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CTRI Number  CTRI/2024/09/073500 [Registered on: 05/09/2024] Trial Registered Prospectively
Last Modified On: 04/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Does toe grip strength affect balance in Down syndrome children? 
Scientific Title of Study   Relationship of toe grip strength and balance in Down Syndrome children and adolescents having flatfeet 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Apoorva Subramony  
Designation  PG student  
Affiliation  Father Muller College of Physiotherapy 
Address  Father Muller College of Physiotherapy Department of paediatric physiotherapy Kankanady Mangalore

Dakshina Kannada
KARNATAKA
575002
India 
Phone  9880465980  
Fax    
Email  arvatell@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ms Anupama k 
Designation  Associate professor  
Affiliation  Father Muller College of Physiotherapy 
Address  Father Muller College of Physiotherapy Department of paediatric physiotherapy Kankanady Mangalore

Dakshina Kannada
KARNATAKA
575002
India 
Phone  9901324366  
Fax    
Email  anupamakarkera@fathermuller.in  
 
Details of Contact Person
Public Query
 
Name  Apoorva Subramony  
Designation  PG student  
Affiliation  Father Muller College of Physiotherapy 
Address  Father Muller College of Physiotherapy Department of paediatric physiotherapy Kankanady Mangalore

Dakshina Kannada
KARNATAKA
575002
India 
Phone  9880465980  
Fax    
Email  arvatell@gmail.com  
 
Source of Monetary or Material Support  
Father Muller College of physiotherapy  
 
Primary Sponsor  
Name  Apoorva subramony 
Address  Father muller college of physiotherapy Kankanady Mangalore 575002 
Type of Sponsor  Other [Self funding] 
 
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 Apoorva subramony  St Agnes special school  Bendoorwell, Mangalore
Dakshina Kannada
KARNATAKA 
9880465980

arvatell@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
FATHER MULLER INSTITUTIONAL ETHICS COMMITTEE (FMIEC)  Approved 
FATHER MULLER INSTITUTIONAL ETHICS COMMITTEE (FMIEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Q909||Down syndrome, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  18.00 Year(s)
Gender  Both 
Details  those with flatfeet (screened using feiss line test), those who can understand simple commands, willing to participate and who can ambulate. 
 
ExclusionCriteria 
Details  those who have walking aids 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To find the toe grip strength using pinch gauge dynamometer. 3 trials will be done and the best result will be considered   at baseline  
 
Secondary Outcome  
Outcome  TimePoints 
To find the balance using four square step test  At baseline  
 
Target Sample Size   Total Sample Size="10"
Sample Size from India="10" 
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)   15/09/2024 
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="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   Down syndrome (trisomy 21) is the most common chromosomal disorder which occurs due to the presence of an extra copy of chromosome 21. it is characterized by intellectual disability, short stature, reduced muscle tone, reduced upper and lower limb muscle strength, balance and proprioception problems and foot abnormalities such as the flat feet (pes planus), which occurs as a result of reduced medial longitudinal arch height of the foot. In flat feet, the foot muscles are prone to get weakened over time. Recent studies have pointed out that a decrease in the size and strength of intrinsic foot muscles can affect the persons’ ability to maintain balance. It has been recognized that children and adolescents with Down Syndrome tend to have flatter feet, but so far no study has attempted to find if there is a relationship between toe grip strength and balance in Down Syndrome children and adolescents having flatfeet.  
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