Understanding ITBS in Athletes: A Comprehensive Systematic Review
DOI:
https://doi.org/10.12775/QS.2024.34.56734Keywords
iliotibial band syndrome, itbs, treatment, prevention, biomechanics, athletesAbstract
Introduction: Iliotibial Band Syndrome (ITBS) is one of the most prevalent overuse injuries among athletes, particularly runners and cyclists. Characterized by lateral knee pain, ITBS often results from repetitive friction of the iliotibial band over the lateral femoral epicondyle, causing inflammation and discomfort. Despite its frequency, the mechanisms, risk factors, and effective interventions for ITBS remain topics of active investigation.
Purpose of Work: This systematic review aims to consolidate current research on the etiology, diagnosis, prevention, and treatment of ITBS in athletes. By synthesizing findings from existing studies, this paper seeks to provide evidence-based recommendations for effective management and rehabilitation strategies.
State of Knowledge: Research identifies biomechanical abnormalities, overtraining, and inadequate recovery as significant contributors to ITBS. Advances in imaging have improved diagnostic accuracy, while rehabilitation programs emphasizing strengthening and flexibility show promise in recovery. Nonetheless, inconsistencies in studies and intervention outcomes underscore the need for standardized approaches.
Material and methods: The research methodology involved conducting a systematic review of the literature, and implementing a screening process to identify pertinent studies. The investigation encompassed a thorough search across scientific databases, such as PubMed and Google Scholar.
Summary: ITBS is a complex overuse injury prevalent in athletes, requiring an integrated approach to diagnosis, prevention, and treatment. Current evidence underscores the significance of addressing biomechanical imbalances, training errors, and recovery deficits. While rehabilitation strategies focused on strengthening, flexibility, and neuromuscular control show efficacy, variability in treatment outcomes highlights the need for personalized interventions and further research to optimize prevention and recovery protocols.
References
E. Foch, J. A. Reinbolt, S. Zhang, E. C. Fitzhugh, and C. E. Milner, “Associations between iliotibial band injury status and running biomechanics in women,” Feb. 01, 2015, Elsevier BV. doi: 10.1016/j.gaitpost.2015.01.031.
M. Bonoan, M. Morales, X. W. Liu, O. Oyeniran, K. Zheng, and E. Palatulan, “Iliotibial Band Syndrome Current Evidence,” Feb. 19, 2024, Springer Science+Business Media. doi: 10.1007/s40141-024-00442-w.
L. Hutchinson, G. A. Lichtwark, R. W. Willy, and L. A. Kelly, “The Iliotibial Band: A Complex Structure with Versatile Functions,” Jan. 24, 2022, Springer Science+Business Media. doi: 10.1007/s40279-021-01634-3.
R. L. Baker, R. B. Souza, and M. Fredericson, “Iliotibial Band Syndrome: Soft Tissue and Biomechanical Factors in Evaluation and Treatment,” Jun. 01, 2011, Wiley. doi: 10.1016/j.pmrj.2011.01.002.
C. B. Backer and M. Sedgley, “Iliotibial Band Syndrome,” Jan. 01, 2021, Springer Nature. doi: 10.1007/978-3-030-55870-3_26.
G. Lindenberg, R. Pinshaw, and T. D. Noakes, “Iliotibial Band Friction Syndrome in Runners,” May 01, 1984, Taylor & Francis. doi: 10.1080/00913847.1984.11701850.
R. Flato, G. J. Passanante, M. Skalski, D. B. Patel, E. A. White, and G. R. Matcuk, “The iliotibial tract: imaging, anatomy, injuries, and other pathology,” Feb. 25, 2017, Springer Science+Business Media. doi: 10.1007/s00256-017-2604-y.
P. Archbold and G. Mezzadri, “Iliotibial Band Syndrome,” Jan. 01, 2014, Springer Nature. doi: 10.1007/978-1-4471-5631-4_12.
S. Colonna, M. Mazzanti, C. A. Borghi, and G. Pacini, “A new alternative to the Ober test for evaluating the difference between right and left iliotibial band stiffness: A reliability study,” Apr. 28, 2024, Elsevier BV. doi: 10.1016/j.jbmt.2024.04.040.
J. Fairclough et al., “The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome,” Mar. 01, 2006, Wiley. doi: 10.1111/j.1469-7580.2006.00531.x.
