Biomechanical risk factors associated with iliotibial band syndrome in runners: a systematic review

BMC Musculoskeletal Disorders

Quinette A. Louw¹  Jodi Aderem¹ 

[1] Faculty of Medicine and Health Sciences, Physiotherapy Division, University of Stellenbosch, Francie van Zijl Drive, Tygerberg 7505, South Africa

关键词: Biomechanics;    Running;    Iliotibial band syndrome;   

Others  :  1233989
DOI  :  10.1186/s12891-015-0808-7

 received in 2015-06-24, accepted in 2015-11-06,  发布年份 2015

【 摘 要 】

Background

Iliotibial band syndrome is the second most common running injury. A gradual increase in its occurrence has been noted over the past decade. This may be related to the increasing number of runners worldwide. Since the last systematic review, six additional papers have been published, providing an opportunity for this review to explore the previously identified proximal risk factors in more detail. The aim of this systematic review is thus to provide an up to date quantitative synthesis of the trunk, pelvis and lower limb biomechanical risk factors associated with Iliotibial band syndrome in runners and to provide an algorithm for future research and clinical guidance.

Methods

An electronic search was conducted of literature published up until April 2015. The critical appraisal tool for quantitative studies was used to evaluate methodological quality of eligible studies. Forest plots displayed biomechanical findings, mean differences and confidence intervals. Level of evidence and clinical impact were evaluated for each risk factor. A meta-analysis was conducted where possible.

Result

Thirteen studies were included (prospective (n = 1), cross-sectional (n = 12)). Overall the methodological score of the studies was moderate. Female shod runners who went onto developing Iliotibial band syndrome presented with increased peak hip adduction and increased peak knee internal rotation during stance. Female shod runners with Iliotibial band syndrome presented with increased: peak knee internal rotation and peak trunk ipsilateral during stance.

Conclusion

Findings indicate new quantitative evidence about the biomechanical risk factors associated with Iliotibial band syndrome in runners. Despite these findings, there are a number of limitations to this review including: the limited number of studies, small effect sizes and methodological shortcomings. This review has considered these shortcomings and has summarised the best available evidence to guide clinical decisions and plan future research on Iliotibial band syndrome aetiology and risk.

