Int J Sports Med 2008; 29(7): 579-583
DOI: 10.1055/s-2007-989323
Orthopedics & Biomechanics

© Georg Thieme Verlag KG Stuttgart · New York

Hip Abductor Weakness is not the Cause for Iliotibial Band Syndrome

S. Grau1 , I. Krauss1 , C. Maiwald1 , R. Best1 , 2 , T. Horstmann1
  • 1Department of Sports Medicine, Medical Clinic, University of Tübingen, Tübingen, Germany
  • 2University Clinic Tübingen, Orthopedic Clinic, Tübingen, Germany
Further Information

Publication History

accepted after revision September 24, 2007

Publication Date:
30 November 2007 (online)

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Abstract

Muscular deficits in the hip abductors are presumed to be a major factor in the development of Iliotibial Band Syndrome in runners. No definite relationship between muscular weakness of the hip abductors and the development of Iliotibial Band Syndrome or different ratios between hip adduction to abduction have been reported so far. Isokinetic measurements were taken from 10 healthy runners and 10 runners with Iliotibial Band Syndrome. Primary outcome variables were concentric, eccentric, and isometric peak torque of the hip abductors and adductors at 30°/s, and a concentric endurance quotient at the same angle velocity. Differences in muscle strength of the hip abductors between healthy (CO) and injured runners (ITBS) were not statistically significant in any of the muscle functions tested. Both groups showed the same strength differences between hip adduction and abduction, and increased strength in hip adduction. Weakness of hip abductors does not seem to play a role in the etiology of Iliotibial Band Syndrome in runners, since dynamic and static strength measurements did not differ between groups, and differences between hip abduction and adduction were the same. Strengthening of hip abductors seems to have little effect on the prevention of Iliotibial Band Syndrome in runners.