Iliotibial band syndrome is often associated with which of the following?

Iliotibial band syndrome (ITBS) is commonly associated with structural and functional issues in the hip area and lower extremities. The iliotibial band is a thick band of tissue that runs along the outside of the thigh from the hip to the knee. When there is an imbalance or weakness around the hip, particularly involving the gluteus maximus and the hip abductors, it can lead to unnecessary strain on the IT band.

Weakness in the gluteus maximus can contribute to improper hip mechanics during activities such as running or walking, causing an increased load on the IT band. The gluteus maximus plays a crucial role in maintaining pelvic stability and controlling hip movement. If it's weak, this stability is compromised, potentially leading to friction or irritation of the IT band against the lateral femoral epicondyle.

Similarly, weak hip abductors—which include the gluteus medius—are important for maintaining proper alignment of the hip and pelvis during movement. When the hip abductors are inefficient, it can result in excessive hip adduction and internal rotation that increases tension on the IT band, exacerbating the risk of developing ITBS.

Since both weak gluteus maximus and weak hip abductors can contribute