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CTRI Number  CTRI/2024/12/077919 [Registered on: 10/12/2024] Trial Registered Prospectively
Last Modified On: 06/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   A study to assess Ankle Strength, Endurance, Flexibility and Range of motion in Bus Drivers with and Without Diabetes Mellitus 
Scientific Title of Study   Evaluation of Ankle Strength, Endurance, Flexibility and Range of motion in Bus Drivers with and without Diabetes Mellitus 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mehnaz Fatima Abdul Nasir 
Designation  MPT SCHOLAR 
Affiliation  MGM School of Physiotherapy, MGM Institutes of Health Sciences 
Address  MGM School of Physiotherapy, MGM Institute of Health Sciences, Room No. 115, 2nd Floor, MGM Hospital, Sector 1, Plot 1 & 2, Kamothe, Navi Mumbai, Taluka Panvel, Raigad, Maharashtra, 410209, India.

Raigarh
MAHARASHTRA
410209
India 
Phone  09224789416  
Fax    
Email  mehnazfatima@mgmsopnm.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mamta Shetty PT 
Designation  Associate Professor 
Affiliation  MGM School of Physiotherapy, MGM Institutes of Health Sciences 
Address  MGM School of Physiotherapy, MGM Institute of Health Sciences, Room No. 115, 2nd Floor, MGM Hospital, Sector 1, Plot 1 & 2, Kamothe, Navi Mumbai, Taluka Panvel, Raigad, Maharashtra, 410209, India.

Raigarh
MAHARASHTRA
410209
India 
Phone  02227437866  
Fax    
Email  mshetty@mgmsopnm.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Mamta Shetty PT 
Designation  Associate Professor 
Affiliation  MGM School of Physiotherapy, MGM Institutes of Health Sciences 
Address  MGM School of Physiotherapy, MGM Institute of Health Sciences, Room No. 115, 2nd Floor, MGM Hospital, Sector 1, Plot 1 & 2, Kamothe, Navi Mumbai, Taluka Panvel, Raigad, Maharashtra, 410209, India.

Raigarh
MAHARASHTRA
410209
India 
Phone  02227437866  
Fax    
Email  mshetty@mgmsopnm.edu.in  
 
Source of Monetary or Material Support  
MGM School of Physiotherapy, MGM Institute of Health Sciences, Room No. 115, 2nd Floor, MGM Hospital, Sector 1, Plot 1 & 2, Kamothe, Navi Mumbai, Taluka Panvel, Raigad, Maharashtra, 410209, India.  
 
Primary Sponsor  
Name  MGM School of Physiotherapy, MGM Institute of Health Sciences 
Address  MGM School of Physiotherapy, MGM Institute of Health Sciences, MGM Educational Campus Sector 1, Plot no. 1 and 2, Kamothe, Navi Mumbai-410209 Taluka Panvel District Raigad 
Type of Sponsor  Private medical college 
 
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 
Dr Mamta Shetty PT  MGM School of Physiotherapy, MGM Institute of Health Sciences  Department of physiotherapy Room No. 115, 2nd Floor, MGM Hospital, Sector 1, Plot 1 & 2, Kamothe, Navi Mumbai, Taluka Panvel, Raigad, Maharashtra, 410209, India.
Raigarh
MAHARASHTRA 
02227437866

mshetty@mgmsopnm.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committe Mahatma Gandhi Mission Dental College and Hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E109||Type 1 diabetes mellitus without complications, (2) ICD-10 Condition: E118||Type 2 diabetes mellitus with unspecified complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  nil  nil 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Male 
Details  The study will include male bus drivers aged between 18 and 65 years who are actively employed and have been driving for the Brihanmumbai Electricity Supply and Transport (BEST) or Navi Mumbai Transport for 12 hours daily. Participants will be categorized into two groups based on their diabetes mellitus status:
Those clinically diagnosed with type 2 diabetes mellitus, confirmed by standard diagnostic criteria such as HbA1c levels and fasting blood sugar levels and Healthy controls. 
 
ExclusionCriteria 
Details  The study will exclude bus drivers who are actively driving for the following services: Navi Mumbai Municipal Transport (NMMT), Kalyan Dombivli Municipal Transport (KDMT), Thane Municipal Transport (TMT), and Maharashtra State Transport (MSRTC). Additionally, bus drivers operating exclusively in South Mumbai or Thane regions will not be included. Participants will also be excluded if they have a history of ankle fractures, recent accidents, or any deformities of the foot and ankle. Other exclusion factors include the presence of systemic conditions such as anemia, thyroid disease, or other autoimmune disorders. Furthermore, bus drivers diagnosed with diabetes mellitus who drive for less than 12 hours per day will not be eligible for participation.

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.Ankle Strength- Hand held Dynamometer
2.Ankle Endurance- Single leg heel raise test
3.Ankle Flexibility- Dorsiflexion Lunge Test

 
Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Ankle Range of motion- Universal Goniometer  Baseline 
 
Target Sample Size   Total Sample Size="176"
Sample Size from India="176" 
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)   28/01/2025 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   Diabetes mellitus is found to be more prevalent in India and the India ranks second in higher number people with diabetes mellitus, Prevalence of diabetes mellitus in India is expected to be rose by 2030 India will have 79.4 million and found to be more in urban areas than in rural area.  Diabetes mellitus is found to be more common among population if persists for longer period of time can lead to motor dysfunction in the form of muscular atrophy, muscle weakness, reduced strength of muscles and even affect joint mobility, flexibility and range of motion of a particular joint and muscle size too, limitations in flexibility of joints, and range of motion, due to the reduced in muscle size it also limits muscle endurance and these starts manifest from distal part of body, most commonly affected parts are ankle and knee joint rather than proximal joint, hence more focus has to be n distal part of body. Driving vehicle specially driving the buses not only require the sufficient strength but also sufficient mobility, flexibility and driving it for prolonged period of time will require sufficient endurance of ankle complex and due to prolonged complications of diabetes mellitus these get hampered. Population in India without diabetes mellitus or population pre-diabetes mellitus may or may not have symptoms of diabetes mellitus, it can range from mild to moderate symptoms and sometimes and can remain unnoticed. There is limited research which focuses on ankle strength, endurance and flexibility in bus drivers with and without diabetes mellitus and studies which evaluate and focuses on the ankle strength, endurance, flexibility and range of motion in the bus drivers with diabetes mellitus and without diabetes mellitus. This study will make comprehensive analysis of ankle endurance, strength, flexibility and range of motion and will provide with the interventional strategies needed 
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