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The goal of this clinical trial is to find the effect of integrated neuromuscular inhibition technique for iliotibial band in iliotibial band friction syndrome on pain intensity level, pressure pain threshold, knee range of motion, knee function and knee angle . The main questions it aims to answer are:
Researchers will compare integrated neuromuscular inhibition technique to conventional physiotherapy to see if integrated neuromuscular inhibition technique works to treat iliotibial band syndrome.
Participants will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | Experimental |
| |
| Interventional group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| integrated neuromuscular inhibition technique | Other | integrated neuromuscular inhibition technique consists of:
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity | The Visual Analogue Scale (VAS) was used to evaluate pain severity. It is a self-reported pain measurement scale, consisting of a horizontal or vertical line, usually 10 cm long. The extremes of the line are labeled as no pain and worst pain. Each subject was asked to mark the point on the line that exactly corresponded to his/her pain | after 2 weeks |
| lower extremity function | Lower extremity functional scale (LEFS): LEFS is a questionnaire containing 20 items assessing the lower extremity function based on the intensity of the related activities' performance. This scoring system is designed based on the five-score Likert scale ranging from zero as the worst condition to four as without bothersome. This scale scores from zero to eighty and the higher score represent a better condition. LEFS-Arabic version will be used to quantify activity limitation in Arabic-speaking individuals with lower extremity musculoskeletal disorders | after 2 weeks |
| Knee range of motion | Digital goniometer: A goniometer is a device that measures an angle or permits the rotation of an object to a definite position .To measure knee joint ROM goniometer was lined up with the lateral side of femur with the proximal arm between trochanter major and the middle of the lateral joint space of the knee and the distal arm between the middle of the lateral joint space of the knee and the lateral malleoli | after 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| pressure pain threshold | The pressure algometer was applied three times at each of the three marked points. Each application of the pressure algometer was stopped when the participant perceived a change in sensation from pressure to pain at the measurement point. Using a mechanical pressure Fischer algometer . Pressure was increased with a speed (1kg/cm2). Steady and perpendicular to the identified trigger point, subjects were instructed to say "now" when they first began to feel change of pressure to either discomfort or pain. The mean of 3 trials over each point was calculated. It is important to place the tip of the algometer precisely on the MTrP region to avoid any major difference in readings among the consecutive measurements of the same MTrP. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| AMIR MO Saleh, Professor of Physical Therapy | Cairo University | Study Chair |
| Doaa RA Elazab, Assistant professor | Cairo University | Study Director |
| Hassan HU Ahmed, Orthopedic Surgery Professor | Faculty of Medicine Banha University | Study Director |
| Esraa TA Farouk, Physical therapist | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of physical therapy, Cairo university | Giza | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Vaughan, Brett (external link) and McLaughlin, Patrick (2014) Immediate changes in pressure pain threshold in the Iliotibial band using a myofascial (foam) roller. International Journal of Therapy and Rehabilitation, 21 (12). 569 - 574. ISSN 1741-1645 | ||
| 31237768 | Background | Zimmermann SM, Njagulj V, Fritz B, Fucentese SF, Sutter R, Pfirrmann CWA. The Accessory Iliotibial Band-Meniscal Ligament of the Knee: Association With Lesions of the Lateral Meniscus. AJR Am J Roentgenol. 2019 Oct;213(4):912-917. doi: 10.2214/AJR.18.21071. Epub 2019 Jun 25. | |
| 22009978 |
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| ID | Term |
|---|---|
| D058745 | Iliotibial Band Syndrome |
| ID | Term |
|---|---|
| D007718 | Knee Injuries |
| D007869 | Leg Injuries |
| D014947 | Wounds and Injuries |
| D012090 | Cumulative Trauma Disorders |
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| conventional physical therapy treatment | Other | Conventional physical therapy treatment:
|
|
| after 2 weeks |
| knee angle | Kinovea is one of the most commonly used applications. Kinovea is a free 2D motion analysis software for computers that can be used to measure kinematic parameters. Subjects were required to stand and relaxed lower limbs, with feet forward and shoulder-width apart. The camera was set 3 m from the subject . The vertical axis of the camera was aligned with the midpoint between the lower limbs of the participant. The image was zoomed to the closest capture, where the stickers could be clearly visible, and always set in the same position. | after 2 weeks |
| Background |
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| D013180 |
| Sprains and Strains |