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Comparison of Braces for Treatment of Sever's Disease (Calcaneal Apophysitis) in Barefoot Athletes: A Randomized Clinical Trial

Journal of athletic training, 2023-05, Vol.58 (5), p.437-444 [Peer Reviewed Journal]

by the National Athletic Trainers' Association, Inc. ;Copyright National Athletic Trainers Association Sep 2022 ;Copyright National Athletic Trainers Association May 2023 ;ISSN: 1062-6050 ;EISSN: 1938-162X ;DOI: 10.4085/1062-6050-0266.22 ;PMID: 36094612

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  • Title:
    Comparison of Braces for Treatment of Sever's Disease (Calcaneal Apophysitis) in Barefoot Athletes: A Randomized Clinical Trial
  • Author: Sweeney, Emily A ; Little, Casey C ; Wilson, Julie C ; Potter, Morgan N ; Seehusen, Corrine N ; Howell, David R
  • Subjects: Acrobats & acrobatics ; Ankle ; Athletes ; Clinical trials ; Disease ; Enrollments ; Exercise ; Gymnastics ; Martial arts ; Medicine ; Outcome Measures ; Pain ; Patients ; Physical therapy ; Quality of life ; Questionnaires ; Sports medicine ; Sports training
  • Is Part Of: Journal of athletic training, 2023-05, Vol.58 (5), p.437-444
  • Description: Sever's disease (calcaneal apophysitis) is a common condition in youth athletes, including those who participate in barefoot sports. Health care professionals often recommend that young athletes with Sever's disease wear heel cups in their shoes while active, but barefoot athletes are unable to use heel cups. To compare the efficacy of 2 braces used by barefoot athletes with Sever's disease. Randomized controlled clinical trial. Pediatric sports medicine clinic. A total of 43 barefoot athletes aged 7 to 14 years were enrolled, and 32 completed the study (age = 10.3 ± 1.6 years; 29 girls, 3 boys). Participants were randomized to the Tuli's Cheetah heel cup (n = 16) or Tuli's The X Brace (n = 16) group for use during barefoot sports over the 3-month study period. Participants completed self-reported assessments after diagnosis (baseline) and 1, 2, and 3 months later. The primary outcome was the Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) physical score (3 months postenrollment). The secondary outcomes were OxAFQ-C school or play and emotional scores and the visual analog scale pain score. The percentage of time wearing the brace during barefoot sports was not different between the Cheetah heel cup and The X Brace groups (82% versus 64% of the time in sports; P = .08). At 3 months, we observed no differences for the OxAFQ-C physical (0.79 versus 0.71; P = .80; Hedges g = 0.06), school or play (0.94 versus 1.00; P = .58; Hedges g = 0.26), or emotional (1.00 versus 1.00; P = .85; Hedges g = 0.21) score. Visual analog scale pain scores during activities of daily living and sports were lower (better) at the 2- and 3-month time points than at baseline (P < .001). Both groups demonstrated improvements in ankle and foot function across time, but no between-groups differences were seen at 3 months. Given these results, barefoot athletes with Sever's disease may consider using either brace with barefoot activity to help improve pain and functional status.
  • Publisher: United States: National Athletic Trainers Association
  • Language: English
  • Identifier: ISSN: 1062-6050
    EISSN: 1938-162X
    DOI: 10.4085/1062-6050-0266.22
    PMID: 36094612
  • Source: ProQuest One Psychology
    Open Access: PubMed Central
    Geneva Foundation Free Medical Journals at publisher websites
    AUTh Library subscriptions: ProQuest Central
    Alma/SFX Local Collection
    Free E Journals
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