ILIOTIBIAL band contracture Flashcards
1
Q
ILIOTIBIAL band contracture classic presentation
A
- tight ITB that rubs against lateral epicondyle of femur at 30 degrees of flexion
- common in log distance runner b/w 15-50 (people who train down hill a lot)
- common in cyclists with too high bike seats
2
Q
similar DDX’s
A
- trochanteric bursitis
- gluteal tendonitis
- piriformis syndrome
3
Q
supporting factors
A
- pain in lat. hip, thigh, or knee
- snapping as ITB passes over greater trochanter
- aggravated by downhill running
- relieved when lying supine with hip and knee flexed
4
Q
refuting factors
A
- abnormal neuro findings
- not on lat. aspect of leg
5
Q
relevant orthos
A
- ober’s
- anterior drawer test
6
Q
referrals
A
- physical therapist
- running shoe specialist
7
Q
contraindications
A
- avoid side posture with that leg being bent for 1-2 weeks
8
Q
technique
A
- check pelvis
9
Q
care plan
A
- 2 x a week for 4 weeks
10
Q
recommendations
A
- foam rolling
- dec. running
- applying heat to let. aspect of thigh
- massage
11
Q
prognosis
A
- excellent
