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Iliotibial Band SyndromeNCT06980324

Neuromuscular Inhibition Technique on Iliotibial Band Friction Syndrome

A study testing integrated neuromuscular inhibition technique and conventional physical therapy treatment in people with Iliotibial Band Syndrome, run by Cairo University at 1 site in Egypt.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The goal of this clinical trial is to find the effect of integrated neuromuscular inhibition technique for iliotibial band in iliotibial band friction syndrome on pain intensity level, pressure pain threshold, knee range of motion, knee function and knee angle . Read more about this study

Who is it for?
Ages 30 to 50 years
Conditions the study is for
Iliotibial Band Syndrome
What is being tested?
integrated neuromuscular inhibition technique and conventional physical therapy treatment
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteEgypt
Study dates
2 Mar 2024to Jul 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Body mass index from 25-30 kg/m2
  • Both males and females will be included their age from 30-50.
  • The subjects that will be included in the study will be referred from orthopeadic physician with iliotibial band friction syndrome with these signs and symptoms
  • local tenderness of the lateral knee inferior to the epicondyle and superior to the joint line
  • Pain with ITBS can be reported anywhere along the iliotibial (IT) band from the lateral thigh to the lateral femoral condyle and Gerdy's tubercle.
  • Pain is most intense at approximately 30 degrees of knee.
Show all 13Show fewer
  • A sharp, burning pain when the practitioner presses on the lateral epicondyle during knee flexion and extension associated with one of these cases:
  • Tibiofermoral knee pain.
  • Patellofemoral knee pain.
  • osteoarthritis with medial knee joint pain
  • Lateral patellar pressure syndrome.
  • Medial meniscus degeneration.
  • Excessive lateral pressure syndrome

Who cannot join

  • Traumatic injury to the knee joint within 6 months.
  • Surgical procedure on the affected knee within the last 12 months.
  • Meniscus injury
  • knee ligaments injury
  • Malignancies, tumors or infections associated with the knee joint.
  • Impaired thermal sensation over the knee.
Show all 18Show fewer
  • Subject with psychiatric disorder.
  • Peripheral vascular disease.
  • Severe joint deformity.
  • Current back or ankle pain.
  • Rheumatoid arthritis.
  • Lower extremity fracture.
  • Neurological defecit or movement disorder.
  • Athletes.
  • Menopause
  • Pregnancy
  • Auto immune disease
  • Chronic disease (Diabetes mellitus and Hypertension)

Trial locations and contacts

1 site in 1 country.

Egypt1 site
  • Faculty of physical therapy, Cairo university

    Giza

Other trials in Egypt

About this study

Official title: Effect of Integrated Neuromuscular Inhibition Technique on Iliotibial Band Friction Syndrome

The goal of this clinical trial is to find the effect of integrated neuromuscular inhibition technique for iliotibial band in iliotibial band friction syndrome on pain intensity level, pressure pain threshold, knee range of motion, knee function and knee angle . The main questions it aims to answer are:

  • Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on pain intensity level in iliotibial band friction syndrome?
  • Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on pressure pain threshold in iliotibial band friction syndrome?
  • Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on knee range of motion in iliotibial band friction syndrome?
  • Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on knee function in iliotibial friction syndrome? Is there an effect of integrated neuromuscular inhibition technique for iliotibial band on knee angle in iliotibial band friction syndrome?
Read more

Researchers will compare integrated neuromuscular inhibition technique to conventional physiotherapy to see if integrated neuromuscular inhibition technique works to treat iliotibial band syndrome.

Participants will:

  • Take sessions for 2 weeks
  • Visit the department 3 times per week
Being tested
integrated neuromuscular inhibition technique, conventional physical therapy treatment
Keywords
integrated neuromuscular inhibition technique, iliotibial band friction syndrome, muscle energy technique, ischemic compression, positional release
Medical subject headings
Iliotibial Band Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • integrated neuromuscular inhibition techniqueOther

    integrated neuromuscular inhibition technique consists of:

    • ischemic compression
    • Positional release
    • Muscle energy technique
  • conventional physical therapy treatmentOther

    Conventional physical therapy treatment:

