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IRCT20210505051181N1 IRCT 2021-08-13 Iran University of Medical Sciences Comparing passive and active stretching techniques on iliotibial band Comparing the immediate effect of active stretching versus self-myofascial release on iliotibial band flexibility and functional activity in semi elite athletes 2021-08-23 anticipated 51 Complete https://irct.ir/trial/56087 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, the limited randomization method of block randomization will be used. Blockage is usually used to balance the number of samples allocated to each of the studied groups. The size of all the blocks is equal and in this trial which includes 51 patients in three groups, we will have blocks with size of 6. Random allocation software is also used for randomization. In order to conceal allocation of participants to the groups, sequentially numbered, sealed, opaque envelopes (SNOSE) will be used, Blinding description: This study is single blind and the stages of evaluation and treatment are performed by two different physiotherapists and the evaluator is blind to the type of interventions performed and thus bias is prevented. N/A Iliotibial band syndrome. Intervention 1: First intervention group: People using the hard model foam roller with dimensions of 60 by 15 cm by Behsazan Modern Company in one session. After learning how to use the foam roller, how to position during use and also the duration of using the foam roller to the participants, people are asked to lie on their side, then place the foam roller at the highest junction of the iliotibial band structures, slightly below the iliac crest. Individuals are asked to roll the foam roller towards the distal end of the iliotibial band junction at a constant speed and slowly by moving the body. The average speed of moving the foam roller is 5 movements per 30 seconds on average, and this speed is the same and constant in all people. Individuals are asked to do this slowly for three minutes. Intervention 2: Second intervention group: People using Proprioceptive Neuromuscular Facilitation (PNF) stretching technique for 3 to 5 minutes in three steps. In the first step, the therapist gently moves the patient's limb from the hip joint to the end of the range of extension, adduction, and external rotation so that the iliotibial band at the end of the range is stretched. In the second stage, the patient is then asked to apply force in the direction of flexion, abduction and internal rotation by pressing his/her foot on the therapist's hand for 5 to 8 seconds. In the third step, the patient is then asked to relax his/her muscles again, and this time the therapist gently moves the patient's limbs to a new range of extension, adduction, and external rotation of the hip joint, and maintains traction by reaching the end of the range. These steps continue until there is no further increase in range of motion. Intervention 3: Third intervention group: Combination therapy group of foam roller and proprioceptive neuromuscular facilitation (PNF) stretching techniques. Yes - There is a plan to make this available What will be shared: Data can be shared after making participants unrecognizable. When: Start access period 6 months after the results publication To whom: Any researchers will have access to the data after allowance of corresponding author. Conditions: Performing any analysis to any data resulted form this study will be allowed only with the permission of corresponding author. Where to obtain: Email the researcher, Ehsan Afshari pt.Afshari@yahoo.com How to obtain: Email the researcher - Request from the Vice Chancellor for Research - Provide information to the applicant Comments:
public Ehsan Afshari
No. 8, Fourth Floor, Arshia Apartment, Hasht Alley, Abrishami St.
Shiraz Iran (Islamic Republic of) 7144816874 +98 71 3227 4068 pt.Afshari@yahoo.com Iran University of Medical Sciences scientific Mehrnaz Kajbafvala
Shahid Shahid Dastgerdi (Zafar) Ave, Aliasghar Children Hospital
Tehran Iran (Islamic Republic of) 1919816766 +98 21 2304 6688 kajbafvala.m@iums.ac.ir Iran University of Medical Sciences Iran (Islamic Republic of) 20 to 40 years old semi-professional athletes Confirmation of unilateral or bilateral length reduction in iliotibial band by using modified Ober test 20 years 40 years Both Having iliotibial band syndrome with pain or limping symptoms Surgery history in the last 3 months in each of the musculoskeletal structures of the lower limbs and pelvic girdle People who have had lower limb surgery more than twice Rheumatic patients Existence of structural or postural disorders such as severe kyphosis or scoliosis in the individual Having neurological disorders Structural disorders in pelvis and lower limbs Pregnancy History of lower limb fracture or trauma in the last year M76.3 Iliotibial band syndrome Treatment - Devices Treatment - Other Treatment - Other First intervention group: People using the hard model foam roller with dimensions of 60 by 15 cm by Behsazan Modern Company in one session. After learning how to use the foam roller, how to position during use and also the duration of using the foam roller to the participants, people are asked to lie on their side, then place the foam roller at the highest junction of the iliotibial band structures, slightly below the iliac crest. Individuals are asked to roll the foam roller towards the distal end of the iliotibial band junction at a constant speed and slowly by moving the body. The average speed of moving the foam roller is 5 movements per 30 seconds on average, and this speed is the same and constant in all people. Individuals are asked to do this slowly for three minutes. Second intervention group: People using Proprioceptive Neuromuscular Facilitation (PNF) stretching technique for 3 to 5 minutes in three steps. In the first step, the therapist gently moves the patient's limb from the hip joint to the end of the range of extension, adduction, and external rotation so that the iliotibial band at the end of the range is stretched. In the second stage, the patient is then asked to apply force in the direction of flexion, abduction and internal rotation by pressing his/her foot on the therapist's hand for 5 to 8 seconds. In the third step, the patient is then asked to relax his/her muscles again, and this time the therapist gently moves the patient's limbs to a new range of extension, adduction, and external rotation of the hip joint, and maintains traction by reaching the end of the range. These steps continue until there is no further increase in range of motion. Third intervention group: Combination therapy group of foam roller and proprioceptive neuromuscular facilitation (PNF) stretching techniques Range of motion of hip joint adduction. Timepoint: Before the intervention and immediately after the intervention. Method of measurement: Electro goniometer and inclinometer. Iliotibial band flexibility. Timepoint: Before the intervention and immediately after the intervention. Method of measurement: goniometer. Movement assessment by using single leg hop test. Timepoint: Before the intervention and immediately after the intervention. Method of measurement: Tape meter. Movement assessment by using vertical jump test. Timepoint: Before the intervention and immediately after the intervention. Method of measurement: Tape meter. Movement assessment by using lateral hop test. Timepoint: Before the intervention and immediately after the intervention. Method of measurement: Tape meter. Iran University of Medical Sciences Approved 2020-11-11 Ethics committee of Iran University of Medical Sciences No. 8, Fourth Floor, Arshia Apartment, Eight Alley, Shiraz Abrishami St. Shiraz Fars Iran (Islamic Republic of)