Radial Extracorporeal Shockwave Therapy in Individuals With Iliotibial Band Syndrome

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-45
SponsorCairo University

About this trial

The goal of this Clinical Trial Study is to evaluate the clinical effectiveness of Radial Electrocorporeal Shockwave Therapy (rESWT) combined with exercise in individuals with iliotibial band syndrome (ITBS).The main question it aims to answer is : Does the addition of rESWT to standard ITBS exercise program reduce pain intensity and pain pressure threshold while improving lower extremity function and hip muscle strength in Individuals with Iliotibial Band syndrome (ITBS). Participants will be divided into two groups to be compared : The ShamTherapy Group (Control Group) that will receive the standard ITBS exercise program in addition to Sham rESWT, while the experimental group will receive the standard ITBS exercise program in addition to Radial Extracorporeal Shockwave Therapy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Physically active individuals aged 18 and 45 years

Have a clinical diagnosis of iliotibial band syndrome (ITBS) confirmed by physician within the previous four weeks.

Report lateral knee pain during running or other functional activities

No history of direct trauma

Disqualifiers

History of knee surgery,fracture , meniscal or ligamentous injury within the past year

Any fracture involving the lower extremity within the previous six months

Neurological disorders

Lumbar radiculopathy

Trial design

Design model

Parallel

Treatments tested in this trial

  • Standard ITBS Exercise Program

    Other intervention

    Standard ITBS Exercise Program : Flexibility and Strengthening Exercises will be delivered three times weekly over a 4-week period

  • Radial Extracorporeal Shockwave Therapy

    Device

    Radial Extracorporeal Shockwave Therapy will be delivered once weekly for 4 weeks only.

  • Sham Extracorporal Shockwave Therapy

    Device

    Sham Extracorporal Shockwave therapy will be administered once a week for 4 weeks.

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Sham rESWT and Standard ITBS Exercise ProgramActive comparator 2 interventions
Group B: rESWT combined with exercise programExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Numerical Pain Rating Scale Score (NPRS)

To assess lateral knee pain intensity at rest and during activity Scores range from 0 (no pain) to 10 (worst pain)

Time frame
baseline , immediately after the 4-week intervention period ( post intervention ) ,4 weeks after the intervention cessation as follow-up.

Secondary outcomes

1

Lower extremity Functional Scale (LEFS)

to assess the functional status of lower extremities. It consists of 20 items, each item is scored according to its difficulty : from 0 (extreme difficulty) to 4 (no difficulty),with a maximum score of 80 ( full function).

Time frame
baseline , immediately after the 4-week intervention period ( post intervention ) ,4 weeks after the intervention cessation as follow-up.
2

Hip muscle strength dynamometer testing

Hip ABD , ADD , IR and ER strength will be measured. Each strength will be measured twice using a hand held dynamometer . The mean value of the two values will be calculated.

Time frame
baseline , immediately after the 4-week intervention period ( post intervention ) ,4 weeks after the intervention cessation as follow-up.
3

Pain Pressure Threshold algometry testing (PPT)

PPT is measured three times using algometry that applies a gradually increasing pressure over the lateral femoral condyle\\distal ITB region until PPT is reached. The average of the 3 measurements will be calculated.

Time frame
baseline , immediately after the 4-week intervention period ( post intervention ) ,4 weeks after the intervention cessation as follow-up.

Other outcomes

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