Effectiveness of Custom-Made Foot Orthoses vs. Heel-Lifts in Children with Calcaneal Apophysitis (Sever’s Disease): A CONSORT-Compliant Randomized Trial
| Autor: | Aitor Pérez-Morcillo, Alejandro Jesús Almenar-Arasanz, Antonio Gómez-Bernal, Javier Alfaro-Santafé, Carla Lanuza-Cerzócimo, José Víctor Alfaro-Santafé |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
calcaneal apophysitis
medicine.medical_specialty Calcaneal apophysitis Heel Orthoses Sever's disease Orthotics orthoses Pediatrics RJ1-570 Article law.invention children Randomized controlled trial law medicine Pain perception Foot Orthoses Children treatment business.industry Sever’s disease medicine.disease Treatment medicine.anatomical_structure Pediatrics Perinatology and Child Health Physical therapy business Apophysitis |
| Zdroj: | Children Volume 8 Issue 11 Children, Vol 8, Iss 963, p 963 (2021) |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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