A comparative study of physiotherapy and osteopathy for the treatment of iliotibial band syndrome in runners
Item
- Title
- A comparative study of physiotherapy and osteopathy for the treatment of iliotibial band syndrome in runners
- Author(s)
- Meslet, P
- Abstract
-
The objective of this study is to determine if there are differences between physiotherapists' and osteopaths' treatment approaches of iliotibial band syndrome (ITBS) in runners. MATERIALS AND METHODS A literature search was conducted to identify the different modalities of treatment for ITBS in runners. A questionnaire was peer-reviewed by a statistician, an osteopath, a physiotherapist and a health analyst. It was sent via email to physiotherapists and osteopaths practicing in London, using data from the GOsC and CSP websites. The questionnaire was composed of 49 questions around the treatment of ITBS in runners. Responses were collected and analysed using the Chi2 test and the Cochran-Mantel-Haenszel test. With regards to the Chi2 test, two hypotheses were considered (tested hypothesis: Hi and null hypothesis: Ho) for each set of questions. Ho was rejected when the calculated value was equal or superior to the critical value RESULTS A total of 166 practitioners answered all 49 questions in the survey (25 were excluded because they had not answered all the questions).The application of the Chi2 test showed that osteQpaths seemed to use the following techniques significantly more freque tlyl than physiotherapists: lumbar erector spinae muscles (LES) (p-value<0.005), stretching of the ITB (affected side: p-value<0.005; unaffected side: p-value<0.05), muscle energy techniques (MET)/proprioceptive neuromuscular facilitation (PNF) (unaffected side: p-value<0.005), high-velocity low-amplitude thrusts (HVLAT) in the lower extremities (p-value<0.001) and in the spine (p-value<0.001) and cold and/or hot therapy (p-value<0.001). Physiotherapists,on the other hand, used foam rollers (p-value<0.001), strengthening exercises (p-value<0.001), myofascial trigger point techniques (p-value<0.01) and running assessments (p-value<0.001) for the treatment of ITBS, more often than osteopaths.The Cochran-Mantel-Haenszel test showed statistically significant differences. The affected side was treated more often by both groups of practitioners for the following techniques: massage techniques in the lower extremities (p-value<0.005) and stretching of the ITB (p-value<0.05). CONCLUSION Quantitative and qualitative data analyses point towards statistically
significant differences between physiotherapists and osteopaths for the treatment of ITBS in runners. The two manual professions seem to be evolving away from each other, although ironically, they share similar objectives and ways of working Future research studies, with open-ended questions and adequate sample sizes, are needed to support these findings. - presented at
- European School of Osteopathy
- Date Accepted
- 2011
- Date Submitted
- 22.1.2013 16:23:35
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15286
- Inst-Identifier
- 1229
- Keywords
- Running; Iliotibial band syndrome.
- Recommended
- 0
- Item sets
- Thesis
Meslet, P, “A comparative study of physiotherapy and osteopathy for the treatment of iliotibial band syndrome in runners”, Osteopathic Research Web, accessed April 29, 2024, https://www.osteopathic-research.com/s/orw/item/779