CClinicalTrials.gg
WithdrawnNCT06891001Updated Oct 7, 2026

The Utilization of a Shoe Insert on Individuals With Unilateral Greater Trochanteric Pain Syndrome on Single Leg Stance, Biomechanics, and Pain Intensity

An interventional study of Unilateral neutral shoe insert and Bilateral Shoe Insert in Gluteus Medius Muscle Strength, Lateral Hip Pain and Greater Trochanter Pain Syndrome, Gluteus Medius Tendinopathy, Gluteus Minimus Tendinopathy, sponsored by Mayo Clinic. Withdrawn at 1 site in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-10-07.

Sponsored by Mayo Clinic · Not applicable, Interventional, and Treatment

Why this study was withdrawn
No funding.
Updated Oct 7, 2026Now WithdrawnStart date moved+3 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

We hypothesize that the addition of a unilateral neutral shoe insert combined with standard physical therapy (PT+SI) will have greater improvements in pain and function at 12 weeks and 6 months compared to physical therapy with sham inserts (PT+Sham) and physical therapy (PT) alone. In addition, we hypothesize that the addition of a neutral shoe insert in the involved limb will immediately improve biomechanics and pain with the single-leg stance test.

02

Conditions studied

  • Gluteus Medius Muscle Strength
  • Lateral Hip Pain
  • Greater Trochanter Pain Syndrome, Gluteus Medius Tendinopathy, Gluteus Minimus Tendinopathy

Keywords

  • Gluteus medius tendinopathy
  • Gluteus minimum tendinopathy
  • Greater trochanteric pain syndrome
03

In context

Lead sponsor

Mayo Clinic is the lead sponsor of 3,218 studies on the registry; 670 are open to participants now.

Of its 445 completed or terminated interventional studies of FDA-regulated products, 313 (70%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subjects with a history of unilateral hip pain lasting more than three months.
  • Subjects with a VAS pain score of at least 3/10 localized to the lateral hip.
  • Subjects with pain with palpation to lateral hip.
  • Subjects with pain with either resisted hip abduction in relative adduction testing position and/or single leg stance test

Exclusion criteria

Exclusion Criteria:

  • Subjects wearing custom foot orthoses at the time of recruitment.
  • Subjects who endorse current low back pain ≥ 3 on the NRS or lumbar radiculopathy
  • Subjects with a medical history of spinal or lower limb surgery in the past 6 months.
  • Subjects with a medical history of total joint replacement of hip, knee, or ankle on the symptomatic side
  • Subjects who have had a corticosteroid injection at the hip within the last 12 months;
  • Subjects demonstrating clinical signs and symptoms of intra-articular hip joint pathology with ≥ 3/10 groin pain including imaging confirmed significant labral tearing requiring surgery or osteoarthritis > 2 (mild) on Kellgren-Lawrence score on radiographs.
  • Subjects previously diagnosed with systemic inflammatory conditions; active cancer/malignant tumors; or neurological conditions that would affect gait
  • Subjects who have had physical therapy within the past 3 months for hip pain
  • If subjects are unable to commit to 12 weeks of therapy with one supervised session weekly
  • Subjects who have the intention to perform treatments outside of this study including, but not limited to, dry needling or acupuncture, extracorporeal shockwave, therapeutic ultrasound, a TENEX procedure, medication injection therapies, platelet-rich plasma injections, stem cell injections, and surgery.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Physical Therapy

    This arm will undergo a standardized physical therapy protocol alone.

    Other: Physical Therapy

  • Sham comparator
    Physical Therapy Plus Bilateral Shoe Insert

    This arm will undergo a standardized physical therapy protocol with the addition of a neutral shoe insert bilaterally.

    Device: Bilateral Shoe Insert

  • Experimental
    Physical Therapy Plus Unilateral Shoe Insert

    This arm will undergo a standardized physical therapy protocol with the addition of a neutral shoe insert on the involved side.

    Device: Unilateral neutral shoe insert

Interventions

  • DeviceUnilateral neutral shoe insert

    In the treatment group, subjects will undergo the addition of a neutral shoe insert to the involved lower extremity according to manufacturer guidelines at the initial visit. These subjects will also undergo a once-weekly 12-week course of physical therapy according to the established standardized protocol.

  • DeviceBilateral Shoe Insert

    For subjects placed in the sham group, subjects will undergo the addition of a neutral shoe insert to both lower extremities according to manufacturer guidelines at the initial visit. These subjects will also undergo a once-weekly 12-week course of physical therapy according to the established standardized protocol with guidelines .

