UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057507
Receipt number R000065708
Scientific Title Insole intervention study on center of pressure and plantar loading during standing in community-dwelling older adults
Date of disclosure of the study information 2025/04/18
Last modified on 2026/04/05 12:32:43

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Basic information

Public title

Insole intervention study on standing balance in community-dwelling older adults

Acronym

Insole intervention tests

Scientific Title

Insole intervention study on center of pressure and plantar loading during standing in community-dwelling older adults

Scientific Title:Acronym

Insole intervention study on postural sway and plantar loading

Region

Japan


Condition

Condition

Community dwelling elderly people

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study was to determine the effects of four different insole types on body sway and plantar loading during static standing in elderly subjects.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Subjects will receive four different insole interventions on the same day. The plantar surface of the foot will be divided into 7 compartments, and plantar pressure in each compartment will be measured during the insole intervention.

Key secondary outcomes

Subjects will be measured the center of pressure at the time of insole intervention.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

4

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

The standing condition is eyes closed, upper limbs contralateral, foot angle 14 degree, and distance between heels 17 cm. The static standing posture is performed for 30 seconds, three times for each insole. A 2-minute rest is allowed between sessions.

Interventions/Control_2

The insoles will include a textured insole, which stimulates the plantar surface, and a smooth insole, which does not provide stimulation.
The insole conditions will be as follows:
Control group: A smooth insole inserted across the entire plantar surface.
Forefoot textured insole (TI) group: A textured insole inserted in the forefoot area.
Rearfoot TI group: A textured insole inserted in the rearfoot area.
Full TI group: A textured insole inserted across the entire plantar surface.
To compensate for differences in insole height, the forefoot TI group and rearfoot TI group will have smooth insoles inserted in areas where the textured insole is not applied.

Interventions/Control_3

The textured insole and smooth insole will have a thickness of 3 mm and will be made of ethylene-vinyl acetate (EVA) copolymer.
The textured insole will have protrusions with the following specifications:
Height: 1.5 mm
Diameter: 6 mm
Distance between protrusions: 5 mm

Interventions/Control_4

Four groups

Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

65 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Participants will be community-dwelling older adults of both genders who have given their consent after receiving an explanation of the purpose and methods of the study both orally and in writing.

Key exclusion criteria

The exclusion criteria for participants are as follows:
Individuals who cannot maintain an eyes-closed standing position for more than 30 seconds without assistive devices.
Individuals with a history of neuromuscular diseases.
Individuals with a history of lower limb surgery.
Individuals with a history of vestibular dysfunction.
Individuals with plantar sensory impairment.
Individuals with cognitive decline.
Individuals with hallux valgus.
Plantar sensory impairment will be defined as the inability to perceive the Semmes-Weinstein Monofilament applied to the plantar surface.
Cognitive decline will be defined as a Mini-Mental State Examination (MMSE) score of less than 23.
Hallux valgus will be diagnosed if the hallux valgus angle, measured with a goniometer, is 20 degree or greater.

Target sample size

43


Research contact person

Name of lead principal investigator

1st name Yuichi
Middle name
Last name Takata

Organization

Hokkaido Bunkyo University

Division name

Graduate School of Rehabilitation Sciences

Zip code

061-1449

Address

5-196-1 Koganechuo, Eniwa, Hokkaido 061-1449, Japan

TEL

0123340109

Email

takata@do-bunkyodai.ac.jp


Public contact

Name of contact person

1st name Yuichi
Middle name
Last name Takata

Organization

Hokkaido Bunkyo University

Division name

Graduate School of Rehabilitation Sciences

Zip code

061-1449

Address

5-196-1 Koganechuo, Eniwa, Hokkaido 061-1449, Japan

TEL

0123340109

Homepage URL


Email

takata@do-bunkyodai.ac.jp


Sponsor or person

Institute

Hokkaido Bunkyo University

Institute

Department

Personal name



Funding Source

Organization

Hokkaido Bunkyo University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hokkaido Bunkyo University

Address

5-196-1 Koganechuo, Eniwa, Hokkaido 061-1449, Japan

Tel

0123340109

Email

takata@do-bunkyodai.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 04 Month 18 Day


Related information

URL releasing protocol

https://data.mendeley.com/datasets/3cwjn6y8x9/5

Publication of results

Published


Result

URL related to results and publications

https://data.mendeley.com/datasets/3cwjn6y8x9/5

Number of participants that the trial has enrolled

43

Results

This study investigated whether forefoot- or rearfoot-textured insoles (hereafter referred to as TI; conditions: control, forefoot TI, rearfoot TI, and full TI) influence postural sway and plantar pressure during quiet standing in older adults.
Regarding plantar pressure, multiple comparisons revealed that the forefoot TI condition showed significantly lower toe pressure and significantly higher lateral forefoot pressure compared with the control condition.

Results date posted

2026 Year 04 Month 05 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Community-dwelling older adults aged 65 years or older residing in Kitahiroshima City or Eniwa City, Hokkaido, Japan.

Participant flow

A total of 82 participants were assessed for eligibility. Of these, 39 participants were excluded.

Finally, 43 participants were enrolled in the study. All participants completed the measurements and were included in the analysis.

Adverse events

No adverse events were observed during the study.

Outcome measures

COP rectangular area, anteroposterior (AP) maximum range, AP velocity, AP COP position, and plantar pressure distribution.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2024 Year 02 Month 14 Day

Date of IRB

2024 Year 05 Month 02 Day

Anticipated trial start date

2024 Year 05 Month 07 Day

Last follow-up date

2024 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 04 Month 04 Day

Last modified on

2026 Year 04 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000065708