A comparative study between the efficacy of counterstrain technique and iliotibial band stretching with Hip Abductor Strengthening on Runners with Iliotibial Band Friction Syndrome
Tadepalli Bhavya, Lavanya Suvarna, Earnest Samuel
Background: Iliotibial Band Friction Syndrome (ITBFS) involves pain in the region of lateral femoral condyle or slightly inferior to it, that occurs after repetitive motion of the knee, typically in a runner, cyclist or other athlete. Purpose: Aim of the study was to compare the efficacy of counter strain technique and Iliotibial Band stretching when given along with hip abductor strengthening in reducing pain and improving functional abilities in runners with ITBFS. Method: 60 symptomatic patients of both the sexes fulfilling inclusion criteria were randomly taken, divided into 2 groups each of 30 subjects. Group A: (n=30): Treated with counterstrain technique. Technique was given for 90 secsover the tender point in 3 repetitions. Group B:-(n=30): Treated with Hip Abductor Strengthening with Iliotibial band Stretching. Side lying hip abduction exercise, a standing pelvic stabilisation exercise and forward-backward lunges with progression in resistance with theraband. Standing stretching and side lying stretching (pretezal stretch).Stretches were maintained for 30 seconds each and repeated 3-5times. Ultrasound was given to both the groups as control. Results: The average improvement of VAS for Group A and Group B were 5 & 4 respectively using median. The U value was 10, which is statistically highly significant (p value=0.000) The average improvement of Total of Cincinnati knee rating scale for Group A and Group B were 125 and 40 respectively using median. The U value was 36, which is statistically highly significant (p value=0.000). The results indicated that both Counterstrain technique and Hip Abductor Strengthening along with Iliotibial Band Stretching produced highly significant improvement in VAS and Cincinnati knee rating scale (sub scores and total scores) scores at 4th week when compared to baseline values, Counterstrain technique ( Group A) showed significant improvement when compared to Hip abductor strengthening along with It band stretching (Group B) in patients with ITBFS which was statistically highly significant (p value=0.000).
Tadepalli Bhavya, Lavanya Suvarna, Earnest Samuel. A comparative study between the efficacy of counterstrain technique and iliotibial band stretching with Hip Abductor Strengthening on Runners with Iliotibial Band Friction Syndrome. International Journal of Yoga, Physiotherapy and Physical Education, Volume 4, Issue 2, 2019, Pages 34-38