  • OtherPhysical Therapy

    For subjects placed in the control group, subjects will undergo a once-weekly 12-week course of physical therapy according to the established standardized protocol.

06

What researchers measure

Primary outcomes

  1. Victorian Institute Sport Assessment - Gluteal Questionnaire

    The VISA-G is a self-reported scale to quantify disability associated with gluteal tendinopathy. The instrument is freely available, and scores range from 0-100, with 100 indicating no hip-related disability and 0 indicating fully disabled. The questionnaire includes eight items asking questions about usual pain (item 1), pain with tendon loading (items 2, 3, 4, and 6), difficulty moving after sitting (item 5), and activity participation (items 7 and 8). Item 8 asks the subject to choose one of 3 sections (A, B, or C) and check the appropriate response related to the ability to perform weight-bearing activities including walking, shopping, or running.

    Time frame: 12 weeks

Secondary outcomes

  1. Visual Analog Scale for Pain

    The Visual Analog Scale for Pain is a measurement instrument that is used to quantify pain and discomfort by having an individual select a number on a Likert scale between 0 and 10, with 0 being no pain and 10 being the worst imaginable pain.

    Time frame: 12 weeks

  2. Global Rating of Change Scale

    The GROC scale is a single-item instrument that asks the subject to rate the global or overall change and to what extent, if any, since initiating treatment. The GROC uses a Likert scale to indicate the direction of change (worsening or improving) and to what extent ("tiny" to "very great"). This scale is only administered after treatment has occurred and is not necessary prior to initiation of treatment.

    Time frame: 12 weeks

  3. Isometric Hip Strength

    The subject will be placed supine with the uninvolved knee bent/foot on the table. The affected/other leg will be straight with knee fully extended with a gait belt anchored around the table and leg. A handheld dynamometer measuring in Newtons will be in between the gait belt and leg and the sensor will be placed 5 cm proximal to the lateral malleoli. The subject will be asked to abduct/lift the leg out to the side with as much force as possible against the dynamometer for 5 seconds. Two trials will be completed.

    Time frame: 12 weeks

  4. Single Leg Stance for Pain

    Subject stands on test leg/one leg with an opposite fingertip on the wall for balance for up to 30 seconds. A positive test is a familiar pain. The examiner will note the subjects' pain rating via VAS. A neutral shoe insert will be added to the subjects' stock shoe insert and the test will be repeated again noting the pain rating to assess for any changes.

    Time frame: 12 weeks

  5. Single Leg Stance Biomechanics

    Prior to the test, the examiner will place a total of six reflective markers on the patient. The markers will be placed on the bilateral acromion process of the scapula, the bilateral anterior superior iliac spine, and the bilateral second metatarsal head. A first photograph will be taken of the subject in a bilateral-limb stance. The participant will be asked to balance in a single-leg stance. Once the patient is in a single-leg stance, a photo will be taken every 0.5s for 2s. A second grouping of photos will be taken with the patient standing in a single-limb stance with the addition of a neutral heel lift. Retrospective analysis will be performed on these photos. The mean values of the angles will be calculated using the analysis software. The angles to be calculated include the trunk sway angle, the pelvic tilt angle, and the pelvic-on-femur angle.

    Time frame: 12 weeks

07

Study locations

1 site
  • Mayo Clinic
    Glendale, Arizona 85031, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Withdrawn No funding.
changed Oct 7, 2026
Start date
Jan 1, 2027→Jul 1, 2027
Oct 7, 2026
Primary completion
Jan 1, 2028→Oct 5, 2028
Oct 7, 2026
Study completion
Jan 1, 2029→Oct 5, 2028
Oct 7, 2026
Enrollment
36 (estimated)→0 (actual)
Oct 7, 2026
Show all 1 update
  1. Oct 7, 2026
    Not yet recruiting→Withdrawn
    Why stopped No funding.
    Start date Jan 1, 2027→Jul 1, 2027
    Primary completion Jan 1, 2028→Oct 5, 2028
    Study completion Jan 1, 2029→Oct 5, 2028
    Enrollment 36 (estimated)→0 (actual)
    + 3 other changes: verification date, oversight details and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06891001
Lead sponsor
Mayo Clinic
Responsible party
Daniel S. Cooper (Physical Therapist, Mayo Clinic) — Principal investigator
First posted
Mar 24, 2025
Start date
Jul 1, 2027 (estimated)
Primary completion
Oct 5, 2028 (estimated)
Completion
Oct 5, 2028 (estimated)
Last update
Oct 7, 2026

Oversight

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

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