ClinicalTrials.gg
RecruitingNCT07000838Updated Jun 3, 2025

Efficacy of Corrective Rubber Insoles in Healthcare Professionals With Foot Overpronation

An interventional study of Medially wedged ortheses in Hyperpronation, Overpronation and Pes Planus, sponsored by University of Milan. Recruiting at 1 site in Italy. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-06-03.

Sponsored by University of Milan · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2026, 6 months ago, but the record still lists the study as recruiting.
  • Started May 2025; still recruiting 1 year 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
52
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Foot hyperpronation is a common postural condition that can lead to pain, deformities (such as hallux valgus), and muscular issues. This problem is especially relevant among adults who spend long hours standing, such as healthcare workers. Custom-made foot orthoses with a medial wedge have proven effective in improving comfort and correcting certain biomechanical alterations, even in asymptomatic individuals.

The study described has two main objectives:

  • to validate the Italian version of the Foot Health Status Questionnaire (FHSQ), already validated in English and Spanish, by assessing its reliability and reproducibility as a tool to measure foot health.
  • through a pilot study, to analyze the effects of using specific professional footwear in healthcare workers with hyperpronation, evaluating perceived benefits in terms of pain reduction and postural improvement.
02

Conditions studied

  • Hyperpronation
  • Overpronation
  • Pes Planus

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03

In context

Flatfoot

173 studies on the registry are indexed under Flatfoot; 44 are open to participants now.

This study's planned enrollment of 52 is above the median of 40 across 122 interventional studies indexed under Flatfoot.

Browse Flatfoot studies →

Lead sponsor

University of Milan is the lead sponsor of 183 studies on the registry; 28 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthworker (attendings, residents, OR nurses, ER nurses, therapists...)
  • Maximum age inferior to 65 y.o. at recruitment time
  • Partecipants stands from 60% to 80% of their working time
  • Uses mostly healthcare shoes while working
  • Hyperpronation condition
  • No other pathologic condition of the feet
  • Partecipants accept to wear medially wedged orthesis for at least 3 months
  • Signatures of consensus to join the study
  • Partecipants must be aware of the implication of the study

Exclusion criteria

Exclusion Criteria:

  • Other pathologic condition of the foot
  • Age superiore to 65 y.o. at the recruitment time
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
52 participants (estimated)

Study arms

  • Experimental
    Vibram shoe sample

    To be recruited the partecipants of the study have been visited and their overpronation foot condition has been assessed. Then they will answer the FHSQ at T0. They will have to wear medially wedged ortheses for the duration for 3 months and then be re-assessed by a second evaluation using the FHSQ. Using GAITLAB (from BTS S.p.a) the partecipants' foot condition (calcaneovalgus foot) will be assessed while wearing and not the professional footwear.

    Device: Medially wedged ortheses

Interventions

  • DeviceMedially wedged ortheses

    3 month long wear of medially wedged ortheses. Ortheses have to be worn for 6 to 8 hours daily during work shifts.

    Also known as: Wedged ortheses

06

What researchers measure

Primary outcomes

  1. FHSQ

    Assessment and description of the clinical conditions of the partecipants

    Time frame: 3 months

Secondary outcomes

  1. GAITLAB

    Assessment of the partecipants' foot condition (calcaneovalgus foot) while wearing and not the professional footwear.

    Time frame: Baseline

  2. GAITLAB

    Assessment of medial plantar support, performed in a static position using a baropodometric platform.

    Time frame: Baseline

  3. GAITLAB

    Assessment of pressure on the metatarsal heads, performed in a static position using a baropodometric platform, barefoot.