    • Ultrasound
    • Hotpacks
    • Iliotibial band stretching
    • Static quadriceps and hamstring exercises
Study groups in NCT06980324
Study groupRoleWhat they receive
control groupExperimentalNot described
Receives: Other: conventional physical therapy treatment
Interventional groupExperimentalNot described
Receives: Other: integrated neuromuscular inhibition technique

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain intensity

    The Visual Analogue Scale (VAS) was used to evaluate pain severity. It is a self-reported pain measurement scale, consisting of a horizontal or vertical line, usually 10 cm long. The extremes of the line are labeled as no pain and worst pain. Each subject was asked to mark the point on the line that exactly corresponded to his/her pain

    Measured: after 2 weeks

  2. lower extremity function

    Lower extremity functional scale (LEFS):

    LEFS is a questionnaire containing 20 items assessing the lower extremity function based on the intensity of the related activities' performance. This scoring system is designed based on the five-score Likert scale ranging from zero as the worst condition to four as without bothersome. This scale scores from zero to eighty and the higher score represent a better condition. LEFS-Arabic version will be used to quantify activity limitation in Arabic-speaking individuals with lower extremity musculoskeletal disorders

    Measured: after 2 weeks

  3. Knee range of motion

    Digital goniometer:

    A goniometer is a device that measures an angle or permits the rotation of an object to a definite position .To measure knee joint ROM goniometer was lined up with the lateral side of femur with the proximal arm between trochanter major and the middle of the lateral joint space of the knee and the distal arm between the middle of the lateral joint space of the knee and the lateral malleoli

    Measured: after 2 weeks

Secondary outcomes (2)
  1. pressure pain threshold

    The pressure algometer was applied three times at each of the three marked points. Each application of the pressure algometer was stopped when the participant perceived a change in sensation from pressure to pain at the measurement point. Using a mechanical pressure Fischer algometer .

    Pressure was increased with a speed (1kg/cm2). Steady and perpendicular to the identified trigger point, subjects were instructed to say "now" when they first began to feel change of pressure to either discomfort or pain. The mean of 3 trials over each point was calculated. It is important to place the tip of the algometer precisely on the MTrP region to avoid any major difference in readings among the consecutive measurements of the same MTrP.

    Measured: after 2 weeks

  2. knee angle

    Kinovea is one of the most commonly used applications. Kinovea is a free 2D motion analysis software for computers that can be used to measure kinematic parameters.

    Subjects were required to stand and relaxed lower limbs, with feet forward and shoulder-width apart. The camera was set 3 m from the subject .

    The vertical axis of the camera was aligned with the midpoint between the lower limbs of the participant. The image was zoomed to the closest capture, where the stickers could be clearly visible, and always set in the same position.

    Measured: after 2 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 May 2025
  2. Study start2 Mar 2024
  3. Primary completionMay 2025 (estimated)
  4. Study completionJul 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06980324
Sponsor's protocol ID
P.T.REC/012/004885
Status last verified
Oct 2024
First submitted
23 Mar 2025
Last updated
20 May 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Vaughan, Brett (external link) and McLaughlin, Patrick (2014) Immediate changes in pressure pain threshold in the Iliotibial band using a myofascial (foam) roller. International Journal of Therapy and Rehabilitation, 21 (12). 569 - 574. ISSN 1741-1645

  • Zimmermann SM, Njagulj V, Fritz B, Fucentese SF, Sutter R, Pfirrmann CWA. The Accessory Iliotibial Band-Meniscal Ligament of the Knee: Association With Lesions of the Lateral Meniscus. AJR Am J Roentgenol. 2019 Oct;213(4):912-917. doi: 10.2214/AJR.18.21071. Epub 2019 Jun 25.

    PubMed 31237768
  • Zhang DH, Wu ZQ, Zuo XC, Li JW, Huang CL. Diagnosis and treatment of excessive lateral pressure syndrome of the patellofemoral joint caused by military training. Orthop Surg. 2011 Feb;3(1):35-9. doi: 10.1111/j.1757-7861.2010.00116.x.

    PubMed 22009978
  • Whelton H, Harrington J, Crowley E, Kelleher V, Cronin M, Perry IJ. Prevalence of overweight and obesity on the island of Ireland: results from the North South Survey of Children's Height, Weight and Body Mass Index, 2002. BMC Public Health. 2007 Jul 31;7:187. doi: 10.1186/1471-2458-7-187.

