NDLI: The effect of angle and moment of the hip and knee joint on iliotibial band hardness.

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The effect of angle and moment of the hip and knee joint on iliotibial band hardness.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tateuchi, Hiroshige Shiratori, Sakiko Ichihashi, Noriaki
Description	Author Affiliation: Tateuchi H ( Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. Electronic address: tateuchi.hiroshige.8x@kyoto-u.ac.jp.); Shiratori S ( Division of Physical Therapy, Rehabilitation Units, Shiga University of Medical Science Hospital, Shiga, Japan.); Ichihashi N ( Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.)
Abstract	Although several studies have described kinematic deviations such as excessive hip adduction in patients with iliotibial band (ITB) syndrome, the factors contributing to increased ITB hardness remains undetermined, owing to lack of direct in vivo measurement. The purpose of this study was to clarify the factors contributing to an increase in ITB hardness by comparing the ITB hardness between the conditions in which the angle, moment, and muscle activity of the hip and knee joint are changed. Sixteen healthy individuals performed the one-leg standing under five conditions in which the pelvic and trunk inclination were changed in the frontal plane. The shear elastic modulus in the ITB was measured as an indicator of the ITB hardness using shear wave elastography. The three-dimensional joint angle and external joint moment in the hip and knee joints, and muscle activities of the gluteus maximus, gluteus medius, tensor fasciae latae, and vastus lateralis, which anatomically connect to the ITB, were also measured. ITB hardness was significantly increased in the posture with pelvic and trunk inclination toward the contralateral side of the standing leg compared with that in all other conditions (increase of approximately 32% compared with that during normal one-leg standing). This posture increased both the hip adduction angle and external adduction moment at the hip and knee joint, although muscle activities were not increased. Our findings suggest that coexistence of an increased adduction moment at the hip and knee joints with an excessive hip adduction angle lead to an increase in ITB hardness.
File Format	HTM / HTML
ISSN	09666362
Issue Number	2
Volume Number	41
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2015-02-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Torso Discipline Orthopedics Iliotibial Band Syndrome Humans Male Elastic Modulus Musculoskeletal Physiological Phenomena Hardness Pelvis Journal Article Hip Joint Posture Physiopathology Reproducibility Of Results Young Adult Biomechanical Phenomena Knee Joint Adult Female Physiology Electromyography Muscle, Skeletal Clinical Study
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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