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Keywords = calcaneal apophysitis

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13 pages, 759 KiB  
Systematic Review
Conservative Treatment of Sever’s Disease: A Systematic Review
by Pablo Hernandez-Lucas, Raquel Leirós-Rodríguez, Jesús García-Liñeira and Helena Diez-Buil
J. Clin. Med. 2024, 13(5), 1391; https://doi.org/10.3390/jcm13051391 - 28 Feb 2024
Cited by 6 | Viewed by 6026
Abstract
Background: Sever’s disease, or calcaneal apophysitis, stands as the most prevalent cause of heel pain in children, often linked to sports like soccer, Australian football, and basketball. While various therapies are documented in the scientific literature, the standard choice is conservative treatment. [...] Read more.
Background: Sever’s disease, or calcaneal apophysitis, stands as the most prevalent cause of heel pain in children, often linked to sports like soccer, Australian football, and basketball. While various therapies are documented in the scientific literature, the standard choice is conservative treatment. Thus, the objective of this research was to assess the effectiveness of diverse conservative methods and techniques in alleviating Sever’s disease symptoms. Methods: Systematic searches were conducted in October 2023 in PubMed, Web of Science, Scopus, SportDiscus, and PEDro, using terms like Osteochondritis, Osteochondrosis, Apophysitis, Sever’s disease, Calcaneus, Adolescent, Child, and Childhood. The PEDro scale gauged methodological quality, and the Cochrane Risk of Bias tool evaluated the risk of bias. Results: Eight randomized controlled studies were included, featuring commonly used treatments such as insoles, therapeutic exercises, Kinesio taping, and foot orthoses. The methodological quality was generally good, with an average PEDro score of 6.75 points. Regarding bias, four articles had low risk, three had high risk, and one had some concern. Conclusions: Conservative treatment emerges as an effective option for alleviating symptoms associated with Sever’s disease. Full article
(This article belongs to the Special Issue Rehabilitation and Recovery from Orthopedic Trauma)
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10 pages, 1672 KiB  
Article
Effectiveness of Custom-Made Foot Orthoses vs. Heel-Lifts in Children with Calcaneal Apophysitis (Sever’s Disease): A CONSORT-Compliant Randomized Trial
by Javier Alfaro-Santafé, Antonio Gómez-Bernal, Carla Lanuza-Cerzócimo, José-Víctor Alfaro-Santafé, Aitor Pérez-Morcillo and Alejandro-Jesús Almenar-Arasanz
Children 2021, 8(11), 963; https://doi.org/10.3390/children8110963 - 25 Oct 2021
Cited by 6 | Viewed by 5882
Abstract
The aim of the present research was to determine the effectiveness of relieving calcaneal apophysitis pain using “off-the-shelf” heel-lifts and custom-made orthotics. Two intervention modalities were evaluated and compared in a 12-week follow-up trial. Inclusion criteria included 9- to 12-year-old children diagnosed with [...] Read more.
The aim of the present research was to determine the effectiveness of relieving calcaneal apophysitis pain using “off-the-shelf” heel-lifts and custom-made orthotics. Two intervention modalities were evaluated and compared in a 12-week follow-up trial. Inclusion criteria included 9- to 12-year-old children diagnosed with calcaneal apophysitis. Children were randomly stratified into treatment A (custom-made polypropylene foot orthoses) and treatment B (“off-the-shelf” heel-lifts) groups. Treatment effectiveness was measured by algometry and the visual analogical scale (VAS). A total of 208 patients were included. The treatment A group showed an increase in threshold algometry of 53.4% (95% CI 47.1% to 59.7%) and a decrease in VAS of −68.6% (95% CI −74.5% to −62.7%) compared with the treatment B group (p < 0.001). Calcaneal apophysitis pain perception was improved in both groups, but children who used custom-made foot orthoses showed a greater improvement. Full article
(This article belongs to the Special Issue Orthopedic Disorders in Syndromes)
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