Impact of comprehensive physiotherapy on functional status and quality of life in adolescents with Osgood–Schlatter disease: results of a randomized clinical trial

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. To assess the effectiveness of a comprehensive physiotherapeutic intervention (calcium-phosphorus electrophoresis and interferential therapy) in adolescents with Osgood–Schlatter disease using the KOOS and SF-36 questionnaires.

Materials and methods. Ninety adolescents diagnosed with Osgood–Schlatter disease were divided into three groups: control (physical therapy), comparison (physical therapy + electrophoresis), and main (physical therapy + electrophoresis + interferential therapy). KOOS and SF-36 were used to assess dynamics before treatment, after the course, and 12 months later. Statistical analysis included Student's t-test, Mann–Whitney U test, and Wilcoxon test.

Results. The main group showed statistically significant improvement across all KOOS and SF-36 domains. The most notable changes were observed in the KOOS subscale “sports and recreation” and the SF-36 domains “vitality,” “physical functioning,” and “pain.” The comparison group showed moderate improvement; the control group showed minimal change. Improvements were maintained at 12 months.

Conclusion. The proposed combination of physiotherapeutic methods is effective for the rehabilitation of adolescents with Osgood–Schlatter disease and provides stable recovery of function and quality of life.

Full Text

Restricted Access

About the authors

Yu. M. Emelin

National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of Russia; Children's City Polyclinic No. 23, Department of Health of Moscow

Author for correspondence.
Email: marchenkovala@nmicrk.ru
ORCID iD: 0009-0000-7943-3164
Russian Federation, Moscow; Moscow

T. V. Konchugova

National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of Russia

Email: marchenkovala@nmicrk.ru
ORCID iD: 0000-0003-0991-8988
SPIN-code: 3198-9797

Associate Professor, MD

Russian Federation, Moscow

L. A. Marchenkova

National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of Russia

Email: marchenkovala@nmicrk.ru
ORCID iD: 0000-0003-1886-124X
SPIN-code: 9619-8004

Professor, MD

Russian Federation, Moscow

References

  1. Gaulrapp H. Clinical examination, imaging and therapy of Osgood-Schlatter's disease. Orthopade. 2016; 45 (3): 219–25. doi: 10.1007/s00132-016-3225-1
  2. Chandra R., Malik S., Ganti L. et al. Diagnosis and Management of Osgood Schlatter Disease. Orthop Rev (Pavia). 2024; 16: 121395. doi: 10.52965/001c.121395
  3. Чупина С.А., Усенко Е.В. Электрофорез с кальцием и фосфором в педиатрической практике. Вестник физиотерапии. 2021; 1: 12–8 [Chupina S.A., Usenko E.V. Electrophoresis with calcium and phosphorus in paediatric practice. Bulletin of physiotherapy. 2021; 1: 12–8 (in Russ.)].
  4. Николаев Ю.М., Власов Ю.В. Интерференционные токи в восстановительном лечении: методическое руководство. М.: МЕДпресс-информ, 2022; 144 с. [Nikolaev Yu.M., Vlasov Y.V. Interference currents in restorative treatment: methodological guide. M.: Medpress-informas, 2022; 144 p. (in Russ.)].
  5. Дюжикова Е.В., Меркулова С.А. ЛФК при заболеваниях опорно-двигательного аппарата у детей. М.: ГЭОТАР-Медиа, 2022; 208 с. [Duzhikova E.V., Merkulova S.A. Physiotherapy for musculoskeletal diseases in children. M.: GEOTAR-Media, 2022; 208 c. (in Russ.)].
  6. Зайцева Л.М., Ефимов А.А. Оценка качества жизни у подростков с заболеваниями опорно-двигательного аппарата. Вопросы современной педиатрии. 2022; 21 (5): 52–7 [Zaitseva L.M., Efimov A.A. Assessment of quality of life in adolescents with diseases of the musculoskeletal system. Voprosy sovremennoi pediatrii. 2022; 21 (5): 52–7 (in Russ.)].
  7. Абрамов А.Ю., Шляхтина Е.И. Роль микроэлементов в патогенезе и лечении заболеваний костной системы у детей. Педиатрия. 2019; 98 (4): 34–9 [Abramov A.Yu., Shlyakhtina E.I. Role of micronutrients in pathogenesis and treatment of diseases of the bone system in children. Pediatrics. 2019; 98 (4): 34–9 (in Russ.)].
  8. Кулакова Н.В., Чекалина С.Ю. Электрофорез в педиатрической практике: методическое руководство. М.: ГЭОТАР-Медиа, 2023; 112 с. [Kulakova N.V., Chekalina S.Y. Electrophoresis in pediatric practice: methodological guide. Moscow: GEOTAR-Media, 2023; 112 p. (in Russ.)].
  9. Alexander R.W., Freedman K.B. Calcium and phosphorus in pediatric bone health. J Pediatr Orthop. 2020; 40 (1): 12–8.
  10. Roos E.M., Lohmander L.S. The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health Qual Life Outcomes. 2003; 1: Art. 64. doi: 10.1186/1477-7525-1-64
  11. Ware J.E., Sherbourne C.D. The MOS 36-item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Med Care. 1992; 30 (6): 473–83.
  12. Шевелева Н.В., Брагина Т.В. Реабилитация подростков-спортсменов при остеохондропатиях. М.: Научный мир, 2020; 176 с. [Sheveleva N.V., Bragina T.V. Rehabilitation of adolescent athletes with osteochondropathies. Moscow: Nauchny Mir, 2020; 176 p. (in Russ.)].
  13. Auleley G.-R., Hanon G., Dureuil B. Exercise therapy in juvenile osteochondroses: a systematic review. Ann Phys Rehabil Med. 2020; 63 (1): 5–12. doi: 10.1016/j.rehab.2019.09.003
  14. Grimmer K., Kay D., Stanley R. The effectiveness of physiotherapy for adolescent musculoskeletal pain: a systematic review. Phys Ther Rev. 2018; 23 (1): 3–9. doi: 10.1080/10833196.2018.1454024
  15. De Carlo M.S., Armstrong B. Rehabilitation of the knee following sports injury. Clin Sports Med. 2010; 29 (1): 81–106. doi: 10.1016/j.csm.2009.09.004

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2025 Russkiy Vrach Publishing House