Effectiveness of footwear and foot orthoses for calcaneal apophysitis: a 12-month factorial randomised trial

2016 ◽  
Vol 50 (20) ◽  
pp. 1268-1275 ◽  
Author(s):  
Alicia M James ◽  
Cylie M Williams ◽  
Terry P Haines
2013 ◽  
Vol 37 (6) ◽  
pp. 495-498 ◽  
Author(s):  
Gabriel Gijon-Nogueron ◽  
Encarnacion Cortes-Jeronimo ◽  
Jose Antonio Cervera-Marin ◽  
Raquel García-de-la-Peña ◽  
Salomon Benhamu-Benhamu ◽  
...  

Background and aim: To our knowledge, the technique of molding orthoses to the non-load-bearing foot is still not widely investigated. The aim of this work is, therefore, first, to describe an off-loading custom-made technique and, second, to explain how it can be specifically adapted to treat Sever’s disease. Techniques: A technique of directly molding orthoses to the non-load-bearing foot by vacuum forming an insole to the foot fabricated with a combination of polyvinyl chloride and polyester resins, 30 Shore A hardness and 148 kg/m3 density polyethylene–ethylene-vinyl-alcohol, and a cushioning heel cup of 22 Shore A polyurethane, using a directly molding orthoses technique to the non-load-bearing foot by vacuum. Discussion: Results show that this new technique could be a good alternative to traditional insoles in the management of Sever’s disease pain. Clinical relevance Manufacturing the insole directly on the patient’s foot could lead to a better individual adaptation in general, and to manage Sever’s pain disease in particular.


2019 ◽  
Vol 27 ◽  
pp. S488 ◽  
Author(s):  
N. Wyndow ◽  
K.M. Crossley ◽  
B. Vicenzino ◽  
K. Tucker ◽  
N.J. Collins

2015 ◽  
Vol 19 ◽  
pp. e23
Author(s):  
D. Bonanno ◽  
G. Murley ◽  
S. Munteanu ◽  
K. Landorf ◽  
H. Menz

2009 ◽  
Vol 2 (1) ◽  
Author(s):  
Shannon E Munteanu ◽  
Karl B Landorf ◽  
Hylton B Menz ◽  
Jill L Cook ◽  
Tania Pizzari ◽  
...  

2017 ◽  
Vol 5 ◽  
pp. 1-11 ◽  
Author(s):  
Glen A. Whittaker ◽  
Shannon E. Munteanu ◽  
Hylton B. Menz ◽  
Ayman Elzarka ◽  
Karl B. Landorf

2020 ◽  
Author(s):  
Javier Alfaro-Santafé ◽  
Antonio Gómez-Bernal ◽  
Carla Lanuza-Cerzócimo ◽  
José Víctor Alfaro-Santafé ◽  
Aitor Pérez-Morcillo ◽  
...  

Abstract Background: Calcaneal apophysitis (Sever disease) is a benign ailment which causes heel pain in children. Conservative treatment strategies are widely popular and the prescription of prefabricated orthoses and heel-lifts is very widespread. The aim of the present research was to determine the effectiveness to relieve calcaneal apophysitis pain using “off-the-shelf” heel-lifts and custom-made orthotics. Methods: Two intervention modalities were evaluated and compared in a 12-week follow-up randomized comparative effectiveness trial. Inclusion criteria included 9 to 12 years old boys or girls diagnosed of calcaneal apophysitis, primary exclusion criteria included children who had suffered from foot trauma on the heel or had received previous treatment. Children were stratified randomized into experimental (custom-made polypropylene foot orthoses) and control (“off-the-shelf” heel-lifts) group. The primary outcome was calcaneal apophysitis pain perception, which was assessed by the Visual Analogical Scale (VAS), the algometry threshold and the Sport Activity Pain perception. Points of measure were at baseline and after the follow-up period. Analysis was performed according to the intention-to treat principles.Results: A total of 208 patients were included. Overall, 9 patients were lost to follow-up. Experimental group showed an increase in threshold algometry by 53.4% (95% CI 47.1% to 59.7%), a decrease in VAS by -68.6% (95% CI -74.5% to -62.7%) and a 20.8 times higher probability of improvement of Sport Activity (95% CI 8.9 to 48.6), compared with control group (p <0.001).Conclusions: Calcaneal apophysitis pain perception was improved in both groups custom-made foot orthoses and heel-lifts, but the experimental group revealed significant changes compared with control group. Children who used custom-made foot orthoses had greater probabilities to improve. Physicians should consider these findings in order to prescribe the most effective treatment in the approach of the calcaneal apophysitis. Trial registration: ClinicalTrials.gov Identifier: NCT03960086.


Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 963
Author(s):  
Javier Alfaro-Santafé ◽  
Antonio Gómez-Bernal ◽  
Carla Lanuza-Cerzócimo ◽  
José-Víctor Alfaro-Santafé ◽  
Aitor Pérez-Morcillo ◽  
...  

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.


2018 ◽  
Vol 164 (5) ◽  
pp. 347-351 ◽  
Author(s):  
Daniel R Bonanno ◽  
S E Munteanu ◽  
G S Murley ◽  
K B Landorf ◽  
H B Menz

IntroductionThis study aimed to identify risk factors associated with the development of common lower limb injuries during initial defence training in naval recruits who were enrolled in a randomised trial.MethodsThree-hundred and six naval recruits were randomly allocated flat insoles (n=153) or foot orthoses (n=153) while undertaking 11 weeks of initial training. Participant characteristics (including anthropometrics, general health, physical activity, fitness and foot characteristics) were collected at the baseline assessment and injuries were documented prospectively. Injury was defined as the combined incidence of participants with medial tibial stress syndrome, patellofemoral pain, Achilles tendinopathy and plantar fasciitis/plantar heel pain throughout the 11 weeks of training. A discriminant function analysis was used to explore the ability of baseline measures to predict injury.ResultsOverall, 67 (21.9%) participants developed an injury. Discriminant function analysis revealed that participants who sustained an injury were slightly younger (mean 21.4±SD 4.1 vs 22.5±5.0 years) and were less likely to be allocated to the foot orthosis group (40% vs 53%) compared with those who remained uninjured. The accuracy of these baseline variables to predict injury was moderate (78.1%).ConclusionsLower limb injury was not accurately predicted from health questionnaires, fitness results and clinical assessments in naval recruits undertaking initial defence training. However, although not reaching statistical significance, the use of foot orthoses may be protective against common lower limb injuries.Trial registration numberACTRN12615000024549; Post-results.


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