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.
調査の概要
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Malatya、トルコ（Türkiye）
- Regional Boarding School (YBO)
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参加基準
適格基準
就学可能な年齢
- 子
健康ボランティアの受け入れ
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：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.
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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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アクティブコンパレータ：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.
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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.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Foot Posture Classification (Staheli Arch Index)
時間枠：Baseline, Year 1, Year 2, Year 3
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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.
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Baseline, Year 1, Year 2, Year 3
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Plantar Pressure Distribution
時間枠：Year 3
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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.
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Year 3
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Standing Height
時間枠：Baseline, Year 1, Year 2
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Standing height (cm) was measured using a calibrated stadiometer at each assessment point.
Between-group differences were analyzed using mixed-design ANOVA (group × time).
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Baseline, Year 1, Year 2
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Body Mass
時間枠：Baseline, Year 1, Year 2
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Body mass (kg) was measured using a calibrated scale at each assessment point.
Between-group differences were analyzed using mixed-design ANOVA (group × time).
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Baseline, Year 1, Year 2
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協力者と研究者
スポンサー
捜査官
- 主任研究者：Mahmut Açak、Çanakkale Onsekiz Mart University
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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