The combined effect of myofascial release and hip strength training on iliotibial band syndrome: A preliminary randomized controlled trial

IF 4 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI:10.1016/j.ctim.2025.103274

Ziwei Ming , Gengxin Dong , Liyu Luo , Lei Yuan , Yutang Li

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引用次数: 0

Abstract

Objective

To compare the short-term outcomes and maintenance effects of myofascial release therapy (MFR) combined with hip strength training versus hip strength training alone on pain, patellofemoral function, and iliotibial band (ITB) thickness in patients with iliotibial band syndrome (ITBS).

Design

Double-blind, randomized controlled trial.

Participants

16 patients (mean age 22.2 ± 1.6 years) with ITBS randomly assigned to an experimental group (MFR combined with hip strength training, n = 8) or a control group (hip strength training alone, n = 8).

Main outcome measures

VAS and Kujala scale was measured at baseline, week 2, week 4 and week 8 during intervention. ITB thickness was measured at week 4.

Results

The experimental group demonstrated significantly greater reductions in pain (VAS) at week 2 (mean difference = −1.25 cm, 95 % CI: [−2.10 cm, −0.40 cm]) and ITB thickness at week 4 (mean difference = −0.66 mm, 95 % CI: [−1.15 mm, −0.16 mm]) compared to the control group. However, no significant between-group differences were observed in Kujala scale at any follow-up time point (p > 0.05 for all comparisons).

Conclusions

Preliminary evidence suggests MFR may accelerate early pain relief and ITB structural normalization when combined with hip strengthening. Future trials with larger samples,broader functional outcome measures, and longer follow-up are needed to confirm clinical relevance.

查看原文本刊更多论文

肌筋膜松解和髋关节力量训练对髂胫束综合征的联合作用：一项初步随机对照试验。

目的：比较肌筋膜释放疗法（MFR）联合髋关节力量训练与单独髋关节力量训练对髂胫束综合征（ITBS）患者疼痛、髌股功能和髂胫束（ITB）厚度的短期疗效和维持效果。设计：双盲、随机对照试验。参与者：16例ITBS患者（平均年龄22.2±1.6岁）随机分为实验组（MFR联合髋关节力量训练，n=8）和对照组（仅髋关节力量训练，n=8）。主要观察指标：在干预期间基线、第2周、第4周和第8周分别测量VAS和Kujala量表。在第4周时测量脑内壁厚度。结果：与对照组相比，实验组在第2周的疼痛（VAS）（平均差值= -1.25cm, 95% CI: [-2.10cm, -0.40cm]）和第4周的ITB厚度（平均差值= -0.66mm, 95% CI: [-1.15mm, -0.16mm]）均有显著性降低。然而，在任何随访时间点，各组间Kujala量表均无显著差异（p < 0.05）。结论：初步证据表明，MFR联合髋关节强化可加速早期疼痛缓解和ITB结构正常化。未来的试验需要更大的样本，更广泛的功能结果测量和更长的随访来确认临床相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Complementary therapies in medicine 医学-全科医学与补充医学

CiteScore

8.60

自引率

2.80%

发文量

101

审稿时长

112 days

期刊介绍： Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.