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NCT Number: NCT06867159

Autogenic Inhibition Versus Reciprocal Inhibition Muscle Energy Techniques in Iliotibial Band Syndrome

Comparison of effects of autogenic inhibition and reciprocal inhibition muscle energy techniques on iliotibial band syndrome

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Key information

Age range

19 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University College of Physcial Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

Location status: Recruiting

Location contact

Furqan Yaqoob, OMPT,PHD*

CONTACT

[email protected]

03465333101

About this study

A single-blinded randomized control trial will be conducted over a period of one year in Foundation University Islamabad. Forty participants will be assigned to two groups: Group A (AI) and Group B (RI), with 20 participants each. The AI technique will involve a maximal isometric contraction of the target muscle followed by a stretch, while the RI technique will involve a maximal isometric contraction of the antagonist muscle followed by a similar stretching protocol. Both groups will perform the exercises 3 times per week for 2 weeks. Pain, Hip range of motion (ROM) and lower extremity function will be assessed using Numeric Pain Rating Scale (NPRS), goniometer and Lower Extremity Functional Scale (LEFS) respectively.

The outcomes will be measured in terms of improvements in pain score (NPRS), hip range of motion (ROM), and overall lower extremity function.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Both male and female participants
  • Age : 19-45years (8)
  • Lateral knee pain (>3 months)
  • Tenderness over lateral femoral condyle
  • Positive Flexibility Tests
  • Modified Ober's test (9)
  • Length assessment of Tensor Fasciae Latae and Iliotibial Band (10)
  • Positive Pain Provocation Tests
  • Renne's test
  • Noble's Compression test (11) *(individuals with 3 positive tests out of above mentioned 4 tests will be included)

Exclusion criteria

  • Recent lower limb or pelvic girdle surgery within the past 3 months
  • Lower limb fractures or trauma within the past year.
  • Multiple lower limb surgeries (>2)
  • Presence of any structural or postural disorders (kyphosis or severe scoliosis)
  • Neurological disorders
  • Hip and knee Osteoarthritis
  • Rheumatoid Arthritis
  • Pregnancy

Treatment and study plan

Autogenic Inhibition (AI) MET (Post Facilitation Stretch)

Procedure

Autogenic Inhibition (AI) MET (Post Facilitation Stretch)

  • The shortened muscle (Tensor Fascia Latae) is placed in a mid-range position about halfway between a fully stretched and a fully relaxed state.
  • The patient contracts the muscle isometrically, using a maximum degree of effort for 5-10 seconds while the effort is resisted completely.
  • On release of the effort, a rapid stretch is made to a new barrier, without any 'bounce', and this is held for at least 10 seconds.
  • The patient relaxes for approximately 20 seconds and the procedure is repeated between three and five times more.

Reciprocal Inhibition (RI) MET

Procedure

Reciprocal Inhibition (RI) MET

  • The shortened muscle (Tensor Fascia Latae) is placed in a mid-range position about halfway between a fully stretched and a fully relaxed state.
  • The patient contracts the antagonist muscles (hip adductors), using a maximum degree of effort for 5-10 seconds while the effort is resisted completely.
  • On release of the effort, a rapid stretch to TFL is made to a new barrier, without any 'bounce', and this is held for at least 10 seconds.
  • The patient relaxes for approximately 20 seconds and the procedure is repeated between three and five times more.

Primary outcomes

  1. Pain severity

    Time frame: 2 weeks

    Pain will be assessed using Numeric Pain Rating Scale (NPRS),

  2. Range of motion

    Time frame: 2 weeks

    Hip range of motion (ROM) will be assessed using goniometer

  3. Functional status of lower limb

    Time frame: 2 weeks

    Lower extremity function will be assessed using Lower Extremity Functional Scale (LEFS)

Study contacts

Contact information is provided by the study sponsor or research team.

Rida Ishtiaq, MS-MSKPT*

CONTACT

[email protected]

03365530415

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Official study title

Comparison of Effects of Autogenic Inhibition and Reciprocal Inhibition Muscle Energy Techniques on Iliotibial Band Syndrome

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Mar 10, 2025
Registry last updated
Mar 10, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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