The Effect of Sensorimotor Insoles on Gait Parameters in Adults With Flexible Flatfoot

NCT ID: NCT04125407

Last Updated: 2020-02-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-22

Study Completion Date

2020-10-31

Brief Summary

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The flatfoot is one of the most common diagnosis in foot. The main goals of its orthotic intervention in adult population are the control of the rearfoot and midfoot movement, the affection of the forefoot position and the minimalization of painful deformities. However, only low-level evidence exists proving the positive effect of orthotic insoles in these patients. The concept of sensorimotor insoles describes besides the simple mechanical correction also the targeted modulation of activity of muscles participated on the correct foot function. The aim of the project is to assess the influence of customized sensorimotor insoles on the lower limbs' kinematics and the activity of lower limbs' muscles in people with diagnosed flexible flatfoot.

The study is designed as a crossover interventional study with experimental and control group (allocation ratio 1:1). Participants' lower limbs' kinematics and muscles activity will be assessed on the baseline measurement, immediately after and 3 months after the intervention with sensorimotor insoles in the experimental group. Also, the subjective perceived effect of intervention will be assessed through the research. After a washout period, experimental and control group will swap their roles and another period of 3 months will follow. Same parameters will be assessed both at the beginning and in the end of each period.

Detailed Description

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Conditions

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Flexible Flatfoot

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Investigators

Study Groups

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Interventional

Experimental group will receive one customized pair of sensorimotor foot orthoses (insoles).

Intervention: Other: Sensorimotor foot orthoses with any other supplementary treatment.

Group Type EXPERIMENTAL

Sensorimotor foot orthoses

Intervention Type OTHER

The interventional group will receive one customized pair of sensorimotor insoles and will be instructed for their using on a daily bases for the period of 3 months. The duration of using the insoles was established as 1 hour at the day after receiving the insoles. After that, the insoles' tolerance will be assessed based on the email correspondence and further adjustments of insole will be consulted with manufacturer if necessary. Recommended progression in time of using the insoles was established as +1 hour per each day (if possible) with no maximal limit. After 3 weeks, control examination will take place for the control of subjective effect of insoles. Consulting will be offered to the participants through the duration of research. Participants will not undergo any other supplementary treatment (physiotherapy, …) focusing on the flatfoot deformity.

Control

Control group will receive neither orthotic nor other supplementary intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Sensorimotor foot orthoses

The interventional group will receive one customized pair of sensorimotor insoles and will be instructed for their using on a daily bases for the period of 3 months. The duration of using the insoles was established as 1 hour at the day after receiving the insoles. After that, the insoles' tolerance will be assessed based on the email correspondence and further adjustments of insole will be consulted with manufacturer if necessary. Recommended progression in time of using the insoles was established as +1 hour per each day (if possible) with no maximal limit. After 3 weeks, control examination will take place for the control of subjective effect of insoles. Consulting will be offered to the participants through the duration of research. Participants will not undergo any other supplementary treatment (physiotherapy, …) focusing on the flatfoot deformity.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* ability to stand and walk without aid or support
* flat foot deformity confirmed by the Foot Posture Index (FPI-6) score \>5 and/or the normalised navicular height truncated \<0.21

Exclusion Criteria

* congenital and/or acquired neuromuscular or orthopaedic impairments that severely limit mobility and/or balance
* any acute pain while standing and/or walking
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Palacky University

OTHER

Sponsor Role lead

Responsible Party

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Zdenek Svoboda

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ondrej Lastovicka

Role: STUDY_DIRECTOR

Faculty of Physical Culture, Palacky University Olomouc

Locations

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Faculty of Physical Culture, Palacky University Olomouc

Olomouc, , Czechia

Site Status

Countries

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Czechia

Other Identifiers

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UPOL_FTK_2019_007

Identifier Type: -

Identifier Source: org_study_id

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