Báo cáo y học: "Heel raises versus prefabricated orthoses in the treatment of posterior heel pain associated with calcaneal apophysitis (Sever’s Disease): study protocol for a randomised controlled trial"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Heel raises versus prefabricated orthoses in the treatment of posterior heel pain associated with calcaneal apophysitis (Sever’s Disease): study protocol for a randomised controlled trial. | James et al. Journal of Foot and Ankle Research 2010 3 3 http content 3 1 3 JOURNAL OF FOOT AND ANKLE RESEARCH STUDY PROTOCOL Open Access Heel raises versus prefabricated orthoses in the treatment of posterior heel pain associated with calcaneal apophysitis Sever s Disease study protocol for a randomised controlled trial Alicia M James1 Cylie M Williams1 2 Terry P Haines3 4 Abstract Background Posterior Heel pain can present in children of 8 to 14 years associated with or clinically diagnosed as Sever s disease or calcaneal apophysitis. Presently there are no comparative randomised studies evaluating treatment options for posterior heel pain in children with the clinical diagnosis of calcaneal apophysitis or Sever s disease. This study seeks to compare the clinical efficacy of some currently employed treatment options for the relief of disability and pain associated with posterior heel pain in children. Method Design Factorial 2x2 randomised controlled trial with monthly follow-up for 3 months. Participants Children with clinically diagnosed posterior heel pain possibly associated with calcaneal apophysitis Sever s disease n 124 . Interventions Treatment factor 1 will be two types of shoe orthoses a heel raise or prefabricated orthoses. Both of these interventions are widely available mutually exclusive treatment approaches that are relatively low in cost. Treatment factor 2 will be a footwear prescription replacement intervention involving a shoe with a firm heel counter dual density EVA midsole and rear foot control. The alternate condition in this factor is no footwear pre-scription replacement with the participant wearing their current footwear. Outcomes Oxford Foot and Ankle Questionnaire and the Faces pain scale. Discussion This will be a randomised trial to compare the efficacy of various treatment options for posterior heel pain in children that may be associated with calcaneal apophysitis also known as Sever s disease. Trial .

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