Osgood Schlatter’s Disease
Strickland JM, Coleman NJ, Brunswic M and Kocken R.
(Centre for Sport and Exercise Science, School of Science, University of Greenwich)
Method: 25 patients were referred for physiotherapy treatment for OSD (6 female, aged 11.6 ±1.5SD; 19 male, aged 13 ± 1.6). Onset of symptoms ranged from acute (1 week) to chronic (36 months) with an average of 8 months. Initial measurements of functional tendon loading using a standing wall slide test4 were taken for all subjects. This test was then repeated at regular intervals. MRM was performed daily for 2 minutes, either by the physiotherapist or parent who had been taught the technique. Once pain free knee flexion was achieved, active stretching was then performed daily by the patient instead of the MRM. Statistical analysis was performed to determine any significance between subsequent recordings using one-
Results: All patients achieved a full wall squat in an average of 20 days (±12) with a maximum of 50. The improvement in wall slide was significant to 98% (p<0.02) for each recording. Upon full wall slide patients were discharged and returned to their sporting activities as normal, with no reported further problems. At various follow-
Discussion: In spite of the vagaries of adolescent and parent compliance, and the limitations of clinic appointments, these results indicate that MRM and stretching are likely to be an important intervention in the active treatment of this disabling condition. The patients in this study returned to their sport in a significantly shorter time than is usually anticipated with the traditional ‘let them grow out of it’ approach.
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3. Antich TJ and Lombardo SJ (1985) “Clinical Presentation of Osgood-
4. Meisterling RC, Wall EJ and Meisterling MR (1998) “Coping with Osgood-