<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20170910036107N7</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-09-28</date_registration>
      <primary_sponsor>Iran University of Medical Sciences</primary_sponsor>
      <public_title>Comparison of the effect of medial longitudinal arch support with and without night Knee-Ankle-Foot orthosis (KAFO) on changes and correction of genu valgum in children less than ten years old</public_title>
      <acronym></acronym>
      <scientific_title>Comparison of the effect of medial longitudinal arch support with and without night Knee-Ankle-Foot orthosis (KAFO) on changes and correction of genu valgum in children less than ten years old</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-12-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>20</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/58909</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients are randomly divided into two groups by Hidden sealed envelope randomization method. In such a way, an equal number of interventions are written in the same size sheets and the sheet is folded in such a way that the type of intervention is not clear. If the patient is selected for the study, parents will randomly pick up a sheet of envelope indicating the type of intervention.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Genu valgum.</hc_freetext>
      <i_freetext>Intervention 1: First intervention group: knight Knee-Ankle-Foot orthosis (KAFO) with medial longitudinal arch support insole. Knight Knee-Ankle-Foot orthosis (KAFO) is made by measuring method. It is measured from the inside of the gluteal to the knee, from the knee to the ankle, and the length of each person's foot. Knight Knee-Ankle-Foot orthosis (KAFO) has a cuff in the thigh area and a Ankle-Foot orthosis (AFO) made of polyethylene, which are connected by two steel rods on both sides. The mechanism of action of knight Knee-Ankle-Foot orthosis (KAFO) is a system of three pressure points, two points of pressure on the outside of the foot and above and below the knee joint and one point on the opposite side in the area of the knee joint. In this orthosis, the knee is placed at a zero degree angle without movement and the ankle is placed at a 90 degree angle.The insole is made of polyurethane (PU) with medial longitudinal arch support, by scanning the feet of individuals. To make this insole Computer-aided design (CAD) and Computer-aided manufacturing (CAM) method is used. Intervention 2: Second intervention group: Medial longitudinal arch support insole.The insole is made of polyurethane (PU) with medial longitudinal arch support, by scanning the feet of individuals. To make this insole Computer-aided design (CAD) and Computer-aided manufacturing (CAM) method is used.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is There is no further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Narges Mahdizade</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Iran University of Medical Sciences, next to Milad Tower, Hemmat Highway, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۱۴۴۹۶۱۴۵۳۵</zip>
        <telephone>+98 21 86701</telephone>
        <email>nargesmhz1369@gmail.com</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Naseh Usefi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Iran University of Medical Sciences, next to Milad Tower, Hemmat Highway, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۱۴۴۹۶۱۴۵۳۵</zip>
        <telephone>+98 21 86701</telephone>
        <email>nasehusefi@gmail.com</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Children 10 years and younger
Angular deformity of the valgus around the knee in the coronal plate for no other reason than deformity such as trauma, or any neuromuscular disease</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>10 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>inflexible flat foot
Physiological geno valgum
History of lower limb bone surgery</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M21.06</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Valgus deformity, not elsewhere classified, knee</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>First intervention group: knight Knee-Ankle-Foot orthosis (KAFO) with medial longitudinal arch support insole. Knight Knee-Ankle-Foot orthosis (KAFO) is made by measuring method. It is measured from the inside of the gluteal to the knee, from the knee to the ankle, and the length of each person's foot. Knight Knee-Ankle-Foot orthosis (KAFO) has a cuff in the thigh area and a Ankle-Foot orthosis (AFO) made of polyethylene, which are connected by two steel rods on both sides. The mechanism of action of knight Knee-Ankle-Foot orthosis (KAFO) is a system of three pressure points, two points of pressure on the outside of the foot and above and below the knee joint and one point on the opposite side in the area of the knee joint. In this orthosis, the knee is placed at a zero degree angle without movement and the ankle is placed at a 90 degree angle.The insole is made of polyurethane (PU) with medial longitudinal arch support, by scanning the feet of individuals. To make this insole Computer-aided design (CAD) and Computer-aided manufacturing (CAM) method is used.</i_keyword>
      <i_keyword>Second intervention group: Medial longitudinal arch support insole.The insole is made of polyurethane (PU) with medial longitudinal arch support, by scanning the feet of individuals. To make this insole Computer-aided design (CAD) and Computer-aided manufacturing (CAM) method is used.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Proximal medial tibia angle. Timepoint: Before the intervention and 6 months after treatment. Method of measurement: X-ray.</prim_outcome>
      <prim_outcome>Lateral femoral distal angle. Timepoint: Before the intervention and 6 months after treatment. Method of measurement: X-ray.</prim_outcome>
      <prim_outcome>Intercondylar distance. Timepoint: فاصله اینترکوندیلار. Method of measurement: X-ray.</prim_outcome>
      <prim_outcome>Lower limb length. Timepoint: Before the intervention and 6 months after treatment. Method of measurement: X-ray.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Iran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-06-22</approval_date>
        <contact_name>Ethics Committee of Iran University of Medical Sciences</contact_name>
        <contact_address>Iran University of Medical Sciences, next to Milad Tower, Hemmat Highway, Tehran, Iran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
