Immediate functional progression program in adolescent athletes with a spondylolysis.
Phys Ther Sport
; 52: 140-146, 2021 Nov.
Article
em En
| MEDLINE
| ID: mdl-34487947
ABSTRACT
OBJECTIVE:
To assess the preliminary evidence for the efficacy and safety of an immediate functional progression program to treat adolescent athletes with an active spondylolysis.DESIGN:
Prospective single-arm trial.SETTING:
Hospital-based sports medicine and physical therapy clinic.PARTICIPANTS:
Twelve adolescent athletes (14.2 ± 2 years, 25% female) with an active spondylolysis. MAIN OUTCOMEMEASURES:
Clinical outcomes included time out of sport, Micheli Functional Scale (Function and Pain) and adverse reactions. Clinical outcomes were assessed at baseline, 1 month, 3 months and 6 months. Magnetic resonance imaging was performed at baseline and 3 months to confirm diagnosis and assess healing of lesion.RESULTS:
Eleven participants (92%) fully returned to sport in a median time of 2.5 months (75 days; interquartile range 55 days, 85 days). All participants demonstrated marked improvements in pain and function by the end of the program. One participant (8%) had an adverse reaction during care with a significant recurrence of LBP and had not returned to sport by 6 months. Magnetic resonance imaging demonstrated improvement of the spondylolytic lesion in all but one participant.CONCLUSION:
The immediate functional progression program appears a viable method for treating active spondylolysis and warrants future research.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esportes
/
Espondilólise
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Phys Ther Sport
Assunto da revista:
MEDICINA ESPORTIVA
/
MEDICINA FISICA
Ano de publicação:
2021
Tipo de documento:
Article