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CompletedNCT05587010Updated May 6, 2026

Comparison of Gait in Different Support Conditions for Foot Drop

An observational study in Foot Drop, Unspecified Foot, sponsored by Dr Tim Exell. Completed at 1 site in United Kingdom. Open to participants aged 4 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-05-06.

Sponsored by Dr Tim Exell · Observational

Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
8
Ages
4 Years to 17 Years
Sex
All
01

Study summary

Foot drop is a complication accompanying a variety of conditions and refers to difficulty in lifting the foot upwards about the ankle. Foot drop is a common outcome of conditions including cerebral palsy, brain/spinal cord injury, muscular dystrophy, stroke and after chemotherapy. Foot drop can lead to trips and falls for the individual if the foot catches on the ground when walking, negatively impacting on independence and quality of life.

Approximately 46,720 children and adolescents in the UK have the above conditions and current treatment for individuals with foot drop include use of a lycra sock for those requiring low support and a rigid Ankle Foot Orthosis (AFO) for those requiring high support. The current problem is that all children and adolescents requiring more than low support of the lycra sock are fitted with an AFO, which can lead to muscles becoming weak over time as the AFO restricts almost all movement about the ankle.

This study will assess the use of a new device, the OrthoPed splint, in young people aged 4 - 17 years old who have moderate foot drop. The OrthoPed splint has been developed to be used as a long-term device and aims to reduce loss of strength by allowing more ankle function than an AFO.

This study aims to assess the feasibility of recruiting children and adolescents with foot drop into a study, collecting information on their movement and how well they walk when wearing different support devices for foot drop. Each person in the study will be measured when walking barefoot (no external support) and when wearing an AFO, Lycra sock and the OrthoPed splint. This feasibility study will inform the design, management, and delivery of a future larger randomised, controlled, non-inferiority trial.

02

Conditions studied

  • Foot Drop, Unspecified Foot

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Keywords

  • orthotic
  • AFO
03

In context

Peroneal Neuropathies

41 studies on the registry are indexed under Peroneal Neuropathies; 9 are open to participants now.

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Lead sponsor

This is the only study on the registry with Dr Tim Exell as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
4 Years to 17 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Patients under paediatric physiotherapy care suffering from moderate foot drop. Patients will be identified through physiotherapy care for foot drop. As the OrthoPed splint is designed for use with moderate foot drop patients, we will only study patients identified by the physiotherapy team as having moderate foot drop, defined as a minimum of 5 degrees of dorsiflexion with or without gravity (Oxford Scale 2-4), and suitable for using the OrthoPed splint. The splint is aimed for use in children and adolescents aged between 2 - 17 Years but due to the need to follow instructions and understand the requirements of the study, we will only study children and adolescents aged 4-17 Years.

Inclusion criteria

  • Age 4 - 17 years old
  • Diagnosed moderate unilateral or bilateral foot drop
  • Able to walk independently
  • Minimum of 5 degrees of ankle dorsiflexion with or without gravity (Oxford Scale 2-4, Clarkson (2010))

Exclusion criteria

Exclusion Criteria:

  • Younger than 4 or older than 17 years old
  • Severe foot drop that requires higher levels of support than elastic splint
  • Unable to walk independently
  • Visual impairment when corrected to not be able to see targets when walking
  • Unable to understand and or cooperate with study protocol
  • Health contraindications to exercise e.g. cardiac disease
05

Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
8 participants (actual)
Target follow-up
2 Months
Patient registry
Yes

Groups and cohorts

  • Foot drop

    Participants living with foot drop in either foot. Orthotic support devices will be compared within this cohort to assess their impact on gait biomechanics and clinical outcomes

    Device: AFO · Device: lycra sock · Device: OrthPed splint

Interventions

  • DeviceAFO

    ankle foot orthosis

  • Devicelycra sock

    custom fitted lycra sock

  • DeviceOrthPed splint

    novel compression splint

06

What researchers measure

Primary outcomes

  1. Recruitment as defined by the proportion of people with foot drop accepting the invitation to take part in the study

    Time frame: 6 months

Secondary outcomes

  1. Joint angles during walking gait

    Differences in peak flexion, extension and range of motion of ankle, knee, hip and elbow angles during walking gait in different support conditions

    Time frame: 6 months

  2. Step length during walking gait

    Differences in step length in different support conditions

    Time frame: 6 months

  3. Step frequency during walking gait

    Differences in step frequency in different support conditions

    Time frame: 6 months

  4. Step velocity during walking gait

    Differences in step velocity in different support conditions

    Time frame: 6 months

  5. Ground reaction force during walking gait

    Differences in peak vertical, anterior, posterior, medial and lateral ground reaction forces during walking gait in different support conditions

    Time frame: 6 months

  6. Parent reported outcome measures of gait comfort and capacity

    Family Impact Module of Pediatric Quality of Life Inventory (PedsQL) (Varni et al. (2005)

    Time frame: 6 months

  7. Patient reported outcome measures of gait comfort and capacity

    Core Module of PedsQL (Varni et al. (2005) in different support conditions

    Time frame: 6 months

  8. Distance walked during 6-minute walk test

    Distance walked during 6-minute walk test in different support conditions

    Time frame: 6 months

  9. Time achieved during Single Leg Stand test

    Time achieved during Single Leg Stand test in different support conditions

    Time frame: 6 months

  10. Time achieved during Timed Up and Go test

    Time achieved during Timed Up and Go test in different support conditions

    Time frame: 6 months

  11. Score achieved from Gait Assessment and Intervention Tool

    Score achieved from Gait Assessment and Intervention Tool in different support conditions

    Time frame: 6 months

  12. Time taken to put on each device 1 handed

    Time taken to put on each device 1 handed

    Time frame: 6 months

07

Study locations

1 site
  • University of Portsmouth
    Portsmouth, Hampshire PO1 2ER, United Kingdom
08

References and documents

Individual participant data

Plan to share: No — processed outcome results will be shared through dissemination and publication of results

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05587010
Lead sponsor
Dr Tim Exell
Collaborators
Portsmouth Hospitals NHS Trust, Solent NHS Trust
Responsible party
Dr Tim Exell (Senior Lecturer inn Biomechanics and Rehabilitation Science, University of Portsmouth) — Sponsor-investigator
First posted
Oct 19, 2022
Start date
May 3, 2023
Primary completion
May 10, 2024
Completion
May 10, 2024
Last update
May 6, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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