Sever’s Injury

Perhamre, Stefan; Lazowska, Dagmara; Papageorgiou, Sofia; Lundin, Fredrik; Klässbo, Maria; Norlin, Rolf

doi:10.7547/1030361

Cited by 24 publications

(8 citation statements)

References 13 publications

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“…Our two previous studies have shown immediate and lasting pain relief with the heel cup, confirmed in the present study (Perhamre et al, 2010a, b). The purpose with this study was to assess the possible mechanisms behind the rapid and impressive pain relief.…”

Section: Discussionsupporting

confidence: 91%

“…The heel pad with its sum of cooperating compartments provides cushioning, and thereby reduces the impact force on calcaneus in heel strike (Ogden, 2000). An effective support to the heel pad therefore seems to be crucial, and this is supported by the findings in our previous study were the heel cup was shown to be superior to the wedge in giving pain relief (Perhamre et al, 2010a).…”

Section: Discussionsupporting

confidence: 57%

“…In a recent study by our group we compared treatment with insoles of two different types (a cup with a brim and a heel wedge of 5 mm), with pre‐ and posttreatment phases without insoles. Both insoles effectively relieved heel pain in Sever's injury (Perhamre et al, 2010a). The pain returned swiftly when the insoles were removed.…”

mentioning

confidence: 99%

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A heel cup improves the function of the heel pad in Sever's injury: effects on heel pad thickness, peak pressure and pain

Perhamre

Lundin²,

Klässbo³

et al. 2011

Scandinavian Med Sci Sports

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Sever's injury (apophysitis calcanei) is considered to be the dominant cause of heel pain among children between 8 and 15 years. Treating Sever's injury with insoles is often proposed as a part of a traditional mix of recommendations. Using a custom-molded rigid heel cup with a brim enclosing the heel pad resulted in effective pain relief without reducing the physical activity level in our previous two studies. The purpose of this study was to assess the effect of the heel cup on heel pad thickness and heel peak pressure (n=50). The difference in heel pad thickness and in heel peak pressure using a sports shoe without and with a heel cup was compared. With the heel cup the heel pad thickness improved significantly and the heel peak pressure was significantly reduced. These effects correlated with a significant reduction in pain when using the heel cup in a sports shoe, compared with using a sports shoe without the heel cup. A heel cup, providing an effective heel pad support in the sports shoe, improved the heel pad thickness and reduced heel peak pressure in Sever's injury with corresponding pain relief.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 57%

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A heel cup improves the function of the heel pad in Sever's injury: effects on heel pad thickness, peak pressure and pain

Perhamre

Lundin²,

Klässbo³

et al. 2011

Scandinavian Med Sci Sports

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“…The participants were children between the ages of 8–14 years who were diagnosed with calcaneal apophysitis. The diagnosis of calcaneal apophysitis was given based on history, clinical assessment and pain elicited from placing compressive force at the medial and lateral aspects of the calcaneus [ 8 , 15 ]. Children were excluded from the study if they had a diagnosis or clinical signs of infective, reactive or rheumatoid arthritis, history of tumour or fracture of the foot or leg within the last 12 months or a Foot Posture Index-6 (FPI–6) equal to or less than −1 (supinated foot type).…”

Section: Methodsmentioning

confidence: 99%

“…The pain is often reported as worse during and post activity and may result in limping or toe walking (to avoid ground contact) on the affected limb [ 5 – 7 ]. Calcaneal apophysitis is diagnosed in the absence of an injury or inflammatory medical condition and with the presentation of pain on medial and lateral compression at the posterior aspect of the heel) [ 8 ]. Children may experience pain with calcaneal apophysitis for extended periods of time before seeking treatment [ 9 ] even though calcaneal apophysitis is a self-limiting condition.…”

Section: Introductionmentioning

confidence: 99%

Health related quality of life of children with calcaneal apophysitis: child & parent perceptions

James

Williams

Haines

2016

Health Qual Life Outcomes

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BackgroundChildren with a clinical diagnosis of calcaneal apophysitis reportedly experience impaired physical ability. Patient reported outcome assessments measure the level of conditional specific interference in everyday life. The aim of this study was to assess and compare the child and parent perceptions of health related quality of life (QOL) associated with calcaneal apophysitis.MethodsThis is a longitudinal repeated measure study nested within a randomized comparative effectiveness trial. Children who had symptoms of calcaneal apophysitis were recruited from local advertising and from the caseload of podiatrists within the health setting (Australia). The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) was completed at baseline, 1, 2, 6 and 12 month time points by both child and parent.ResultsA total of 133 children were recruited and 124 participated in the study with 101 completing the OxAFQ-C at all five time points. The inter-rater reliability between the child and parent for the physical domain ranged between poor (0.06) to good (0.77) agreement, and the footwear domain ranged between poor (0.09) to good (0.66) across the time points. Both the school and emotional domains had moderate (0.46) to good (0.77) agreement.ConclusionChildren with calcaneal apophysitis have differing perceptions of health related QOL impact compared to their parents. Parents initially reported greater impact than their child however there was convergence of agreement over the follow-up period. These findings suggest understanding the impact from both child and parent perspective is imperative during treatment.Trial registrationTrial Number: ACTRN12609000696291.

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Foot Osteochondrosis

Díaz

Muñoz

2022

Foot and Ankle Disorders

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Sever’s Injury

Cited by 24 publications

References 13 publications

A heel cup improves the function of the heel pad in Sever's injury: effects on heel pad thickness, peak pressure and pain

A heel cup improves the function of the heel pad in Sever's injury: effects on heel pad thickness, peak pressure and pain

Health related quality of life of children with calcaneal apophysitis: child & parent perceptions

Foot Osteochondrosis

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