Clinical trial NCT06410781: Effect of Radial Extracorporeal Shockwave Therapy on Ultrasonography Changes in Patients With Iliotibial Band Syndrome
Official title: Effect of Radial Extracorporeal Shockwave Therapy on Ultrasonography Changes in Patients With Iliotibial Band Syndrome
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Iliotibial Band Syndrome
Keywords: iliotibial band syndrome
Radial Extracorporeal Shockwave
ultrasonography changes
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2024-05-13
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Radial Extracorporeal Shockwave Therapy and traditional therapy
Primary purpose: TREATMENT

Brief summary: this study will be conducted to investigate the effects of radial extracorporeal shockwave therapy on ultrasonography changes, pain intensity, pain pressure threshold and lower limb function in patient with iliotibial band syndrome

Detailed description: Iliotibial Band Syndrome is an overuse injury that affect the lateral aspect of the knee. It is common in endurance sport activities such as running and cycling. It is the most common running injury of the lateral knee. ITBS is a non-traumatic overuse injury caused by friction/rubbing of the distal portion of the iliotibial band (ITB) over the lateral femoral epicondyle with repeated flexion and extension of the knee. Females are twice as likely to sustain ITBS compared to male due to sex differences in frontal and transverse plane hip and knee joint angles.An alternative treatment strategy of ITBS is radial extracorporeal shockwave therapy (RESWT). It is considered safe as it results in minor adverse effects including worsening of symptoms over a short period, reversible local swelling, redness and hematoma. RESWT has also shown to be effective in the treatment of several chronic musculoskeletal pain conditions such as lateral epicondylitis, Achilles tendinopathy, plantar fasciitis, patellar tendinopathy, calcific tendinitis of the shoulder and chronic proximal hamstring tendinopathy. sixty patients with iliotibial band syndrome will be assigned randomly to two groups; the first one will receive radial extracorporeal shockwave and traditional therapy, the second one will receive traditional therapy alone.

Eligibility criteria: Inclusion Criteria:

* Sixty patients suffer from ITBS.
* The age of patients ranges from (18-55) years.

Exclusion Criteria:

* Signs or symptoms of other pathologies of the knee.
* Previous treatment for ITBS in the last 6 months.
* Use of NSAID's or analgesics later than two weeks before baseline.
* Previous surgery on the affected knee.
* Pregnancy.
* Rheumatic disease.
* Previous shockwave treatment

Primary outcomes:
measure: iliotibial band thickness
timeFrame: up to six weeks
Secondary outcomes:
measure: pain intensity
timeFrame: up to six weeks
measure: pressure pain threshold
timeFrame: up to six weeks
measure: lower extremity function
timeFrame: up to six weeks
Other outcomes:
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