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CTRI Number  CTRI/2025/03/083708 [Registered on: 28/03/2025] Trial Registered Prospectively
Last Modified On: 27/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effects of Short Foot Exercise with Conventional Physiotherapy on Foot Posture, Balance and Function in Knee Osteoarthritis Patients with Flatfoot : A Randomised Controlled Trial 
Scientific Title of Study   Effects of Short Foot Exercise with Conventional Physiotherapy on Foot Posture, Balance and Function in Knee Osteoarthritis Patients with Flatfoot 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nikita Jayaprakash 
Designation  Physiotherapist 
Affiliation  D Y Patil University, School of Physiotherapy, Nerul, Navi Mumbai 
Address  D.Y Patil University School of Physiotherapy, Sri Chandrasekarendra saraswati Vidyapuram, Plot 1-E, Dr D Y Patil Vidyanagar , Sector 5, Nerul, Navi Mumbai Maharashtra, 400706

Thane
MAHARASHTRA
400706
India 
Phone  8097807530  
Fax    
Email  nikita1998jp@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shellette D Almeida 
Designation  Associate Professor 
Affiliation  D Y Patil University, School of Physiotherapy, Nerul, Navi Mumbai 
Address  D.Y Patil University School of Physiotherapy, Sri Chandrasekarendra saraswati Vidyapuram, Plot 1-E, Dr D Y Patil Vidyanagar , Sector 5, Nerul, Navi Mumbai Maharashtra, 400706

Thane
MAHARASHTRA
400706
India 
Phone  8073899826  
Fax    
Email  shellette.almeida@dypatil.edu  
 
Details of Contact Person
Public Query
 
Name  Nikita Jayaprakash 
Designation  Physiotherapist 
Affiliation  D Y Patil University, School of Physiotherapy, Nerul, Navi Mumbai 
Address  D.Y Patil University School of Physiotherapy, Sri Chandrasekarendra saraswati Vidyapuram, Plot 1-E, Dr D Y Patil Vidyanagar , Sector 5, Nerul, Navi Mumbai Maharashtra, 400706

Thane
MAHARASHTRA
400706
India 
Phone  8097807530  
Fax    
Email  nikita1998jp@gmail.com  
 
Source of Monetary or Material Support  
None 
 
Primary Sponsor  
Name  Nikita Jayaprakash 
Address  601 - Harbour Court, Plot no 49/3, Sector 19A, Nerul, Navi Mumbai, Maharashtra, 400706 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Shellette D Almeida  D.Y Patil University School of Physiotherapy, Sri Chandrasekarendra saraswati Vidyapuram, Plot 1-E, Dr D Y Patil Vidyanagar , Sector 5, Nerul, Navi Mumbai Maharashtra, 400706 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Nikita Jayaprakash  D Y Patil University  601- Harbour Court, Plot no. 49/3, Sector 19A, Nerul, Navi Mumbai, Maharashtra, 400706
Thane
MAHARASHTRA 
8097807530

nikita1998jp@gmail.com 
Dr Shellette D Almeida  D Y Patil University  D.Y Patil University School of Physiotherapy, Sri Chandrasekarendra saraswati Vidyapuram, Plot 1-E, Dr D Y Patil Vidyanagar , Sector 5, Nerul, Navi Mumbai Maharashtra, 400706
Thane
MAHARASHTRA 
8073899826

shellette.almeida@dypatil.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
D Y Patil Institutional Ethics Committe For Biomedical and Health Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M179||Osteoarthritis of knee, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group A: Conventional exercises with Short Foot Exercises  Group A: Conventional exercises with Short Foot Exercises. the patients in this group will receive progressive resistance training, stretching exercises, soft tissue manipulation. MET, Maitland mobilisation along with Short Foot exercises with 10 reps for 3 sets progressing over 4 weeks. 
Comparator Agent  Group B: Conventional Physiotherapy Protocol  Group B: Conventional Physiotherapy Protocol. the patients in this group will receive progressive resistance training, stretching exercises, soft tissue manipulation. MET, Maitland mobilisation along with conventional foot exercises with 10 reps for 3 sets progressing over 4 weeks.  
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  INCLUSION CRITERIA:
Patients with diagnosed case of grade 2 or grade 3 knee OA on Kellgren and Lawrence grading referred by orthopedic to physiotherapy department
Overpronated foot with a navicular drop test score of more than 10mm
VAS less than or equal to 7
Y Balance test composite score below 80%
Foot posture index score above +5 
 
ExclusionCriteria 
Details  EXCLUSION CRITERIA:
Recent history of lower limb fractures
Recent / past history of any kind surgery of lower limb
History of ligament or meniscal injury, rheumatoid arthritis, deformities
Visual or vestibular impairment
Any neurological or vascular deficit affecting balance 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Foot posture index
WOMAC scale
Navicular drop test  
Patients will assessed at baseline and after 4 weeks of intervention  
 
Secondary Outcome  
Outcome  TimePoints 
Y balance test
Visual Analog Scale (VAS) 
Patients will assessed at baseline and after 4 weeks of intervention 
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="16" 
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   Phase 2 
Date of First Enrollment (India)   24/04/2025 
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 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  

Knee osteoarthritis (OA) impairs mobility and is worsened by flatfoot, causing postural imbalances. Research shows foot posture affects lower limb mechanics. Short foot exercises, designed to strengthen foot muscles and improve arch support, may help improve balance and function. This study examines their effects on foot posture, balance, and function in knee OA patients with flatfoot.

 
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