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Physical characteristics inducing Sever's disease in junior gymnasts
Kazuaki Kinoshita1, Yuichi Hoshino2, Naoko Yokota3
1Department of Physical Therapy, Faculty of Rehabilitation, Shijonawate Gakuen University, Osaka, 574-0011, Japan.
Heliyon
|October 14, 2024
Summary
Junior gymnasts with Sever's disease show lower arch height and poorer balance. Arch supports and balance training may help prevent this condition in young athletes.
Area of Science:
- Sports Medicine
- Pediatric Orthopedics
- Biomechanics
Background:
- Sever's disease (calcaneal apophysitis) is a common cause of heel pain in adolescents.
- Junior gymnasts are at a higher risk due to intense training and specific biomechanical demands.
Purpose of the Study:
- To identify characteristics associated with the development of Sever's disease in junior gymnasts.
- To explore potential preventative strategies for Sever's disease in this population.
Main Methods:
- Prospective cohort study involving 37 junior gymnasts (74 limbs).
- Evaluated baseline demographics, flexibility, foot alignment, trunk function, and balance.
- Assessed Sever's disease incidence over six months, categorizing participants into Sever's disease and no-symptom groups.
Main Results:
- Gymnasts diagnosed with Sever's disease exhibited a lower arch height ratio.
- Lower values on the anterior star excursion balance test were observed in the Sever's disease group.
Conclusions:
- Reduced arch height and impaired dynamic balance are linked to Sever's disease in junior gymnasts.
- Medial longitudinal arch supports and dynamic postural balance training may be beneficial for prevention.
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