Status:

COMPLETED

In-shoe Pressures Associated With Footwear Fit Guidelines

Lead Sponsor:

University Hospitals, Leicester

Collaborating Sponsors:

University of Salford

Conditions:

Diabetic Foot Ulcer

Diabetic Neuropathies

Eligibility:

All Genders

18-80 years

Brief Summary

One in five foot ulcers are caused by the footwear worn by people with diabetes, yet there is a lack of consensus around footwear fit. Recommended toe gaps (the gap between the longest toe and the ins...

Detailed Description

The investigators will recruit 60 participants with diabetes, neuropathy and a history of ulceration. The investigators will set a minimum target recruitment number for each sex (25 minimum for each)....

Eligibility Criteria

Inclusion

  • Men and women aged 18-80 years
  • Confirmed diagnosis of diabetes mellitus type 1 or type 2
  • Confirmed diagnosis of neuropathy;
  • Able to walk unaided for a minimum of 200 steps with capacity to attend the research site
  • PAR-Q physical activity questionnaire does not indicate any possible heart problems, dizziness or other issue indicating unsuitability for mild physical exercise involved in walking
  • Willingness and capacity to participate in the study and to sign the informed consent form

Exclusion

  • Unconfirmed diabetes mellitus diagnosis
  • Inability to ambulate independently without walking aids
  • Presence of rheumatoid arthritis
  • Active ulcer (i.e. having an active ulcer at the time of recruitment)
  • Recently healed ulcer (an ulcer which has had less than six months to fully heal)
  • History of Charcot in foot/joints
  • Previous minor or major amputation
  • Neurological disorders other than diabetes-related neuropathy potentially affecting gait, balance or posture
  • Evidence of significant peripheral vascular disease e.g. (i) attendance at a specialist vascular clinic; (ii) documentation of occlusive arterial disease or intervention; (iii) at least one pulse should be palpable on the affected foot with exclusion where neither pulse is palpable
  • Blood pressure \>180/100 or \<90/50
  • Unable to understand written and verbal English
  • PAR-Q physical activity questionnaire indicates possible heart problems, dizziness or other issue indicating unsuitability for mild physical exercise involved in walking

Key Trial Info

Start Date :

December 15 2022

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

June 30 2025

Estimated Enrollment :

26 Patients enrolled

Trial Details

Trial ID

NCT06025422

Start Date

December 15 2022

End Date

June 30 2025

Last Update

January 5 2026

Active Locations (1)

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1

Leicester Diabetes Centre

Leicester, Leicestershire, United Kingdom, LE5 4PW