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Идёт набор NCT07668011

Radial Extracorporeal Shockwave Therapy in Individuals With Iliotibial Band Syndrome

Без фазы С лечением Iliotibial Band Syndrome

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Standard ITBS Exercise Program, Radial Extracorporeal Shockwave Therapy, Sham Extracorporal Shockwave Therapy.
Кому может быть актуально
Состояния в реестре: Iliotibial Band Syndrome. Базовые параметры: 18 лет — 45 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Египет
Следующий шаг
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Официальное название

Effectiveness of Radial Extracorporeal Shockwave Therapy in Individuals With Iliotibial Band Syndrome

Обзор

The goal of this Clinical Trial Study is to evaluate the clinical effectiveness of Radial Electrocorporeal Shockwave Therapy (rESWT) combined with exercise in individuals with iliotibial band syndrome (ITBS).The main question it aims to answer is : Does the addition of rESWT to standard ITBS exercise program reduce pain intensity and pain pressure threshold while improving lower extremity function and hip muscle strength in Individuals with Iliotibial Band syndrome (ITBS). Participants will be divided into two groups to be compared : The ShamTherapy Group (Control Group) that will receive the standard ITBS exercise program in addition to Sham rESWT, while the experimental group will receive the standard ITBS exercise program in addition to Radial Extracorporeal Shockwave Therapy.

Подробное описание

The Iliotibial Band Syndrome is a frequently occurring overuse condition among runners and active individuals that often leads to persistent lateral knee pain and reduced function. Although exercise, particularly hip abductor strengthening, is considered effective, the optimal rehabilitation approach remains unclear. Recent evidence suggests that combining Radial Extracorporeal Shockwave Therapy with exercise may improve pain and function more than exercise alone.Therefore, evaluating whether the combination of rESWT and exercise is more effective than exercise alone is clinically relevant.

Вмешательства

  • Другое Standard ITBS Exercise Program
    Standard ITBS Exercise Program : Flexibility and Strengthening Exercises will be delivered three times weekly over a 4-week period
  • Устройство Radial Extracorporeal Shockwave Therapy
    Radial Extracorporeal Shockwave Therapy will be delivered once weekly for 4 weeks only.
  • Устройство Sham Extracorporal Shockwave Therapy
    Sham Extracorporal Shockwave therapy will be administered once a week for 4 weeks.

Первичные конечные точки

  • Numerical Pain Rating Scale Score (NPRS) [Срок оценки: baseline , immediately after the 4-week intervention period ( post intervention ) ,4 weeks after the intervention cessation as follow-up.]
Вторичные конечные точки (3)
  • Lower extremity Functional Scale (LEFS) [Срок оценки: baseline , immediately after the 4-week intervention period ( post intervention ) ,4 weeks after the intervention cessation as follow-up.]
  • Hip muscle strength dynamometer testing [Срок оценки: baseline , immediately after the 4-week intervention period ( post intervention ) ,4 weeks after the intervention cessation as follow-up.]
  • Pain Pressure Threshold algometry testing (PPT) [Срок оценки: baseline , immediately after the 4-week intervention period ( post intervention ) ,4 weeks after the intervention cessation as follow-up.]

Критерии участия

Критерии включения

  • Physically active individuals aged 18 and 45 years
  • Have a clinical diagnosis of iliotibial band syndrome (ITBS) confirmed by physician within the previous four weeks.
  • Report lateral knee pain during running or other functional activities
  • No history of direct trauma
  • Have a positive Noble compression or/and Ober test.

Критерии исключения

  • History of knee surgery,fracture , meniscal or ligamentous injury within the past year
  • Any fracture involving the lower extremity within the previous six months
  • Neurological disorders
  • Lumbar radiculopathy
  • Systemic inflammatory disease
  • Any medical condition affecting gat or lower extremity function.
  • Have received corticosteroid injection, shockwave therapy, or physical therapy treatment for ITBS within the previous six months
  • Use of NDAID's or analgesics later than 2 weeks
  • Individuals with contraindications to ESWT, including pregnancy, bleeding disorders, or use of anticoagulant medication.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Двойное слепое
Основная цель
Лечение

Центры проведения

Египет · 1 центр
  • Cairo University Hospitals — Giza

Публикации

  • Weckstrom K, Soderstrom J. Radial extracorporeal shockwave therapy compared with manual therapy in runners with iliotibial band syndrome. J Back Musculoskelet Rehabil. 2016;29(1):161-70. doi: 10.3233/BMR-150612. PMID 26406193
  • McKay J, Maffulli N, Aicale R, Taunton J. Iliotibial band syndrome rehabilitation in female runners: a pilot randomized study. J Orthop Surg Res. 2020 May 24;15(1):188. doi: 10.1186/s13018-020-01713-7. PMID 32448384
  • Geisler PR. Current Clinical Concepts: Synthesizing the Available Evidence for Improved Clinical Outcomes in Iliotibial Band Impingement Syndrome. J Athl Train. 2021 Aug 1;56(8):805-815. doi: 10.4085/1062-6050-548-19. Epub 2020 Dec 22. PMID 34375405

Идентификаторы

NCT: NCT07668011 · rESWT and exercises in ITBS

Первоисточники (государственные реестры)

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