CClinicalTrials.gg
Not yet recruitingNCT06515665Updated Mar 13, 2025

Effectiveness of Diabetic Recovery Shoes and Artificial Intelligence Supported Structured Exercise Program

An interventional study of therapeutic foot orthosis in Diabetic Foot Ulcer, sponsored by Hacettepe University. Not yet recruiting at 1 site in Turkey. Open to participants aged 40 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-03-13.

Sponsored by Hacettepe University · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Primary completion was expected by Dec 2025, 9 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
40 Years to 65 Years
Sex
All
01

Study summary

This study aims to evaluate the effectiveness of the diabetic recovery sandal and artificial intelligence supported structured exercise program in individuals diagnosed with diabetic foot receiving hyperbaric oxygen therapy. The study will include 66 individuals between the ages of 40-65 who have received a diagnosis of diabetic foot from a specialist doctor, have a forefoot wound and receive hyperbaric oxygen therapy. The included individuals will be randomly divided into 3 groups. All participants will be provided with appropriate wound care and dressing and will be randomly divided into 3 groups. Artificial intelligence assisted exercise (exercise group) will be applied to the 1st group. Group 2 will receive artificial intelligence-assisted exercises and healing sandals. For 6 weeks, diabetic foot exercises and diabetic recovery sandal use will be provided (Exercise + sandal group). 3 groups will not receive any contribution (Control group). Balance, performance, wound healing and muscle strength evaluations will be performed before and after the application. Balance assessments will be evaluated by timed get up and walk test, performance by 1 min walk test, wound healing by Imitto measure phone application and muscle strength assessments by manual muscle tests.Awareness of the use of recovery sandals, hyperbaric oxygen therapy and foot exercises will be increased. Attention will be drawn to the creation of new education programs for people with low education or perception, and necessary measures will be taken in cases where risk is identified. In addition, early detection of recurrent ulcers or amputations in individuals who may increase the level of amputation will increase the risk of hospitalization and at the same time increase the cost of care that needs to be spent during hospitalization.

Read the detailed description

This study aims to evaluate the effectiveness of the diabetic recovery sandal and artificial intelligence supported structured exercise program in individuals diagnosed with diabetic foot receiving hyperbaric oxygen therapy. The study will include 66 individuals between the ages of 40-65 who have received a diagnosis of diabetic foot from a specialist doctor, have a forefoot wound and receive hyperbaric oxygen therapy. The included individuals will be randomly divided into 3 groups. All participants will be provided with appropriate wound care and dressing and will be randomly divided into 3 groups. Artificial intelligence assisted exercise (exercise group) will be applied to the 1st group. Group 2 will receive artificial intelligence-assisted exercises and healing sandals. For 6 weeks, diabetic foot exercises and diabetic recovery sandal use will be provided (Exercise + sandal group). 3 groups will not receive any contribution (Control group). Balance, performance, wound healing and muscle strength evaluations will be performed before and after the application. Balance assessments will be evaluated by timed get up and walk test, performance by 1 min walk test, wound healing by Imitto measure phone application and muscle strength assessments by manual muscle tests.Awareness of the use of recovery sandals, hyperbaric oxygen therapy and foot exercises will be increased. Attention will be drawn to the creation of new education programs for people with low education or perception, and necessary measures will be taken in cases where risk is identified. In addition, early detection of recurrent ulcers or amputations in individuals who may increase the level of amputation will increase the risk of hospitalization and at the same time increase the cost of care that needs to be spent during hospitalization. It is also expected to provide evidence to health professionals working in this field.

02

Conditions studied

  • Diabetic Foot Ulcer

Keywords

  • diabetic foot ulcer
  • foot orthoses
  • artificial intelligence
03

In context

Diabetic Foot

1,054 studies on the registry are indexed under Diabetic Foot; 222 are open to participants now.

This study's planned enrollment of 66 is close to the median of 60 across 826 interventional studies indexed under Diabetic Foot.

Browse Diabetic Foot studies →

Lead sponsor

Hacettepe University is the lead sponsor of 983 studies on the registry; 212 are open to participants now.

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

04

Who can participate

Ages eligible
40 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • individuals were ability to walk 10 meters with a maximum of one support,
  • at most one amputated toe, no thumb,
  • accessible to electronic devices with internet,
  • no vision and hearing problems,
  • no problems that may affect cooperation,
  • receiving Hyperbaric Oxygen Therapy.

Exclusion criteria

Exclusion Criteria:

  • having major amputations,
  • having an orthopedic or other neurological problem,
  • having a congenital disability,
  • having proximal lower extremity,
  • amputation excluding the finger,
  • having bilateral finger amputation.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
66 participants (estimated)

Study arms

  • Active comparator
    therapeutic foot orthosis

    foot orthosis will be applied to this group of participants. For 6 weeks they will be asked to use these foot orthoses. Before and after evaluations will be repeated.

    Behavioral: therapeutic foot orthosis

  • Active comparator
    exercises

    this group of participants will be exercised with foot orthoses accompanied by artificial intelligence. For 6 weeks, they will be asked to use these foot orthoses and do their exercises. Before and after evaluations will be repeated.

    Behavioral: therapeutic foot orthosis

  • Active comparator
    control

    this group of participants will be assessed at the beginning and end of the 6 weeks without any intervention.

    Behavioral: therapeutic foot orthosis

Interventions

  • Behavioraltherapeutic foot orthosis

    They will be asked to behaviorally wear this shoe and perform the exercises daily for 6 weeks.

    Also known as: exercises

06

What researchers measure

Primary outcomes

  1. Balance Evaluation of Individuals with Diabetic foot

    time up and go test

    Time frame: Before and after 6 week

  2. Performance Evaluation of Individulas With Diabetic Foot

    one minute walk test

    Time frame: before and after 6 week

  3. Wound Healing Evaluation of Individulas With Diabetic Foot

    Photos will be taken with a phone application called Imit measure.

    Time frame: before and after 6 week

Secondary outcomes

  1. Comparing the effectiveness of the diabetic recovery orthosis and exercises on balance

    Comparing week six assessments

    Time frame: before and after 6 week

  2. Comparing the effectiveness of the diabetic recovery orthosis and exercises on performance

    Comparing week six assessments

    Time frame: before and after 6 week

  3. Comparing the effectiveness of the diabetic recovery orthosis and exercises on wound healing

    Comparing week six assessments

    Time frame: before and after 6 week

07

Study locations

1 site
  • University of Health Science
    Ankara, Kecıoren 06018, Turkey
08

References and documents

Publications

  • Armstrong DG, Boulton AJM, Bus SA. Diabetic Foot Ulcers and Their Recurrence. N Engl J Med. 2017 Jun 15;376(24):2367-2375. doi: 10.1056/NEJMra1615439. No abstract available. PubMed 28614678 ↗
  • Buldt AK, Menz HB. Incorrectly fitted footwear, foot pain and foot disorders: a systematic search and narrative review of the literature. J Foot Ankle Res. 2018 Jul 28;11:43. doi: 10.1186/s13047-018-0284-z. eCollection 2018. PubMed 30065787 ↗
  • Collings R, Freeman J, Latour JM, Paton J. Footwear and insole design features for offloading the diabetic at risk foot-A systematic review and meta-analyses. Endocrinol Diabetes Metab. 2020 Apr 11;4(1):e00132. doi: 10.1002/edm2.132. eCollection 2021 Jan. PubMed 33532602 ↗
  • Ercan E, Aydin G, Erdogan B, Ozcelik F. The effect of hyperbaric oxygen therapy on hematological indices and biochemical parameters in patients with diabetic foot. Medicine (Baltimore). 2024 Mar 22;103(12):e37493. doi: 10.1097/MD.0000000000037493. PubMed 38518039 ↗

Individual participant data

Plan to share: No — will be decided after the study is finished.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06515665
Lead sponsor
Hacettepe University
Collaborators
Gulhane Training and Research Hospital
Responsible party
Tezel Yıldırım Şahan (Associate Professor, Hacettepe University) — Principal investigator
First posted
Jul 23, 2024
Start date
Sep 30, 2025 (estimated)
Primary completion
Dec 30, 2025 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Mar 13, 2025

Study contacts

Tezel Y Şahan, phD
Contact
fzttezel@gmail.com
5056615279 ext. +90
Tezel Y Şahan, phD
study chair · University of Health science

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 not yet recruiting, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion