Foot orthoses custom-made by vacuum forming on the non-load-bearing foot: Preliminary results in male children with calcaneal apophysitis (Sever’s disease)

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.

Download Full-text

Effectiveness of Custom-made Foot Orthoses vs Heel Lifts in Children With Calcaneal Apophysitis

Case Medical Research ◽

10.31525/ct1-nct03960086 ◽

2019 ◽

Author(s):

Keyword(s):

Foot Orthoses ◽

Custom Made ◽

Calcaneal Apophysitis

Download Full-text

Effectiveness of custom-made foot orthoses vs heel lifts in children with Calcaneal Apophysitis (Sever disease): a CONSORT-compliant randomized trial

10.21203/rs.3.rs-20702/v1 ◽

2020 ◽

Author(s):

Javier Alfaro-Santafé ◽

Antonio Gómez-Bernal ◽

Carla Lanuza-Cerzócimo ◽

José Víctor Alfaro-Santafé ◽

Aitor Pérez-Morcillo ◽

...

Keyword(s):

Pain Perception ◽

Sport Activity ◽

Treatment Strategies ◽

Previous Treatment ◽

Control Group ◽

Foot Orthoses ◽

Custom Made ◽

Experimental Group ◽

Calcaneal Apophysitis

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.

Download Full-text

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

Children ◽

10.3390/children8110963 ◽

2021 ◽

Vol 8 (11) ◽

pp. 963

Author(s):

Javier Alfaro-Santafé ◽

Antonio Gómez-Bernal ◽

Carla Lanuza-Cerzócimo ◽

José-Víctor Alfaro-Santafé ◽

Aitor Pérez-Morcillo ◽

...

Keyword(s):

Randomized Trial ◽

Pain Perception ◽

Treatment Effectiveness ◽

Foot Orthoses ◽

Inclusion Criteria ◽

Visual Analogical Scale ◽

Custom Made ◽

Calcaneal Apophysitis

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.

Download Full-text

The effects of custom-made foot orthosis using the Central Stabilizer Element on foot pain

Prosthetics and Orthotics International ◽

10.1177/0309364614531012 ◽

2014 ◽

Vol 39 (4) ◽

pp. 293-299 ◽

Cited By ~ 1

Author(s):

Gabriel Gijon-Nogueron ◽

Encarnacion Cortes-Jeronimo ◽

Jose Antonio Cervera-Marin ◽

Esther Diaz-Mohedo ◽

Eva Lopezosa-Reca ◽

...

Keyword(s):

Clinical Study ◽

Lower Limb ◽

Manufacturing Process ◽

Clinical Relevance ◽

Foot Orthoses ◽

Foot Pain ◽

Analog Scale ◽

Custom Made ◽

Foot Posture ◽

Foot Orthosis

Background: Foot orthoses have been applied for the management of lower limb disorders, mainly for those who develop foot pain. The Central Stabilizer Element (CSE) is a new element that contains the midfoot laterally when a plantar insole is manufactured. Objectives: To determine the effect on foot pain of adding the Central Stabilizer Element during the manufacturing process of foot orthosis, and to describe the proportions of Central Stabilizer Element in terms of width and length of this element. Study design: A clinical study. Methods: A sample comprising 130 patients (57 males and 73 females) with foot pain was recruited for this study, with the patients having supinated, neutral, pronated and overpronated feet. All the patients received a custom-made foot orthosis with the Central Stabilizer Element. The Central Stabilizer Element was made of resins of polyvinyl chloride, and is a device insert in foot orthosis that contains the midfoot laterally to control pronation and supination movements. Perceived patient’s foot pain was collected using a Visual Analog Scale at baseline, 15, 60 and 90 days after treatment. Results: A statistically significant decrease was found after foot orthosis application at all times in all foot types. There was a statistically significant correlation between all the ratio proportions according to foot posture (Foot Posture Index scores), except for heel length proportion. Conclusions: The Central Stabilizer Element, applied at midfoot level of a custom-made foot orthoses through a directly mould technique, can reduce foot pain, when a previous foot posture status is considered. Clinical relevance The Central Stabilizer Element can be of interest for those professionals who are involved in the manufacturing process of foot orthosis, throughout the control of an excesive pronated or a supinated foot condition that is provoking foot pain.

Download Full-text