Dear list,
I wonder what your opinion is on the use of electrical currents on
Osgood Schlatters in say 11-12 year olds. My understanding is
that the cocnern with children is their reliability ie. if they are
experiencing a burn etc. Also, maybe ultrasound is then
indicated to help resolve OS if it stimulates bony growth??
I know this is an apophysis not epiphysis, but the same principle
must apply.
Interested in your replies.
Scott.
--
On Tue, 29 Feb 2000 14:12:33 Wendy Johnson wrote:
>I totally agree with the comments from Nick - but at
>what age should one start electrotherapy if indicated
>... Grays anatomy states the ages at each growth plate
>ossifies - e.g. the SIJ may only fully ossify at
>25years old! Personally I still go on the safety side,
>but without further research I don't suppose we'll
>have solid guidelines.
>
>Wendy Johnson
>
>--- nick bent <[log in to unmask]> wrote:
>> Dear Andy,
>>
>> I did a bit of a mini-literature search on this
>> myself
>> recently and there is not much out there. The
>> trouble
>> is that it would probably be unethical to expose
>> kid's
>> growth plates to electrotherapy in the long-term and
>> then see what happens.
>> However,
>>
>> Witlink et al (1995) exposed developing metatarsal
>> rudiments of rats to ultrasound in vitro. After 4
>> days
>> of pulsed rather than continuous ultrasound,
>> longitudinal growth was significantly increased.
>>
>> Doyle and Smart (1963) demonstrated that repeated
>> exposure of the growing epiphysis of the femur of
>> rats
>> to Shortwave diathermy increased the rate of growth
>> compared to the untreated legs.
>>
>> Doyle and Smart (1963) Stimulation of bone growth
>> by
>> shortwave diathermy. Journal of Bone and Joint
>> Surgery. Vol. 45, No. A1, p15-23.
>>
>> Witlink et al (1995) Effect of therapeutic
>> ultrasound
>> on endochondral ossification. Ultrasound Med Biol.
>> Vol. 21, No. 1, p121-7.
>>
>> Personally, I think that the fact that there is some
>> evidence to suggest alteration of bony growth with
>> electrotherapy, weighed against the possible
>> benefits
>> of administering such treatments in youngsters who
>> should not need to be rushed back to action, means
>> that it is sensible to go on the side of safety.
>>
>>
>> Nick
>>
>>
>> --- Andy Thomas <[log in to unmask]> wrote:
>> >
>> > Is anybody aware of any research articles related
>> to
>> > the specific use of any
>> > electrotherapy modality on Children particularly
>> > related to the growth
>> > plate.
>> >
>> > Many Thanks
>> >
>> >
>> > Andy Thomas
>> >
>> >
>> >
>>
>______________________________________________________
>> > Get Your Private, Free Email at
>> > http://www.hotmail.com
>> >
>> >
>> __________________________________________________
>> Do You Yahoo!?
>> Talk to your friends online with Yahoo! Messenger.
>> http://im.yahoo.com
>>
>__________________________________________________
>Do You Yahoo!?
>Talk to your friends online with Yahoo! Messenger.
>http://im.yahoo.com
>
MailCity. Secure Email Anywhere, Anytime!
http://www.mailcity.com
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|