| Unique ID issued by UMIN | UMIN000060096 |
|---|---|
| Receipt number | R000068697 |
| Scientific Title | The Effect of a Hybrid Therapy Combining Acoustic Stimulation and Therapeutic Footwear in Patients With Type 2 Diabetes: A Randomized Controlled Trial |
| Date of disclosure of the study information | 2025/12/16 |
| Last modified on | 2025/12/16 14:03:55 |
Effects of Exercise Using Sound Stimulation and Therapeutic Footwear for the Prevention of Foot Wounds in Patients with Diabetes
SAFE-FOOT Study
The Effect of a Hybrid Therapy Combining Acoustic Stimulation and Therapeutic Footwear in Patients With Type 2 Diabetes: A Randomized Controlled Trial
SHOE-SOUND Trial
| Japan |
Type 2 Diabetes
| Rehabilitation medicine |
Others
NO
The objective of this study is to clarify the effectiveness of a hybrid therapy that combines exercise therapy using auditory stimulation with shoe therapy for the prevention of foot ulcers in patients with type 2 diabetes.
Safety,Efficacy
Confirmatory
Maximum plantar pressure during self-paced comfortable walking at 12 months after initiation of the intervention.
Walking speed, step length, quadriceps strength, grip strength, and gait sway at 12 months after initiation of the intervention.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Institution is not considered as adjustment factor.
NO
Pseudo-randomization
3
Treatment
| Device,equipment | Behavior,custom |
In the control group, physical therapists provide standard exercise instruction, including guidance on exercise intensity and frequency, walking instruction, resistance exercise instruction, education on complication prevention, and self-monitoring guidance. The intervention period lasts for one year. We conduct evaluations at baseline and every three months following the exercise instruction. We use a 10-meter walk test at each participant's self-selected comfortable walking speed to assess walking speed, gait sway, and maximum plantar pressure, and we provide feedback based on the results. In addition, we monitor the incidence of foot abnormalities, such as calluses and fissures, as well as the occurrence of foot ulcers throughout the study period.
In the shoe-therapy group, we provide the same exercise instruction as in the control group and additionally provide diabetic-specific shoes. We instruct participants to wear these shoes consistently during exercise and daily outings, and to perform walking exercises at their self-selected comfortable walking speed. The intervention period lasts for one year. We conduct evaluations at baseline and every three months following the exercise instruction. We use a 10-meter walk test at each participant's self-selected comfortable walking speed to assess walking speed, gait sway, and maximum plantar pressure, and we provide feedback based on the results. In addition, we monitor the incidence of foot abnormalities, such as calluses and fissures, as well as the occurrence of foot ulcers throughout the study period.
In the hybrid-therapy group, we provide the same interventions as in the shoe-therapy group and additionally implement metronome-guided walking exercises at each participant's self-selected comfortable walking pace. The intervention period lasts for one year. We conduct evaluations at baseline and every three months following the exercise instruction. We use a 10-meter walk test at each participant's self-selected comfortable walking speed to assess walking speed, gait sway, and maximum plantar pressure, and we provide feedback based on these results. In addition, we monitor the incidence of foot abnormalities, such as calluses and fissures, as well as the occurrence of foot ulcers throughout the study period.
| 18 | years-old | <= |
| 75 | years-old | >= |
Male and Female
The eligibility criterion for participants is an age of 75 years or younger.
Exclusion criteria include participants who require orthopedic treatment; those with a history of central nervous system disorders; those with severe diabetic retinopathy or nephropathy; those with severe heart disease; those experiencing foot pain; and those deemed unsuitable for exercise therapy by a physician.
66
| 1st name | Keisuke |
| Middle name | |
| Last name | Suzuki |
Gifu University of Health Sciences
Department of Physical Therapy, Faculty of Rehabilitation
500-8281
2-92 Higashiuzura, Gifu-shi, Gifu
058-274-5001
keisukedondon@gmail.com
| 1st name | Keisuke |
| Middle name | |
| Last name | Suzuki |
Gifu University of Health Sciences
Department of Physical Therapy, Faculty of Rehabilitation
500-8281
2-92 Higashiuzura, Gifu-shi, Gifu
058-274-5001
k-suzuki@gifuhoken.ac.jp
Gifu University of Health Sciences
Keisuke Suzuki
Ministry of Education, Culture, Sports, Science and Technology
Japanese Governmental office
JAPAN
Gifu University of Health Sciences
2-92 Higashiuzura, Gifu-shi, Gifu
058-274-5001
t-iwata@toyota.ac.jp
NO
岐阜県
| 2025 | Year | 12 | Month | 16 | Day |
Unpublished
Enrolling by invitation
| 2024 | Year | 06 | Month | 01 | Day |
| 2024 | Year | 10 | Month | 07 | Day |
| 2025 | Year | 02 | Month | 01 | Day |
| 2027 | Year | 03 | Month | 31 | Day |
| 2025 | Year | 12 | Month | 16 | Day |
| 2025 | Year | 12 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068697