    Time frame: Baseline

07

Study locations

1 of 1 sites recruiting
  • ASST Gaetano Pini-CTO
    Milan, 20122, Italy
    Recruiting
    • Alessandra Menon, PhD · Contactale.menon@me.com · 3498694424
    • Alessandra Menon · Contact
    • Pietro Simone Randelli, Prof., MD · Principal investigator
    • Silvia De Martinis, MD · Sub investigator
08

References and documents

Publications

  • Landorf KB, Radford JA, Hudson S. Minimal Important Difference (MID) of two commonly used outcome measures for foot problems. J Foot Ankle Res. 2010 May 14;3:7. doi: 10.1186/1757-1146-3-7. PubMed 20465855 ↗
  • Landorf KB, Twyford GN, Cotchett MP, Whittaker GA. Revised minimal important difference values for the visual analogue scale and Foot Health Status Questionnaire when used for plantar heel pain. J Foot Ankle Res. 2024 Dec;17(4):e70021. doi: 10.1002/jfa2.70021. PubMed 39682003 ↗
  • Munteanu SE, Zammit GV, Menz HB, Landorf KB, Handley CJ, Elzarka A, Deluca J. Effectiveness of intra-articular hyaluronan (Synvisc, hylan G-F 20) for the treatment of first metatarsophalangeal joint osteoarthritis: a randomised placebo-controlled trial. Ann Rheum Dis. 2011 Oct;70(10):1838-41. doi: 10.1136/ard.2011.153049. Epub 2011 Jul 25. PubMed 21791454 ↗
  • Menz HB, Auhl M, Tan JM, Levinger P, Roddy E, Munteanu SE. Effectiveness of Foot Orthoses Versus Rocker-Sole Footwear for First Metatarsophalangeal Joint Osteoarthritis: Randomized Trial. Arthritis Care Res (Hoboken). 2016 May;68(5):581-9. doi: 10.1002/acr.22750. PubMed 26638878 ↗
  • Chuter VH, Searle A, Spink MJ. Flip-flop footwear with a moulded foot-bed for the treatment of foot pain: a randomised controlled trial. BMC Musculoskelet Disord. 2016 Nov 11;17(1):468. doi: 10.1186/s12891-016-1327-x. PubMed 27835963 ↗
  • Landorf KB, Keenan AM, Herbert RD. Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Arch Intern Med. 2006 Jun 26;166(12):1305-10. doi: 10.1001/archinte.166.12.1305. PubMed 16801514 ↗
  • Riskowski JL, Hagedorn TJ, Hannan MT. Measures of foot function, foot health, and foot pain: American Academy of Orthopedic Surgeons Lower Limb Outcomes Assessment: Foot and Ankle Module (AAOS-FAM), Bristol Foot Score (BFS), Revised Foot Function Index (FFI-R), Foot Health Status Questionnaire (FHSQ), Manchester Foot Pain and Disability Index (MFPDI), Podiatric Health Questionnaire (PHQ), and Rowan Foot Pain Assessment (ROFPAQ). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11(0 11):S229-39. doi: 10.1002/acr.20554. No abstract available. PubMed 22588747 ↗
  • Cuesta-Vargas A, Bennett P, Jimenez-Cebrian AM, Labajos-Manzanares MT. The psychometric properties of the Spanish version of the Foot Health Status Questionnaire. Qual Life Res. 2013 Sep;22(7):1739-43. doi: 10.1007/s11136-012-0287-3. Epub 2012 Oct 12. PubMed 23065118 ↗
  • Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186-91. doi: 10.1097/00007632-200012150-00014. No abstract available. PubMed 11124735 ↗
  • Vaughan CL, Davis BL, O'Connor JC. Dynamics of human gait. Kiboho Publishers (Cape Town, South Africa). Second Edition. , 1999.
  • Bennett PJ, Patterson C, Wearing S, Baglioni T. Development and validation of a questionnaire designed to measure foot-health status. J Am Podiatr Med Assoc. 1998 Sep;88(9):419-28. doi: 10.7547/87507315-88-9-419. PubMed 9770933 ↗
  • Chiu MC, Wang MJ. Professional footwear evaluation for clinical nurses. Appl Ergon. 2007 Mar;38(2):133-41. doi: 10.1016/j.apergo.2006.03.012. PubMed 16765904 ↗
  • Anderson J, Williams AE, Nester C. An explorative qualitative study to determine the footwear needs of workers in standing environments. J Foot Ankle Res. 2017 Aug 30;10:41. doi: 10.1186/s13047-017-0223-4. eCollection 2017. PubMed 28861123 ↗
