Comparative Effects of Clamshell Technique With EMS vs CTin Iliotibial Band Tightness for Pain and Function

Not Applicable

Active, not recruiting

• Conditions: Tibial Muscular Dystrophy
• Interventions: Other: Conservative Treatment (CT); Diagnostic Test: Clamshell exercises with Electrical Muscle Stimulation (CT + EMS)

• Registration Number: NCT06428136
• Lead Sponsor: Superior University

Brief Summary

Iliotibial band syndrome (ITBS) is a common knee injury that usually presents with pain and/or tenderness on palpation of the lateral aspect of the knee, superior to the joint line and inferior to the lateral femoral epicondyle. The current theory is that this condition is likely to be caused by compression of the innervated tissues beneath the iliotibial band (ITB), leading to inflammation.

Detailed Description

There were effects of clamshell exercises on gluteus medius, quadratus lumborum and anterior hip flexor. However their effect was limited on iliotibial band tightness. Hip/knee coordination and running style have also been identified as key factors in the treatment of ITBS, highlighting the complexity of the condition. The present study will focus on effect of clamshell techniques with electrical muscle stimulation versus Conservative treatment in iliotibial band tightness for pain and function.The goal is to determine which technique is more effecient in improving function and reducing pain and soreness of Iliotibial band.

Study Timeline

• Study Start: 2023-11-01
• Primary Completion: 2024-04-01
• Status Verified: 2024-05
• Study First Submitted: 2024-05-20
• Study First Submitted QC: 2024-05-20
• Last Update Submitted: 2024-05-20
• Study First Posted: 2024-05-24
• Last Update Posted: 2024-05-24
• Study Completion: 2024-09-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 62

Inclusion Criteria

• Adults aged 45-65 years old (Jeong et al., 2019)
• Both genders will be included (Jeong et al., 2019)
• Diagnosed with iliotibial band tightness (ITBT) based on clinical examination and positive Noble compression test (Hutchinson et al., 2022)
• Reporting lateral knee pain aggravated by activity (Hutchinson et al., 2022)

Exclusion Criteria

• Recent history of knee surgery or other knee injuries (Peterson et al., 2022)
• Presence of other musculoskeletal conditions affecting the knee (Peterson et al., 2022)
• Inflammatory conditions such as rheumatoid arthritis or gout (Peterson et al., 2022)
• Neurological conditions affecting leg function (Peterson et al., 2022)
• Pregnancy (Jeong et al., 2019)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Conservative Treatment (CT)	Conservative Treatment (CT)	-
Clamshell exercises with Electrical Muscle Stimulation (CT + EMS)	Clamshell exercises with Electrical Muscle Stimulation (CT + EMS)	-

Primary Outcome Measures

Name	Time	Method
Lower Extremity Functional Scale (LEFS)	12 months	Measured using the Lower Extremity Functional Scale (LEFS) assessed at baseline, after intervention, and at 1-month follow-up
Measured using a numeric pain rating scale (NPRS)	12 Months	ranging from 0 (no pain) to 10 (worst imaginable pain) assessed at baseline, after intervention, and at 1-month follow-up.
ITBT length	12 months	Measured using a goniometer at baseline, after intervention, and at 1-month follow-up.
Range of motion (ROM):	12 months	Measured using a goniometer for knee flexion and extension at baseline, after intervention, and at 1-month follow-up."

Trial Locations

Locations (1)

The University of Lahore Teaching Hospital; 🇵🇰 Lahore, Punjab, Pakistan