Abstract
This study was based on determining firstly whether foam roller treatment of the iliotibial band can be used as an effective treatment for iliotibial band syndrome in cyclists and runners and secondly whether it is better to be used alone or in conjunction with spinal manipulation. The treatment protocols included: Chiropractic manipulative therapy which was delivered to the lumbar spine and pelvis; foam roller treatment applied to the affected iliotibial band; and lastly a combination of both.
Thirty participants were recruited and randomly divided into three groups of ten participants each. Participants were between the ages of eighteen and sixty years and were selected after meeting the inclusion criteria. Group one received a combination of Chiropractic manipulative therapy and foam roller treatment. Group two only received foam roller treatment. Group three received Chiropractic manipulative therapy.
Each participant received six treatment consultations over a time period of three weeks and a seventh consultation visit where measurements were only taken. Measurements were taken on the first, fourth and seventh consultations. A case history, full physical examination, and regional examinations of the lumbar spine and knee were conducted at the first consultation. Objective measurements included three pressure algometer readings of the most severe trigger point along the iliotibial band. Subjective measurements included the Numerical Pain Rating Scale and the Knee Outcome Survey – Sports Activity Scale of the knee.
The statistical data was analysed using the Friedman test for within group analysis and the Krushkal-Wallis test for between group analysis was utilised. The results demonstrated that all three groups responded well to the treatment protocols. However, there was a difference noted between treatment groups with the combination group proving to be the most effective form of treatment...
M.Tech. (Chiropractic)