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An electrotherapy tutor advised me not to use electrotherapy when the individual growth plate is at it's most active stage, but when is that? Also it is safe to use as long as a growth plate is not in the line of 'fire'. Lisa >From: Wendy Johnson <[log in to unmask]> >Reply-To: [log in to unmask] >To: [log in to unmask] >Subject: Re: Electrotherapy use on Children >Date: Tue, 29 Feb 2000 14:12:33 -0800 (PST) > >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 ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%