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Titre : | Immediate functional progression program in adolescent athletes with a spondylolysis (2021) |
Auteurs : | Mitchell Selhorst ; James P. MacDonald ; Lisa C. Martin ; Richard Rodenberg ; Ramkumar Krishnamurthy ; Reno Ravindran ; Anastasia Fischer |
Type de document : | Article |
Dans : | Physical therapy in sport (Vol. 52, November 2021) |
Article en page(s) : | p. 140-146 |
Note générale : | https://doi.org/10.1016/j.ptsp.2021.08.009 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adolescent ; Athlètes ; Enfant (6-12 ans) ; Etudes prospectives ; Femmes ; Hommes ; Imagerie par résonance magnétique ; Spondylolyse ; Sports |
Résumé : |
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 outcome measures 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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1466853X21001437 |