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NCT06025422

In-shoe Pressures Associated With Footwear Fit Guidelines

Completed Last updated 5 January 2026
What this trial tests

trial in Diabetic Foot Ulcer in 26 participants. Completed in 30 June 2025.

Timeline
15 December 2022
Primary endpoint
30 June 2025
30 June 2025

Quick facts

Lead sponsorUniversity Hospitals, Leicester
StatusCompleted
Study typeOBSERVATIONAL
Enrollment26
Start date15 December 2022
Primary completion30 June 2025
Estimated completion30 June 2025
Sites1 location across United Kingdom

Conditions studied

Sponsor

University Hospitals, Leicester

Who can join

Adults 18 to 80, any sex, with Diabetic Foot Ulcer or Diabetic Neuropathies. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

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 inside of the shoe) vary depending on the footwear guidance referred to but no research to date has assessed the recommendations' effectiveness in minimising in-shoe pressures. The investigators will carry out a pilot study in 60 people with diabetes and loss of foot sensation (neuropathy). In this study, the investigators will measure in-shoe pressures whilst participants walk at the same pace to the beat of a metronome. An insole placed inside participants' shoes will measure in-shoe pressures. Participants will wear the same (standardised) type of footwear. The study is designed to detect a difference in pressure within this made-to-measure footwear whose fit conforms to Standard 1 guidance compared with footwear whose fit conforms to Standard 2 guidance. Differences between Standards 1 and 2 with Standard 3 will be considered secondary analyses. Standards are simplified to three non-overlapping recommended toe gap ranges of 0.5-1.0cm; 1.5-2.0cm and 1.0-1.5cm. The investigators will also analyse the heat images taken with a thermographic camera before and after walking in standardised footwear whose fit confirms to these standards (this is known as the plantar thermal stress response to walking). Footwear fit will be determined by measuring the dimensions of participants' feet and that of participants' footwear and comparing the two. The investigators will also measure footwear fit and associated in-shoe pressure/plantar thermal stress response in participants' habitual footwear during walking at paced and self-selected speeds.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other recruiting trials for Diabetic Foot Ulcer

Currently open trials in the same condition.

Other University Hospitals, Leicester trials

Trials by the same sponsor.

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Data sources for this page

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