Immediate effects of static stretching versus myofascial release in iliotibial band tightness in long distance runners - a randomised clinical trial.

Abstract

BACKGROUND: Iliotibial band is the lateral distal thickening of the tensor fascia lata and superficial fibres of gluteus maximus extending to the lateral portion of the thigh. This band plays an important role in providing the stability to the knee joint during physical activity like walking and running in coordination with other thigh muscles. In long distance runners, repetitive flexion and extension of the knee cause friction of ITB and can inflame the bursa which may lead to decreased range of motion as a protective mechanism and ITB will be prone for tightness.

OBJECTIVES: To compare the immediate effects of static stretching and myofascial release on iliotibial band tightness in long distance runners.

METHOD: Thirty long distance runners with the age group of 18-30 years were recruited for this study and were randomly allocated into 2 groups - Group A received static stretching and   Group B received myofascial realease for iliotibial tightness. In both the groups, pre and post intervention hip adduction range of motion was calculated using the universal goniometer. Obers test was used to assess the tightness of the iliotibial band.

RESULTS: The results showed that static stretching and myofascial release both increased iliotibial band flexibility above baseline measures significantly. When both the groups were compared, there was no significant difference found between two groups stating that static stretching and myofascial release are effective in improving hip adduction range of motion. The results showed significant improvement in hip adduction range of motion in both the groups.

CONCLUSION: This study proved that static stretching and myofascial release both are effective in reducing iliotibial band tightness.