Article

Muscle performance factors and altered loading mechanics have been linked to a
variety of lower extremity musculoskeletal disorders. In this article,
biomechanical risk factors associated with iliotibial band syndrome (ITBS) are
described, and a strategy for incorporating these factors into the clinical
evaluation of and treatment for that disorder is presented. Abnormal movement
patterns in runners and cyclists with ITBS are discussed, and the
pathophysiological characteristics of this syndrome are considered in light of
prior and current studies in anatomy. Differential diagnoses and the use of
imaging, medications, and injections in the treatment of ITBS are reviewed. The
roles of hip muscle strength, kinematics, and kinetics are detailed, and the
assessment and treatment of muscle performance factors are discussed, with
emphasis on identifying and treating movement dysfunction. Various stages of
rehabilitation, including strengthening progressions to reduce soft-tissue
injury, are described in detail. ITBS is an extremely common orthopedic condition
that presents with consistent dysfunctional patterns in muscle performance and
movement deviation. Through careful assessment of lower quarter function, the
clinician can properly identify individuals and initiate treatment.
CI - Copyright (c) 2011 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS