- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04151654
Effects of Footwear Suitability on Functional Performance and Balance in Elderly
Investigating the Effects of Footwear Suitability on Functional Performance Level and Balance in Elderly
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The function of proper a footwear is to protect the foot against external factors. Balance and functional performance are affected by the level of footwear suitability. Particularly in elderly who have generally balance disorders and falling, footwear suitability is very important. Thus this study was designed to investigate the effects of footwear suitability on functional performance level and balance in elderly. The Footwear Assessment Score was used to assess parameters such as the design materials for footwear (upper and base), bending point, width, height of the toe box, getting out of the foot when walking, heel height, footwear style, wearing of the heel, and the distance between the longest toe and the end of the footwear. Thus, footwear was evaluated in many parameters.
In the literature, there are studies in which footwear was evaluated in only parameter such as height of heel.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject has not musculoskeletal injury within the last year.
- Subject has not needed gait assistance for ambulation.
Exclusion Criteria:
- History of psychiatric, neurological and cognitive diseases.
- history of visual and hearing problems.
- Has poor coordination.
- History of chronic diseases and acute pain.
- has diabetic foot.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: assessment1
İt is assessment study.
Assessment1 was evaluated for all test with and without footwear.
|
It was assessed using the Sharpened Romberg test and Single Leg Stance test for static balance.
It was assessed Berg Balance Scale for dynamic balance, and Timed Up and Go test for functional performance.
Balance and performance tests were done with and without footwear in all individuals.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Footwear Assessment Score
Time Frame: through study completion, average one hour
|
It was used to assess parameters such as the design materials for footwear (upper and base), bending point, width, height of the toe box, getting out of the foot when walking, heel height, footwear style, wearing of the heel, and the distance between the longest toe and the end of the footwear.
A score of 30 on the scale represents the highest suitability level and the score taken from the scale indicates the suitability level of the footwear.
|
through study completion, average one hour
|
Berg Balance Scale
Time Frame: through study completion, average one hour
|
Test was used to evaluate participants' ability to maintain their balance when performing functional activities.
A BERG score of 0 and 4 points for each variable assessed represents safe and independent execution of assigned tasks (normal performance), and unsafe and dependent execution of assigned tasks (unable to perform a task), respectively.
This amounts to a total score of 56 points.The Turkish version of the scale was used and a cumulative score of 0-20 indicates high risk, 21-40 moderate risk and 41-56 low risk.
The test was repeated twice; with and without footwear.
|
through study completion, average one hour
|
Functional Performance Evaluation
Time Frame: through study completion, average one hour
|
Timed Up and Go test (TUG) was used for evaluation of the functional performance.
This test is important in terms of the assessment of mobility and balance.
The participants were asked to stand from a sitting position, walk 3 m, turn back and sit back to the chair again.
The test shows that it is an independent and reliable, as it involves most activities in everyday life.
Duration of test was recorded.
the performance duration was defined as normal balance (up to 12 s), good balance (up to 10 s) impaired balance (11-20 s) impaired balance-low risk of falling (11-20 s), and high risk of falling (longer than 20 s).
|
through study completion, average one hour
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Sharpened Romberg
Time Frame: through study completion, average one hour
|
Participants were asked to remain standing, on a straight line with one leg behind the other leg, leaving the arms sagging and without impairing the balance.
Four measurements involving; right foot at behind with footwear, right foot at behind without footwear, left foot at behind with footwear, and left foot at behind without footwear were taken.
Duration stop criteria were defined as the time it took a participant to dislocate the foot, reach the maximal duration of 30 sec, and contact the observer to avoid falling.
h-Higher scores mean a better outcome.
|
through study completion, average one hour
|
Single Leg Stance Test
Time Frame: through study completion, average one hour
|
Duration of standing was measured in participants standing with dangling arms, with and without footwear.
Maximal duration of test is 30 sec.
Higher scores mean a better outcome.
|
through study completion, average one hour
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: KEZBAN BAYRAMLAR, Prof. Dr., Supervisor of Master Thesis
Publications and helpful links
General Publications
- McPoil TG Jr. Footwear. Phys Ther. 1988 Dec;68(12):1857-65. doi: 10.1093/ptj/68.12.1857.
- SIM-FOOK L, HODGSON AR. A comparison of foot forms among the non-shoe and shoe-wearing Chinese population. J Bone Joint Surg Am. 1958 Oct;40-A(5):1058-62. No abstract available.
- Sahin F, Yilmaz F, Ozmaden A, Kotevolu N, Sahin T, Kuran B. Reliability and validity of the Turkish version of the Berg Balance Scale. J Geriatr Phys Ther. 2008;31(1):32-7. doi: 10.1519/00139143-200831010-00006.
- Hatton AL, Rome K, Dixon J, Martin DJ, McKeon PO. Footwear interventions: a review of their sensorimotor and mechanical effects on balance performance and gait in older adults. J Am Podiatr Med Assoc. 2013 Nov-Dec;103(6):516-33. doi: 10.7547/1030516.
- Sherrington C, Menz HB. An evaluation of footwear worn at the time of fall-related hip fracture. Age Ageing. 2003 May;32(3):310-4. doi: 10.1093/ageing/32.3.310.
- Menz HB, Lord SR. The contribution of foot problems to mobility impairment and falls in community-dwelling older people. J Am Geriatr Soc. 2001 Dec;49(12):1651-6.
- Maden T, Bayramlar K, Maden C, Yakut Y. Investigating the effects of appropriate fitting footwear on functional performance level, balance and fear of falling in older adults: A comparative-observational study. Geriatr Nurs. 2021 Mar-Apr;42(2):331-335. doi: 10.1016/j.gerinurse.2021.01.001. Epub 2021 Feb 6.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 2016-06
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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