Physiotherapy clinic in Tambaram Are you Looking f...

Physiotherapy clinic in Tambaram Are you Looking for Physiotherapy Treatment in Tambaram, Sunshine Super Speciality Physiotherapy Clinic, We Provide Electrotherapy, Exercise and Manual Therapy, Orthopedic, Neuro, Cardio, Pediatric, Sports and Geriatric Rehabilitation, Post Operative Physiotherapy Treatment, Fracture Rehabilitation, pain free movement. Just published 🔥 Stretching and "Releasing" of Iliotibial Band Complex in Patients with Iliotibial Band Syndrome (ITBS): A Narrative Review https://www.mdpi.com/2411-5142/8/2/74#B16-jfmk-08-00074 👉 Stretching the ITB (Iliotibial band) –TFL (tensor fasciae latae) complex has been a part of ITBS rehabilitation for years. This review critically evaluated the currently available evidence for or against the inclusion of stretching or other “release” methods for ITBS patients. 👉In vivo and in vitro studies show that typical clinical stretching exercises do provide some acute stretching of the ITB, while the predominant source of the stretch is in the proximal portion, which includes the TFL muscle. 👉 Examination of ITBS etiology and risk factors offers little evidence on how stretching the ITB–TFL complex would affect ITBS risk or treatment. On the one hand, a stiffer ITB could increase soft tissue compression in the painful region; on the other hand, a stiffer ITB together with a stronger TFL could improve frontal knee kinematics. 👉 There is some evidence that stretching and “release” methods may provide some benefit in terms of pain reduction, increase hip ROM and provide functional improvements. ⭕ However, the studies evaluating stretching or “releasing” in isolation have almost exclusively assessed acute effects only. Evidence from long-term intervention studies suggests the use of stretching as part of a multimodal treatment; however, the extent to which stretching within a multimodal program contributes to ITBS treatment is currently unclear. 👉 Finally, recent evidence suggests that ITBS patients do not have stiffer ITB, and that an increase (rather than a decrease) in ITB stiffness may be associated with favorable treatment outcomes. 💡 In summary, the current literature provides some evidence of the favorable acute effects of stretching or “releasing” on pain and function, supporting the use of these methods in early rehabilitation. According to other recent comprehensive reviews (https://pubmed.ncbi.nlm.nih.gov/35007886/) , stretching might be incorporated at the beginning of the treatment program (weeks ~0–4) in cases of RoM restrictions, while hip strengthening is the main goal in the long-term. 🤔 We cannot completely refute stretching and releasing of the ITB as a valuable component of long-term rehabilitation of ITBS; however, future studies should compare intervention programs with and without stretching to clarify whether stretching adds benefits to other components (e.g., activity modification, strengthening). In addition, it has to be emphasized that we detected no reports on any negative effects of stretching or “releasing” the ITB. Although there is some indirect evidence (based on ITBS risk factors and changes in ITBS stiffness) suggesting that stretching and releasing the ITB may interfere with ITBS rehabilitation, there is no direct empirical evidence to support this. Figure 1: Examples of most common ITB stretches. The first stretch (A) involves lateral flexion of the trunk with legs crossed. In the second stretch (B), the arms are clasped overhead and moved sideways as well. The last example (C) includes a diagonal and downward movement of the trunk. Figure 2: Typical positioning for ITB foam rolling. SUNSHINE ® SUPER SPECIALITY PHYSIOTHERAPY CLINIC - #DrParthiban #Sunshinephysioclinic.in #Physiotherapyclinicintambaram DR.M.P. PARTHIBAN.M.P.T (Ortho), Chief Orthopedic Physiotherapist, Call for Appointments: - 9345122177 East Tambaram, CHENNAI