Cross-Sectional Study to Identify Iliotibial Band Syndrome Causes among Treadmill Runners and Its Impact on Functional Activities

Abstract

Running causes overuse injuries and ITBS (Iliotibial band syndrome) is one of the most common injury.Risk factors of ITBS includes ITB tightness, abductor weakness and biomechanical differences. Peopleusing treadmill without ruling out faulty biomechanics leads to ITBS. Objectives: i) To find the causativefactor for ITBS among treadmill runners. ii) To find out the impact of ITBS in functional activities amongtreadmill runners. Methodology: 120 samples fulfilling the selection criteria were included. Age, lateralknee pain, speed of running, number of days running per week, since how many months, for how manyminutes were collected. Participants with lateral knee pain were assessed using NCT (Noble compressiontest). Subjects were assessed with hip abductor strength test, NPT (Navicular position test), TT test (tibialtorsion test) and Q angle measurement. Common cause for ITBS among treadmill runners was evaluated.Participants were screened for their functional activity using the LEFS (lower extremity functional scale)and scored accordingly. Result: Mean age calculated is 27.88±3.91 yrs, running since 12.08±5.82 months,for 23.58±4.91 minutes, 4.06±0.8 days a weeks, with a speed of 6.75±0.57 m/sec. 40.83% of the subjectshad ITBS due to hip abductor weakness, 15.83% of the subjects had a FF(flat feet) and int.TT while 14.17 %had int.TT. Increased Q angle and ext.TT was found in 9.17%. 5 % had hip abductor weakness and increasedQ angle whereas 2.5% of the subjects had all the four components present. The mean score obtained by allthe subjects with ITBS in the LEFS scale is 63.12±5.33. Conclusion: Study concludes that hip abductorweakness alone is the major cause of ITBS among treadmill runners. FF and int.TT being second mostimportant cause. Mean score of ITBS in LEFS scale is 63.12±5.33