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Abstract(s)
Introdução: a doença de Sever, ou apofisíte do calcâneo, é uma causa comum de dor no calcanhar em crianças ou jovens com imaturidade esquelética. Objetivo: analisar o efeito de intervenções fisioterapêuticas na dor, funcionalidade e nível de atividade física, em crianças e jovens com apofisíte do calcâneo/Doença de Sever. Metodologia: foi realizada uma pesquisa bibliográfica nas bases de dados Pubmed, Web of Science e PEDro. A qualidade metodológica foi analisada através de Checklists do Critical Appraisal Skills Programme (CASP). Resultados: foram incluídos 7 estudos, com um total de 449 crianças e jovens com idades compreendidas entre 8 e 16 anos, de ambos os sexos, com doença de Sever. A dor foi melhorada com todas as intervenções, tais como ondas de choque extracorpóreo (f-ESWT), Kinesio Taping (KT), exercícios excêntricos sob supervisão fisioterapêutica, palmilhas e ortóteses personalizadas. O KT, as palmilhas e os exercícios foram eficientes na atividade física e no ganho de funcionalidade. Conclusão: as evidências disponíveis apoiam a eficácia de diversas intervenções para a Doença de Sever/apofisíte calcaneana. Mas, mais investigações adicionais serão necessárias para otimizar o tratamento e melhorar os resultados a curto e longo prazo.
Background: Sever's disease, or calcaneal apophysitis, is a common cause of heel pain in children or young people with skeletal immaturity. Objective: to analyze the effect of physiotherapeutic interventions on pain, functionality and level of physical activity in children and young people with calcaneal apophysitis/Sever's Disease. Methodology: a search was carried out in the Pubmed, Web of Science and PEDro databases. The methodological quality was proven through Checklists from the Critical Appraisal Skills Program (CASP). Results: 7 studies were included, with a total of 449 children and young people aged between 8 and 16 years, of both sexes, with Sever's disease. Pain was improved with all techniques such as extracorporeal shock waves (f-ESWT), Kinesio Taping (KT), eccentric exercises under physical therapy supervision, custom insoles and orthoses. The KT, insoles and exercises were efficient in physical activity and in gaining functionality. Conclusion: available evidence supports the effectiveness of several disciplines for Sever's disease/calcaneal apophysitis. But, further investigations will be carried out to optimize treatment and improve short- and long-term results.
Background: Sever's disease, or calcaneal apophysitis, is a common cause of heel pain in children or young people with skeletal immaturity. Objective: to analyze the effect of physiotherapeutic interventions on pain, functionality and level of physical activity in children and young people with calcaneal apophysitis/Sever's Disease. Methodology: a search was carried out in the Pubmed, Web of Science and PEDro databases. The methodological quality was proven through Checklists from the Critical Appraisal Skills Program (CASP). Results: 7 studies were included, with a total of 449 children and young people aged between 8 and 16 years, of both sexes, with Sever's disease. Pain was improved with all techniques such as extracorporeal shock waves (f-ESWT), Kinesio Taping (KT), eccentric exercises under physical therapy supervision, custom insoles and orthoses. The KT, insoles and exercises were efficient in physical activity and in gaining functionality. Conclusion: available evidence supports the effectiveness of several disciplines for Sever's disease/calcaneal apophysitis. But, further investigations will be carried out to optimize treatment and improve short- and long-term results.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Doença de Sever Apofisíte calcaneana Fisioterapia Tratamento Sever's disease Calcaneal apophysitis Physical therapy