  • Tarrade T, Doucet F, Saint-Lo N, Llari M, Behr M. Are custom-made foot orthoses of any interest on the treatment of foot pain for prolonged standing workers? Appl Ergon. 2019 Oct;80:130-135. doi: 10.1016/j.apergo.2019.05.013. Epub 2019 May 28. PubMed 31280796 ↗
  • Telfer S, Abbott M, Steultjens M, Rafferty D, Woodburn J. Dose-response effects of customised foot orthoses on lower limb muscle activity and plantar pressures in pronated foot type. Gait Posture. 2013 Jul;38(3):443-9. doi: 10.1016/j.gaitpost.2013.01.012. Epub 2013 Feb 5. PubMed 23391752 ↗
  • Braga UM, Mendonca LD, Mascarenhas RO, Alves COA, Filho RGT, Resende RA. Effects of medially wedged insoles on the biomechanics of the lower limbs of runners with excessive foot pronation and foot varus alignment. Gait Posture. 2019 Oct;74:242-249. doi: 10.1016/j.gaitpost.2019.09.023. Epub 2019 Sep 23. PubMed 31574408 ↗
  • Bonifacio D, Richards J, Selfe J, Curran S, Trede R. Influence and benefits of foot orthoses on kinematics, kinetics and muscle activation during step descent task. Gait Posture. 2018 Sep;65:106-111. doi: 10.1016/j.gaitpost.2018.07.041. Epub 2018 Jul 24. PubMed 30558915 ↗
  • Menz HB, Auhl M, Ristevski S, Frescos N, Munteanu SE. Effectiveness of off-the-shelf, extra-depth footwear in reducing foot pain in older people: a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2015 Apr;70(4):511-7. doi: 10.1093/gerona/glu169. Epub 2014 Sep 9. PubMed 25205761 ↗
  • Thomas MJ, Roddy E, Zhang W, Menz HB, Hannan MT, Peat GM. The population prevalence of foot and ankle pain in middle and old age: a systematic review. Pain. 2011 Dec;152(12):2870-2880. doi: 10.1016/j.pain.2011.09.019. Epub 2011 Oct 21. PubMed 22019150 ↗
  • Menz HB, Dufour AB, Riskowski JL, Hillstrom HJ, Hannan MT. Association of planus foot posture and pronated foot function with foot pain: the Framingham foot study. Arthritis Care Res (Hoboken). 2013 Dec;65(12):1991-9. doi: 10.1002/acr.22079. PubMed 23861176 ↗
  • Sanchez-Rodriguez R, Valle-Estevez S, Fraile-Garcia PA, Martinez-Nova A, Gomez-Martin B, Escamilla-Martinez E. Modification of Pronated Foot Posture after a Program of Therapeutic Exercises. Int J Environ Res Public Health. 2020 Nov 13;17(22):8406. doi: 10.3390/ijerph17228406. PubMed 33202893 ↗
  • Golightly YM, Hannan MT, Dufour AB, Hillstrom HJ, Jordan JM. Foot disorders associated with overpronated and oversupinated foot function: the Johnston County osteoarthritis project. Foot Ankle Int. 2014 Nov;35(11):1159-65. doi: 10.1177/1071100714543907. Epub 2014 Jul 18. PubMed 25037712 ↗

Individual participant data

Plan to share: Undecided — Decision not already taken

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2025 (actual). Primary completion is estimated for May 2026, 11 months after the start.

Of 89 non-industry interventional studies with no phase under Flatfoot, half reached primary completion within 7 months of starting (the median), counting those still running; a quarter within 2 and three quarters within 15. This study's planned 11 months is above that.

Counting every sponsor, half of 89 studies reached it within 7 months; a quarter within 2 and three quarters within 15.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 21, 2025
First posted
Jun 3, 2025
StartActual
May 9, 2025
Primary completionEst.
May 5, 2026
CompletionEst.
Sep 18, 2026
Last update
Jun 3, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07000838
Collaborators
ASST Gaetano Pini-CTO
Responsible party
Pietro Randelli, MD (Prof., MD, University of Milan) — Principal investigator
First posted
Jun 3, 2025
Start date
May 9, 2025
Primary completion
May 5, 2026 (estimated)
Completion
Sep 18, 2026 (estimated)
Last update
Jun 3, 2025

Study contacts

Alessandra Menon, PhD
Contact
ale.menon@me.com
+393498694424

Oversight

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

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