Table 1.
Study | Number of participants | Study type | Therapeutic regimen (all groups) | Group specific therapy | Comparison between groups | Outcomes, conclusions |
---|---|---|---|---|---|---|
Schwellnus et al. [10] | 43 runners | RCT | Day 0–7: rest ice and medication, daily stretching Days 3, 5, and 7 DTFM |
Group 1: placebo 2: anti-inflammatory (Voltaren) 3: anti-inflammatory/analgesic combo (Myprodol) |
Group 3 had less pain and increased running time/distance from day 0 to 7 | All treatments are effective; analgesic/anti-inflammatory is superior |
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Gunter and Schwellnus [11] | 18 runners | RCT | No running for 14 days after injection and ice for 30 min every 12 hrs. | Group 1: corticosteroid injection (methylprednisolone acetate 40 mg) Group 2: placebo injection |
Using a visual analogue scale for pain perception, significant (P = 0.01) decrease in pain during running in group 1 | Local corticosteroid infiltration effectively decreases pain during running in the first 2 wks of treatment of ITBS Group 1 avg. of 53.6% decreases in pain from day 0 to 14 |
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Pinshaw et al. [12] | 24 runners | Case series | Softer running shoes, correct leg-length discrepancies, reduce training distance, ice 30 min. BID | Response to treatment was variable, even some who followed treatment judiciously did not benefit | After 8 weeks, 44% were 100% cured, 22% were 75% cured, and 34% were 50% or less cured | |
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Fredericson et al. [2] | 24 (10 M 14 F) injured runners, 30 (16 M 14 F) controls |
Case series | Injured runners enrolled in a 6-week rehab to strengthen gluteus medius | Statistically significant (P < 0.05) higher hip abductor torque in control group compared to injured runners. | After rehab females increased hip abductor torque 34.9%, males 51.4% | 22/24 athletes were pain-free and able to return to running, with recurrence at 6 months |