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CTRI Number  CTRI/2025/04/085944 [Registered on: 29/04/2025] Trial Registered Prospectively
Last Modified On: 15/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   The role of perturbation-based balance training on balance and gait in older adults. 
Scientific Title of Study   Effect of Perturbation-based Balance Training on Balance and Gait in Older Adults.  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Not applicable  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rutuja A Birje  
Designation  Post-graduate Student  
Affiliation  College of Physiotherapy Sumandeep Vidyapeeth deemed to be University  
Address  PG 1 Classroom, Second floor, Department of Neurological and Psychosomatic Disorders, College of Physiotherapy, Sumandeep Vidyapeeth deemed to be university at and post pipariya taluka Waghodia

Vadodara
GUJARAT
391760
India 
Phone  8431840916  
Fax    
Email  rutubirje14@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Dhwani Chanpura  
Designation  Associate Professor  
Affiliation  College of Physiotherapy Sumandeep Vidyapeeth deemed to be University  
Address  Cabin no. 3, Staffroom, ground floor Department of Pediatrics College of Physiotherapy Sumandeep Vidyapeeth deemed to be university at and post pipariya taluka Waghodia

Vadodara
GUJARAT
391760
India 
Phone  9974704464  
Fax    
Email  dhwani.cop@sumandeepvidyapeethdu.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Dhwani Chanpura  
Designation  Associate Professor  
Affiliation  College of Physiotherapy Sumandeep Vidyapeeth deemed to be University  
Address  Cabin no. 3, Staffroom, ground floor Department of Pediatrics College of Physiotherapy Sumandeep Vidyapeeth deemed to be university at and post pipariya taluka Waghodia

Vadodara
GUJARAT
391760
India 
Phone  9974704464  
Fax    
Email  dhwani.cop@sumandeepvidyapeethdu.edu.in  
 
Source of Monetary or Material Support  
Ground floor College of Physiotherapy Sumandeep Vidyapeeth deemed to be University Pipariya taluka Waghodia Vadodara Gujarat 391760 India  
 
Primary Sponsor  
Name  Rutuja A Birje  
Address  PG 1 Classroom Ground floor Department of Neurological and Psychosomatic Disorders College of Physiotherapy Sumandeep Vidyapeeth an institution deemed to be University at and post Pipariya taluka Waghodia Vadodara Gujarat 391760 India  
Type of Sponsor  Other [Self-funded] 
 
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 Rutuja A Birje   Dhiraj General Hospital   Near and around the campus of Sumandeep Vidyapeeth deemed to be University Pipariya taluka Waghodia Road Vadodara Gujarat 391760 India
Vadodara
GUJARAT 
8431840916

rutubirje14@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sumandeep Vidyapeeth Institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  older adults 60 years and above  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Community-dwelling older adults
Able to do sit to stand with or without support.
Able to walk independently 10 meters with or without walking aid.
 
 
ExclusionCriteria 
Details  Individuals with Mini Mental Scale Examination less than or equal 24
Any neuromusculoskeletal conditions or surgeries that affects balance and gait
Any uncorrected visual impairments, undergoing current chemotherapy, severe vertigo, deformities or any cognitive impairments 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Brief-BEST test  Will be assessed at the baseline and at the end of sixth week 
 
Secondary Outcome  
Outcome  TimePoints 
Modified Fall Efficacy Scale [MFES]
30 second chair stand test 
Will be assessed at the baseline & at the end of sixth week  
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   01/05/2025 
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   The study aims to evaluate the balance and gait of older adults in community settings. Participants will be screened based on inclusion and exclusion criteria, and given an informed consent form and participant information sheet. A detailed assessment will be conducted, and pre-intervention outcome measures will be taken. Participants will be divided into two groups using alternate method: Control/Conventional Group (A) and Perturbation based Balance Training (PBT) Group (B). The intervention will last for 18 sessions, with each group having a different protocol.
Duration of intervention for both the groups: 45-50 mins session/day for 3 days/week for 6 weeks i.e. 18 sessions.
Protocol will be given for 45-50 minutes per day with 1-2 minutes break during each exercise.

In the Control Group, participants will perform exercises according to their tolerance level, starting with 3 repetitions per exercise. The program includes stretching lower extremities, single leg stance, lateral stepping, mini lunges, tandem and Romberg stance, marching in place, step-ups, sit to stand, gait training, and tandem and side walking. In the PBT Group, participants will perform circuit training with unstable devices (BOSU ball, balance cushions, and foam mattress), including standing on both feet, single leg stance, lateral stepping, mini lunges, step-ups, heel and toe raise, marching, and supported squats. Trainers will supervise individual training intensities and progression.

After six weeks of intervention, MFES, 30-Second Chair Stand Test, and Brief-BESTest scores will be noted and compared to pre-intervention values. 
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