Effectiveness of Diabetic Recovery Shoes and Artificial Intelligence Supported Structured Exercise Program

NCT ID: NCT06515665

Last Updated: 2025-03-13

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-30

Study Completion Date

2026-12-30

Brief Summary

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This study aims to evaluate the effectiveness of the diabetic recovery sandal and artificial intelligence supported structured exercise program in individuals diagnosed with diabetic foot receiving hyperbaric oxygen therapy. The study will include 66 individuals between the ages of 40-65 who have received a diagnosis of diabetic foot from a specialist doctor, have a forefoot wound and receive hyperbaric oxygen therapy. The included individuals will be randomly divided into 3 groups. All participants will be provided with appropriate wound care and dressing and will be randomly divided into 3 groups. Artificial intelligence assisted exercise (exercise group) will be applied to the 1st group. Group 2 will receive artificial intelligence-assisted exercises and healing sandals. For 6 weeks, diabetic foot exercises and diabetic recovery sandal use will be provided (Exercise + sandal group). 3 groups will not receive any contribution (Control group). Balance, performance, wound healing and muscle strength evaluations will be performed before and after the application. Balance assessments will be evaluated by timed get up and walk test, performance by 1 min walk test, wound healing by Imitto measure phone application and muscle strength assessments by manual muscle tests.Awareness of the use of recovery sandals, hyperbaric oxygen therapy and foot exercises will be increased. Attention will be drawn to the creation of new education programs for people with low education or perception, and necessary measures will be taken in cases where risk is identified. In addition, early detection of recurrent ulcers or amputations in individuals who may increase the level of amputation will increase the risk of hospitalization and at the same time increase the cost of care that needs to be spent during hospitalization.

Detailed Description

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This study aims to evaluate the effectiveness of the diabetic recovery sandal and artificial intelligence supported structured exercise program in individuals diagnosed with diabetic foot receiving hyperbaric oxygen therapy. The study will include 66 individuals between the ages of 40-65 who have received a diagnosis of diabetic foot from a specialist doctor, have a forefoot wound and receive hyperbaric oxygen therapy. The included individuals will be randomly divided into 3 groups. All participants will be provided with appropriate wound care and dressing and will be randomly divided into 3 groups. Artificial intelligence assisted exercise (exercise group) will be applied to the 1st group. Group 2 will receive artificial intelligence-assisted exercises and healing sandals. For 6 weeks, diabetic foot exercises and diabetic recovery sandal use will be provided (Exercise + sandal group). 3 groups will not receive any contribution (Control group). Balance, performance, wound healing and muscle strength evaluations will be performed before and after the application. Balance assessments will be evaluated by timed get up and walk test, performance by 1 min walk test, wound healing by Imitto measure phone application and muscle strength assessments by manual muscle tests.Awareness of the use of recovery sandals, hyperbaric oxygen therapy and foot exercises will be increased. Attention will be drawn to the creation of new education programs for people with low education or perception, and necessary measures will be taken in cases where risk is identified. In addition, early detection of recurrent ulcers or amputations in individuals who may increase the level of amputation will increase the risk of hospitalization and at the same time increase the cost of care that needs to be spent during hospitalization. It is also expected to provide evidence to health professionals working in this field.

Conditions

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Diabetic Foot Ulcer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

There are 3 groups. Fisrt group has therapeutic foot orthosis. Second group has orthosis and exercises with artificial intelligence. Third group is control group.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants
A online site named "randomizer.org " gave us a random queue. Participant do not know their queue.

Study Groups

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therapeutic foot orthosis

foot orthosis will be applied to this group of participants. For 6 weeks they will be asked to use these foot orthoses. Before and after evaluations will be repeated.

Group Type ACTIVE_COMPARATOR

therapeutic foot orthosis

Intervention Type BEHAVIORAL

They will be asked to behaviorally wear this shoe and perform the exercises daily for 6 weeks.

exercises

this group of participants will be exercised with foot orthoses accompanied by artificial intelligence. For 6 weeks, they will be asked to use these foot orthoses and do their exercises. Before and after evaluations will be repeated.

Group Type ACTIVE_COMPARATOR

therapeutic foot orthosis

Intervention Type BEHAVIORAL

They will be asked to behaviorally wear this shoe and perform the exercises daily for 6 weeks.

control

this group of participants will be assessed at the beginning and end of the 6 weeks without any intervention.

Group Type ACTIVE_COMPARATOR

therapeutic foot orthosis

Intervention Type BEHAVIORAL

They will be asked to behaviorally wear this shoe and perform the exercises daily for 6 weeks.

Interventions

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therapeutic foot orthosis

They will be asked to behaviorally wear this shoe and perform the exercises daily for 6 weeks.

Intervention Type BEHAVIORAL

Other Intervention Names

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exercises

Eligibility Criteria

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Inclusion Criteria

* individuals were ability to walk 10 meters with a maximum of one support,
* at most one amputated toe, no thumb,
* accessible to electronic devices with internet,
* no vision and hearing problems,
* no problems that may affect cooperation,
* receiving Hyperbaric Oxygen Therapy.

Exclusion Criteria

* having major amputations,
* having an orthopedic or other neurological problem,
* having a congenital disability,
* having proximal lower extremity,
* amputation excluding the finger,
* having bilateral finger amputation.
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hacettepe University

OTHER

Sponsor Role lead

Gulhane Training and Research Hospital

OTHER_GOV

Sponsor Role collaborator

Responsible Party

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Tezel Yıldırım Şahan

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tezel Y Şahan, phD

Role: STUDY_CHAIR

University of Health science

Locations

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University of Health Science

Ankara, Kecıoren, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Tezel Y Şahan, phD

Role: CONTACT

5056615279 ext. +90

Facility Contacts

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tezel şahan, assoc.prof.

Role: primary

5056615279 ext. +090

References

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Armstrong DG, Boulton AJM, Bus SA. Diabetic Foot Ulcers and Their Recurrence. N Engl J Med. 2017 Jun 15;376(24):2367-2375. doi: 10.1056/NEJMra1615439. No abstract available.

Reference Type BACKGROUND
PMID: 28614678 (View on PubMed)

Buldt AK, Menz HB. Incorrectly fitted footwear, foot pain and foot disorders: a systematic search and narrative review of the literature. J Foot Ankle Res. 2018 Jul 28;11:43. doi: 10.1186/s13047-018-0284-z. eCollection 2018.

Reference Type BACKGROUND
PMID: 30065787 (View on PubMed)

Collings R, Freeman J, Latour JM, Paton J. Footwear and insole design features for offloading the diabetic at risk foot-A systematic review and meta-analyses. Endocrinol Diabetes Metab. 2020 Apr 11;4(1):e00132. doi: 10.1002/edm2.132. eCollection 2021 Jan.

Reference Type BACKGROUND
PMID: 33532602 (View on PubMed)

Ercan E, Aydin G, Erdogan B, Ozcelik F. The effect of hyperbaric oxygen therapy on hematological indices and biochemical parameters in patients with diabetic foot. Medicine (Baltimore). 2024 Mar 22;103(12):e37493. doi: 10.1097/MD.0000000000037493.

Reference Type BACKGROUND
PMID: 38518039 (View on PubMed)

Other Identifiers

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Effectiveness of Recovery Shoe

Identifier Type: -

Identifier Source: org_study_id

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