Exploratory Effects of a Combined Hold-Relax Technique and Progressive Rehabilitation Program on Knee Pain in Adolescent Athletes With Osgood-Schlatter Disease: A Pilot Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Benha University
- Enrollment
- 6
- Locations
- 1
- Primary Endpoint
- Change from Baseline in Knee Pain Intensity on the Visual Analog Scale (VAS)
Study Overview
Brief Summary
This pilot study evaluates the preliminary effectiveness of a combined rehabilitation program incorporating hold-relax (H-R) stretching techniques and progressive therapeutic exercises on knee pain and range of motion (ROM) in adolescent athletes diagnosed with Osgood-Schlatter disease. Utilizing a retrospective, single-group pre-post design on a cohort of six athletic participants, this study aims to generate preliminary clinical evidence and assess feasibility to inform future larger-scale randomized controlled trials. Participants underwent a structured, multi-week rehabilitation protocol, with primary clinical outcomes assessed before and after the intervention period using validated measures of pain intensity and knee joint mobility.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 14 Years to 18 Years (Child, Adult)
- Sex
- Male
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Clinical diagnosis of Osgood-Schlatter disease
- •Presence of anterior knee pain localized at the tibial tuberosity
- •Regular participation in sports involving running and jumping
- •No participation in structured rehabilitation programs within the previous 3 months
Exclusion Criteria
- •History of knee surgery or major trauma
- •Presence of other knee pathologies (e.g., ligament or meniscal injuries)
- •Neurological or systemic disorders affecting movement
Arms & Interventions
Combined Rehabilitation and Hold-Relax Cohort
A single experimental group of adolescent athletes diagnosed with Osgood-Schlatter Disease (OSD). All participants in this cohort receive a structured, multi-week progressive rehabilitation program combined with Hold-Relax (H-R) proprioceptive neuromuscular facilitation (PNF) stretching techniques.
The intervention protocol consists of:
- Hold-Relax stretching targeting the quadriceps and hamstring muscle groups to reduce tensile stress on the tibial tuberosity.
- Progressive therapeutic exercises focusing on lower extremity strengthening, load tolerance, and functional biomechanics.
Intervention: Hold-Relax Proprioceptive Neuromuscular Facilitation (PNF) (Behavioral)
Combined Rehabilitation and Hold-Relax Cohort
A single experimental group of adolescent athletes diagnosed with Osgood-Schlatter Disease (OSD). All participants in this cohort receive a structured, multi-week progressive rehabilitation program combined with Hold-Relax (H-R) proprioceptive neuromuscular facilitation (PNF) stretching techniques.
The intervention protocol consists of:
- Hold-Relax stretching targeting the quadriceps and hamstring muscle groups to reduce tensile stress on the tibial tuberosity.
- Progressive therapeutic exercises focusing on lower extremity strengthening, load tolerance, and functional biomechanics.
Intervention: Progressive Rehabilitation Program (Behavioral)
Outcomes
Primary Outcomes
Change from Baseline in Knee Pain Intensity on the Visual Analog Scale (VAS)
Time Frame: Baseline (Day 1, pre-intervention) and post-intervention (Week 10, immediately following completion of the last rehabilitation session).
Knee pain during athletic activity is assessed using a 10-centimeter Visual Analog Scale (VAS). The scale is a horizontal line where 0 centimeters indicates "no pain" and 10 centimeters indicates "the worst possible pain." The outcome is calculated as the change in the pain score (post-intervention score minus baseline score). A negative change indicates an improvement (reduction) in knee pain.
Secondary Outcomes
- Change from Baseline in Active Knee Flexion Range of Motion(Baseline (Day 1, pre-intervention) and post-intervention (Week 10, immediately following completion of the last rehabilitation session).)
Investigators
Adel Farag Al Kholy
Professor of Medical Biochemistry
Benha University