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Immediate functional progression program in adolescent athletes with a spondylolysis.

Mitchell Selhorst1, James MacDonald2, Lisa C Martin3

  • 1Sports and Orthopedic Physical Therapy, Nationwide Children's Hospital, Columbus, OH, USA.

Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine
|September 6, 2021
PubMed
Summary

This study shows an immediate functional progression program effectively treats adolescent athletes with active spondylolysis, with most returning to sport quickly. The program demonstrated significant improvements in pain and function, supporting its viability.

Keywords:
AthleteBone stress injuryLow back painYouth

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Area of Science:

  • Sports Medicine
  • Orthopedics
  • Adolescent Sports Injuries

Background:

  • Active spondylolysis is a common stress injury in adolescent athletes.
  • Traditional treatment often involves extended rest periods, impacting athletic participation.
  • There is a need for effective, evidence-based rehabilitation programs for this condition.

Purpose of the Study:

  • To evaluate the preliminary efficacy and safety of an immediate functional progression program.
  • To assess the impact of this program on adolescent athletes diagnosed with active spondylolysis.

Main Methods:

  • A prospective, single-arm trial was conducted in a hospital-based sports medicine clinic.
  • Twelve adolescent athletes with active spondylolysis participated.
  • Outcomes included time to return to sport, functional scores (Micheli Scale), and adverse events, with MRI assessments.

Main Results:

  • 92% of participants returned to sport in a median of 2.5 months.
  • Significant improvements in pain and function were observed in all participants.
  • One participant experienced a recurrence of low back pain (LBP) and showed no lesion improvement on MRI.

Conclusions:

  • The immediate functional progression program is a promising treatment for active spondylolysis in adolescent athletes.
  • The program facilitated a rapid return to sport and improved functional outcomes.
  • Further research is warranted to validate these findings and explore long-term outcomes.