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- Essai clinique 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.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
-
-
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Malatya, Turquie (Türkiye)
- Regional Boarding School (YBO)
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
Accepte les volontaires sains
La description
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
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: La prévention
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 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.
|
|
Comparateur actif: 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.
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Foot Posture Classification (Staheli Arch Index)
Délai: 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
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Plantar Pressure Distribution
Délai: 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
|
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Standing Height
Délai: 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
Délai: 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
|
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Mahmut Açak, Çanakkale Onsekiz Mart University
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Talipes
- Maladies musculo-squelettiques
- Anomalies musculosquelettiques
- Anomalies congénitales
- Difformités des membres inférieurs, congénitales
- Déformations des membres, congénitales
- Déformations du pied, acquises
- Difformités du pied, congénitales
- Maladies et anomalies congénitales, héréditaires et néonatales
- Déformations du pied
- Pied plat
Autres numéros d'identification d'étude
- 2018-106
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
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