S. Mellinger and G. A. Neurohr, “Evidence based treatment options for common knee injuries in runners,” Oct. 01, 2019, AME Publishing Company. doi: 10.21037/atm.2019.04.08.
D. P. Lustenberger, V. Y. Ng, T. M. Best, and T. J. Ellis, “Efficacy of Treatment of Trochanteric Bursitis: A Systematic Review,” Aug. 03, 2011, Lippincott Williams & Wilkins. doi: 10.1097/jsm.0b013e318221299c.
R. Mansour, P. Yoong, D. McKean, and J. Teh, “The iliotibial band in acute knee trauma: patterns of injury on MR imaging,” Jun. 05, 2014, Springer Science+Business Media. doi: 10.1007/s00256-014-1918-2.
M. P. van der Worp, N. van der Horst, A. de Wijer, F. Backx, and M. W. G. N. der Sanden, “Iliotibial Band Syndrome in Runners,” Nov. 01, 2012, Springer Science+Business Media. doi: 10.1007/bf03262306.
E. F. Ekman, T. Pope, D. Martin, and W. W. Curl, “Magnetic Resonance Imaging of Iliotibial Band Syndrome,” Nov. 01, 1994, SAGE Publishing. doi: 10.1177/036354659402200619.
R. Rahayu, I. Suswati, A. P. Maulida, A. D. Prasetio, and K. C. K. Wardani, “Pain management in Illiotibial band syndrome,” Sep. 26, 2022. doi: 10.53730/ijhs.v6ns8.12996.
A. P. Nguyen, C. Detrembleur, and J. V. Cant, “Conservative treatment for iliotibial band syndrome: Are we facing a research gap? A scoping review of 98 studies with clinical perspectives,” May 31, 2023, Elsevier BV. doi: 10.1016/j.ptsp.2023.05.002.
C. Beals and D. C. Flanigan, “A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population,” Jan. 01, 2013, Hindawi Publishing Corporation. doi: 10.1155/2013/367169.
M. Opara and Ž. Kozinc, “Stretching and Releasing of Iliotibial Band Complex in Patients with Iliotibial Band Syndrome: A Narrative Review,” Jun. 04, 2023, Multidisciplinary Digital Publishing Institute. doi: 10.3390/jfmk8020074.
N. Amzallag et al., “Iliotibial band (ITB) release for ITB friction syndrome following total knee arthroplasty (TKA) improves knee function,” Jul. 08, 2022, Elsevier BV. doi: 10.1016/j.jorep.2022.100057.
S. Hariri, E. T. Savidge, M. M. Reinold, J. Zachazewski, and T. J. Gill, “Treatment of Recalcitrant Iliotibial Band Friction Syndrome with Open Iliotibial Band Bursectomy,” Mar. 13, 2009, SAGE Publishing. doi: 10.1177/0363546509332039.
S. Veiga, B. Suárez, C. Segovia, A. Navandar, J. Rueda, and E. Navarro, “Current iliotibial band syndrome alters patterns of running coordination in male and female runners, but not their levels of coordination variability,” Jul. 15, 2024, Taylor & Francis. doi: 10.1080/14763141.2024.2368068.
S. Miccio, A. Berardi, M. Tofani, and G. Galeoto, “Conservative Rehabilitation Treatments of Iliotibial Band Syndrome: A Systematic Review,” Mar. 01, 2021. doi: 10.32098/mltj.01.2021.04.
É. Falvey, R. A. Clark, A. Franklyn‐Miller, A. L. Bryant, C. Briggs, and P. McCrory, “Iliotibial band syndrome: an examination of the evidence behind a number of treatment options,” Aug. 24, 2009, Wiley. doi: 10.1111/j.1600-0838.2009.00968.x.
R. Ellis, W. Hing, and D. Reid, “Iliotibial band friction syndrome—A systematic review,” Apr. 18, 2007, Elsevier BV. doi: 10.1016/j.math.2006.08.004.
R. V. V. S. Baruah, “Cross-Sectional Study to Identify Iliotibial Band Syndrome Causes among Treadmill Runners and Its Impact on Functional Activities,” Jan. 30, 2020, Institute of Medico-legal Publications Private Limited. doi: 10.37506/ijpot.v14i1.3484.
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