原创力文档the relationship between hip abductor muscle strength and iliotibial band tightness in individuals with low back pain髋部外展肌力量和髂胫带之间的关系紧张在下腰痛患者.pdfVIP
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the relationship between hip abductor muscle strength and iliotibial band tightness in individuals with low back pain髋部外展肌力量和髂胫带之间的关系紧张在下腰痛患者
Arab and Nourbakhsh Chiropractic Osteopathy 2010, 18:1
/content/18/1/1
RESEARCH Open Access
The relationship between hip abductor muscle
strength and iliotibial band tightness in
individuals with low back pain
Amir M Arab1*, Mohammad R Nourbakhsh2
Abstract
Background: Shortening of the iliotibial band (ITB) has been considered to be associated with low back pain (LBP).
It is theorized that ITB tightness in individuals with LBP is a compensatory mechanism following hip abductor
muscle weakness. However, no study has clinically examined this theory. The purpose of this study was to
investigate the muscle imbalance of hip abductor muscle weakness and ITB tightness in subjects with LBP.
Methods: A total of 300 subjects with and without LBP between the ages of 20 and 60 participated in this cross-
sectional study. Subjects were categorized in three groups: LBP with ITB tightness (n = 100), LBP without ITB
tightness (n = 100) and no LBP (n = 100). Hip abductor muscle strength was measured in all subjects.
Results: Analysis of Covariance (ANCOVA) with the body mass index (BMI) as the covariate revealed significant
difference in hip abductor strength between three groups (P 0.001). Post hoc analysis showed no significant
difference in hip abductor muscle strength between the LBP subjects with and without ITB tightness (P = 0.59).
However, subjects with no LBP had significantly stronger hip abductor muscle strength compared to subjects with
LBP with ITB tightness (P 0.001) and those with LBP without ITB tightness (P 0.001).
Conclusion: The relationship between ITB tightness and hip abductor weakness in patients with LBP is not
supported as assumed in theory. More clinical studies are needed to assess the theory of muscle imbalance of hip
abductor weakness and ITB tightness in LBP.
Background
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