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Trial registered on ANZCTR
Registration number
ACTRN12610001030066
Ethics application status
Approved
Date submitted
22/11/2010
Date registered
23/11/2010
Date last updated
5/09/2024
Date data sharing statement initially provided
5/09/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Stretching to improve flexibility and reduce pressure under the feet in adolescents with diabetes
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Scientific title
Stretching in adolescents with diabetes to improve flexibility and reduce plantar pressure under the feet
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Secondary ID [1]
253078
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Nil
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Universal Trial Number (UTN)
U1111-1117-9527
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
diabetes
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limited joint mobility and high plantar pressures
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Condition category
Condition code
Musculoskeletal
258781
258781
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0
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Other muscular and skeletal disorders
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Metabolic and Endocrine
258852
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intervention group 1
20 minutes of static stretching for the ankle joint and the great toe. Stretches to be performed at the end range of motion 3 times a week for 6 weeks
Intervention group 2
20 minutes of dynamic stretches through the range of motion of the ankle joint and the great toe. Stretches to be performed 3 times a week for 6 weeks.
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Intervention code [1]
257599
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Prevention
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Intervention code [2]
257655
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Treatment: Other
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Comparator / control treatment
Control group (no treatment)
No stretching intervention will be provided for the period of the trial.
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Control group
Active
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Outcomes
Primary outcome [1]
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A reduction of peak plantar pressure of 10 N/cm2 at the foot. Peak pressure will be measured with the Pedar-X mobile in-shoe plantar pressure system (Novel gmbh, Munich, Germany). The Pedar-X is the gold standard in plantar pressure assessment in diabetes and is non-invasive.
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Assessment method [1]
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Timepoint [1]
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Baseline
Day one after intervention
Six- weeks after intervention
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Secondary outcome [1]
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An increase of 10 degrees of range of motion of the ankle and big toe joints. Range of motion, will be measured using standardised clinical measurement procedures with degrees of motion read from a goniometer. A standardised lunge test will also be used to measure ankle joint range with a goniometer, and a ruler to measure distance of the foot from the wall.
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Assessment method [1]
266310
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Timepoint [1]
266310
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Baseline
Day one after intervention
Six- weeks after intervention
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Eligibility
Key inclusion criteria
adolescents with diabetes of at least one year duration
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Minimum age
13
Years
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Maximum age
17
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Major musculoskeletal problems which result in atypical walking patterns, the use of walking aids and
previous ulcerations. Back injuries/ pain and neurological deficiencies in the foot were stretching may be
contraindicated
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes will be used for concealed allocation so that the person who determined if a subject was eligible for inclusion in the trial was unaware, when this decision was made, and to which group the subject is allocated.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a computer software (i.e., computerised sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
2/02/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
57
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Seed grant scheme: University of Western Sydney
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Address [1]
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Research Services, Building K1, Penrith Campus
Locked bag 1797
Penrith South DC NSW 1797
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Western Sydney
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Address
School Of Biomedical and Health Sciences
Locked bag 1797
Penrith South DC NSW 1797
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Stefania Penkala
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Address [1]
257235
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University of Western Sydney
School Of Biomedical and Health Sciences
Locked bag 1797
Penrith South DC NSW 1797
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Country [1]
257235
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Dr Julia Bowman
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Address [1]
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University of Western Sydney
School Of Biomedical and Health Sciences
Locked bag 1797
Penrith South DC NSW 1797
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Country [1]
251652
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Western Sydney Human Research Ethics Committee (EC00314)
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Ethics committee address [1]
260045
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University of Western Sydney Human Research Ethics Locked bag 1797 Penrith South DC NSW 1797
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Ethics committee country [1]
260045
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Australia
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Date submitted for ethics approval [1]
260045
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Approval date [1]
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22/11/2010
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Ethics approval number [1]
260045
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H8729
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Summary
Brief summary
Adolescents with diabetes display limited joint mobility. Because of the association with high pressures under the feet, poor sensation and foot ulceration with disease progression, limited joint mobility assessment is a standard procedure in diabetic foot care. Clinical interventions to reduce high pressures under the feet include orthoses, footwear and surgical correction. While stretching has been reported to improve ankle joint range of motion in the general population, limited evidence is available for individuals with diabetes. The evidence for calf stretching in adolescents where prevention of contractures and high plantar pressures in the early stages of disease may be most beneficial have not been investigated. This study will use a randomised control study to investigate the efficacy of stretching on the ankle and big toe joints to reduce high pressures under the feet and contractures of the ankle and foot joints.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
31908
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Email
31908
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Contact person for public queries
Name
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Stefania Penkala
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Address
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University of Western Sydney
School of Biomedical and Health Sciences
Sciences. Campbelltown Campus,
Bld 24. Locked bag 1797
Penrith South DC NSW 1797
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Country
15155
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Australia
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Phone
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+61 2 46203742
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Fax
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+61 2 46203792
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Email
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[email protected]
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Contact person for scientific queries
Name
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Stefania Penkala
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Address
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University of Western Sydney
School of Biomedical and Health Sciences
Sciences. Campbelltown Campus,
Bld 24. Locked bag 1797
Penrith South DC NSW 1797
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Country
6083
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Australia
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Phone
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+61 2 46203742
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Fax
6083
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+61 2 46203792
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Email
6083
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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