Iliotibial Band Syndrome in Runners: Biomechanical Implications and Exercise Interventions

Phys Med Rehabil Clin N Am. 2016 Feb;27(1):53-77. doi: 10.1016/j.pmr.2015.08.001.


Iliotibial band syndrome (ITBS) has known biomechanical factors with an unclear explanation based on only strength and flexibility deficits. Neuromuscular coordination has emerged as a likely reason for kinematic faults guiding research toward motor control. This article discusses ITBS in relation to muscle performance factors, fascial considerations, epidemiology, functional anatomy, strength deficits, kinematics, iliotibial strain and strain rate, and biomechanical considerations. Evidence-based exercise approaches are reviewed for ITBS, including related methods used to train the posterior hip muscles.

Keywords: Biomechanics; Exercises; Iliotibial band syndrome; Running; Strength.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena
  • Cumulative Trauma Disorders / physiopathology
  • Cumulative Trauma Disorders / therapy*
  • Exercise Therapy*
  • Humans
  • Iliotibial Band Syndrome / physiopathology
  • Iliotibial Band Syndrome / therapy*
  • Running / injuries*