An interventional study of Custom fitted supportive socks with integrated insoles and Comprehensive Exercise Program in Flat Foot, sponsored by Ibadat International University, Islamabad. Completed at 1 site in Pakistan. Open to participants aged 5 Years to 12 Years. Per ClinicalTrials.gov, last updated 2026-07-02.
Sponsored by Ibadat International University, Islamabad · Not applicable, Interventional, and Treatment
The goal of this clinical trial is to test if wearing custom-fitted supportive socks with built-in insoles, along with a foot exercise program, can improve foot posture, The goal of this clinical trial is to evaluate whether wearing custom-fitted supportive socks with built-in insoles, along with a foot exercise program, can improve foot posture, walking ability, and foot comfort in children aged five to twelve years with flexible flat feet.
The main questions this study aims to answer are:
Does the use of supportive socks with insoles and exercises improve foot posture and the shape of the foot arch? Does this combined approach improve walking ability and overall foot comfort? Researchers will compare children who wear supportive socks with built-in insoles and perform exercises to children who perform the same exercise program without the supportive socks to see which approach is more effective.
Participants will:
Wear the assigned supportive socks for 6-8 hours each day during daily activities if allocated to the socks group.
Perform foot exercises with a physical therapist for six weeks. Take part in assessments of foot posture, walking ability, and foot comfort at the start and after six weeks Data collection is currently in progress. The findings of this study may help support non-surgical treatment options for children with flexible flat feet.
This randomized controlled trial is being conducted to evaluate the effectiveness of custom-fitted supportive socks with integrated insoles combined with a comprehensive exercise program in individuals with flexible flat feet. Participants are being randomly allocated into two groups: the intervention group receives both the supportive socks with integrated insoles and an exercise program, while the control group receives the exercise program alone. The primary aim of the study is to determine the intervention's impact on postural alignment, functional mobility, and foot health. A single-blind design is being employed, with the outcome assessor blinded to group allocation. This trial aims to generate evidence regarding the use of custom-fitted supportive socks with integrated insoles in conjunction with exercises for the conservative management of flexible flat feet.
173 studies on the registry are indexed under Flatfoot; 44 are open to participants now.
This study's enrollment of 56 is above the median of 40 across 122 interventional studies indexed under Flatfoot.
Browse Flatfoot studies →Ibadat International University, Islamabad is the lead sponsor of 53 studies on the registry; 36 are open to participants now.
Counted across the registry records on this site, refreshed daily.
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.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
BMI (body mass index)
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants in this group received custom-fitted supportive socks with integrated insoles in combination with a supervised comprehensive exercise program. The intervention lasted for 6 weeks, with comprehensive exercises. Insoles were worn for 8 to 10 hours daily.
Device: Custom fitted supportive socks with integrated insoles
Participants in this group received only the comprehensive exercise program, identical in content and supervision to the intervention group and lasted for 6 weeks but without the insoles or supportive socks.
Other: Comprehensive Exercise Program
Participants in the intervention group received custom-fitted supportive socks with integrated insoles in addition to a comprehensive foot exercise program. The supportive socks were tailored to individual foot measurements and included insole aimed at correcting postural alignment, functional mobility and improving foot health.
Participants received a structured comprehensive exercise program targeting foot intrinsic muscle strengthening, stretching, balance training, and functional mobility. The program duration was 6 weeks and did not include the use of insoles or supportive socks.
Navicular Drop Test (NDT)
The Navicular Drop Test assesses postural alignment by measuring the height difference of the navicular bone between the non-weight-bearing and weight-bearing positions. It evaluates medial arch collapse and foot pronation. Higher values = greater navicular drop → poorer postural alignment / more pronation, Lower value = better arch stability.
Time frame: Baseline
Navicular Drop Test (NDT)
The Navicular Drop Test assesses postural alignment by measuring the height difference of the navicular bone between the non-weight-bearing and weight-bearing positions. It evaluates medial arch collapse and foot pronation. Higher values = greater navicular drop → poorer postural alignment / more pronation, Lower value = better arch stability.
Time frame: 6 weeks after intervention
Medial Longitudinal Arch Angle (MLAA)
The Medial Longitudinal Arch Angle measures the structural alignment of the foot's medial arch using anatomical landmarks. It is a valid and reliable tool for assessing arch height and foot posture. Interpretation: Lower angle = collapsed arch / flat foot Higher angle = better arch height and alignment
Time frame: Baseline
Medial Longitudinal Arch Angle (MLAA)
The Medial Longitudinal Arch Angle measures the structural alignment of the foot's medial arch using anatomical landmarks. It is a valid and reliable tool for assessing arch height and foot posture. Interpretation: Lower angle = collapsed arch / flat foot Higher angle = better arch height and alignment
Time frame: 6 weeks after intervention
Timed Up and Go Test (TUG)
The TUG test evaluates functional mobility by measuring the time it takes for a participant to stand up from a chair, walk 3 meters, turn, walk back, and sit down. Interpretation: Lower time = better functional mobility Higher time = decreased mobility or functional limitation
Time frame: Baseline
Timed Up and Go Test (TUG)
The TUG test evaluates functional mobility by measuring the time it takes for a participant to stand up from a chair, walk 3 meters, turn, walk back, and sit down. Interpretation: Lower time = better functional mobility Higher time = decreased mobility or functional limitation
Time frame: 6 weeks after intervention
Six-Minute Walk Test (6MWT)
The 6MWT assesses functional endurance by measuring the total distance a participant can walk in 6 minutes on a flat surface. It reflects lower-limb function and cardiovascular capacity. Interpretation: Greater distance = better functional capacity \& endurance Shorter distance = lower functional endurance
Time frame: Baseline
Six-Minute Walk Test (6MWT)
The 6MWT assesses functional endurance by measuring the total distance a participant can walk in 6 minutes on a flat surface. It reflects lower-limb function and cardiovascular capacity. Interpretation: Greater distance = better functional capacity \& endurance Shorter distance = lower functional endurance
Time frame: 6 weeks after intervention
Foot Function Index (FFI)
The Foot Function Index measures foot pain, disability, and activity limitation using three subscales: Pain (9 items), Disability (9 items), and Activity Limitation (5 items). Each item is scored 0-10 and converted to a percentage. Interpretation: Higher score = More pain, disability, and dysfunction Lower score = Better foot function
Time frame: Baseline
Foot Function Index (FFI)
The Foot Function Index measures foot pain, disability, and activity limitation using three subscales: Pain (9 items), Disability (9 items), and Activity Limitation (5 items). Each item is scored 0-10 and converted to a percentage. Interpretation: Higher score = More pain, disability, and dysfunction Lower score = Better foot function
Time frame: 6 weeks after intervention
Foot Health Status Questionnaire (FHSQ)
The FHSQ assesses foot health across four domains: Foot Pain, Foot Function, Footwear, and General Foot Health. Domain scores are transformed to a 0-100 scale. Interpretation: Higher scores = Better foot health Lower scores = Poor foot health
Time frame: Baseline
Foot Health Status Questionnaire (FHSQ)
The FHSQ assesses foot health across four domains: Foot Pain, Foot Function, Footwear, and General Foot Health. Domain scores are transformed to a 0-100 scale. Interpretation: Higher scores = Better foot health Lower scores = Poor foot health
Time frame: 6 weeks after intervention
Ran from May 2025 to primary completion in Jan 2026, 8 months.
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 8 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.
This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.
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Ibadat International University, Islamabad