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Osgood Schlatter syndrome in 13 year old male playing elite level soccer -…
Osgood Schlatter syndrome in 13 year old male playing elite level soccer
FACTS
use online calculation for measure PHV time
high risk time PHV
decreased bone density
increased tensile forces on muscle attachments ( such as quads in OSD)
decreased neuromuscular control
decreased flexibility
apophyseal lesion at tibial tubercle (attachement patellar tendon)
aournd 12-14 yrs, most prevalent site of injury
management: education, activity ladder, modification of current sports practices, psychological support
symmptoms pain and tenderness in this region, reduced knee extension strength
symptoms not short lived, may continue into adulthood
sleep, diet
review load managment eg. after holiday, after injury, after growth spurt, school tests,..
11 + program before training, in preseason and during season, emphasis on strenght training
DIFFICULTIES
small market
not as applicable or harder to consolidate new information gained
horse riding is not an high risk sport so I
m not able to use some the sports
specific clinical guidelines
Dealing with expectations from client, parent and coaches
high pressure enviroment
OPPORTUNITIES
adapt sport`s specific clinical guidelines to horse riding, especially the modifications to the sport and emphasis on strength training
Use the activity ladder in other rehabilitation settings such as ankle fracture or achilles tendon tear or neuro rehab in the younger generation
provide education in a sport setting eg. school sports and clubs on injury prevention and the promotion of physical activity
BENEFITS
improved understanding of a topic that I did not know alot about
ability to recognise symptoms and being able to refer on
ability to educate patients and parents
promote physical activity
being able to calculate PHV and predicted height!
team approach to management
FEELINGS
quite specialised area working with elite athletes, so I would refer a client on as I do not feel confident treating a client
interesting topic with the latest research findings
feel slightly inferior as general physiotherapist
OVERVIEW
benefits of sport vs inactivity
increased loading with limited recovery time can lead to overuse injuries
in this case, no more than 13 hours of training/week
during peak growth spurt, higher risk of injury