避免任何可发现的触发因素,控制跑步强度。 包括不以同一方向过度奔跑,避免跑下坡或在弧形或滑的界面跑步,缓慢增加跑步距离及频率,限制跑步距离并拥有一双好的跑步鞋。[16]Messier SP, Edwards DG, Martin DF, et al. Etiology of iliotibial band friction syndrome in distance runners. Med Sci Sports Exerc. 1995;27:951-960.http://www.ncbi.nlm.nih.gov/pubmed/7564981?tool=bestpractice.com[18]Barber FA, Sutker AN. Iliotibial band syndrome. Sports Med. 1992;14:144-148.http://www.ncbi.nlm.nih.gov/pubmed/1509227?tool=bestpractice.com[19]Dahan R. Rehabilitation of muscle-tendon injuries to the hip, pelvis, and groin areas. Sports Med Arthrosc Rev. 1997;5:326-33. 训练注意事项包括拉伸髂胫束[8]Fredericson M, Weir A. Practical management of iliotibial band friction syndrome in runners. Clin J Sport Med. 2006 May;16(3):261-8.http://www.ncbi.nlm.nih.gov/pubmed/16778549?tool=bestpractice.com 以及加强髋外展肌和外旋肌。[39]Distefano LJ, Blackburn JT, Marshall SW, et al. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther. 2009 Jul;39(7):532-40.http://www.ncbi.nlm.nih.gov/pubmed/19574661?tool=bestpractice.com
对于过度膝内翻的男性跑步者,可考虑步态控制法。[24]Noehren B, Schmitz A, Hempel R, et al. Assessment of strength, flexibility, and running mechanics in men with iliotibial band syndrome. J Orthop Sports Phys Ther. 2014 Mar;44(3):217-22.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258688/http://www.ncbi.nlm.nih.gov/pubmed/24450366?tool=bestpractice.com[45]Barrios JA, Crossley KM, Davis IS. Gait retraining to reduce the knee adduction moment through real-time visual feedback of dynamic knee alignment. J Biomech. 2010 Aug 10;43(11):2208-13.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914211/http://www.ncbi.nlm.nih.gov/pubmed/20452595?tool=bestpractice.com 尚未对患有髂胫束综合征的跑步者应用该技术进行评估。然而,有报道称经过8个阶段的动作捕捉及减退反馈,行走时具有过度膝内翻的健康参与者膝关节内翻得到改善。[45]Barrios JA, Crossley KM, Davis IS. Gait retraining to reduce the knee adduction moment through real-time visual feedback of dynamic knee alignment. J Biomech. 2010 Aug 10;43(11):2208-13.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914211/http://www.ncbi.nlm.nih.gov/pubmed/20452595?tool=bestpractice.com 语言提示包括“大腿闭紧”及“行走时膝关节并在一起”。