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NCT Number: NCT06980324

Neuromuscular Inhibition Technique on Iliotibial Band Friction Syndrome

The goal of this clinical trial is to find the effect of integrated neuromuscular inhibition technique for iliotibial band in iliotibial band friction syndrome on pain intensity level, pressure pain threshold, knee range of motion, knee function and knee angle . The main questions it aims to answer are:

* Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on pain intensity level in iliotibial band friction syndrome? * Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on pressure pain threshold in iliotibial band friction syndrome? * Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on knee range of motion in iliotibial band friction syndrome? * Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on knee function in iliotibial friction syndrome? Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on knee angle in iliotibial band friction syndrome?

Researchers will compare integrated neuromuscular inhibition technique to conventional physiotherapy to see if integrated neuromuscular inhibition technique works to treat iliotibial band syndrome.

Participants will:

* Take sessions for 2 weeks * Visit the department 3 times per week

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Key information

Conditions

Iliotibial Band Syndrome Cumulative Trauma Disorders Knee Injuries Leg Injuries Sprains and Strains Wounds and Injuries

Age range

30 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of physical therapy, Cairo university

Giza, Egypt

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Body mass index from 25-30 kg/m2
  • Both males and females will be included their age from 30-50.
  • The subjects that will be included in the study will be referred from orthopeadic physician with iliotibial band friction syndrome with these signs and symptoms
  • local tenderness of the lateral knee inferior to the epicondyle and superior to the joint line
  • Pain with ITBS can be reported anywhere along the iliotibial (IT) band from the lateral thigh to the lateral femoral condyle and Gerdy's tubercle.
  • Pain is most intense at approximately 30 degrees of knee.
  • A sharp, burning pain when the practitioner presses on the lateral epicondyle during knee flexion and extension associated with one of these cases:
  • Tibiofermoral knee pain.
  • Patellofemoral knee pain.
  • osteoarthritis with medial knee joint pain
  • Lateral patellar pressure syndrome.
  • Medial meniscus degeneration.
  • Excessive lateral pressure syndrome

Exclusion criteria

  • Traumatic injury to the knee joint within 6 months.
  • Surgical procedure on the affected knee within the last 12 months.
  • Meniscus injury
  • knee ligaments injury
  • Malignancies, tumors or infections associated with the knee joint.
  • Impaired thermal sensation over the knee.
  • Subject with psychiatric disorder.
  • Peripheral vascular disease.
  • Severe joint deformity.
  • Current back or ankle pain.
  • Rheumatoid arthritis.
  • Lower extremity fracture.
  • Neurological defecit or movement disorder.
  • Athletes.
  • Menopause
  • Pregnancy
  • Auto immune disease
  • Chronic disease (Diabetes mellitus and Hypertension)

Treatment and study plan

Integrated Neuromuscular Inhibition technique

Other

integrated neuromuscular inhibition technique consists of:

  • ischemic compression
  • Positional release
  • Muscle energy technique

conventional physical therapy treatment

Other

Conventional physical therapy treatment:

  • Ultrasound
  • Hotpacks
  • Iliotibial band stretching
  • Static quadriceps and hamstring exercises

Primary outcomes

  1. Pain intensity

    Time frame: after 2 weeks

    The Visual Analogue Scale (VAS) was used to evaluate pain severity. It is a self-reported pain measurement scale, consisting of a horizontal or vertical line, usually 10 cm long. The extremes of the line are labeled as no pain and worst pain. Each subject was asked to mark the point on the line that exactly corresponded to his/her pain

  2. lower extremity function

    Time frame: after 2 weeks

    Lower extremity functional scale (LEFS):

    LEFS is a questionnaire containing 20 items assessing the lower extremity function based on the intensity of the related activities' performance. This scoring system is designed based on the five-score Likert scale ranging from zero as the worst condition to four as without bothersome. This scale scores from zero to eighty and the higher score represent a better condition. LEFS-Arabic version will be used to quantify activity limitation in Arabic-speaking individuals with lower extremity musculoskeletal disorders

  3. Knee range of motion

    Time frame: after 2 weeks

    Digital goniometer:

    A goniometer is a device that measures an angle or permits the rotation of an object to a definite position .To measure knee joint ROM goniometer was lined up with the lateral side of femur with the proximal arm between trochanter major and the middle of the lateral joint space of the knee and the distal arm between the middle of the lateral joint space of the knee and the lateral malleoli

Secondary outcomes

  1. pressure pain threshold

    Time frame: after 2 weeks

    The pressure algometer was applied three times at each of the three marked points. Each application of the pressure algometer was stopped when the participant perceived a change in sensation from pressure to pain at the measurement point. Using a mechanical pressure Fischer algometer .

    Pressure was increased with a speed (1kg/cm2). Steady and perpendicular to the identified trigger point, subjects were instructed to say "now" when they first began to feel change of pressure to either discomfort or pain. The mean of 3 trials over each point was calculated. It is important to place the tip of the algometer precisely on the MTrP region to avoid any major difference in readings among the consecutive measurements of the same MTrP.

  2. knee angle

    Time frame: after 2 weeks

    Kinovea is one of the most commonly used applications. Kinovea is a free 2D motion analysis software for computers that can be used to measure kinematic parameters.

    Subjects were required to stand and relaxed lower limbs, with feet forward and shoulder-width apart. The camera was set 3 m from the subject .

    The vertical axis of the camera was aligned with the midpoint between the lower limbs of the participant. The image was zoomed to the closest capture, where the stickers could be clearly visible, and always set in the same position.

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Effect of Integrated Neuromuscular Inhibition Technique on Iliotibial Band Friction Syndrome

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
May 20, 2025
Registry last updated
May 20, 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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