Comparative Effects of Clamshell Technique With EMS vs CTin Iliotibial Band Tightness for Pain and Function

N/AActive Not RecruitingNCT06428136

Superior University62 enrolled

Overview

Iliotibial band syndrome (ITBS) is a common knee injury that usually presents with pain and/or tenderness on palpation of the lateral aspect of the knee, superior to the joint line and inferior to the lateral femoral epicondyle. The current theory is that this condition is likely to be caused by compression of the innervated tissues beneath the iliotibial band (ITB), leading to inflammation.

There were effects of clamshell exercises on gluteus medius, quadratus lumborum and anterior hip flexor. However their effect was limited on iliotibial band tightness. Hip/knee coordination and running style have also been identified as key factors in the treatment of ITBS, highlighting the complexity of the condition. The present study will focus on effect of clamshell techniques with electrical muscle stimulation versus Conservative treatment in iliotibial band tightness for pain and function.The goal is to determine which technique is more effecient in improving function and reducing pain and soreness of Iliotibial band.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

Conditions

Tibial Muscular Dystrophy

Interventions

Clamshell exercises with Electrical Muscle Stimulation (CT + EMS)DIAGNOSTIC_TEST

Side-lying clamshells: 3 sets of 10 repetitions per leg, 3 times per week Hip abduction with theraband: 3 sets of 10 repetitions per leg, 3 times per week Bridge with hip abduction: 3 sets of 10 repetitions per leg, 3 times per week Electrical muscle stimulation: Applied to the gluteus medius and minimus muscles for 20 minutes per session, 3 times per week Frequency and intensity adjusted to individual tolerance

Conservative Treatment (CT)OTHER

Stretching: Iliotibial band stretch: 30-second hold, 3 repetitions per leg, 2 times per day Quadriceps stretch: 30-second hold, 3 repetitions per leg, 2 times per day Hamstring stretch: 30-second hold, 3 repetitions per leg, 2 times per day

Eligibility

Sex: ALLMin age: 45 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults aged 45-65 years old (Jeong et al., 2019) * Both genders will be included (Jeong et al., 2019) * Diagnosed with iliotibial band tightness (ITBT) based on clinical examination and positive Noble compression test (Hutchinson et al., 2022) * Reporting lateral knee pain aggravated by activity (Hutchinson et al., 2022) Exclusion Criteria: * Recent history of knee surgery or other knee injuries (Peterson et al., 2022) * Presence of other musculoskeletal conditions affecting the knee (Peterson et al., 2022) * Inflammatory conditions such as rheumatoid arthritis or gout (Peterson et al., 2022) * Neurological conditions affecting leg function (Peterson et al., 2022) * Pregnancy (Jeong et al., 2019)

Locations (1)

The University of Lahore Teaching Hospital

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Measured using a numeric pain rating scale (NPRS)

ranging from 0 (no pain) to 10 (worst imaginable pain) assessed at baseline, after intervention, and at 1-month follow-up.

Time frame: 12 Months

Lower Extremity Functional Scale (LEFS)

Measured using the Lower Extremity Functional Scale (LEFS) assessed at baseline, after intervention, and at 1-month follow-up

Time frame: 12 months

ITBT length

Measured using a goniometer at baseline, after intervention, and at 1-month follow-up.

Time frame: 12 months

Range of motion (ROM):

Measured using a goniometer for knee flexion and extension at baseline, after intervention, and at 1-month follow-up."

Time frame: 12 months

Data from ClinicalTrials.gov

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