Osgood-Schlatters disease is a traction apophysitis of the tibial tubercle of the knee and tends to affect athletically active adolescents during their secondary growth spurts1. It is a painful and extremely limiting condition and is the most common overuse injury in this age group2. The current standard treatment is to allow the athlete to self-manage pain and activity levels, but the documented history of this condition records patients having to refrain from physical activity for an average of 21 months3. The object of this pilot study was to investigate the dual influence of myofascial release massage and stretching of the quadriceps group on the speed of recovery of patients with Osgood Schlatter.
25 patients were referred for physiotherapy treatment for Osgood Schlatter (6 female, aged 11.6 ±1.5SD; 19 male, aged 13 ± 1.6). Onset of symptoms ranged from acute (1 week) to chronic (36 months) with an average of 8 months. Initial measurements of functional tendon loading using a standing wall slide test4 were taken for all subjects. This test was then repeated at regular intervals. Massage was performed daily for 2 minutes, either by the physiotherapist or parent who had been taught the technique. Once pain free knee flexion was achieved, active stretching was then performed daily by the patient instead of the Massage. Statistical analysis was performed to determine any significance between subsequent recordings using one-tailed t-tests.
All patients achieved a full wall squat in an average of 20 days (±12) with a maximum of 50. The improvement in wall slide was significant to 98% (p