National Physical Therapy Examination (NPTE) Practice Exam

What is the best therapeutic intervention choice for an adolescent basketball player with Osgood Schlatter disease experiencing pain in the tibial tubercle region?

1. Strengthening of the quadriceps femoris muscle

2. Stretching of the quadriceps femoris muscle

3. Grade IV mobilizations directed at the tibiofemoral joint

4. TENS bracketing the patellar tendon

The correct answer is: Stretching of the quadriceps femoris muscle

In the context of managing Osgood-Schlatter disease, the best therapeutic intervention focuses on addressing the underlying factors contributing to the condition. This condition is characterized by pain and inflammation at the tibial tubercle due to repetitive stresses placed on the knee, particularly in adolescents involved in sports like basketball. Stretching of the quadriceps femoris muscle is vital because tightness in the quadriceps can exacerbate pull on the patellar tendon and subsequently increase tension at the tibial tubercle. By improving flexibility in the quadriceps, it can help alleviate tension on the patellar tendon, thereby potentially reducing pain and discomfort at the tibial tubercle. Stretching can also enhance the overall function and range of motion of the knee joint, contributing to better mechanics during activities like jumping or running, which are prevalent in basketball. Other interventions, while useful, might not directly target the main issue of tension and pull from the quadriceps. Strengthening the quadriceps could initially exacerbate symptoms if muscle tightness is significant, as adding strength may increase the pull on the patellar tendon. Grade IV mobilizations at the tibiofemoral joint would focus more on joint mobility rather than addressing the specific soft tissue contributions to the condition. T