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Part One (introduction)
Part two (Beginner)
Part Three (Advanced)
I would like to address some corrective exercise strategies for two conditions that affect many people, especially endurance athletes. Today, we will address iliotibial band syndrome and patellafemoral syndrome. Most athletes or individuals assume that the sight of pain is the cause of pain but that’s not always the way our bodies work. More often than not, we see that it is a reciprocal or synergistic muscle in the contraction chain of the pain site that may be causing a malalignment or altered joint function. First I’m going to give a brief overview of these two syndromes and then show you a corrective exercise strategy to improve mobility.
In this video, I will briefly demonstrate each exercise in this series. There will be three total parts. Part One is the introduction and basic science behind Iliotibial Band and Patella Femoral Syndrome. Part Two is very basic and gentle corrective work that you can do with your own bodyweight and foam roller. It is an introduction workout. Part Three is a more detailed and complex workout but with greater benefit as it will address imbalances with deeper myofascial work, stretching and loaded resistance training. A quick note on every exercise…these are to be completed slowly and with control to maintain effectiveness. This includes the speed of foam rolling.
Iliotibial (IT) Band Syndrome: is the result of inflammation and irritation of the distal portion of the Iliotibial band tendon as it rubs against the lateral femoral condyle. This is commonly referred to as runner’s knee and can be a literal pain. Basically this is the result of a lack of flexibility in the tensor fascia Lata which can result in greater levels of tension on the IT band during the Stance phase of running. What can be very frustrating for runners is that this is usually an injury related to overuse it is most commonly the result of an abnormal gait or poor running biomechanic. Although athletes in various sports can also be affected by this syndrome. Weakness of muscle groups in the kinetic chain may also result in the development of IT band syndrome weakness in the hip abductor muscles such as the gluteus medius which may result in synergistic dominance of the TFL which will create frontal plane instability. Plus it places a lot of stress on the IT band and adds additional friction to support tissue resulting in inflammation and possible increased Q angle.
PatelloFemoral Pain Syndrome: One of the most commonly accepted cause of this condition is an abnormal tracking with a patella within the femoral trochlea. When the patella is not properly align within that track, the stress per unit area on the patellar cartilage increases which reduces the contact area between the patella and the track. The result of this abnormal tracking can contribute to static or dynamic lower extremity malalignment which will increase femoral rotation, adduction and valgus of the knee. Not only does this compromise the musculature supporting the knee it can also put a heavy burden on connective tissue throughout the lower extremities. Typically we also see a good deal of synergistic dominance in the gluteus as the medial glutes tends to lose mobility and the body compensates by shifting the load to the TFL causing additional pain and poor joint alignment.
Foam Rolling – Slow with pressure on tender spots for at least 30 seconds
Resistance – Slow and controlled 3 -4 sets with 12 -20 reps per movement.
Stretch – Hold all stretches for at least 30 seconds on each side.
IT Band Exercises & Patellofemoral Pain Syndome Exercises List (Part One)
Double Leg Flexion to Hover Extension – 3 sets / 12 reps
Glute Bridge with Dorsiflexion – 3 sets / 12 reps
Crossed Supine Single Leg Bridge – 3 sets / 12 reps each side
Prone Full Body Extension – 3 sets / 12 reps or 12 5 second static holds
Prone Quadriceps Stretch – 2 sets / 30 seconds minimum hold each side
Prone Plank – 3 sets / 60 seconds each hold
Side Plank with Legs Straight – 3 sets / 60 seconds each hold
4 Point External Hip Extension and External Rotation – 3 sets / 12 reps each side
4 Point Stabilization Touch Knee to Opposite Elbow – 3 sets / 12 reps each side
Squats with Resistance Tubing – 3 sets / 12 reps
Gastroc Wall Stretch – 2 sets / 30 seconds minimum hold each side
Exercise List (Part Two Coming Soon)
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By Michael S. Parker
Founder at Forge Online Personal Training
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