UMIN-CTR Clinical Trial

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

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Basic information

Public title

Effects of Exercise Using Sound Stimulation and Therapeutic Footwear for the Prevention of Foot Wounds in Patients with Diabetes

Acronym

SAFE-FOOT Study

Scientific Title

The Effect of a Hybrid Therapy Combining Acoustic Stimulation and Therapeutic Footwear in Patients With Type 2 Diabetes: A Randomized Controlled Trial

Scientific Title:Acronym

SHOE-SOUND Trial

Region

Japan


Condition

Condition

Type 2 Diabetes

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Maximum plantar pressure during self-paced comfortable walking at 12 months after initiation of the intervention.

Key secondary outcomes

Walking speed, step length, quadriceps strength, grip strength, and gait sway at 12 months after initiation of the intervention.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Pseudo-randomization


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Device,equipment Behavior,custom

Interventions/Control_1

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.

Interventions/Control_2

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.

Interventions/Control_3

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.

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

The eligibility criterion for participants is an age of 75 years or younger.

Key exclusion criteria

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.

Target sample size

66


Research contact person

Name of lead principal investigator

1st name Keisuke
Middle name
Last name Suzuki

Organization

Gifu University of Health Sciences

Division name

Department of Physical Therapy, Faculty of Rehabilitation

Zip code

500-8281

Address

2-92 Higashiuzura, Gifu-shi, Gifu

TEL

058-274-5001

Email

keisukedondon@gmail.com


Public contact

Name of contact person

1st name Keisuke
Middle name
Last name Suzuki

Organization

Gifu University of Health Sciences

Division name

Department of Physical Therapy, Faculty of Rehabilitation

Zip code

500-8281

Address

2-92 Higashiuzura, Gifu-shi, Gifu

TEL

058-274-5001

Homepage URL


Email

k-suzuki@gifuhoken.ac.jp


Sponsor or person

Institute

Gifu University of Health Sciences

Institute

Department

Personal name

Keisuke Suzuki


Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

JAPAN


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Gifu University of Health Sciences

Address

2-92 Higashiuzura, Gifu-shi, Gifu

Tel

058-274-5001

Email

t-iwata@toyota.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

岐阜県


Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 12 Month 16 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2024 Year 06 Month 01 Day

Date of IRB

2024 Year 10 Month 07 Day

Anticipated trial start date

2025 Year 02 Month 01 Day

Last follow-up date

2027 Year 03 Month 31 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 12 Month 16 Day

Last modified on

2025 Year 12 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068697