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Do you know that infants don’t have an Iliotibial Band?!
Truthfully, it’s true. Look, analysis says so…
I take advantage of this for instance with sufferers of how the physique adapts to the stresses positioned upon it. Muscular tissues, tendons, bones and joints all adapt to working offering there’s common stimulus and ample time to adapt.
As infants develop and begin to weight-bear the ITB step by step develops and turns into a sturdy, complicated construction with many key roles.
It has in depth distal attachments together with the patella and patellar tendon, lateral femoral epicondyle, fibular head and Gerdy’s Tubercle on the tibia. It’s hooked up to TFL and Glute Max proximally and to the femur alongside its size.
The ITB is taken into account the “most strong contributor to anterolateral knee stability” (Burnham et al. 2016). It stabilises the hip throughout strolling, working and impression and performs a ‘pivotal function’ in patellofemoral stability (Geisler and Lazenby 2017).
Latest analysis has proven that stretching and foam rolling don’t change ITB stiffness or vary of motion (Pepper et al. 2021). That is most likely a superb factor as we’d like that tightness and stress for stability and to retailer and launch elastic vitality.
If it’s such a powerful construction why does it harm with ITB Syndrome (ITBS)?!
Present pondering is that delicate tissue that sits beneath the ITB could also be compressed throughout repeated actions resulting in ache, as lined beneath on this slide from our ITBS sequence.
Picture tailored from Baker and Fredericson (2016)
Go to clinicaledge.co/itb to entry this free video sequence protecting evaluation and prognosis of ITBS, train progressions and return to working.
https://www.running-physio.com/tight-itb/
