Study on the effects of footwear on pain and fatigue in the lower extremities

ISRCTN ISRCTN10672939
DOI https://doi.org/10.1186/ISRCTN10672939
Secondary identifying numbers T/3/UN34.20/PT.01.03/2024
Submission date
29/01/2025
Registration date
01/02/2025
Last edited
31/01/2025
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Lower extremity pain and fatigue are common issues affecting mobility and quality of life. This study aims to evaluate the efficacy of health shoes with Pillow Concept technology in reducing pain and fatigue and improving balance and satisfaction among adults with lower limb discomfort.

Who can participate?
Adults aged 25-60 years who have experienced foot or lower limb pain or fatigue for more than one month and able to walk independently.

What does the study involve?
Participants will be randomly assigned to two groups:
1. An intervention group using health shoes with Pillow Concept technology.
2. A control group using their regular footwear.
Participants will wear the assigned shoes for 4 weeks, walking approximately 3000 steps (or 30 minutes) daily. Pain, fatigue, balance, and satisfaction will be assessed at baseline, week 2, and week 4.

What are the possible benefits and risks of participating?
Participants may experience a reduction in pain and fatigue, improved balance, and increased satisfaction with footwear. Risks are minimal but may include mild discomfort or adjustment issues when using the new shoes ( in the intervention group).

Where is the study run from?
The study will be conducted at the Faculty of Medicine, Universitas Negeri Yogyakarta, Indonesia.

When is the study starting and how long is it expected to run for?
January 2025 to January 2026

Who is funding the study?
PT. Chosen Mitra Abadi (Indonesia)

Who is the main contact?
Dr Muhammad Ikhwan Zein, dr_ichwanz@uny.ac.id

Contact information

Mr Muhammad Ikhwan Zein
Principal Investigator

Faculty of Medicine, Universitas Negeri Yogyakarta (Jl. Colombo No.1 Karangmalang Yogyakarta)
Yogyakarta
55281
Indonesia

ORCiD logoORCID ID 0000-0003-3728-5065
Phone +62 8111286520
Email fk@uny.ac.id
Mrs Laily Rahmawati
Public, Scientific

Faculty of Medicine, Universitas Negeri Yogyakarta (Jl. Colombo No.1 Karangmalang Yogyakarta)
Yogyakarta
55281
Indonesia

Phone +62 813-3316-0801
Email lailyrahmawati@uny.ac.id

Study information

Study designRandomised controlled trial with a parallel-group design
Primary study designInterventional
Secondary study designRandomised parallel trial
Study setting(s)Community, Workplace, Other
Study typeEfficacy
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleRandomised controlled trial of health shoes with pillow concept technology to reduce pain and fatigue in the lower extremities
Study acronymSTEPFIT
Study objectivesWe hypothesize that a four-week use of shoes featuring Pillow Concept technology will significantly reduce pain and fatigue in the feet and lower limbs compared to regular shoes.
Our secondary hypothesis is that participants in the intervention group will report greater user satisfaction and comfort during daily activities.
Ethics approval(s)

Approved 01/01/2025, Ethics committee at Directorate of Research and Community Service, Universitas Negeri Yogyakarta (Universitas Negeri Yogyakarta, Jl. Colombo No.1 Karang Malang, Sleman, Yogyakarta, 55281, Indonesia; +62 274586168, ext. 262, 550839; komisi.etik@uny.ac.id), ref: T/6.96/UN34.9/KP.06.07/2024

Health condition(s) or problem(s) studiedLower extremity pain and fatigue
InterventionGroup 1 (Intervention): Shoes with Pillow Concept Technology, designed to reduce vibrations during walking to alleviate discomfort, pain, and fatigue in the lower extremities. The intervention period lasts for 4 weeks, with participants walking 3000 steps (or 30 minutes) daily.

Group 2 (Control): Regular shoes used by participants in their daily activities, also worn for the same duration.

The subjects will be randomized with a 1:1 allocation ratio using an online software application (Sealed Envelope™) and assigned to either the intervention group (shoes with pillow technology) or the control group (using their daily shoes). The coordinating researcher (MIZ) will manage the allocation process and remain blinded to the assigned intervention. An unblinded research assistant who is not part of the research team will deliver the randomization results and inform the subjects of their assigned intervention. The researchers conducting and interpreting the analysis will remain blinded to group allocation until all outcome analyses have been completed. No changes will be made to the interpretation after the analysis results are unblinded.
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Bocorocco shoes with Pillow Concept technology
Primary outcome measure1. Foot health is measured using the Foot Health Assessment Questionnaire at baseline, 2-week follow-up, and 4-week follow-up
2. Pain intensity is measured using the Numerical Rating Scale (NRS) at baseline, 2-week follow-up, and 4-week follow-up
3. Pressure pain threshold is measured using a dolorimeter at baseline, 2-week follow-up, and 4-week follow-up
4. Balance is measured using the Single Leg Stance Test at baseline, 2-week follow-up, and 4-week follow-up
5. Functional reach is measured using the Functional Reach Test at baseline, 2-week follow-up, and 4-week follow-up
Secondary outcome measuresUser satisfaction for shoes will be assessed using Likert scale at 4 weeks
Overall study start date01/01/2025
Completion date01/01/2026

Eligibility

Participant type(s)Patient, Other
Age groupAdult
Lower age limit25 Years
Upper age limit60 Years
SexBoth
Target number of participants140 participants (70 in the intervention group and 70 in the control group).
Key inclusion criteria1. Adults aged between 25-60 years.
2. Pain or fatigue in the feet or lower extremities lasting more than one month.
3. Able to walk independently without assistance.
Key exclusion criteria1. History of foot or lower limb surgery within the past 6 months.
2. Neurological disorders affecting walking ability.
3. Use of medications that influence pain perception.
Date of first enrolment14/02/2025
Date of final enrolment30/10/2025

Locations

Countries of recruitment

  • Indonesia

Study participating centre

Universitas Negeri Yogyakarta
Jl. Colombo No.1, Karang Malang, Caturtunggal, Kec. Depok, Kabupaten Sleman, Daerah Istimewa Yogyakarta
Yogyakarta
55281
Indonesia

Sponsor information

Universitas Negeri Yogyakarta
University/education

Faculty of Medicine, Universitas Negeri Yogyakarta (Jl. Colombo No.1 Karangmalang Yogyakarta)
Yogyakarta
55281
Indonesia

Phone +62 82137176969
Email fk@uny.ac.id
Website https://fk.uny.ac.id/

Funders

Funder type

Industry

PT. Chosen Mitra Abadi (PT Bocorocco Entrepreneur Indonesia)

No information available

Results and Publications

Intention to publish date01/01/2027
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planThe results will be published in high-impact, peer-reviewed journals and presented at relevant academic conferences. Findings will also be shared with participants and stakeholders via institutional reports.
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upen request from : dr. Muhammad Ikhwan Zein, email : dr_ichwanz@uny.ac.id

Editorial Notes

29/01/2025: Ethics committee at Directorate of Research and Community Service, Universitas Negeri Yogyakarta.