Determining the Minimal Number of Passive Hip and Knee Joint Movement Repetitions Recommended for the Stiff Rectus Femoris Muscle Due to Osgood–Schlatter Disease

Background/Objectives: Osgood–Schlatter disease (OSD) is a common overuse condition in adolescents characterized by increased stiffness of the rectus femoris muscle, which contributes to pain and functional limitations around the knee. We investigated whether repeating 10 min passive joint movements of the hip and knee produces additional immediate reductions in elevated rectus femoris (RF) stiffness in adolescents with OSD. Methods: Fifteen patients (10–14 years of age) diagnosed with bilateral OSD were included. The legs of the participants were randomly assigned to either the intervention or the non-intervention side (control). The intervention side received two sets of 10 min of passive joint movement to the hip and knee, while the control side rested. RF stiffness was measured before the intervention and immediately after one and two sets of passive joint movements. Results: On the intervention side, RF stiffness decreased significantly from pre to post-1 and from pre to post-2; however, RF stiffness did not differ significantly between post-1 and post-2. None of the parameters changed significantly on the control side (rest condition). Conclusions: Passive joint exercise beyond one repetition (one set for 10 min) did not result in a further decrease in RF stiffness and is likely unnecessary for RF muscle stiffness due to OSD.