UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000061377
Receipt number R000070226
Scientific Title An exploratory study of the effects of a foot bone-strengthening program on bone-related indicators, toe muscle strength, foot function, physical function, and health-related indicators, and the associations among these measures in male and female participants
Date of disclosure of the study information 2026/04/26
Last modified on 2026/04/26 14:29:32

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Basic information

Public title

Exploratory study on the effects of a foot bone-strengthening program on bone-related, foot function, and health-related indicators

Acronym

Foot Bone Strengthening Study

Scientific Title

An exploratory study of the effects of a foot bone-strengthening program on bone-related indicators, toe muscle strength, foot function, physical function, and health-related indicators, and the associations among these measures in male and female participants

Scientific Title:Acronym

BONE Program Study

Region

Japan


Condition

Condition

Male and female athletes and healthy individuals with, or at risk of, reduced bone-related indicators, impaired foot function, reduced toe muscle strength, impaired posture and balance function, or other physical and health-related concerns

Classification by specialty

Not applicable Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to exploratorily examine the effects of the BONE program, a foot bone-strengthening program focusing on the skeletal structure of the foot, on bone-related indicators, toe muscle strength, foot function, plantar pressure distribution, posture and balance function, physical function, body composition, vascular indicators, lifestyle factors, psychological and behavioral indicators, and health-related indicators in male and female participants. This study will also examine interrelationships among bone-related indicators, toe muscle strength, foot function, plantar pressure distribution, physical function, body composition, vascular indicators, lifestyle factors, and subjective assessments, and will comprehensively evaluate the effectiveness, safety, feasibility, and applicability of the program.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcomes are changes before and after the BONE program in bone-related indicators, foot function, toe muscle strength, plantar pressure distribution, posture and balance function, and health-related indicators. These may include speed of sound at the calcaneus, bone area ratio, bone mineral density-related indicators, toe muscle strength, foot contact area, plantar pressure distribution in the forefoot and rearfoot, center-of-gravity sway distance, sway area, mean sway velocity, physical function, body composition, vascular indicators, and subjective health status.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Participants who provide informed consent will be randomly allocated to either the intervention group or the control group. Participants in the intervention group will undergo foot-related, bone-related, and physical function improvement programs, including the BONE program, in addition to their usual club activities, usual practice, usual warm-up, or usual activity. The programs aim to provide low-intensity mechanical stimulation to the foot and lower limbs, enhance foot arch function, utilize the lever function of the foot bones, improve mobility of the foot bones, improve toe muscle strength and foot function, enhance posture and balance function, and improve physical function and health-related indicators. The programs may include foot stimulation using a wooden ball or similar tool, toe exercises, foot and lower-limb exercises, weight-bearing exercises, balance exercises, stretching, education, self-monitoring, and feedback. The intervention will generally be performed several times per week for approximately 15 minutes per session over approximately 1 to 3 months. The frequency, duration per session, intervention period, and method may be adjusted according to the study protocol, considering participant affiliation, training environment, feasibility, and safety.

Interventions/Control_2

Participants who provide informed consent and are randomly allocated to the control group will continue their usual club activities, usual practice, usual warm-up, or usual support without the additional BONE program or foot-related, bone-related, and physical function improvement programs. The control group will undergo assessments during the same period as the intervention group, including bone-related indicators, toe muscle strength, foot function, plantar pressure distribution, posture and balance function, physical function, body composition, vascular indicators, health-related indicators, and questionnaire-based measures.

Interventions/Control_3


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

8 years-old <=

Age-upper limit

19 years-old >=

Gender

Male and Female

Key inclusion criteria

Elementary school to high school-aged individuals.
Male or female participants.
Individuals who are able to participate in sports activities, physical activities, or assessments of health and physical function.
Individuals who are able to participate in the BONE program, foot bone-strengthening program, usual activity, measurements, surveys, or assessments.
Individuals who are able to undergo assessments of bone-related indicators, foot function, toe muscle strength, plantar pressure distribution, posture and balance function, physical function, body composition, vascular indicators, health-related indicators, lifestyle factors, or questionnaire-based measures.
Individuals from whom consent for study participation can be obtained from both the participant and a parent or guardian.

Key exclusion criteria

Individuals judged by the principal investigator or co-investigators to be unsuitable for participation in this study.
Individuals who are judged to have difficulty participating in the BONE program, foot bone-strengthening program, exercise, usual activity, measurements, surveys, or assessments for safety reasons.
Individuals judged to have difficulty participating in the intervention, measurements, surveys, or assessments due to conditions related to the foot, lower limbs, bones, muscles, joints, nervous system, cardiovascular system, or other health conditions.
Individuals from whom consent for study participation cannot be obtained from the participant or a parent or guardian.
Individuals otherwise judged to be unsuitable for participation according to the study protocol.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Shiho
Middle name
Last name Kurosaka

Organization

Hiroshima University

Division name

Graduate School of Humanities and Social Sciences

Zip code

739-8524

Address

1-1-1 Kagamiyama, Higashihiroshima-shi, Hiroshima, Japan

TEL

082-424-6844

Email

shihok@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name Shiho
Middle name
Last name Kurosaka

Organization

Hiroshima University

Division name

Graduate School of Humanities and Social Sciences

Zip code

739-8524

Address

1-1-1 Kagamiyama, Higashihiroshima-shi, Hiroshima, Japan

TEL

082-424-6844

Homepage URL


Email

shihok@hiroshima-u.ac.jp


Sponsor or person

Institute

Hiroshima University

Institute

Department

Personal name



Funding Source

Organization

Hiroshima 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

Hiroshima University

Address

1-1-1 Kagamiyama, Higashihiroshima-shi, Hiroshima, Japan

Tel

082-424-6844

Email

shihok@hiroshima-u.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

2026 Year 04 Month 26 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

Preinitiation

Date of protocol fixation

2026 Year 01 Month 01 Day

Date of IRB


Anticipated trial start date

2026 Year 04 Month 26 Day

Last follow-up date

2026 Year 06 Month 26 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 04 Month 26 Day

Last modified on

2026 Year 04 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070226