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Acute Effects of Wedge Orthoses and Sex on Iliotibial Band Strain During Overground Running in Nonfatiguing Conditions.
J Orthop Sports Phys Ther. 2019 Oct; 49(10):743-750.JO

Abstract

BACKGROUND

Previous research has identified that iliotibial band (ITB) syndrome is more prevalent in females than in males. It has been theorized that high ITB strain rate is a primary etiological factor for developing ITB syndrome. Orthoses are commonly used to influence gait mechanics and may reduce ITB strain rate by influencing alterations in the kinematic chain.

OBJECTIVES

To identify how wedge orthoses and sex affect ITB strain and strain rate.

METHODS

Thirty asymptomatic participants (15 male, 15 female) ran with 7° lateral, 3° lateral, 0° (no wedge), 3° medial, and 7° medial wedges in this within-subject, repeated-measures study. Participants ran overground while data were collected with a motion-capture system and force platform. Iliotibial band strain and strain rate were estimated using a novel 6-degrees-of-freedom musculoskeletal model. A mixed-model multivariate analysis of covariance for between-subject comparison of sex and within-subject comparison of wedge was used.

RESULTS

There were no significant differences in ITB strain or strain rate between wedge conditions. Females had significantly higher ITB strain and strain rate compared to males.

CONCLUSION

Clinicians should be aware that medial wedges may not acutely alter ITB strain or strain rate. Females exhibited greater peak ITB strain and strain rate, potentially due to increased hip internal rotation compared to males. Further research is needed to investigate longitudinal effects of the wedges. J Orthop Sports Phys Ther 2019;49(10):743-750. Epub 31 Aug 2019. doi:10.2519/jospt.2019.8837.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31475615

Citation

Day, Evan M., and Jason C. Gillette. "Acute Effects of Wedge Orthoses and Sex On Iliotibial Band Strain During Overground Running in Nonfatiguing Conditions." The Journal of Orthopaedic and Sports Physical Therapy, vol. 49, no. 10, 2019, pp. 743-750.
Day EM, Gillette JC. Acute Effects of Wedge Orthoses and Sex on Iliotibial Band Strain During Overground Running in Nonfatiguing Conditions. J Orthop Sports Phys Ther. 2019;49(10):743-750.
Day, E. M., & Gillette, J. C. (2019). Acute Effects of Wedge Orthoses and Sex on Iliotibial Band Strain During Overground Running in Nonfatiguing Conditions. The Journal of Orthopaedic and Sports Physical Therapy, 49(10), 743-750. https://doi.org/10.2519/jospt.2019.8837
Day EM, Gillette JC. Acute Effects of Wedge Orthoses and Sex On Iliotibial Band Strain During Overground Running in Nonfatiguing Conditions. J Orthop Sports Phys Ther. 2019;49(10):743-750. PubMed PMID: 31475615.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute Effects of Wedge Orthoses and Sex on Iliotibial Band Strain During Overground Running in Nonfatiguing Conditions. AU - Day,Evan M, AU - Gillette,Jason C, Y1 - 2019/08/31/ PY - 2019/9/3/pubmed PY - 2019/9/3/medline PY - 2019/9/3/entrez KW - biomechanics KW - gait KW - injury SP - 743 EP - 750 JF - The Journal of orthopaedic and sports physical therapy JO - J Orthop Sports Phys Ther VL - 49 IS - 10 N2 - BACKGROUND: Previous research has identified that iliotibial band (ITB) syndrome is more prevalent in females than in males. It has been theorized that high ITB strain rate is a primary etiological factor for developing ITB syndrome. Orthoses are commonly used to influence gait mechanics and may reduce ITB strain rate by influencing alterations in the kinematic chain. OBJECTIVES: To identify how wedge orthoses and sex affect ITB strain and strain rate. METHODS: Thirty asymptomatic participants (15 male, 15 female) ran with 7° lateral, 3° lateral, 0° (no wedge), 3° medial, and 7° medial wedges in this within-subject, repeated-measures study. Participants ran overground while data were collected with a motion-capture system and force platform. Iliotibial band strain and strain rate were estimated using a novel 6-degrees-of-freedom musculoskeletal model. A mixed-model multivariate analysis of covariance for between-subject comparison of sex and within-subject comparison of wedge was used. RESULTS: There were no significant differences in ITB strain or strain rate between wedge conditions. Females had significantly higher ITB strain and strain rate compared to males. CONCLUSION: Clinicians should be aware that medial wedges may not acutely alter ITB strain or strain rate. Females exhibited greater peak ITB strain and strain rate, potentially due to increased hip internal rotation compared to males. Further research is needed to investigate longitudinal effects of the wedges. J Orthop Sports Phys Ther 2019;49(10):743-750. Epub 31 Aug 2019. doi:10.2519/jospt.2019.8837. SN - 1938-1344 UR - https://www.unboundmedicine.com/medline/citation/31475615/Acute_Effects_of_Wedge_Orthoses_and_Sex_on_Iliotibial_Band_Strain_During_Overground_Running_in_Nonfatiguing_Conditions L2 - http://www.jospt.org/doi/full/10.2519/jospt.2019.8837?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -
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