- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07632924
Medial Arch-Support Wrestling Shoes and Foot Posture Preservation in Adolescent Wrestlers (MAWS-RCT)
Medial Arch-Support Wrestling Shoes and Foot Posture Preservation in Adolescent Wrestlers: A Three-Year Randomized Controlled Trial
This three-year randomized controlled trial investigated whether wrestling shoes with built-in medial arch support can preserve foot arch structure in adolescent male wrestlers compared to standard wrestling shoes without arch support.
A total of 88 adolescent male wrestlers (age 11 at baseline) were randomly assigned to wear either modified wrestling shoes with integrated medial arch support (intervention group, n=44) or standard commercially available wrestling shoes (control group, n=44). Foot posture was assessed annually using the Staheli Arch Index via podoscopy. Plantar pressure distribution was recorded using the Tekscan F-Scan system. The study followed participants for three years.
The primary aim was to determine whether medial arch-support wrestling shoes reduce the emergence of flat foot (pes planus) compared with standard wrestling shoes during a critical period of foot development in young athletes.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
-
Malatya, Tyrkiet (Türkiye)
- Regional Boarding School (YBO)
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Registered wrestlers at Regional Boarding Schools (YBO)
- Training frequency of 3 or more days per week
- No lower extremity injury within the preceding 6 months
- No current orthopedic insole use
- Normal foot posture at baseline
Exclusion Criteria:
- Prior lower extremity surgery
- Neurological disorders
- Rheumatological disorders
- Severe congenital foot deformity
- Current orthopedic insole use
- Existing foot deformity at baseline
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Modified Wrestling Shoe (Arch Support)
Participants wore modified wrestling shoes with integrated medial arch support, multi-density rubber outsole, reinforced heel stabilization, structured midfoot midsole, and optimized plantar contact geometry for three years during all wrestling training sessions.
Shoe sizes were monitored and replaced as needed.
|
Modified wrestling shoe incorporating a multi-density rubber outsole, integrated medial longitudinal arch support, reinforced heel stabilization with hidden heel pads, structured midfoot midsole, four-way stretch Scuba fabric upper, and adhesive Velcro tape closure system.
Designed to redistribute plantar pressure and preserve medial longitudinal arch structure during wrestling training.
|
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Aktiv komparator: Standard Wrestling Shoe
Participants wore standard commercially available wrestling shoes featuring a flat thin rubber outsole, no cushioning midsole, no arch support, near-zero heel drop, and a high collar for three years during all wrestling training sessions.
Shoe sizes were monitored and replaced as needed.
|
Conventional commercially available wrestling shoe featuring a thin flat rubber outsole, hard insole without arch support, tight lacing system, high collar, and rigid non-flexible plastic base.
No medial arch support or plantar load redistribution features.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Foot Posture Classification (Staheli Arch Index)
Tidsramme: Baseline, Year 1, Year 2, Year 3
|
Foot posture was classified annually using the Staheli Arch Index (SAI) assessed via podoscopy.
Classifications: normal (SAI 0.45-0.89),
flexible pes planus (SAI 0.90-1.00),
and rigid pes planus (SAI ≥1.01, confirmed by Jack Toe Raise Test).
Between-group differences were evaluated using Fisher's exact test with Bonferroni correction.
|
Baseline, Year 1, Year 2, Year 3
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Plantar Pressure Distribution
Tidsramme: Year 3
|
Dynamic plantar pressure distribution was recorded using the Tekscan F-Scan system (3000E sensors, 100 Hz) during 30-second walking trials on a UWW-approved mat.
Pressure maps were evaluated qualitatively for midfoot contact area and center of pressure trajectory.
|
Year 3
|
|
Standing Height
Tidsramme: Baseline, Year 1, Year 2
|
Standing height (cm) was measured using a calibrated stadiometer at each assessment point.
Between-group differences were analyzed using mixed-design ANOVA (group × time).
|
Baseline, Year 1, Year 2
|
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Body Mass
Tidsramme: Baseline, Year 1, Year 2
|
Body mass (kg) was measured using a calibrated scale at each assessment point.
Between-group differences were analyzed using mixed-design ANOVA (group × time).
|
Baseline, Year 1, Year 2
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Mahmut Açak, Çanakkale Onsekiz Mart University
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 2018-106
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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