Ilona Kowalczyk Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0002-8669-3068
  • Piotr Pawłowski Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0002-1197-7218
  • Karolina Raksa Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0001-5571-1035

DOI:

https://doi.org/10.12775/JEHS.2023.13.03.022

Keywords

running, iliotibial band syndrome, knee injuries, conservative treatment, physical therapy modalities

Abstract

Introduction and objective: The iliotibial band (ITB) is a complex structure located in the lateral part of the thigh and consists of longitudinally arranged fascial connective tissue. The aim of this study is to analyze the current literature regarding etiology, epidemiology, diagnosis, and conservative treatment of iliotibial band syndrome (ITBS).

Materials and methods: PubMed database were searched. The criteria for qualifying the article for the review were the following keywords: running, iliotibial band syndrome, knee injuries, conservative treatment, physical therapy modalities. 11 articles from 2017 to 2022 were analyzed. The searches included systematic reviews, meta-analyses, randomized controlled trials, and review articles.

Description of the state of knowledge: Iliotibial band syndrome is the most common cause of lateral knee pain in runners and cyclists.  It is presumably caused by excessive tension in the iliotibial band. Excessive tension is the result of overuse disorder of the lateral knee. Key symptom of ITBS is sharp or burning pain in the region of the lateral femoral epicondyle.. Pain typically occurs during physical activity, after a reproducible time or distance of running. The diagnosis is achieved through taking clinical history and physical assessment.

Summary: Treatment of ITBS is based on therapeutic exercise, manual therapy, neuromuscular re-education, modalities and  anti-inflammatory medications. Eliminating modifiable risk factors helps prevent ITBS from recurring.

References

Geisler PR. Current Clinical Concepts: Synthesizing the Available Evidence for Improved Clinical Outcomes in Iliotibial Band Impingement Syndrome. J Athl Train. 2021 Aug 1;56(8):805-815. doi: 10.4085/1062-6050-548-19. PMID: 34375405; PMCID: PMC8359713.

Seeber GH, Wilhelm MP, Sizer PS Jr, Guthikonda A, Matthijs A, Matthijs OC, Lazovic D, Brismée JM, Gilbert KK. THE TENSILE BEHAVIORS OF THE ILIOTIBIAL BAND - A CADAVERIC INVESTIGATION. Int J Sports Phys Ther. 2020 May;15(3):451-459. PMID: 32566381; PMCID: PMC7296993.

Hyland S, Graefe SB, Varacallo M. Anatomy, Bony Pelvis and Lower Limb, Iliotibial Band (Tract). 2021 Aug 11. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 30725782.

Hadeed A, Tapscott DC. Iliotibial Band Friction Syndrome. 2022 May 30. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 31194342.

Jiménez Díaz F, Gitto S, Sconfienza LM, Draghi F. Ultrasound of iliotibial band syndrome. J Ultrasound. 2020 Sep;23(3):379-385. doi: 10.1007/s40477-020-00478-3. Epub 2020 Jun 8. PMID: 32514741; PMCID: PMC7441105.

Mellinger S, Neurohr GA. Evidence based treatment options for common knee injuries in runners. Ann Transl Med. 2019 Oct;7(Suppl 7):S249. doi: 10.21037/atm.2019.04.08. PMID: 31728373; PMCID: PMC6829001.

McKay J, Maffulli N, Aicale R, Taunton J. Iliotibial band syndrome rehabilitation in female runners: a pilot randomized study. J Orthop Surg Res. 2020 May 24;15(1):188. doi: 10.1186/s13018-020-01713-7. PMID: 32448384; PMCID: PMC7247177.

Friede MC, Innerhofer G, Fink C, Alegre LM, Csapo R. Conservative treatment of iliotibial band syndrome in runners: Are we targeting the right goals? Phys Ther Sport. 2022 Mar;54:44-52. doi: 10.1016/j.ptsp.2021.12.006. Epub 2021 Dec 27. PMID: 35007886.

Hutchinson LA, Lichtwark GA, Willy RW, Kelly LA. The Iliotibial Band: A Complex Structure with Versatile Functions. Sports Med. 2022 May;52(5):995-1008. doi: 10.1007/s40279-021-01634-3. Epub 2022 Jan 24. PMID: 35072941; PMCID: PMC9023415.

Arnold MJ, Moody AL. Common Running Injuries: Evaluation and Management. Am Fam Physician. 2018 Apr 15;97(8):510-516. PMID: 29671490.

Lewis CL, Foley HD, Lee TS, Berry JW. Hip-Muscle Activity in Men and Women During Resisted Side Stepping With Different Band Positions. J Athl Train. 2018 Nov;53(11):1071-1081. doi: 10.4085/1062-6050-46-16. Epub 2019 Jan 7. PMID: 30615490; PMCID: PMC6333220.

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Published

2023-01-29

How to Cite

1.
PAWLINA, Mateusz, PAWEŁCZAK, Natalia, OSKROBA, Aleksander, ORZECHOWSKA, Aleksandra, ZIĘTARA, Karolina, STAWIKOWSKI, Cezary, ZIELONKA, Bartłomiej, KOWALCZYK, Ilona, PAWŁOWSKI, Piotr & RAKSA, Karolina. Development of diagnosis and treatment in the iliotibial band syndrome. Journal of Education, Health and Sport [online]. 29 January 2023, T. 13, nr 3, s. 153–158. [accessed 31.3.2023]. DOI 10.12775/JEHS.2023.13.03.022.
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Vol. 13 No. 3 (2023)

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Copyright (c) 2023 Mateusz Pawlina, Natalia Pawełczak, Aleksander Oskroba, Aleksandra Orzechowska, Karolina Ziętara, Cezary Stawikowski, Bartłomiej Zielonka, Ilona Kowalczyk, Piotr Pawłowski, Karolina Raksa

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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