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Iliotibial Band SyndromeIliotibial Band Syndrome
ByBy
A.Rifai Pandin C11110143A.Rifai Pandin C11110143
Moh.Gilang F Nohu C11110285Moh.Gilang F Nohu C11110285
Syahril C11111255Syahril C11111255
Ferina Ra!u C111111"#Ferina Ra!u C111111"#
Andi Ade$u%ra C11110008Andi Ade$u%ra C11110008
Ad&i'orAd&i'or
(r.Arie' F )u%aara%(r.Arie' F )u%aara%
(r.)ando*o(r.)ando*o
(r.+an'en(r.+an'en
Su$er&i'orSu$er&i'or
(r. No%ina' )ora',M.-e', S$./(r. No%ina' )ora',M.-e', S$./
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Fro!Fro! extensor fascia lataeextensor fascia latae
n'er%ionn'er%ion
gerdy’s tuberclegerdy’s tubercle
Patella dan patellar tendonPatella dan patellar tendon
Supracondylar tubercleSupracondylar tubercle
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Ilio-Tibial BandIlio-Tibial Band
SyndromeSyndrome
/he and/he and
origina%e' a% %heorigina%e' a% %hela%eral ilia re'%la%eral ilia re'%and e%end'and e%end'di'%ally %o %hedi'%ally %o %he$a%ella, %iia, and$a%ella, %iia, and
ie$' fe!ori'ie$' fe!ori'%endon%endon
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Features of ITB syndromeFeatures of ITB syndrome
a%eral *nee $aina%eral *nee $ain
Freuen%ly 'een in runner' or yli'%' 6o&eru'e7Freuen%ly 'een in runner' or yli'%' 6o&eru'e7
due %o 'lide' o&er %he la%eral fe!oraldue %o 'lide' o&er %he la%eral fe!oral e$iondylee$iondyle
during re$e%i%i&e fleion andduring re$e%i%i&e fleion and e%en'ion of %hee%en'ion of %he*nee*nee
MR 'ho' di'%al ilio%iial and eo!e'MR 'ho' di'%al ilio%iial and eo!e'
%hi*ened and %ha% %he $o%en%ial '$ae dee$ %o%hi*ened and %ha% %he $o%en%ial '$ae dee$ %o
%he ilio%iial and o&er %he fe!oral e$iondyle%he ilio%iial and o&er %he fe!oral e$iondyleeo!e' infla!ed and filled i%h fluideo!e' infla!ed and filled i%h fluid
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Potential risk factorsPotential risk factors
Preei'%ing ilio%iial and %igh%ne''Preei'%ing ilio%iial and %igh%ne''
)igh ee*ly !ileage)igh ee*ly !ileage
/i!e '$en% al*ing or running on a %ra*/i!e '$en% al*ing or running on a %ra*
n%er&al %raining andn%er&al %raining and
!u'ular ea*ne'' of *nee e%en'or',!u'ular ea*ne'' of *nee e%en'or',
*nee fleor', and*nee fleor', and
hi$ adu%or'hi$ adu%or'
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(ifferen%ial (iagno'i' of(ifferen%ial (iagno'i' of
a%eral -nee Paina%eral -nee Pain
Biceps femorisBiceps femoris
tendinopathytendinopathy
Degeneratie !ointDegeneratie !oint
diseasedisease
"ateral collateral"ateral collateral
ligament sprainligament sprain
"ateral meniscal tear"ateral meniscal tear
#yofascial pain#yofascial pain
Patellofemoral stressPatellofemoral stress
syndromesyndrome
Popliteal tendinopathyPopliteal tendinopathy
$eferred pain from$eferred pain from
lumbar spinelumbar spine
Stress fractureStress fracture
Superior tibiofibularSuperior tibiofibular
!oint sprain !oint sprain
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1111
Physical %ssessmentPhysical %ssessment
findingsfindings
Pain loali9ed 2 !' ao&e :oin% linePain loali9ed 2 !' ao&e :oin% line
;or'e hen '%anding i%h *nee fleed 30;or'e hen '%anding i%h *nee fleed 30ºº
Mul%i$le %rigger $oin%' in %he &a'%u' la%erali',Mul%i$le %rigger $oin%' in %he &a'%u' la%erali',
glu%eu' !ediu', and ie$' fe!ori'glu%eu' !ediu', and ie$' fe!ori'(e!on'%rale ea*ne'' of %he !u'le'(e!on'%rale ea*ne'' of %he !u'le'
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&ber's test&ber's test
A''e'' %igh%ne'' of %he ilio%iial andA''e'' %igh%ne'' of %he ilio%iial and
Clien% lie' don i%h %he unaffe%ed 'ide donClien% lie' don i%h %he unaffe%ed 'ide don
andand %he unaffe%ed hi$ and *nee a% a
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TreatmentTreatment
A%i&i%y !odifia%ion, !a''age, andA%i&i%y !odifia%ion, !a''age, and
'%re%hing and '%reng%hening of %he'%re%hing and '%reng%hening of %he
affe%ed li!affe%ed li!
An%i=infla!!a%ory !ediine' and '%re%hingAn%i=infla!!a%ory !ediine' and '%re%hing
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Stretches of the rightStretches of the right
iliotibial bandiliotibial band
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(eight-bearing exercises for(eight-bearing exercises for
strengthening of the right gluteusstrengthening of the right gluteus
medius musclemedius muscle 6A7 /he $a%ien%6A7 /he $a%ien%'%and' on a $la%for!'%and' on a $la%for!and loer' %he lef%and loer' %he lef%leg %oard %heleg %oard %heground 'loly.ground 'loly.
6>7 /hrough6>7 /hroughon%ra%ion of %heon%ra%ion of %herigh% glu%eu'righ% glu%eu'!ediu', %he $a%ien%!ediu', %he $a%ien%%hen ele&a%e' %he%hen ele&a%e' %heleg, re%urning %heleg, re%urning %he$el&i' %o a le&el$el&i' %o a le&el$o'i%ion.$o'i%ion.