Autogenic Inhibition Versus Reciprocal Inhibition Muscle Energy Techniques in Iliotibial Band Syndrome

NCT ID: NCT06867159

Last Updated: 2025-03-10

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-07-15
• Study Completion Date: 2025-07-15

Brief Summary

Comparison of effects of autogenic inhibition and reciprocal inhibition muscle energy techniques on iliotibial band syndrome

Detailed Description

A single-blinded randomized control trial will be conducted over a period of one year in Foundation University Islamabad. Forty participants will be assigned to two groups: Group A (AI) and Group B (RI), with 20 participants each. The AI technique will involve a maximal isometric contraction of the target muscle followed by a stretch, while the RI technique will involve a maximal isometric contraction of the antagonist muscle followed by a similar stretching protocol. Both groups will perform the exercises 3 times per week for 2 weeks. Pain, Hip range of motion (ROM) and lower extremity function will be assessed using Numeric Pain Rating Scale (NPRS), goniometer and Lower Extremity Functional Scale (LEFS) respectively.

The outcomes will be measured in terms of improvements in pain score (NPRS), hip range of motion (ROM), and overall lower extremity function.

Conditions

Iliotibial Band Syndrome

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Autogenic Inhibition (AI) MET Group

Autogenic Inhibition (AI) MET (Post Facilitation Stretch)

1. The shortened muscle (Tensor Fascia Latae) is placed in a mid-range position about halfway between a fully stretched and a fully relaxed state.

2. The patient contracts the muscle isometrically, using a maximum degree of effort for 5-10 seconds while the effort is resisted completely.

3. On release of the effort, a rapid stretch is made to a new barrier, without any 'bounce', and this is held for at least 10 seconds.

4. The patient relaxes for approximately 20 seconds and the procedure is repeated between three and five times more.

Group Type: EXPERIMENTAL

Autogenic Inhibition (AI) MET (Post Facilitation Stretch)

Intervention Type: PROCEDURE

Autogenic Inhibition (AI) MET (Post Facilitation Stretch)

1. The shortened muscle (Tensor Fascia Latae) is placed in a mid-range position about halfway between a fully stretched and a fully relaxed state.

2. The patient contracts the muscle isometrically, using a maximum degree of effort for 5-10 seconds while the effort is resisted completely.

3. On release of the effort, a rapid stretch is made to a new barrier, without any 'bounce', and this is held for at least 10 seconds.

4. The patient relaxes for approximately 20 seconds and the procedure is repeated between three and five times more.

Reciprocal Inhibition (RI) MET Group

Reciprocal Inhibition (RI) MET

1. The shortened muscle (Tensor Fascia Latae) is placed in a mid-range position about halfway between a fully stretched and a fully relaxed state.

2. The patient contracts the antagonist muscles (hip adductors), using a maximum degree of effort for 5-10 seconds while the effort is resisted completely.

3. On release of the effort, a rapid stretch to TFL is made to a new barrier, without any 'bounce', and this is held for at least 10 seconds.

4. The patient relaxes for approximately 20 seconds and the procedure is repeated between three and five times more.

Group Type: EXPERIMENTAL

Reciprocal Inhibition (RI) MET

Intervention Type: PROCEDURE

Reciprocal Inhibition (RI) MET

1. The shortened muscle (Tensor Fascia Latae) is placed in a mid-range position about halfway between a fully stretched and a fully relaxed state.

2. The patient contracts the antagonist muscles (hip adductors), using a maximum degree of effort for 5-10 seconds while the effort is resisted completely.

3. On release of the effort, a rapid stretch to TFL is made to a new barrier, without any 'bounce', and this is held for at least 10 seconds.

4. The patient relaxes for approximately 20 seconds and the procedure is repeated between three and five times more.

Interventions

Autogenic Inhibition (AI) MET (Post Facilitation Stretch)

Autogenic Inhibition (AI) MET (Post Facilitation Stretch)

1. The shortened muscle (Tensor Fascia Latae) is placed in a mid-range position about halfway between a fully stretched and a fully relaxed state.

2. The patient contracts the muscle isometrically, using a maximum degree of effort for 5-10 seconds while the effort is resisted completely.

3. On release of the effort, a rapid stretch is made to a new barrier, without any 'bounce', and this is held for at least 10 seconds.

4. The patient relaxes for approximately 20 seconds and the procedure is repeated between three and five times more.

Intervention Type: PROCEDURE

Reciprocal Inhibition (RI) MET

Reciprocal Inhibition (RI) MET

1. The shortened muscle (Tensor Fascia Latae) is placed in a mid-range position about halfway between a fully stretched and a fully relaxed state.

2. The patient contracts the antagonist muscles (hip adductors), using a maximum degree of effort for 5-10 seconds while the effort is resisted completely.

3. On release of the effort, a rapid stretch to TFL is made to a new barrier, without any 'bounce', and this is held for at least 10 seconds.

4. The patient relaxes for approximately 20 seconds and the procedure is repeated between three and five times more.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Both male and female participants
• Age : 19-45years (8)
• Lateral knee pain (>3 months)
• Tenderness over lateral femoral condyle
• Positive Flexibility Tests
• Modified Ober's test (9)
• Length assessment of Tensor Fasciae Latae and Iliotibial Band (10)
• Positive Pain Provocation Tests
• Renne's test
• Noble's Compression test (11) *(individuals with 3 positive tests out of above mentioned 4 tests will be included)

Exclusion Criteria

• Recent lower limb or pelvic girdle surgery within the past 3 months
• Lower limb fractures or trauma within the past year.
• Multiple lower limb surgeries (>2)
• Presence of any structural or postural disorders (kyphosis or severe scoliosis)
• Neurological disorders
• Hip and knee Osteoarthritis
• Rheumatoid Arthritis
• Pregnancy

• Minimum Eligible Age: 19 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Foundation University Islamabad

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Foundation University College of Physcial Therapy

Rawalpindi, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Rida Ishtiaq, MS-MSKPT*

Role: CONTACT

ridaishtiaq777@gmail.com

03365530415

Facility Contacts

Furqan Yaqoob, OMPT,PHD*

Role: primary

furqan.yaqoob@fui.edu.pk

03465333101

Other Identifiers

FUI/CTR/2025/3

Identifier Type: -

Identifier Source: org_study_id