Fuentes-Nucamendi MA, Carrillo-Muñiz H, Bonfil-Ojeda JR, Frías-Austria R

Language: Spanish
References: 15
Page: 79-86
PDF size: 640.21 Kb.

ABSTRACT

Objectives: The purpose of this study is to show that a simplified stretching exercise regimen for the pelvic limbs, together with analgesics and physical therapy, may improve growing pains during an 8-week period. The Evans and Scutter diagnostic criteria modified by Peterson were used. Material and methods: Prospective, longitudinal study of the clinical trial type, conducted from November 2002 to December 2008. The following tests were requested from patients: CBC, rheumatoid factor, antistreptolysins and a pharyngeal smear. A simplified regimen consisting of three stretching exercises for the adductors, the knee extensors and the hamstrings, plus analgesics and physical therapy was used. Both parents and patients were instructed on the regimen. The treatment was performed by parents at home. Analysis: The sampling was non-randomized; patients were selected based on the diagnosis. The statistical analysis included the central tendency measurements and scatter plots, the Z-test for compari son of means, and the linear correlation. Results: The correlation between treatment and pain relief resulted in an r = 0.97, the correlation between pain and the study variables resulted in the following: sports practice r = 0.82, obesity r = 0.86. The Z-test corroborates the improvement in the clinical picture with the treatment provided, with p = 0.0001. Conclusion: The simplified treatment regimen was effective to improve growing pains in the patients in the study. The high risk factors were: age, male gender and practicing sports.

REFERENCES

1. Frías R, Cortés R, Álvarez I: Dolores de crecimiento. Respuesta a los ejercicios de relajación. Rev Mex Ortop Traumatol 1999; (13)1: 68-73.

2. Peterson H: Growing pains. Pediatr Clin North Am 1986; 33: 1365-72.

3. Baxter MP, Dulberg C: Growing pains in childhood. A proposal for treatment. J Pediatr Orthop 1988; 8: 402-6.

4. Bowyer S, Hollister J: Limb pain in childhood. Pediatr Clin North Am 1984; 31: 1053-81.

5. Dagnino SJ: Definición y clasificación del dolor. Bol Esc Med Univ Catol Chile 1994; 23: 148-51.

6. Nájera M, Mena G: Ejercicios de estiramiento muscular en el tratamiento de los dolores de crecimiento. Rev Mex Pediatr 2000; (67)2: 68-71.

7. Noonan K, Farnum C, Leiferman E: Growing pains. Are they due to increased growth during recumbency as documented in lamb model? J Pediatr Orthop 2004; (24)6: 726-31.

8. De Inocencio J: Epidemiology of musculoskeletal pain in primary care. Arch Dis Child 2004; 89: 431-4.

9. Evans M, Scuter D: Prevalence of growing pains in young children. J Pediatr 2004; 145: 255-8.

10. Serrano-Atero M, Caballero J: Valoración del dolor (I). Rev Soc Esp Dol 2002; 9: 94-108.

11. Eccleston C, Malleson P: Managing chronic pain in children and adolescent. BMJ 2003; 326: 1408-9.

12. Howard R: Current status of pain management in children. JAMA 2003; 290: 2464-9.