Original ArticleFactors Associated with Pain Severity in Children with Calcaneal Apophysitis (Sever Disease)
Section snippets
Methods
This study was designed as a cross-sectional study, nested within a wider randomized comparative efficacy trial.10 The randomized trial had a 4-group design and focused on pain reduction and activity maintenance with footwear, orthoses, or heel lifts in children experiencing pain associated with calcaneal apophysitis.10 The present study utilized observational data collected from participants at their first appointment (prior to randomization). The utilized observational data collected from
Results
A total of 133 participants responded to the recruitment advertisement between March 2010 and December 2013. Nine participants were excluded because of FPI-6 score <−1 (n = 4), a suspected diagnosis of juvenile idiopathic arthritis (n = 1), resolved pain prior to initial assessment (n = 3), and a participant making up pain to avoid school activity (n = 1). All remaining 124 participants (52 [42%] girls, 72 [58%] boys) consented to participate in the study.
Among the 124 participants, the mean
Discussion
We identified that children with calcaneal apophysitis were more likely to have a greater BMI, increased weight, greater waist circumference, and increased height than the general population data. Although an association with BMI has previously been reported in symptomatic children,8 this study found that symptomatic children also were taller.
We also report the impact of greater height with pain experienced in calcaneal apophysitis. This was a weak correlation and may support the passive
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2023, Journal of Orthopaedic ScienceCitation Excerpt :Possible explanations of this could be that our study subjects were normal children and adolescents and evaluating heel pain only by examining tenderness on palpation may have included multiple pathologies other than Sever's disease, thus underestimating the difference. Furthermore, the FPI-6 in both groups were also within the “normal” range [25]. The major strength of our study is a larger sample size than any of the previous studies investigating children in the adolescent age.
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2020, Baxter’s The Foot And Ankle In SportVertical ground reaction forces during gait in children with and without calcaneal apophysitis
2019, Gait and PostureCitation Excerpt :Children were 8–14 years of age and recruited from the greater Brisbane metropolitan area via public advertisements and direct referral from health-care providers and local sporting clubs. Calcaneal apophysitis was diagnosed by a healthcare professional with more than 10-years clinical experience using established criteria, which included a comprehensive medical history and physical replication of clinical symptoms with medial and lateral compression of the calcaneal apophysis (squeeze test) [10,11]. Healthy participants were individually matched on age (± 3 yrs), and were free of lower limb pain and pathology on examination.
Sever's disease
2019, Sports Orthopaedics and TraumatologyThe influence of shoe aging on children running biomechanics
2017, Gait and PostureCitation Excerpt :The increase in the loading rate of the vGRF when running in used shoes may increase the risk for children to experience impact-related injuries. A high loading rate has been suggested to be a cause of overuse injuries in adult runners [18,28] and large heel compressive forces are a predominant factor in the occurrence of heel pain for children [29]. On the other hand, the reduced peak ankle dorsiflexion may have beneficial effects.
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Funded by Monash Health (Emerging Researcher Grant [to A.J.]). The authors declare no conflicts of interest.