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CTRI Number  CTRI/2024/10/075657 [Registered on: 23/10/2024] Trial Registered Prospectively
Last Modified On: 18/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Testing of Electronic Device (Sensors) for Balance Assessment in Healthy Participants and Chronic Ankle Instability Individuals 
Scientific Title of Study   Reliability and Validity of Inertial Sensors for Static Balance Assessment in Healthy and Chronic Ankle Instability Individuals 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Akshita Lala 
Designation  Post Graduate Student (Masters of Physiotherapy) 
Affiliation  Indian Spinal Injuries Center Institute of Rehabilitation Sciences  
Address  Room no. 3, 2nd floor, Indian Spinal Injuries Centre-Institute of Rehabilitation Sciences (Musculoskeletal Department), Sector C, Vasant Kunj, New Delhi. South West DELHI 110070 India

South West
DELHI
110070
India 
Phone  7048903194  
Fax    
Email  lalaakshita2000@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Meena Makhija 
Designation  Associate Professor 
Affiliation  Indian Spinal Injuries Center Institute of Rehabilitation Sciences  
Address  Indian Spinal Injuries Center, Institute of Rehabilitation Sciences, Rehabilitation Department, 2nd Floor, Sector C, Vasant Kunj, South Delhi-110070 India

South West
DELHI
110070
India 
Phone  9910011816  
Fax    
Email  makhijameena81@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Meena Makhija 
Designation  Associate Professor 
Affiliation  Indian Spinal Injuries Center Institute of Rehabilitation Sciences  
Address  Indian Spinal Injuries Center, Institute of Rehabilitation Sciences, Rehabilitation Department, 2nd Floor, Sector C, Vasant Kunj, South Delhi-110070 India

South West
DELHI
110070
India 
Phone  9910011816  
Fax    
Email  makhijameena81@gmail.com  
 
Source of Monetary or Material Support  
Indian Spinal injuries centre-Institute of Rehabilitation Sciences, Sector C,Vasant Kunj,New Delhi,South Delhi,110070,India 
 
Primary Sponsor  
Name  N/A 
Address  N/A 
Type of Sponsor  Other [N/A] 
 
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 
Akshita Lala  Indian Spinal injuries Center  Indian spinal injuries Center, institute of Rehabilitation sciences, Rehabilitation Department, 2nd Floor, Sector C, Vasant kunj, South Delhi-110070
South West
DELHI 
7048903194

lalaakshita2000@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Indian Spinal Injuries Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Asymptomatic individuals with no laxity in ankle and No history of lower extremity or trunk injury that may affect balance  
Patients  (1) ICD-10 Condition: M253||Other instability of joint,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  CAI group: A history of at least one lateral ankle sprain, a history of at least two instances of the affected joint “giving way” or feeling of instability within the past 6 months, Cumberland ankle instability tool (CAIT) score less than 25
Healthy group: Asymptomatic individuals with no laxity and no history of lower extremity or trunk injury that may affect balance 
 
ExclusionCriteria 
Details  Any acute and subacute ankle sprain
Any diagnosed neurological or systemic condition which may affect balance
Uncorrected hearing or visual impairment.
History of spine or lower limb surgery and trauma.
No prior history of balance training
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
RMS: Root Mean Square (Acceleration)
Jerk: Rate of change of acceleration
MV: Mean Velocity
COP ellipse area
COP path length (total distance)
Average COP velocity
Standard deviation and Root mean square COP 
Day 1 baseline test
Day 2 re test (for reliability) 
 
Secondary Outcome  
Outcome  TimePoints 
COP ellipse area
COP path length (total distance)
Average COP velocity
Standard deviation and Root mean square COP 
Day 1 baseline test for validity 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   30/10/2024 
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="7"
Days="0" 
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   Chronic ankle instability (CAI) is a common condition marked by frequent ankle sprains and a sense of instability, which negatively impacts balance during daily activities. While inertial sensors, known for being portable, cost-effective, and easy-to-use alternatives to force plates, are widely used to assess balance in neurological populations, their use in musculoskeletal conditions like CAI is limited. These sensors have been applied to conditions such as Parkinson’s and multiple sclerosis, but there is little research on their reliability and validity in CAI population. This study aims to fill that gap by investigating the test-retest reliability and validity of wearable inertial sensors in CAI individuals, using sensitive kinematic parameters like Root Mean Square (RMS) acceleration, JERK, and mean velocity.
Participants will be enrolled based on the inclusion criteria and then asked to perform (Balance error scoring system) BESS test wearing the sensors on the sacrum and shank. Balance error scoring system is a static balance assessment tool consisting of 3 stance conditions (double leg standing, single leg standing and tandem standing) on 2 surface conditions each (firm and foam surface). Then the balance outcome will first be compared to force plate to validate the sensors, test will be performed again after 24 hrs. to check the reliability. 
Outcome measure like Root Mean Square Acceleration, JERK (Rate of change of acceleration) and Mean velocity will be assessed 2 times within 24 hrs. interval. Also, the data will be compared to prokin 252  tecnobody with center of pressure (COP) ellipse area, path length and average velocity for validation of inertial sensors. The data collected by the inertial sensors and prokin 252 will be assessed in MATLAB and SPSS windows version will be used in the study. 
 
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