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Do you know that infants don’t have an Iliotibial Band?!
Actually, it’s true. Look, analysis says so…
I exploit this for example with sufferers of how the physique adapts to the stresses positioned upon it. Muscle tissue, tendons, bones and joints all adapt to working offering there’s common stimulus and adequate time to adapt.
As infants develop and begin to weight-bear the ITB regularly develops and turns into a robust, advanced construction with many key roles.
It has intensive 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 sturdy contributor to anterolateral knee stability” (Burnham et al. 2016). It stabilises the hip throughout strolling, working and affect 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 in all probability factor as we’d like that tightness and rigidity for stability and to retailer and launch elastic power.
If it’s such a powerful construction why does it damage 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 coated beneath on this slide from our ITBS collection.
Picture tailored from Baker and Fredericson (2016)
Go to clinicaledge.co/itb to entry this free video collection protecting evaluation and analysis of ITBS, train progressions and return to working.