AI Article Synopsis
- Patients with early-stage spondylolysis can achieve bony union through a combination of rigid corsets and exercise therapy, but traditional methods may affect physical fitness.
- The study involved 31 young patients divided into light intensity and aggressive exercise groups, both wearing corsets for 2-3 months while undergoing different exercise regimens.
- Results showed that both exercise groups improved bony union, with the aggressive group having a lower drop-out rate, indicating it was a safe and motivating treatment option for maintaining adherence in recovery.
Article Abstract
Introduction: Bony union in patients with early-stage spondylolysis can be achieved using a rigid corset and avoiding sports activities. However, prolonged absence from sports activities may decrease physical fitness. This study aimed to investigate the safety and efficacy of aggressive exercise therapy for patients with early-stage spondylolysis (ESS).
Methods: Thirty-one patients (aged <19 years; 26 males) diagnosed with unilateral ESS were divided into light intensity (L group; n = 16) and aggressive (A group; n = 15) exercise groups. All patients wore a hard corset and received light intensity (L group) or aggressive (A group) exercise therapy for 2-3 months. After treatment, the bony union was assessed using magnetic resonance imaging and computed tomography. The mean interval between the initial and second computed tomography examinations, including treatment drop-out rates, was determined.
Results: Second computed tomography examination results showed that bony union was either improved or achieved in both groups. The mean interval between the initial and second computed tomography examinations was 78.1 ± 19.7 and 78.1 ± 17.4 days in the L and A groups, respectively, with no significant difference. The L group had a higher drop-out rate (n = 5; 31.3%) than the A group (n = 1; 6.7%), albeit not significant.
Discussion: Both groups showed bony union after treatment, suggesting that aggressive exercise therapy was safe and effective for patients with unilateral ESS. Moreover, the lower drop-out rate in group A suggests that aggressive exercise therapy maintained the patients' adherence to long-term treatment.
Conclusions: Aggressive exercise therapy was effective-to-safe and maintained good motivation in patients with ESS.
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| http://dx.doi.org/10.1016/j.jbmt.2023.04.087 | DOI Listing |
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Article Synopsis
- Patients with early-stage spondylolysis can achieve bony union through a combination of rigid corsets and exercise therapy, but traditional methods may affect physical fitness.
- The study involved 31 young patients divided into light intensity and aggressive exercise groups, both wearing corsets for 2-3 months while undergoing different exercise regimens.
- Results showed that both exercise groups improved bony union, with the aggressive group having a lower drop-out rate, indicating it was a safe and motivating treatment option for maintaining adherence in recovery.
Low back pain characteristics in adolescent patients with early-stage spondylolysis: a prospective study.
Eur Spine J
October 2024
Nishikawa Orthopaedic Clinic, 1-14-2 Ohsakidai, Sakura, Chiba, 285-0817, Japan.
Article Synopsis
- Early-stage spondylolysis (ESS) is a common cause of acute low back pain in adolescents, making early diagnosis crucial but challenging without imaging.
- This study tested a self-reported questionnaire against clinical evaluations in 69 adolescents with acute low back pain, focusing on factors like exercise habits and pain characteristics.
- Results showed that higher exercise frequency, longer training durations, and male gender were moderately associated with ESS, indicating these factors could enhance the questionnaire's effectiveness in identifying ESS.
Factors associated with return to play following conservative treatment for lumbar spondylolysis among young athletes: A retrospective case series using structural equation modeling.
J Bodyw Mov Ther
January 2024
Graduate School of Arts and Sciences, The Open University of Japan, Chiba, Japan; School of Health and Sports Science, Juntendo University, Inzai, Japan.
Introduction: Lumbar spondylolysis is the most common underlying cause of lower back pain (LBP) in young athletes. Conservative treatment methods are often used to reduce pain and promote healing. Several parameters may affect the duration of conservative treatment, such as the time to return to play (RTP), patient behavior, and physical parameters; however, no study has comprehensively assessed the factors that affect the time to RTP.
View Article and Find Full Text PDFCharacteristics of Adult-Onset Acute Lumbar Spondylolysis Treated Conservatively.
Spine Surg Relat Res
January 2023
Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Introduction: Lumbar spondylolysis typically arises during adolescence, whereas its onset in adulthood is rare. Several studies have reported incidentally identified terminal-stage spondylolysis in adults, but only one case series has investigated acute lumbar spondylolysis lesions with bone marrow edema in adults.
Methods: We retrospectively investigated lumbar spondylolysis in patients aged 18 years or older.
Clinical characteristics of early-stage lumbar spondylolysis detected by magnetic resonance imaging in male adolescent baseball players.
J Orthop Sci
January 2024
Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima City, Fukushima, Japan.
Background: Many adolescent athletes experience low back pain; the most common cause is lumbar spondylolysis. Although early identification of lumbar spondylolysis in adolescent athletes is critical, few studies have focused on identifying the early stages of spondylolysis in baseball players. This study aimed to investigate the clinical characteristics of early-stage spondylolysis in male adolescent baseball players.
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