Abstract
Purpose: 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 adjustive 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.
Method: 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
adjustive therapy and foam roller treatment. Group two only received foam roller treatment.
Group three received Chiropractic adjustive therapy.
Procedure: 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.
Results: 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...