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Trial registered on ANZCTR
Registration number
ACTRN12617001463369p
Ethics application status
Not yet submitted
Date submitted
3/10/2017
Date registered
16/10/2017
Date last updated
16/10/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Influence of high-heeled shoes on pelvic floor muscles
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Scientific title
High-heeled shoes and pelvic floor muscle activity in continent women
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Secondary ID [1]
293048
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None
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Universal Trial Number (UTN)
U1111-1203-0444
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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:
stress urinary incontinence
305027
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Condition category
Condition code
Renal and Urogenital
304350
304350
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0
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Normal development and function of male and female renal and urogenital system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Healthy women be made to stand or walk (at participant’s discretion) around with 5.08 cm (2 inches) high-heeled shoes for 30 minutes (for possible postural adjustments) before measurement of pelvic floor muscle activity and lumbar spine angle and pelvic tilt.. Participants will then be made to wear the 7.62 cm (3 inches) high-heeled shoes for 30 minutes (standing or walking around) following which measurements will be repeated. Between the two plantar flexion positions, a 10-minute rest period will be provided.
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Intervention code [1]
299355
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Early detection / Screening
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Comparator / control treatment
Active (bare feet condition)
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Control group
Active
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Outcomes
Primary outcome [1]
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Transabdominal ultrasound for pelvic floor muscle activity
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Assessment method [1]
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Timepoint [1]
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Four conditions: immediately prior to each high-heeled shoes condition i.e. with ankles in neutral position and ankle dorsiflexion; and following 30 minutes of standing/ walking in each high-heeled condition i.e. 2 inches and 3 inches high-heeled shoes
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Secondary outcome [1]
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Spinal mouse for measurement of lumbar lordosis and pelvic inclination
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Assessment method [1]
339602
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Timepoint [1]
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Four conditions: immediately prior to each high-heeled shoes condition i.e. with ankles in neutral position and ankle dorsiflexion; and following 30 minutes of standing/ walking in each high-heeled condition i.e. 2 inches and 3 inches high-heeled shoes
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Eligibility
Key inclusion criteria
Healthy women
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Minimum age
18
Years
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Maximum age
49
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Women with history of recent childbirths (< 3 months), mixed or urge incontinence, previous pelvic surgeries, body mass index over 30 kg/m2, diabetes, history of smoking, chronic lung diseases, neurological problems, UTI, evidence of detrusor activity on urodynamic reports and postmenopausal women will be excluded.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2017
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Actual
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Date of last participant enrolment
Anticipated
15/12/2017
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Actual
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Date of last data collection
Anticipated
8/01/2018
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
9255
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Hong Kong
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State/province [1]
9255
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kowloon
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Funding & Sponsors
Funding source category [1]
297663
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University
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Name [1]
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The Hong Kong Polytechnic University
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Address [1]
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11 Yuk Choi Rd,
Hung Hom
Kowloon
Hong Kong
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Country [1]
297663
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Hong Kong
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Primary sponsor type
University
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Name
The Hong Kong Polytechnic University
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Address
11 Yuk Choi Rd,
Hung Hom
Kowloon
Hong Kong
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Country
Hong Kong
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
296689
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
298745
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The Hong Kong Polytechnic University Human Subjects Ethics Committee
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Ethics committee address [1]
298745
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Ethics committee country [1]
298745
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Date submitted for ethics approval [1]
298745
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16/10/2017
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Approval date [1]
298745
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Ethics approval number [1]
298745
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Summary
Brief summary
Objective and participants: To investigate if high-heeled shoes induced plantar flexion might have an impact on pelvic floor muscle activity in continent women. Written informed consent will be obtained from all interested women. Women who provide written consent will be made to complete a sociodemographic questionnaire with the following details: age; marital status; number of successful and unsuccessful pregnancies; occupation; smoking history; history of previous pelvic surgeries; history of neurological and respiratory conditions; urinary tract infection; and foot wear; details of high-heeled shoes- heel height, number of years worn, number of hours worn each day, and number of days worn each week; Women will undergo a 3-hour testing session. Prior to testing, they will receive information on the equipment (transabdominal ultrasound (TAS) and spinal mouse) to be used. Following this women will be briefed on preparation for ultrasound; they will be requested to void 1-hour prior to testing and then drink 500 ml of water and not urinate until after the end of the test. During assessment with TAS two tasks will be performed: a PFM contraction and a Valsalva maneuver; these two tasks will be done thrice and the mean will be calculated for analysis. TAS and evaluation of lumbar lordosis and pelvic tilt will be done in standing with ankles in four positions. Initial assessment using TAS and spinal mouse will be done with ankles in neutral position. Following this, assessment will be repeated with ankles in 20-degrees dorsiflexion (by placing wedges under the toes). A five-minute rest period will be allowed between measurements in the consecutive ankle neutral and dorsiflexion conditions. Women will then be made to stand or walk (at participant’s discretion) around with 5.08 cm (2 inches) high-heeled shoes for 30 minutes (for possible postural adjustments) before measurements are repeated. Participants will then be made to wear the 7.62 cm (3 inches) high-heeled shoes for 30 minutes (standing or walking around) following which measurements will be repeated. Between the two plantar flexion positions, a 10-minute rest period will be provided. In each ankle position, women will undergo 4D-TAS (for obtaining images at maximum PFM contraction [Valsalva]) with a 2-5.5 HMz probe. All study procedures will be carried out at the outpatient physiotherapy centre in Kwong Wah hospital. Assessments with TAS will be conducted by a physiotherapist with expertise in TAS and assisted by the principal investigator who has specialist experience in women's health. Measurement with spinal mouse will be done by the principal investigator. The TAS machine from Kwong Wah hospital and spinal mouse from HK PolyU will be used in this study.
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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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Dr Priya kannan
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Address
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ST532
Department of Rehabilitation Sciences
The Hong Kong Polytechnic University
Hung Hom
Hong Kong
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Country
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Hong Kong
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Phone
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+852 60971359
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Priya Kannan
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Address
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ST532
Department of Rehabilitation Sciences
The Hong Kong Polytechnic University
Hung Hom
Hong Kong
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Country
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Hong Kong
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Phone
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+852 60971359
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Fax
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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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Gladys Cheing
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Address
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Department of Rehabilitation Sciences
The Hong Kong Polytechnic University
Hung Hom
Hong Kong
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Country
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Hong Kong
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Phone
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+852 3400 6738
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Fax
78092
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Email
78092
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[email protected]
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No information has been provided regarding IPD availability
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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