COMPARATIVE EFFECTS OF CLAMSHELL TECHNIQUE WITH ELECTRICAL MUSCLE STIMULATION VERSUS CONSERVATIVE TREATMENT IN ILIOTIBIAL BAND TIGHTNESS FOR PAIN AND FUNCTION

Main Article Content

Dr. Somia Nawab
Dr. Muhammad Naveed Babur
Dr. Ujala Asghar
Dr. Hafiz Muhammad Abu Bakar Rashid
Dr. Ahsan Taqweem
Dr. Muhammad Tariq

Keywords

Clamshell, Iliotibial Band Syndrome, Hip Abductors, Lateral Leg Pain, EMS

Abstract

Background: Iliotibial band syndrome (ITBS) is caused by repetitive activities that affect the gluteus Medius strength, Tensor fascia latea, and Iliotibial band tensions. Exercises and clamshell exercises help to improve muscular strength and imbalance.


Objective: The objective is to determine the effects of the Clamshell technique with electrical muscle stimulation in improving pain and function among Iliotibial band tightness.


Material and methods: The randomized controlled trial was conducted in the Teaching hospital of the University of Lahore. The sixty-two male and female patients 45-65 years of age were selected, and diagnosed with ITBS having lateral knee pain. Patients randomly assigned to Group A received the Clamshell technique with electrical muscle Stimulation while Group B received conservative treatment. Numeric pain Rating scale, Lower Extremity Functional scale, Iliotibial band length, and Goniometer were used for the assessment of pain, functional status, length of IT band, and Range of motion were the main outcome measures. SPSS was used for the statistical analysis having p-value <0.05. 


Results: The results showed, in group A had 16(51.6%) females and 15(48.4%) males with while group B had 15(48.4%) females and 16(51.6%) males having mean age of 54±5.9 and 55.38 ± 6.5 respectively. Within-group analysis confirmed NPRS and LEFS highly improved by Clamshell exercises while non-significant results were observed on comparative analysis in group B with pvalue >0.05.  


Conclusion: The study concluded clamshell technique with electrical muscle stimulation and conservative treatment including stretching and strengthening both produce promising results in improving pain and functional status among iliotibial band tightness. 

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