A 3-arm Randomised Parallel Group Superiority Trial to Investigate the Efficacy of Graded Loading and Return to Sport or Pain Guided Activity, Versus Rest or on Symptom and Disease Severity in Patients With Osgood Schlatter
Status: Unknown
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
The goal of this trial is to compare graded return to sport, or pain guided activity to rest in youth with Osgood Schlatter. The main objectives are: \- to assess the graded return to sport, or pain guided activity on symptoms (pain and function) at six months compared to rest The secondary objectives are to assess the impact of progressive return to sport or pain guided activity on: * Muscle strength and performance * Anterior knee pain provocation * Sports participation * Physical activity The exploratory objectives are to assess the impact of progressive return to sport on ultrasound imaging characteristics of OSD.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 8
Maximum Age: 16
Healthy Volunteers: f
View:
⁃ \- Children/adolescents (male and female) aged 8-16 years
• Diagnosis of OSD based on clinical examination including localised pain at the tibial tuberosity (the insertion of the patellar tendon onto the shin) that increases by palpation, and pain during resisted isometric knee extension.
• Ability to understand and the willingness to provide consent
Locations
Other Locations
Denmark
Research Unit for General Practice in Aalborg
RECRUITING
Aalborg
Contact Information
Primary
Michael S Rathleff, DrMed
quickreturnOSD@hst.aau.dk
Time Frame
Start Date:2023-01-26
Completion Date:2024-12
Participants
Target number of participants:144
Treatments
Experimental: Tailored loading
Participants will be provided with a 5-stage return to sport tool, which gradually increases sports intensity and knee loading. In addition, they are to perform a progressive exercise program at home to increase lower extremity strength and prepare them for the demands of sport. Participants will begin at a starting point in the five stages based on their current symptoms and self reported sports related disability, and given guidance on how to progress / regress their loading within the five stage framework
Experimental: Pain within acitvity limits
Participants will be advised to participate in sport/exercise to the extent that pain allows. They will not be restriced full from sport but will be instructed how to use a pain moritoring tool to help monitor pain and balance the amount of activities in which they can participate.
No_intervention: Rest until pain subsides
Participants will be provided advice on rest for a minimum of four weeks or until pain subsides