About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
Other pathologic condition of the foot
Age superiore to 65 y.o. at the recruitment time
Trial design
Single group
Treatments tested in this trial
Medially wedged ortheses
Device3 month long wear of medially wedged ortheses. Ortheses have to be worn for 6 to 8 hours daily during work shifts.
Treatment groups
Trial outcomes
Primary outcomes
FHSQ
Assessment and description of the clinical conditions of the partecipants
Secondary outcomes
GAITLAB
Assessment of the partecipants' foot condition (calcaneovalgus foot) while wearing and not the professional footwear.
GAITLAB
Assessment of medial plantar support, performed in a static position using a baropodometric platform.
GAITLAB
Assessment of pressure on the metatarsal heads, performed in a static position using a baropodometric platform, barefoot.
Sponsors and contacts
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University of Milan
Lead sponsor
ASST Gaetano Pini-CTO
Collaborator