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CTRI Number  CTRI/2025/01/079181 [Registered on: 21/01/2025] Trial Registered Prospectively
Last Modified On: 21/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Examining the Impact of Foot Postural Variations on Ankle Muscle Strength, Balance, and Proprioception in Middle-Aged Women: A Cross-Sectional Analysis 
Scientific Title of Study   Impact Of Foot Postural Variations on Ankle Muscle Strength, Balance, and Proprioception in Middle-Aged Female: A Cross Sectional Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Zeba Parveen 
Designation  PG Student 
Affiliation  Jamia Hamdard 
Address  Room No.9, Rehabilitation Centre, Department of Physiotherapy, SNSAH, Jamia Hamdard, New Delhi

South
DELHI
110062
India 
Phone  9557108060  
Fax    
Email  mzebapar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nishat Quddus 
Designation  Head and Associate Professor 
Affiliation  Jamia Hamdard 
Address  Room No.511, 5th Floor, Central Library Building, Department of Physiotherapy, SNSAH, Jamia Hamdard, New Delhi

South
DELHI
110062
India 
Phone  9891544350  
Fax    
Email  nquddus@jamiahamdard.ac.in  
 
Details of Contact Person
Public Query
 
Name  Mr Zuheb Ahmed Siddiqui 
Designation  Assistant Professor 
Affiliation  Jamia Hamdard 
Address  Room No.534, 5th Floor, Central Library Building, Department of Physiotherapy, SNSAH, Jamia Hamdard, New Delhi

South
DELHI
110062
India 
Phone  9810744297  
Fax    
Email  zuhebahmedsiddiqui@jamiahamdard.ac.in  
 
Source of Monetary or Material Support  
Jamia Hamdard, Hamdard Nagar, New Delhi - 110062 
 
Primary Sponsor  
Name  Jamia Hamdard 
Address  Hamdard Nagar, New Delhi - 110062  
Type of Sponsor  Research institution and hospital 
 
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 Nishat Quddus  Jamia Hamdard  Room No 9, Rehabilitation Centre, Department of Physiotherapy, SNSAH
South
DELHI 
9891544350

nquddus@jamiahamdard.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Jamia Hamdard, Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  1.Pes Planus/Flat foot 2. Pes Cavus/High Arched Foot 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  59.00 Year(s)
Gender  Female 
Details  1. Subjects with medial longitudinal arch height of foot measuring 6-9 mm on Navicular Drop Test.
2. Subjects with medial longitudinal arch height of foot measuring more than 10 mm on Navicular Drop Test
3. Subjects willing to participate voluntarily.

 
 
ExclusionCriteria 
Details  1. Subjects with congenital abnormalities in the lower limbs
2. Subjects with severe trunk or spinal deformities such as scoliosis, hyperkyphosis etc.
3. Subjects having history of trauma or pain in any form in feet, lower limbs in last 12 months.
4. Subjects with history of neurologic, rheumatic, or metabolic diseases.
5. Hemodynamically unstable patients
6. Subjects having pain and swelling near ankle and foot
7. Subjects on medications that can alter balance testing
8. Subjects who underwent a surgery of the lower limb in last 6 months.
9. Subjects with a history of balance or vestibular disorders.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.FOOT POSTURE: Navicular Drop Test
2.MUSCLE STRENGTH: Isokinetic Dynamometer
3.BALANCE: Static and Dynamic by using Humac Balance System (CSMi)
 
At Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
PROPRIOCEPTION: Joint Position sense  At Baseline 
 
Target Sample Size   Total Sample Size="140"
Sample Size from India="140" 
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)   01/02/2025 
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="0"
Months="3"
Days="15" 
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  

Subjects will be invited to participate in the research at the Rehabilitation Center, Jamia Hamdard. Upon arrival they will be explained about the research and procedures and  will undergo a screening process, assessing different foot postures using the Navicular Drop Test. From this process, a total of 140 middle-aged female participants  will be selected to examine the impact of foot postural variations on ankle muscle strength, balance, and proprioception. The participants will be divided into two groups based on their foot posture: Group 1 (flat foot) with and Group 2 (normal foot).

Participants will be included based on the selection criteria based on specific inclusion criteria, undergoing a navicular drop test to assess foot posture. Patients meeting the selection criteria will be then recruited for the study and asked to sign an informed consent form, confirming their willingness to participate, and acknowledging their rights, including confidentiality and the ability to withdraw from the study at any time. Following the consent process, participants will undergo assessments for muscular strength, proprioception, and balance as outlined in the study protocol.

Balance will be evaluated using the HUMAC Balance System, which provided detailed metrics on stability through a series of tasks. Joint position sense will be measured with an isokinetic dynamometer, requiring participants to replicate demonstrated joint angles while blindfolded to eliminate visual cues. Muscle strength of the ankle will be assessed using the isokinetic dynamometer, focusing on ankle inversion, eversion, dorsiflexion, and plantarflexion, with peak torque recorded for analysis.

After all measurements are taken, the data will be interpreted to identify patterns and correlations. Participants will be then given personalized feedback on how to improve their foot posture, balance, and muscle strength through specific exercises and lifestyle changes, aimed at enhancing their overall quality of life.

 
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