    PubMed 17672893
  • Walsh TP, Arnold JB, Evans AM, Yaxley A, Damarell RA, Shanahan EM. The association between body fat and musculoskeletal pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2018 Jul 18;19(1):233. doi: 10.1186/s12891-018-2137-0.

    PubMed 30021590
  • Kang SY, Choung SD, Park JH, Jeon HS, Kwon OY. The relationship between length of the iliotibial band and patellar position in Asians. Knee. 2014 Dec;21(6):1135-8. doi: 10.1016/j.knee.2014.09.005. Epub 2014 Oct 12.

    PubMed 25311516
  • Macfarlane GJ, de Silva V, Jones GT. The relationship between body mass index across the life course and knee pain in adulthood: results from the 1958 birth cohort study. Rheumatology (Oxford). 2011 Dec;50(12):2251-6. doi: 10.1093/rheumatology/ker276. Epub 2011 Oct 8.

    PubMed 21984765
  • Vasilevska V, Szeimies U, Stabler A. Magnetic resonance imaging signs of iliotibial band friction in patients with isolated medial compartment osteoarthritis of the knee. Skeletal Radiol. 2009 Sep;38(9):871-5. doi: 10.1007/s00256-009-0704-z. Epub 2009 May 30.

    PubMed 19484234
  • Svensson M, Lind V, Lofgren Harringe M. Measurement of knee joint range of motion with a digital goniometer: A reliability study. Physiother Res Int. 2019 Apr;24(2):e1765. doi: 10.1002/pri.1765. Epub 2018 Dec 27.

    PubMed 30589162
  • Strauss EJ, Kim S, Calcei JG, Park D. Iliotibial band syndrome: evaluation and management. J Am Acad Orthop Surg. 2011 Dec;19(12):728-36. doi: 10.5435/00124635-201112000-00003.

    PubMed 22134205
  • Sorour AS, Ayoub AS, Abd El Aziz EM. Effectiveness of acupressure versus isometric exercise on pain, stiffness, and physical function in knee osteoarthritis female patients. J Adv Res. 2014 Mar;5(2):193-200. doi: 10.1016/j.jare.2013.02.003. Epub 2013 Apr 8.

    PubMed 25685487
  • Bassiouni H, Aly H, Zaky K, Abaza N, Bardin T. Probing The Relation Between Vitamin D Deficiency and Progression of Medial Femoro-tibial Osteoarthitis of the Knee. Curr Rheumatol Rev. 2017;13(1):65-71. doi: 10.2174/1573397112666160404124532.

    PubMed 27041085
  • Saadat Z, Hemmati L, Pirouzi S, Ataollahi M, Ali-Mohammadi F. Effects of Integrated Neuromuscular Inhibition Technique on pain threshold and pain intensity in patients with upper trapezius trigger points. J Bodyw Mov Ther. 2018 Oct;22(4):937-940. doi: 10.1016/j.jbmt.2018.01.002. Epub 2018 Jan 17.

    PubMed 30368338
  • Rupareliya JD, Donga S, Gandhi AJ. Management of Vandhyatva w.s.r. to thin endometrium through Ayurveda- A single arm open labelled pilot clinical trial. Ayu. 2021 Oct-Dec;42(4):156-163. doi: 10.4103/ayu.ayu_132_21. Epub 2023 May 17.

    PubMed 37347080
  • Noori SA, Rasheed A, Aiyer R, Jung B, Bansal N, Chang KV, Ottestad E, Gulati A. Therapeutic Ultrasound for Pain Management in Chronic Low Back Pain and Chronic Neck Pain: A Systematic Review. Pain Med. 2020 Nov 7;21(7):1482-1493. doi: 10.1093/pm/pny287.

    PubMed 30649460

Questions about this trial

What is this clinical trial studying?

A study testing integrated neuromuscular inhibition technique and conventional physical therapy treatment in people with Iliotibial Band Syndrome, run by Cairo University at 1 site in Egypt.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 20 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain intensity (time frame: after 2 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06980324, which also lists 38 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 May 2025.

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