Effect of sports modification on clinical outcome in children and adolescent athletes with symptomatic lumbar spondylolysis.
Am J Phys Med Rehabil
; 92(12): 1070-4, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-24141103
ABSTRACT
OBJECTIVE:
This cohort study aimed to report the compliance of young athletes with nonoperative treatment and to clarify the role of sports modification on clinical outcome of symptomatic spondylolysis.DESIGN:
This study included patients with a chief complaint of low back pain participating in regular sports activity, having spondylolysis, and being treated and followed up between 1990 and 2002 in the authors' hospital.RESULTS:
One hundred thirty-two athletes were included in this study 78 males and 54 females. The mean age of the patients was 13 yrs (range, 7-18 yrs). Only 56 patients (42.4%) were compliant to nonoperative treatment. Eighty-six patients (65%) stopped all sports activities for at least 3 mos, and 46 patients (35%) stopped exercising for a variable period of less than 3 mos. The grading of clinical outcome after nonoperative treatment was as follows excellent in 48 patients (36.4%), good in 74 patients (56.1), fair in 6 patients (4.5%), and poor in 4 patients (3%). The patients who stopped sports for at least 3 mos were 16.39 times more likely to have an excellent result than those who did not stop sports. Bony healing on radiographs did not correlate with clinical outcome.CONCLUSIONS:
Timely cessation of sports activity for 3 mos is considered an effective method of nonoperative treatment for young athletes with symptomatic lumbar spondylolysis.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Espondilólise
/
Dor Lombar
/
Vértebras Lombares
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
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Child
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Female
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Humans
/
Male
Idioma:
En
Revista:
Am J Phys Med Rehabil
Assunto da revista:
MEDICINA FISICA
/
REABILITACAO
Ano de publicação:
2013
Tipo de documento:
Article