Selhorst Mitchell, Allen Michael, McHugh Robyn, MacDonald James
Sports and Orthopedic Physical Therapy, Nationwide Children's Hospital, Columbus, Ohio, United States.
Division of Occupational Therapy and Physical Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States.
Int J Sports Phys Ther. 2020 Apr;15(2):287-300.
Low back pain in adolescent athletes is quite common, and an isthmic spondylolysis is the most common identifiable cause. Spondylolysis, a bone stress injury of the pars interarticularis, typically presents as focal low back pain which worsens with activity, particularly with back extension movements. Research on spondylolysis has focused on diagnosis, radiographic healing, the effects of bracing, and rest from activity. Although physical therapy is frequently recommended for adolescent athletes with spondylolysis, there have been no randomized controlled trials investigating rehabilitation. Additionally, there are no detailed descriptions of physical therapy care for adolescent athletes with spondylolysis. The purpose of this clinical commentary is to provide a brief background regarding the pathology of isthmic spondylolysis and provide a detailed description of a proposed plan for physical therapy management of spondylolysis in adolescent athletes.
青少年运动员的下背痛很常见，峡部裂是最常见的可识别病因。峡部裂是关节突间部的一种骨应力损伤，通常表现为局部下背痛，活动时尤其是后伸动作时疼痛加重。关于峡部裂的研究主要集中在诊断、影像学愈合、支具的作用以及休息对活动的影响。虽然对于患有峡部裂的青少年运动员经常推荐物理治疗，但尚无随机对照试验来研究康复治疗。此外，也没有关于患有峡部裂的青少年运动员物理治疗护理的详细描述。本临床评论的目的是提供关于峡部裂病理的简要背景，并详细描述青少年运动员峡部裂物理治疗管理的拟议计划。
5级。
