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CTRI Number  CTRI/2024/07/070383 [Registered on: 10/07/2024] Trial Registered Prospectively
Last Modified On: 05/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Standarizing method for reactive forward stepping. 
Scientific Title of Study   Inter and Intra-rater differences in the extent of lean release and its influence on forward-stepping characteristics. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  V Padmavathi 
Designation  MPT Student 
Affiliation  Sri Ramachandra Institute Of Higher Education And Research 
Address  Sri Ramachandra Institute Of Higher Education And Research no 1, Sri Ramachandra Nagar,Porur,Iyyapanthangal, Chennai-116

Chennai
TAMIL NADU
600116
India 
Phone  9080154837  
Fax    
Email  padmajanani101@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  C R Praveen Kumar  
Designation  Assistant Professor 
Affiliation  Sri Ramachandra Institute Of Higher Education And Research 
Address  Sri Ramachandra Institute Of Higher Education And Research Sri Ramachandra Faculty of Physiotherapy, 1st floor no 1,Sri Ramachandra Nagar, Iyyapanthangal porur,chennai-116

Chennai
TAMIL NADU
600116
India 
Phone  9445334017  
Fax    
Email  praveenkumar.cr@sriramachandra.edu.in  
 
Details of Contact Person
Public Query
 
Name  C R Praveen Kumar 
Designation  Assistant Professor  
Affiliation  Sri Ramachandra Institute Of Higher Education And Research 
Address  Sri Ramachandra Institute Of Higher Education And Research Sri Ramachandra Faculty of Physiotherapy, 1st floor no 1,Sri Ramachandra Nagar, Iyyapanthangal porur,chennai-116

Chennai
TAMIL NADU
600116
India 
Phone  9445334017  
Fax    
Email  praveenkumar.cr@sriramachandra.edu.in  
 
Source of Monetary or Material Support  
Sri Ramachandra Institute Of Higher Education And Research no 1, Sri Ramachandra Nagar,Iyyapanthangal,Porur, Chennai-600116 Tamil Nadu India 
 
Primary Sponsor  
Name  NIL 
Address  NIL 
Type of Sponsor  Other [NIL] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
V PADMAVATHI  Sri Ramachandra Institute of Higher Education and Research (Deemed to be university)  Sri Ramachandra Institute Of Higher Education And Research Sri Ramachandra Faculty of Physiotherapy, 1st floor no 1,Sri Ramachandra Nagar, Iyyapanthangal,porur,chennai-116
Chennai
TAMIL NADU 
9080154837

padmajanani101@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ETHICS COMMITTEE FOR STUDENTS PROJECTS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  NOT APPLICABLE 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  26.00 Year(s)
Gender  Both 
Details  age 18-26 years both male and female willing to participate in the study 
 
ExclusionCriteria 
Details  History of musculoskeletal injuries to upper and lower limbs
Gait impairment; severe arthritis; required cane or walker for ambulation
Recent surgical history
Neurological and cardiorespiratory problems 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Balance Evaluation System Test  Single baseline measurement
observational study(one time observation) 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   16/07/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="0"
Days="14" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
Falls can occur as a result of a loss of balance while standing, but fortunately, they can be prevented through the use of appropriate compensatory postural reactions. Reactive postural control is a term that describes an individual’s capacity to maintain their center of mass (COM) within their base of support (BOS) when faced with an external destabilizing perturbation. These postural reactions occur quickly and rely on the integration of signals from the sensory systems. Reactive postural responses are broadly categorized into hip, ankle, and stepping strategies. The ankle strategy is the first to act when the perturbation is minor. The hip strategy is a response that is triggered when the base of support is limited and there is a large perturbation.This response occurs when the external force exceeds the human body’s ability to maintain its initial base of support. Stepping is the common strategy seen in the individual while performing posturalcontrol assessment in stance  In this the maximum leaning angle leads to forward stepping causing a single step or rapid step to regain balance during forward fall. The postural control assessment should be done in a complex and dynamic context by applying a sudden external perturbation and simulate the loss of balance in individuals, to mimic a real-life fall situation. Various assessment strategies for reactive postural control are been used in clinical setting like Balance evaluation system test, waist pulls and surface translation, but the destabilizing forces or perturbations are different in all the methods mentioned above. Compensatory stepping correction – forward is a component of reactive postural response in the balance evaluation systems test (BESTest), which evaluates the balance recovery of a person by taking a forward stepping when there is a sudden release from forward lean by release from- lean method. Despite having various ways of reactive stepping evaluation, few studies measured the stepping threshold in populations such as diabetes and elderly people. Research has shown that the leaning angle influences the stepping pattern and research is required to understand the spatiotemporal parameters and inter and intra-rater variability of stepping reactions in young adults 








 
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