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CTRI Number  CTRI/2025/02/081476 [Registered on: 28/02/2025] Trial Registered Prospectively
Last Modified On: 27/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Single Arm Study 
Public Title of Study   How foot and ankle exercises can help older adults improve their Balance  
Scientific Title of Study   Effect of Foot and Ankle Muscle strengthening on balance in geriatric population 
Trial Acronym  NIL  
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Krusha Patel 
Designation  MPT Student 
Affiliation  SVKMs NMIMS 
Address  Department of Physiotherapy, Ground floor, Nanavati Max Superspeciality Hospital, S.V. Road, Vile Parle (W) Mumbai

Mumbai (Suburban)
MAHARASHTRA
400056
India 
Phone  7226020523  
Fax    
Email  krushapatel18@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shailja Mehta 
Designation  Assistant Proffesor- Physiotherapist 
Affiliation  SVKMs NMIMS 
Address  Sunandan DIvatia School Of Science,Department of Physiotherapy, 7th Floor Mithibai college building, Bhaktivedanta Road, Vile Parle (W)

Mumbai (Suburban)
MAHARASHTRA
400056
India 
Phone  9825382610  
Fax    
Email  shailja.mehta@nmims.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Shailja Mehta 
Designation  Assistant Proffesor- Physiotherapist 
Affiliation  SVKMs NMIMS 
Address  Sunandan DIvatia School Of Science,Department of Physiotherapy, 7th Floor Mithibai college building, Bhaktivedanta Road, Vile Parle (W)


MAHARASHTRA
400056
India 
Phone  9825382610  
Fax    
Email  shailja.mehta@nmims.edu  
 
Source of Monetary or Material Support  
Department of Physiotherapy, Ground Floor, Nanavati Max Superspeciality Hospital, SV. Road, Vileparle West, Mumbai-400056 
 
Primary Sponsor  
Name  NIL 
Address  NA 
Type of Sponsor  Other [None] 
 
Details of Secondary Sponsor  
Name  Address 
none  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shailja Mehta   Nanavati Max Superspeciality Hospital  Department of Physiotherapy, Ground Floor, SV Road, Vile Parle West
Mumbai (Suburban)
MAHARASHTRA 
9825382610

shailja.mehta@nmims.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Nanavati Max Super Speciality Hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy geriatric population with mild to moderate risk of fall BBS- 21-56  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Foot and ankle exercises   Foot and Ankle exercises to geriatric population Training - for 4 weeks intervention with total 12 sessions - 3 sessions per week (alternate days) 
Comparator Agent  NA  NA 
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  74.00 Year(s)
Gender  Both 
Details  Mild to Moderate Risk Of Fall- BBS- 21-56
Not involved in any regular exercise programme 
 
ExclusionCriteria 
Details  Elderly having any peripheral vascular disease or Deep vein Thrombosis
Any neurological disorder present
Any recent injuries to lower limbs 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Berg Balance Scale
 
Baseline and post 4 weeks of intervention
 
 
Secondary Outcome  
Outcome  TimePoints 
Functional Reach test   Baseline and post 4 weeks of intervention  
 
Target Sample Size   Total Sample Size="37"
Sample Size from India="37" 
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)   10/03/2025 
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="6"
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  

TITLE -Effect of foot and ankle exercises on Balance in Geriatric population:

INTRODUCTION - Aging is a significant risk factor for morbidity, mortality and falls particularly among the elderly population in India, where life expectancy has increased.

RATIONALE - Age related changes, including muscle weakness, reduced bone density (e.g. osteoporosis) and decreased joint mobility, contribute to impaired balance and heightened fall risk. Additionally, cognitive decline, proprioceptive changes and vestibular system degradation also affect an elderly person’s ability to maintain stability. Foot structural changes further exacerbate these balance issues. The elderly often experience difficulty in maintaining balance due to compromised sensory system, joint stiffness and muscle weakness, increasing fall susceptibility. Furthermore, the fear of falling leads to reduction in mobility and quality of life. Effective balance recovery strategies, such as ankle and hip strategies are critical for reducing falls and improving stability. Understanding these age-related changes is essential for developing interventions that enhance balance, reduce falls and improve the overall well-being of elderly individuals.

AIM – The aim of this study was to determine whether strengthening of the foot and ankle muscles are significant determinants of balance and functional ability in older people.

OBJECTIVE -To assess the strength of foot and ankle exercise on Dynamic and Static balance with Berg Balance Scale and Functional Reach Test respectively.

 

PROTOCOL – A 4-week exercise protocol will be given for foot and ankle exercises which includes ankle dorsiflexion and plantar flexion, inversion and eversion which will be progressed with theraband, Heel raise, toe-raise, gradually progressing exercises with hold, Toe – curling, marble pick up in sitting position progressed to standing position, lunges progressing with hold. Berg balance scale and functional reach test for dynamic and static balance respectively will be taken before and after the intervention.

Key Words – Foot and ankle exercise, Balance, Elderly

 

 
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