【 授权许可】

   
2015 Aderem and Louw.

【 图 表 】

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【 参考文献 】

• [1]Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case–control analysis of 2002 running injuries. Br J Sports Med. 2002; 36:95.
• [2]van Gent RN. Incidence and determinants of lower extremity running injuries in long distance runners: A systematic review. Br J Sports Med. 2007; 4:469-480.
• [3]Beers A. Effects of multi- modal physiotherapy, including hip abductor strengthening, in patients with iliotibial band friction syndrome. Physiother Can. 2008; 60:180-8.
• [4]Khaund R. Iliotibial band syndrome: A common source of knee pain. Am Fam Physician. 2005; 71:1473-5.
• [5]Fredericson M. Practical management of iliotibial band friction syndrome in runners. Clin J Sport Med. 2006; 16:261-268.
• [6]Hamill J, Miller R, Noehren B, Davis I. A prospective study of iliotibial band strain in runners. Clin Biomech (Bristol, Avon). 2008; 23:1018.
• [7]Orchard JW. Biomechanics of iliotibial band friction syndrome in runners. Am J Sports Med. 1996; 24:375-379.
• [8]Messier SP. Etiology of iliotibial band friction syndrome in distance runners. Med Sci Sports Exerc. 1995; 27:951-960.
• [9]Fredericson M, Wolf C. Iliotibial band syndrome in runners. Med Sport. 2005; 35:451-459.
• [10]Fredericson M. Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med. 2000; 10:169-175.
• [11]Noehren B, Davis I, Hamill J. ASB clinical biomechanics award winner 2006 prospective study of the biomechanical factors associated with iliotibial band syndrome. Clin Biomech. 2007; 22:951-956.
• [12]Ferber R. Competitive female runners with a history of iliotibial band syndrome demonstrate atypical hip and knee kinematics. J Orthop Sports Phys Ther. 2010; 40:52-58.
• [13]Niemuth PE, Johnson RJ, Myers MJ, Thieman TJ. Hip muscle weakness and overuse injuries in recreational runners. Clin J Sport Med. 2005; 15:14-21.
• [14]MacMahon JM, Chaudhari AM, Andriacchi TP. Biomechanical injury predictors for marathon runners: Striding towards iliotibial band syndrome injury prevention. Conference of the International Society of Biomechanics in Sports, Hong Kong 2000.
• [15]der Worp v, Maarten P. Iliotibial band syndrome in runners. Sports Med. 2012; 42:969-992.
• [16]Louw M, Deary C. The biomechanical variables involved in the aetiology of iliotibial band syndrome in distance runners - A systematic review of the literature. Physical Therapy Sport. 2014; 15:64-75.
• [17]Law M, Stewart D, Letts L, Bosch L, Westmorland M. Guidelines for critical review of quantitative studies. McMaster University Occupational Therapy Evidence-Based Practice Research Group. Mc Master University, Ontario, Canada; 1998.
• [18]Rathleff MS. Is hip strength a risk factor for patellofemoral pain? A systematic review and meta- analysis. Br J Sports Med. 2014; 48:1088.
• [19]Hillier S, Grimmer-Somers K, Merlin T, Middleton P, Salisbury J, Tooher R et al.. FORM: An australian method for formulating and grading recommendations in evidence-based clinical guidelines. BMC Med Res Methodol. 2011; 11:23. BioMed Central Full Text
• [20]Phinyomark A, Osis S, Hettinga B, Leigh R, Ferber R. Gender differences in gait kinematics in runners with iliotibial band syndrome. Scand J Med Sci Sports. 2015. doi:. 10. 1111/sms.12394 webcite
• [21]Foch E, Reinbolt JA, Zhang S, Fitzhugh EC, Milner CE. Associations between iliotibial band injury status and running biomechanics in women. Gait Posture. 2015; 41:706-710.
• [22]Foch E, Milner CE. The influence of iliotibial band syndrome history on running biomechanics examined via principal components analysis. J Biomech. 2014; 47:81.
• [23]Foch E, Milner CE. Frontal plane running biomechanics in female runners with previous iliotibial band syndrome. J Appl Biomech. 2013; 30:58-65.
• [24]Grau S. Kinematic classification of iliotibial band syndrome in runners. Scand J Med Sci Sports. 2011; 21:184-189.
• [25]Hein T, Schmeltzpfenning T, Krauss I, Maiwald C, Horstmann T, Grau S. Using the variability of continuous relative phase as a measure to discriminate between healthy and injured runners. Hum Mov Sci. 2012; 31:683-694.
• [26]Miller RH, Meardon SA, Derrick TR, Gillette JC. Continuous relative phase variability during an exhaustive run in runners with a history of iliotibial band syndrome. J Appl Biomech. 2008; 24:262-270.
• [27]Miller RH. Lower extremity mechanics of iliotibial band syndrome during an exhaustive run. Gait Posture. 2007; 26:407-413.
• [28]Noehren B, Schmitz A, Hempel R, Westlake C, Blake W. Assessment of strength, flexibility, and running mechanics in men with iliotibial band syndrome. J Orthop Sports Phys Therapy. 2014; 44:217-222.
• [29]Sanchez AR, Sugalski MT, LaPrade RF. Anatomy and biomechanics of the lateral side of the knee. Sports Med Arthrosc. 2006; 14:2.
• [30]Panni AS. Overuse injuries of the extensor mechanism in athletes. Clin Sports Med. 2002; 21:483-498.
• [31]Wilken J, Rodriquez K, Brawner M, Darter BJ. Reliability and minimal detectible change values for gait kinematics and kinetics in healthy adults. Gait Posture. 2012; 25:301-307.