08/06/2024
Physical health care
"Unlocking the power of physiotherapy: move towards independent life"
💢Sinding-Larsen-Johansson Syndrome
(Distal patella apophysitis) is irritation and inflammation of the growth plate (apophysis) at the bottom of the patella (kneecap), where the patella tendon inserts. In a child, the bones grow from areas called growth plates.
♦️Symptoms:-
▪️Swelling and tenderness around the kneecap.
▪️Pain that increases with exercise or activities like running, climbing stairs, or jumping.
▪️Pain that gets more severe when kneeling
▪️A swollen or bony bump at the bottom of the kneecap.
♦️Causes:-
The causes and risk factors of Sinding-Larsen-Johansson syndrome include
▪️Overuse of the knee, especially from repetitive running and jumping
▪️Tight quadriceps muscles, which is common during a growth spurt
▪️Playing sports that involve a lot of running and jumping, such as track, soccer, gymnastics, basketball, lacrosse, and field hockey
▪️Age, as it usually happens to teens who are in their growth spurt (usually around 9–14 years old)
▪️Having cerebral palsy
▪️Being physically active
♦️Physical therapy management for Sinding-Larsen-Johansson syndrome typically includes:-
1. Pain management: Modalities like heat, cold, electrical stimulation, and ultrasound to reduce pain and inflammation.
2. Stretching and foam rolling: To improve quadriceps and hamstring flexibility.
3. Strengthening exercises: Focused on the quadriceps, hamstrings, and core muscles.
4. Patellar mobilization: Gentle mobilization techniques to improve kneecap tracking.
5. Functional activities: Gradual progression to jumping, hopping, and agility drills.
6. Gait training: Analysis and correction of running or walking techniques.
7. Education: Proper warm-up, cool-down, and training techniques.
8. Modalities: Phonophoresis iontophoresis, or shockwave therapy to enhance healing.
9. Return-to-sport protocol: Guided progression back to full sports participation.