Introduction: Iliotibial Band Syndrome (ITBS) is among the most common injuries in distance runners. Thus, the present study investigated the effect of a special strengthening exercise program for abductor’s muscles according to NSCA protocol, on pain reduction and lower extremity function improvement among elite distance runners with ITBS. Materials and Methods: The subjects of the present study were 32 elite distance runners who were randomly divided into two groups of control and experimental (n=16/group). The experimental group performed the exercise program for 8 weeks; however, the control group followed their routine program. The pain was assessed by the Visual Analogue Scale of pain (VAS) and the lower extremity function was assessed by the Lower Extremity Functional Scale (LEFS). In the statistical procedure, the repeated-measures Analysis of Variance (ANOVA) and Bonferroni test was applied to determine the within-group and between-groups differences of the study variables, and for assessing the stability level of protocols’ effect on the experimental group and comparing the stages, respectively. The significance level was considered 0.05, test power as 95%, and effect size as 0.7; SPSS was used for all data analyses. Results: The present study data indicated that the strengthening exercise program on hip abductor muscles caused a significant decrease in pain (P=0.0001). The lower extremity function manifested a significant improvement in the experimental group after 8 weeks of strengthening exercise protocol (P=0.0001); it was durable even 3 months after the end of the exercise program. Conclusion: Hip abductor muscle strengthening, based on NSCA protocol, can be an effective approach in reducing pain and improving lower extremity function in elite distance runners with ITBS.

Background: The role of exercise in osteoporosis prevention has been proven. Nevertheless, there is no consensus about the types of sports, especially at professional levels. Non-impact sports such as swimming may have a negative effect or no effect. Objectives: Thus, the present study aimed to compare the effect of different sports on bone mineral content (BMC) and bone mineral density (BMD) of elite female athletes. Methods: This was a cross-sectional study consisting of 48 athletes in five groups of long-distance running, volleyball, basketball, swimming (n = 12 for each), and ten control subjects. For measuring the lumbar spine (L2 - L4) and proximal femur (femoral neck, trochanter, and Ward’s triangle), the dual-energy X-ray absorptiometry (DEXA) method was applied. Results: Indicated that the running, basketball, and volleyball groups had a significantly higher lumbar spine and proximal femur BMD than the swimming and control groups (P < 0.05). Running resulted in significantly higher lumbar spine BMC compared to volleyball, basketball, swimming, and control groups, respectively (P < 0.01), while basketball had higher proximal femur BMC than running and controls (P < 0.01). The Z-score of the lumbar spine in the running was significantly higher than in basketball, swimming, and controls (P < 0.05), while basketball had a significantly higher femur neck Z-score than volleyball, running, and controls (P < 0.001). Finally, the swimmers had significantly higher Z-scores in the lumbar and the proximal femur than non-athletes (P < 0.001). Conclusions: Although all sports are effective for improving the bone health, the swimmers had much better bone status than non-athletes, while the sports of long-distance running and basketball were more efficient than others; therefore, a combination of endurance and jumping exercises seems to be the best way to prevent osteoporosis.