Competitive female runners with a history of iliotibial band syndrome demonstrate atypical hip and knee kinematics.
METHODS
Cross-sectional experimental laboratory study.


OBJECTIVE
To examine differences in running mechanics between runners who had previously sustained iliotibial band syndrome (ITBS) and runners with no knee-related running injuries.


BACKGROUND
ITBS is the second leading cause of knee pain in runners and the most common cause of lateral knee pain. Despite its prevalence, few biomechanical studies have been conducted to better understand its aetiology. Because the iliotibial band has both femoral and tibial attachments, it is possible that atypical hip and foot mechanics could result in the development of ITBS.


METHODS
The running mechanics of 35 females who had previously sustained ITBS were compared to 35 healthy age-matched and running distance-matched healthy females. Comparisons of hip, knee, and ankle 3-dimensional kinematics and internal moments during the stance phase of running gait were measured.


RESULTS
The ITBS group exhibited significantly greater peak rearfoot invertor moment, peak knee internal rotation angle, and peak hip adduction angle compared to controls. No significant differences in peak rearfoot eversion angle, peak knee flexion angle, peak knee external rotator moment, or peak hip abductor moments were observed between groups.


CONCLUSIONS
Females with a previous history of ITBS demonstrate a kinematic profile that is suggestive of increased stress on the iliotibial band. These results were generally similar to those reported for a prospective study conducted within the same laboratory environment.
Ferber
Reed
R
Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada. rferber@ucalgary.ca
Noehren
Brian
B
Hamill
Joseph
J
Davis
Irene S
IS
D000293:Adolescent; D000328:Adult; D001696:Biomechanical Phenomena; D016022:Case-Control Studies; D012090:Cumulative Trauma Disorders / Q000503:physiopathology; D005260:Female; D006621:Hip Joint / Q000503:physiopathology*; D006801:Humans; D007718:Knee Injuries / Q000150:complications / Q000209:etiology*; D007719:Knee Joint / Q000503:physiopathology*; D008875:Middle Aged; D046788:Patellofemoral Pain Syndrome / Q000503:physiopathology; D012189:Retrospective Studies; D012420:Running / Q000293:injuries*; D013577:Syndrome; D055815:Young Adult