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IT Band Syndrome

Presentation Explaining IT Band Syndrome. By Bryce McConville and Alexandra Soro
by

Bryce McConville

on 16 July 2014

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Transcript of IT Band Syndrome

IT Band Syndrome
What's IT Band Syndrome?
Reasons for Getting IT Band Syndrome
The IT, or iliotibial band is thick connective tissue extending from the ASIS(anterior superior iliac spine) to the lateral part of the tibia, attaching to the gluteus maximus and tensor fascia latae(TFL).

IT Band Syndrome is the inflammation or irritation of the distal end of the the IT band as it rubs against the lateral femoral epicondyle.
Injury occurs with repetitive flexion and extension of the knee.
Signs and Symptoms
Anything that causes the IT Band to become tight
Lack of flexibility
Any anatomical, muscular, or external factors that cause tightness.
Treatment
Muscle
Imbalances
Gait and Anatomical Abnormalities
Increased Pronation
Genu varum
Excessive internal tibial rotation
High/Low Arch
Leg-length discrepancy
weak abductors
stabilizers of the hip
weak back muscles
tight quads/glutes
Other Common Reasons
Uneven Surfaces
Shoulder of a road
Rapid Mileage increase
Running down hills
Role of the Athletic Trainer
1st level -
NSAIDS
RICE
2nd Level -
Deep Tissue Massage
Stretching
Strengthening
http://runningtimes.com/article.aspx?articleid=3528&PageNum=2
Debatable Treatment Myths
"Steamrolling" your IT Band is NOT beneficial for IT Band Syndrome
Focus on other key muscle areas as well
Strengthening
Deep Tissue Massage
Assist in strengthening, stretching, and icing of the injured athlete.
Request changes to mileage and training surfaces.
Pain on outside of the knee or at the hip on the greater trochanter, especially during activity

Tenderness along outside of the knee

Discomfort along outside of the thigh

Weakness in hip abduction

Tender trigger points in the gluteal area
Epidemiology
ITBS is a common injury among runners.
higher among distance runners than sprinters due to increased stance phase.
also seen in the military, cyclists, tennis players, and teens.
prevalent among 15-50 years of age
reported equally among men and women
Tests
Two different tests used to identify whether it is ITBS:
Thomas Test- a strength test used to see if knee flexors or extensors or hip abductors are tight

The Ober Test- used to evaluate a tight, contracted, or inflamed It band and TFL.
Ober's Test
Prevention
Running on level surfaces or alternating running on sides of the road
stretching
Orthotics (short term)
Heat the Area before exercise
Fire Hydrant Exercise
Stretching
Thomas Test
Bryce McConville &
Alexandra Soro
"Last Resort" Treatments
If conservative treatment fails to work:
Corticosteroid injection
Surgery
Full transcript