Effectiveness of Custom-Made Foot Orthoses vs. Heel-Lifts in Children with Calcaneal Apophysitis (Sever’s Disease): A CONSORT-Compliant Randomized Trial

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 c...

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Autores principales: Javier Alfaro-Santafé, Antonio Gómez-Bernal, Carla Lanuza-Cerzócimo, José-Víctor Alfaro-Santafé, Aitor Pérez-Morcillo, Alejandro-Jesús Almenar-Arasanz
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/4a9ddb97a35d4321b9dad35e0f248001
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spelling oai:doaj.org-article:4a9ddb97a35d4321b9dad35e0f2480012021-11-25T17:13:57ZEffectiveness of Custom-Made Foot Orthoses vs. Heel-Lifts in Children with Calcaneal Apophysitis (Sever’s Disease): A CONSORT-Compliant Randomized Trial10.3390/children81109632227-9067https://doaj.org/article/4a9ddb97a35d4321b9dad35e0f2480012021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/963https://doaj.org/toc/2227-9067The 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 (<i>p</i> < 0.001). Calcaneal apophysitis pain perception was improved in both groups, but children who used custom-made foot orthoses showed a greater improvement.Javier Alfaro-SantaféAntonio Gómez-BernalCarla Lanuza-CerzócimoJosé-Víctor Alfaro-SantaféAitor Pérez-MorcilloAlejandro-Jesús Almenar-ArasanzMDPI AGarticlecalcaneal apophysitischildrenSever’s diseasetreatmentorthosesPediatricsRJ1-570ENChildren, Vol 8, Iss 963, p 963 (2021)
institution DOAJ
collection DOAJ
language EN
topic calcaneal apophysitis
children
Sever’s disease
treatment
orthoses
Pediatrics
RJ1-570
spellingShingle calcaneal apophysitis
children
Sever’s disease
treatment
orthoses
Pediatrics
RJ1-570
Javier Alfaro-Santafé
Antonio Gómez-Bernal
Carla Lanuza-Cerzócimo
José-Víctor Alfaro-Santafé
Aitor Pérez-Morcillo
Alejandro-Jesús Almenar-Arasanz
Effectiveness of Custom-Made Foot Orthoses vs. Heel-Lifts in Children with Calcaneal Apophysitis (Sever’s Disease): A CONSORT-Compliant Randomized Trial
description 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 (<i>p</i> < 0.001). Calcaneal apophysitis pain perception was improved in both groups, but children who used custom-made foot orthoses showed a greater improvement.
format article
author Javier Alfaro-Santafé
Antonio Gómez-Bernal
Carla Lanuza-Cerzócimo
José-Víctor Alfaro-Santafé
Aitor Pérez-Morcillo
Alejandro-Jesús Almenar-Arasanz
author_facet Javier Alfaro-Santafé
Antonio Gómez-Bernal
Carla Lanuza-Cerzócimo
José-Víctor Alfaro-Santafé
Aitor Pérez-Morcillo
Alejandro-Jesús Almenar-Arasanz
author_sort Javier Alfaro-Santafé
title Effectiveness of Custom-Made Foot Orthoses vs. Heel-Lifts in Children with Calcaneal Apophysitis (Sever’s Disease): A CONSORT-Compliant Randomized Trial
title_short Effectiveness of Custom-Made Foot Orthoses vs. Heel-Lifts in Children with Calcaneal Apophysitis (Sever’s Disease): A CONSORT-Compliant Randomized Trial
title_full Effectiveness of Custom-Made Foot Orthoses vs. Heel-Lifts in Children with Calcaneal Apophysitis (Sever’s Disease): A CONSORT-Compliant Randomized Trial
title_fullStr Effectiveness of Custom-Made Foot Orthoses vs. Heel-Lifts in Children with Calcaneal Apophysitis (Sever’s Disease): A CONSORT-Compliant Randomized Trial
title_full_unstemmed Effectiveness of Custom-Made Foot Orthoses vs. Heel-Lifts in Children with Calcaneal Apophysitis (Sever’s Disease): A CONSORT-Compliant Randomized Trial
title_sort effectiveness of custom-made foot orthoses vs. heel-lifts in children with calcaneal apophysitis (sever’s disease): a consort-compliant randomized trial
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/4a9ddb97a35d4321b9dad35e0f248001
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