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Quantitative analysis of the relative effectiveness of 3 iliotibial band stretches

PainSci » bibliography » Fredericson et al 2002
updated
Tags: IT band pain, running, knee, leg, limbs, pain problems, overuse injury, injury, exercise, self-treatment, treatment, tendinosis

Three pages on PainSci cite Fredericson 2002: 1. The Complete Guide to IT Band Syndrome2. The Complete Guide to Patellofemoral Pain Syndrome3. IT Band Stretching Does Not Work

PainSci notes on Fredericson 2002:

From the abstract: “Adding an overhead arm extension to the most common standing ITB stretch may increase average ITB length change and average external adduction moments in elite-level distance runners.” Khaund notes that “Although this study, demonstrates the effectiveness of stretching the iliotibial band, participants in the study did not have iliotibial band syndrome and studies have not demonstrated that stretching hastens recovery from the syndrome.”

original abstract Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

OBJECTIVE: To compare the relative effectiveness of 3 common standing stretches for the iliotibial band (ITB): arms at side (stretch A), arms extending overhead (stretch B), and arms reaching diagonally downward (stretch C).

DESIGN: Each subject's biomechanics was captured as a 3-dimensional image by using a 4-camera gait acquisition system with a forceplate.

SETTING: University biomotion laboratory.

PARTICIPANTS: Five male elite-level distance runners.

INTERVENTIONS: All participants performed each of the 3 standing stretches for the ITB.

MAIN OUTCOME MEASURES: For each stretch, change in ITB tissue length and the force generated within the stretched complex was measured. Data were then combined and analyzed by using kinetic values assessment.

RESULTS: All 3 stretches created statistically significant changes in ITB length (P<.05), but stretch B, incorporating overhead arm extension, was consistently most effective both for average ITB length change and average adduction moments at the hip and knee.

CONCLUSIONS: Adding an overhead arm extension to the most common standing ITB stretch may increase average ITB length change and average external adduction moments in elite-level distance runners.

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