Effects of Functional Motor Control on Pain, Flexibility, Lower Extremity Function With ITBS

Effects of Functional Motor Control Exercise on Pain, Flexibility, Lower Extremity Function Among Runners With Iliotibial Band Syndrome

The study is randomized and single-blinded. Ethical approval is taken from ethical committee of Riphah International University, Lahore. Participants who meet the inclusion criteria will be enrolled and allocated in group A & B through sealed envelope method by non-probability convenient random sampling technique. Subjects in group A will receive functional motor control exercises. Group B will receive conventional exercises.

Study Overview

• Status: Recruiting
• Conditions: Pain; Flexibility; Iliotibial Band Syndrome
• Intervention / Treatment: Other: Functional motor control excercise; Other: convectional excercise

Detailed Description

The objective of this study is to determine the effects of functional motor control exercises on pain, flexibility and lower limb functional. It will be randomized controlled trial (RCT) research design at Pakistan sports board through non probability convenience sampling technique on 18 runners' athletes which will be allocated using random sampling through computerized generated number into Group A and Group B, 9 athletes will be in each group. Group A (interventional) will be given conventional training with functional motor exercise and Group B (control) will be given conventional training. There will be 3 sessions in a week for 6 weeks. The baseline scoring will be on 1st day, follow up will be taken at 6th week. Assessment will be made by Numeric pain rating scale, Lower extremity functional scale (LEFS), Single leg mini squat, Y balance. Data will be analyzed during SPSS software version 26. After assessing normality of data by Shapiro-Wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two group

• Study Type: Interventional
• Enrollment (Estimated): 18
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Amna Shahid, MS-DPT; Phone Number: +92 334 4512823; Email: amna.shahid@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab
    • Faisalābad, Punjab, Pakistan, 37700
      • Recruiting
      • Jawad Club
      • Contact: hamza ali, MBA; Phone Number: +92-3020160361; Email: hamza.azeem2018@gmail.com
      • Contact: Maham Athar, DPT; Phone Number: Athar 03356600213; Email: mahamathar666@gmail.com
      • Principal Investigator: Maham Athar, DPT
      • Sub-Investigator: amna shahid, MS-DPT

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• male and female athlete within 19-40 years,
• running a minimum average of 15 running kilometers,
• Runners with one sided iliotibial band syndrome for at least 3 months were included,
• Pain along IT band at either Gerdy's tubercle or the lateral femoral epicondyle during running,
• positive stiffness with Ober's test, and
• reporting pain during Noble's compression test.

Exclusion Criteria:

• Individuals with a history of previous knee trauma of past 6 months,
• Individuals with a history of previous knee surgery of past 6 months,
• Other knee abnormalities including patellofemoral joint pain,
• popliteus tendinitis,
• lateral meniscal injury,
• Degenerative joint disease, and
• lateral collateral ligament sprain to the affected side.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Functional motor control excercise; Functional motor control exercise Includes side plank with clamshell, Side plank with hip abduction, Side-lying hip abduction, Lateral monster walk, Hip hikes, Single leg squat, TKE with T-band-hip abduction All exercises done with 2 sets of 10 reps with 3 sessions per week for 6 weeks	Other: Functional motor control excercise; This include functional motor control thrice a week for six weeks
Experimental: conventional exercise; The conventional exercise included 4 stages of self-myofascial techniques, strengthening, and integration techniques. In the first phase, individuals did fascial release exercises using foam rolls, focusing on tensor fascia latae, iliotibial band, and hip adductor muscles, and tennis balls for the quadratus lumborum. The exercises were performed at high-intensity maximum pain tolerance for 30 seconds or low-intensity minimum pain tolerance for 90 seconds.	Other: convectional excercise; This include convectional exercise thrice a week for six weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numeric pain rating scale	pain will be assess by Numeric pain rating scale with minimum score 0 to maximum score 10	pre and 6 weeks post interventional
flexibility	flexibility will be assess by Y balance	pre and 6 weeks post interventional
lower extremity function	lower extremity function will be assess by lower limb extremity scale with score 0 to 80	pre and 6 weeks post interventional

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: maham Athar, DPT, Investigator

Publications and helpful links

General Publications

• Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med. 2002 Apr;36(2):95-101. doi: 10.1136/bjsm.36.2.95.
• Baker RL, Fredericson M. Iliotibial Band Syndrome in Runners: Biomechanical Implications and Exercise Interventions. Phys Med Rehabil Clin N Am. 2016 Feb;27(1):53-77. doi: 10.1016/j.pmr.2015.08.001.
• McKean KA, Manson NA, Stanish WD. Musculoskeletal injury in the masters runners. Clin J Sport Med. 2006 Mar;16(2):149-54. doi: 10.1097/00042752-200603000-00011.
• Fredericson M, Cookingham CL, Chaudhari AM, Dowdell BC, Oestreicher N, Sahrmann SA. Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med. 2000 Jul;10(3):169-75. doi: 10.1097/00042752-200007000-00004.
• Noehren B, Davis I, Hamill J. ASB clinical biomechanics award winner 2006 prospective study of the biomechanical factors associated with iliotibial band syndrome. Clin Biomech (Bristol, Avon). 2007 Nov;22(9):951-6. doi: 10.1016/j.clinbiomech.2007.07.001. Epub 2007 Aug 28.

Study record dates

Study Major Dates

• Study Start (Actual): October 20, 2023
• Primary Completion (Estimated): February 20, 2024
• Study Completion (Estimated): February 20, 2024

Study Registration Dates

• First Submitted: November 9, 2023
• First Submitted That Met QC Criteria: November 9, 2023
• First Posted (Actual): November 14, 2023

Study Record Updates

• Last Update Posted (Actual): December 29, 2023
• Last Update Submitted That Met QC Criteria: December 26, 2023
• Last Verified: December 1, 2023

More Information

Terms related to this study

• Keywords: motor control function excercise; lower extermity function; Iliotibial Band Syndrome
• Additional Relevant MeSH Terms: Pathologic Processes; Wounds and Injuries; Leg Injuries; Disease; Cumulative Trauma Disorders; Sprains and Strains; Knee Injuries; Syndrome; Iliotibial Band Syndrome
• Other Study ID Numbers: REC/RCR&AHS/23/0429

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No