Diabetes Clinical Trial
Official title:
Efficacy of Additive Manufactured Orthotic Insoles for the Reduction of Forefoot Plantar Pressure in the Diabetic Foot.
This study will assess the ability of different orthotic insole treatments to reduce pressure under the ball of the foot. This is important for people who have diabetes because their feet are at higher risk of foot problems in this area. This study will involve the participants wearing a a range of insoles produced by milling, handmade processes and additive manufacture along with normal orthotic footwear. A researcher will measure the pressures under the feet while the participants walk wearing the orthotic insoles.
The study is divided into multiple appointments over which the investigators assess the
performance of the orthotic insoles the participants are using.
Screening Appointment (1 hour): The participants will be asked to come to the orthotics
department at the Royal Blackburn Hospital. A clinician will perform a routine clinical foot
assessment, which will include taking photographs of the feet, to ensure it is safe for the
participants to participate in the study. If the participants are not eligible they will not
be able to participate in the study, this will not affect the participants normal orthotic
care. If the participants are eligible, information on the shape of their feet will be taken
using a 3D foot scanner to allow the investigators to produce suitable insoles.
Supply Appointment (1 hour): When the insole is ready the participants will come in for a
supply appointment the investigators will check that the insoles and shoes the participants
will receive are the correct shape, design and are suitable to wear. At this appointment the
investigators will measure the pressure under the feet whilst walking wearing the insoles to
check the insole is working correctly. This is done using a thin layer of flexible sensors
which go into the participants shoes. The participants will then receive insoles to take
home and wear as normal.
After the participants have been supplied with orthotic insoles, a member of the National
Health Service (NHS) clinical team will contact them by telephone. This will be each week
for the first 4 weeks and then once a month until six months. The call will last no more
than 15 minutes and the participants will be asked about their general health, the NHS foot
care services they may have used and about the orthotic insoles. In addition at 3 and 6
months after the participants received their orthotic insoles they will be asked to come
back into the clinic for a review appointment which will take approximately 1 hour. At these
appointments the investigators will measure the pressure under their feet again, using a
thin layer of flexible sensors that go into the participants shoes on top of the orthotic
insole.
The investigators will also be asking some participants if they would be willing to take
part in focus group discussions which will allow more detailed questions to be asked about
the participants experiences wearing the orthotic insoles. The participants can decide
whether to be involved in these independent of the primary trial. These will be held at the
Royal Blackburn Hospital.
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