- Title
- The effects of three different conservative treatment protocols in the management of iliotibial band friction syndrome in long distance runners
- Creator
- Westermann, Lizl
- Subject
- Knee wounds and injuries, Running injuries, Chiropractic treatment
- Date
- 2011-06-22T10:53:15Z
- Type
- Thesis
- Identifier
- uj:7131
- Identifier
- http://hdl.handle.net/10210/3723
- Description
- M.Tech., This study was based on determining the effects of three different conservative treatment protocols in the management of iliotibial band friction syndrome in long distance runners, to establish which the most effective treatment protocol was. The treatment protocols included: Chiropractic adjustive therapy delivered to the lumbar spine and pelvis, knee, and foot and ankle; dry needling and ultrasound applied to the affected iliotibial band; and a combination of these. All three treatment protocols included a rehabilitative stretching/strengthening program. Thirty participants were recruited and randomly divided into three groups of ten participants each. Participants were between the ages of 18 and 55 years and selected based on the inclusion criteria being met. Group one received Chiropractic adjustive therapy and rehabilitative exercises. Group two received dry needling and ultrasound, as well as rehabilitative exercises. Group three received a combination of Chiropractic adjustive therapy, dry needling, ultrasound, and rehabilitative exercises. Each participant received six treatment visits over a period of three weeks (twice per week). Measurements were taken on the first, third, and sixth visits. A case history, full physical examination, and regional examinations of the lumbar spine, pelvis, knee, foot and ankle were conducted at the first visit. Objective measurements included pressure algometer readings of two iliotibial band trigger points. Subjective measurements included the Visual Analogue Scale and the McGill Pain Questionnaire. The statistical data was analysed using the Friedman test, Wilcoxon Signed Rank test and Kruskal-Wallis test. The results demonstrated overall that all three groups responded favourably to their specific treatment protocols. However, no v statistically significant differences were noted between the groups therefore indicating that all three groups commenced the study with similar pain scores and pain threshold levels and all three treatment protocols were equally effective in treating iliotibial band friction syndrome. In conclusion, it can be assumed that Chiropractic treatment would be the first choice of treatment, as it is a cost-effective, non-invasive treatment that is not too timely, and above all delivers good results.
- Contributor
- Dr. C. Yelverton; Dr. R. Potgieter
- Full Text
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