Evaluation of the effectiveness of combined calcium-phosphorus iontophoresis and interferential therapy in children with adolescent tibial osteochondrosis

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Abstract

Objective. To evaluate the effectiveness of the combined use of calcium-phosphorus iontophoresis and interferential therapy in adolescents with tibial tuberosity osteochondropathy (Osgood–Schlatter disease).

Material and methods. The study included 90 adolescents aged 10–17 years who were regularly engaged in sports activities and had a clinically and instrumentally confirmed diagnosis of Osgood–Schlatter disease. The patients were randomized into three groups: control group – therapeutic physical training (TPT) only; comparison group – TPT + calcium-phosphorus iontophoresis; main group – TPT + iontophoresis + interferential therapy. The follow-up duration was 12 months. Treatment efficacy was assessed using the Visual Analog Scale (VAS) for pain, goniometry, and ultrasound examination.

Results. In the main group, which received combined physiotherapy, a statistically significant reduction in pain intensity was observed (down to 2.1 points on the VAS), along with improved range of motion (up to 147.3° of knee flexion) and reduced thickness of the patellar ligament (down to 4.2 mm). These outcomes were significantly better than those in the control and comparison groups (p<0.05).

Conclusion. The combined application of calcium-phosphorus iontophoresis and interferential therapy is an effective and safe method for treating Osgood–Schlatter disease in adolescents, ensuring both clinical and morphological recovery.

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About the authors

Yu. 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. 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

MD, Professor

Russian Federation, Moscow

L. 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

MD

Russian Federation, Moscow

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