Shearwave Elastography in the Evaluation of Iliotibial Band Syndrome

Status Completed

Clinical Trial Summary

Iliotibial band syndrome (ITBS) is a condition frequently treated in physiotherapy. The pathophysiology underlying this syndrome is still poorly understood. Ultrasound makes it possible to evaluate the morphology and to quantify, with sonoelastography (SWE), the stiffness of the iliotibial band (ITB). The objective is to determine the feasibility of a cross-sectional study aimed at evaluating the morphometry and stiffness of the ITB in runners with and without a diagnosis of ITBS. Socio-demographic and clinical data will be collected and ultrasound measurements (thickness and stiffness) of the iliotibial band will be performed in supine with the knee positioned at 2 different angles (0° and 30° flexion). Variables such as the recruitment rate/month, the inclusion/exclusion rate, the acceptability of the procedure will be used to characterize the feasibility. The relationship between ultrasound measurements and clinical outcomes will be explored. The results obtained will document feasibility issues and provide preliminary results will lay the groundwork for a large scale study.

Clinical Trial Description

The iliotibial band (ITB) is a complex structure in which morphometry (shape, thickness, cross-sectional area) and viscoelastic properties remain poorly understood. While some hypothesize that the pain originates from friction of the ITB on the femoral condyle during knee flexion, others affirm that it is rather a compression of the ITB on the tissue underlying fat, which is highly vascularized and innervated. Current treatments in physiotherapy are based, in part, on the theory that stiffness in the ITB may contribute to iliotibial band syndrome (ITBS), resulting in prescription of stretching exercises in most rehabilitation programs. However, the plausibility of this theory remains to be demonstrated with valid and reliable instruments. Standard-mode (B-mode) ultrasound is gaining popularity for assessing ITB morphometry. However, these data remain to be correlated with the clinical symptomatology. Sonoelastography (SWE), on the other hand, is used to assess tissue stiffness. Recent studies have attempted to assess the stiffness of ITB under different experimental conditions, but these have methodological flaws (low power) and they are carried out in an asymptomatic population. This project is a first step to fill the gaps on ITB morphometry and stiffness values and explore the potential association between these factors and the clinical profile of SBIT. The primary objective is to evaluate the study the feasibility of the protocol by documenting the variables associated with this concept. Secondary objectives are: 1) To measure the stiffness of the distal BIT in runners with and without ITBS; 2) Describe the morphometry of the distal BIT in the two groups of runners; 3) Compare ITB morphometry and stiffness between the two groups of runners and 4) Investigate the association between ultrasound variables and ITBS signs and symptoms. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT05427110
Study type	Observational
Source	Université de Sherbrooke
Contact
Status	Completed
Phase
Start date	May 5, 2022
Completion date	September 23, 2022

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT05459623` - Effects of Myofascial Release With and Without EMMETT Technique in Iliotibial Band Syndrome	N/A
Completed	`NCT05973708` - Comparative Effects of Clamshells and Frog Pump Exercises	N/A
Not yet recruiting	`NCT06089005` - Home-based Treatment Using the Sidekick Tool for Pain Relief in Patients With Iliotibial Band Syndrome	N/A
Recruiting	`NCT06131658` - Effects of Functional Motor Control on Pain, Flexibility, Lower Extremity Function With ITBS	N/A
Recruiting	`NCT05915754` - Effects of Posterior Oblique Sling Strengthening Exercises on Pain & Flexibility Among Runners With	N/A
Not yet recruiting	`NCT06410781` - Effect of Radial Extracorporeal Shockwave Therapy on Ultrasonography Changes in Patients With Iliotibial Band Syndrome	N/A
Completed	`NCT04787900` - Reliability and Validity of iPhone Application for OBER	N/A
Completed	`NCT03067545` - Do Simple Running Technique Changes Reduce Pain and Change Injury Causing Mechanics	N/A
Completed	`NCT02296151` - Evaluation of Treatment Factors in the Management of Chronic Iliotibial Band Syndrome in Female Distance Runners	N/A
Completed	`NCT03293121` - Effect of Strength and Coordination Training on Biomechanics and Injury in New Runners	N/A
Recruiting	`NCT04164316` - The Effects of Kinesio Taping on Biomechanical and Clinical Outcomes in Runners With Iliotibial Band Friction Syndrome	N/A
Completed	`NCT04954703` - Myofascial Release With and Without METS of Gluteus Maximus and Tensor Fascia Lata in ITB Syndrome	N/A
Not yet recruiting	`NCT06269757` - Exercise Program for ITB Syndrome	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.