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Individualized Rehabilitation for Osgood-Schlatter or Sever Pain in Youth Athletes

NCT07521280 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 45

Last updated 2026-05-20

No results posted yet for this study

Summary

The goal of this clinical trial is to learn if a 12-week individualized rehabilitation program is feasible and helpful for children and adolescents with lower-extremity apophyseal pain, including Osgood-Schlatter-related knee pain and Sever-related heel pain. It will also learn about how well participants follow the program, whether the program can be delivered as planned, and whether pain, function, and sports participation improve during rehabilitation.

The main questions it aims to answer are:

1. Can this rehabilitation program be delivered with good attendance, good home-exercise adherence, and complete follow-up data?
2. Do pain, function, and sports participation improve during the rehabilitation period?
3. Which baseline clinical, functional, ultrasound, maturity, or biomarker features may help explain who responds better to rehabilitation?

All participants will receive the same overall rehabilitation framework. The program includes education, pain and load monitoring, an activity-ladder approach, symptom-guided exercise progression, motor-control training, basic strength exercises, and gradual return to running, jumping, landing, and sport-specific activities. Exercises are individualized according to symptoms, current activity level, movement quality, treatment tolerance, and clinical judgement.

Participants will:

1. Attend baseline and follow-up physiotherapy assessments.
2. Receive an individualized rehabilitation plan with education, pain and load monitoring, and home exercises.
3. Complete home exercises and keep a short symptom and activity log.
4. Attend in-person physiotherapy review visits during the rehabilitation period.
5. Answer questionnaires about pain, function, perceived change, and sports participation during follow-up.

Conditions

  • Osgood-Schlatter Disease
  • Sever's Disease
  • Apophyseal Pain

Interventions

BEHAVIORAL

Individualized Load-Based Rehabilitation Pathway

This intervention is a 12-week individualized rehabilitation program for youth athletes with current or previous lower-extremity apophyseal pain, including Osgood-Schlatter-related knee pain and Sever-related heel pain. The program includes education, pain and load monitoring, activity modification, symptom-guided exercise progression, motor-control training, basic strength exercises, and gradual return to sport-related loading. All participants receive the same overall rehabilitation framework. The starting level, exercise variants, dose, progression, and temporary regressions are adjusted according to symptoms, current activity level, movement quality, treatment tolerance, response after exercise, and clinical judgement. Progression is guided by pain during exercise, symptom response after the session and the next day, perceived exertion, and movement quality, rather than by fixed timelines alone.

Sponsors & Collaborators

  • Medical University of Gdansk

    lead OTHER

Principal Investigators

  • Bartosz Wilczyński · Medical University of Gdansk

Study Design

Allocation
NA
Purpose
TREATMENT
Masking
NONE
Model
SINGLE_GROUP

Eligibility

Min Age
10 Years
Max Age
17 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2026-05-20
Primary Completion
2027-04-05
Completion
2029-04-05

Countries

  • Poland

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07521280 on ClinicalTrials.gov