Sports and Orthopedic Physical Therapy, Nationwide Children's Hospital, Columbus, OH, USA.
Division of Sports Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
Phys Ther Sport. 2021 Nov;52:140-146. doi: 10.1016/j.ptsp.2021.08.009. Epub 2021 Aug 23.
To assess the preliminary evidence for the efficacy and safety of an immediate functional progression program to treat adolescent athletes with an active spondylolysis.
Prospective single-arm trial.
Hospital-based sports medicine and physical therapy clinic.
Twelve adolescent athletes (14.2 ± 2 years, 25% female) with an active spondylolysis.
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.
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.
The immediate functional progression program appears a viable method for treating active spondylolysis and warrants future research.
评估一种即刻功能进展计划治疗青少年活动性脊椎裂患者的疗效和安全性的初步证据。
前瞻性单臂试验。
医院为基础的运动医学和物理治疗诊所。
12 名青少年运动员（14.2±2 岁，25%为女性）患有活动性脊椎裂。
临床结果包括运动时间、Micheli 功能量表（功能和疼痛）和不良反应。临床结果在基线、1 个月、3 个月和 6 个月进行评估。在基线和 3 个月进行磁共振成像以确认诊断和评估病变愈合情况。
11 名参与者（92%）在中位数为 2.5 个月（75 天；四分位间距 55 天，85 天）的时间内完全重返运动。所有参与者在项目结束时均表现出明显的疼痛和功能改善。1 名参与者（8%）在治疗过程中出现不良反应，腰痛明显复发，截至 6 个月尚未重返运动。磁共振成像显示除 1 名参与者外，所有参与者的脊椎裂病变均有改善。
即刻功能进展计划似乎是治疗活动性脊椎裂的一种可行方法，值得进一步研究。
