PDF(Pubmed)
Abstract：
Iliotibial band syndrome (ITBS) is one of the most common overuse syndromes causing knee pain; it is especially prevalent in runners and also common in cyclists, rowers, and field athletes, with occasional cases occurring in non-athletes too. ITBS symptoms can negatively affect not only knee function, but also mental and physical aspects of health-related quality of life. Although various conservative treatment options have been investigated and discussed, there is still no consensus on a standard of care for ITBS. Moreover, the literature on the etiology and risk factors of ITBS, which could help in selecting appropriate treatment methods, is conflicting and inconclusive. The role of individual treatment modalities such as stretching and releasing techniques has not been extensively studied and remains unclear. In this article, we will critically review the available evidence for the benefits of ITB stretching and \"release\" methods in the treatment of ITBS. In addition to the direct evidence (clinical studies examining the effects of ITB stretching and other methods that purportedly stretch or \"release\" the ITB), we present several additional lines of reasoning that discuss the rationale for ITB stretching/releasing in terms of the etiology of ITBS, the mechanical properties and behavior of the ITB, and the risk factors for ITBS development. We conclude that the current literature provides some evidence for the inclusion of stretching or other \"release\" methods in the early rehabilitation of ITBS. Long-term interventions typically include ITB stretching; however, it remains unclear to what extent stretching within a multimodal treatment actually contributes to resolving the symptoms. At the same time, there is no direct evidence to suggest that stretching and \"release\" methods have any negative effects.
摘要：
胫骨束带综合征（ITBS）是引起膝关节疼痛的最常见的过度使用综合征之一；它在跑步者中尤其普遍，在骑自行车的人中也很常见。赛艇运动员,和野外运动员，偶尔也会发生在非运动员身上。ITBS症状不仅会对膝关节功能产生负面影响，还有精神和身体方面的健康相关的生活质量。尽管已经研究和讨论了各种保守治疗方案，对于ITBS的护理标准仍未达成共识.此外，关于ITBS的病因和危险因素的文献，这可以帮助选择合适的治疗方法，是相互矛盾和不确定的。诸如拉伸和释放技术之类的单独治疗方式的作用尚未得到广泛研究，目前尚不清楚。在这篇文章中,我们将严格审查ITB拉伸和“释放”方法在ITBS治疗中的益处的现有证据。除了直接证据（临床研究检查ITB拉伸和其他据称拉伸或“释放”ITB的方法的影响），我们提出了几个额外的推理线，讨论了ITB拉伸/释放的原因，根据ITBS的病因，ITB的机械性能和行为，以及ITBS发展的风险因素。我们得出的结论是，目前的文献为在ITBS的早期康复中包括拉伸或其他“释放”方法提供了一些证据。长期干预通常包括ITB拉伸；然而，目前尚不清楚在多模式治疗中拉伸实际上有助于缓解症状的程度。同时,没有直接证据表明拉伸和“释放”方法有任何负面影响。
