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_aSangcopan, Najer S.; Villanueva, Paul Kevin G.; Natividad, Carl Mico R.; Gatdula, Chierwin Mae P.; Pestaño, Elsha Riza A. and Magtanong, Regina Franchesca M.
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_aThe effects of dry needling with gentle passive stretching (GPS) versus GPS alone in improving running condition of football with Iliotibial Band Friction Syndrome in National University
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_cSangcopan, Najer S.; Villanueva, Paul Kevin G.; Natividad, Carl Mico R.; Gatdula, Chierwin Mae P.; Pestaño, Elsha Riza A. and Magtanong, Regina Franchesca M.
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_cMarch, 201646
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_aix, 46 pages
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_aUndergraduate (Thesis) Pamantasan ng Lungsod ng Maynila;College of Physical Therapy, Bachelor of Science in Physical Therapy
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_aABSTRACT: Background of the Study: One of the most common overuse injuries in the lower extremity is Iliotibial Band Friction Syndrome (ITBFS). [3,4] It is a pain syndrome which was usually thought to occur in runners through repetitive motions of the knee joint, causing excessive rubbing of the distal iliotibial band across the lateral femoral condyle, typically in a runner, cyclist, or other athletes. [5,6,7,8,9,10] Most research done on ITBFS thus far has focused mainly on the effectiveness of various treatment techniques to the ITB itself and/or its associated tensor fascia latae (TFL) muscle, with varying results reported. [11] These include conservative therapies like rest, ice, and stretching of the tight band; myofascial trigger point therapies like dry needling; and ultimately, surgery. [9]. Travel confirmed that in the treatment of myofascial trigger points, passive stretching is an essential component. [24] So the aim of this study was to determine the relative effectiveness of the combination of Dry Needling followed by stretching, compared to stretching, of the ITB, in the rehabilitation of chronic ITBS in long distance runners. Objective of the Study: The aim of this study is to establish the effect of Dry Needling in improving running condition of football players with iliotibial band friction syndrome. Methodology: The research is designed to study the effect of dry needling in increasing speed among selected runners with Iliotibial Band Friction Syndrome. An experimental study was used and a total of 10 subjects will be used and will be randomly divided into two groups using a group a draw lots application-experimental group and control group (5 subjects per group); the experimental group will receive dry needling using Gunn's Technique with stimulation for 20 minutes on vastus laterals and ITB with gentle passive stretching of ITB using sidelying method and post-ice and the control group will received stretching of ITB sidelying method and post-ice alone. Each subject will be treated once a week for four (4) weeks. The primary outcome measure of speed will be gathered using a time to determine the rate of speed before and after treatment sessions. Secondary outcome of pain and stroke length will be measured using a visual analogue scale and tape measure, respectively. Results: There was no significant statistical improvement between groups in terms of pain (p-value = 0.6905). However, results of pretest and posttest in dry needling group showed great improvement of pain (p-value - 0.0313.) There was overall a highly significant difference before and after treatment in terms of group which indicate great significant change than +3.72 of the control group. While results in speed showed no significant difference. Discussion: Pain was significantly improved in pretest and posttest of dry needling group due to the effects of local which responses induced by needle over the area of MTrPs. Improvement on dry needling group was because of further lengthening of ITB as a result of targeting trigger points that causes muscle tissue spasm or muscle knot which causes that structure to shorten. Stride length had significant increase in experimental group than control group. This was possible due to the effect of dry needling in disrupting the integrity of the dysfunctional motor end plate. The researcher s believed that improvement in speed was due to subsequent decrease in pain and increase in stride length. However, results concluded that there was no significant increase in speed between the experimental and control group.. Conclusion: There were no statistically significant differences in speed between the two groups however, outcome measures in stride length presented with high significant difference favoring the needle group. Moreover, results showed that there was a significant difference in the reduction of pain within the dry needling group but not between the experimental group and control group.
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