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CTRI Number  CTRI/2025/04/084392 [Registered on: 08/04/2025] Trial Registered Prospectively
Last Modified On: 29/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Does SENSORIMOTOR Exercises are effective in improving balance proprioception and h reflex in patients with first ray instability. 
Scientific Title of Study   Effect of Sensorimotor Training on H-Reflex, Balance and Proprioception in patients with First Ray Instability 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Siddhartha Sen  
Designation  Associate Dean of FPHY  
Affiliation  SGT University 
Address  SGT University, DEPARTMENT OF PHYSIOTHERAPY. Chandu budhera, Gurgaon-badli road.
DEPARTMENT OF PHYSIOTHERAPY SGT HOSPITAL , PHYSIOTHERAPY OPD
Gurgaon
HARYANA
122505
India 
Phone  9412385124  
Fax    
Email  Siddhartha_fphy@sgtuniversity.org  
 
Details of Contact Person
Scientific Query
 
Name  Jyoti Ramani  
Designation  PG Student  
Affiliation  SGT University 
Address  SGT University, Chandu budhera, Gurgaon-badli road.

Gurgaon
HARYANA
122505
India 
Phone  8770178003  
Fax    
Email  jyotiramani1108@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Jyoti Ramani  
Designation  PG Student  
Affiliation  SGT University 
Address  SGT University, Chandu budhera, Gurgaon-badli road.

Gurgaon
HARYANA
122505
India 
Phone  8770178003  
Fax    
Email  jyotiramani1108@gmail.com  
 
Source of Monetary or Material Support  
SGT University And Research Institute Gurgaon-Badli Road, Chandu Budhera 122505 
 
Primary Sponsor  
Name  SGT University 
Address  chandu, budhera gurgaon-badli road,Haryana, India 122505 
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 Siddhartha Sen   SGT Hospital   Department of Physiotherapy, Physiotherapy OPD, basement SGT University, Chandu budhera, Gurgaon-badli road.
Gurgaon
HARYANA 
9412985124

Siddhartha_fphy@sgtuniversity.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee Faculty Of Physiotherapy   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  First Ray Instability  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Not Applicable  Not Applicable  
Intervention  Sensorimotor Training   sensory training balance motor training balance sensory training 4 weeks intervention  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  (1) Age between 18-65 years of both males and females.
(2) Individuals with first ray instability –Planter Fasciitis, Hammer Toe, Hallux Valgus, Flat Foot and Metatarsalgia.
(3) Positive Double Dorsiflexion test for First Ray Instability.
(4) Participants must be willing to participate.
 
 
ExclusionCriteria 
Details  1. Patient who have undergone prior foot or ankle surgery
2. History of fracture in either lower extremity.
3. Patient with arthrodesis of foot.
4. Subjects who had neuromuscular disorders,
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Double Blind Double Dummy 
Primary Outcome  
Outcome  TimePoints 
H-Reflex, Balance and Proprioception   Baseline, and at the end of 4th week. 
 
Secondary Outcome  
Outcome  TimePoints 
navicular drop height   Baseline, & at the end 4th week. 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   20/04/2025 
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)   Open to Recruitment 
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  

Aim of the study is To find out the effect of sensorimotor training on H reflex, proprioception and balance in patients with First Ray Instability.

Background-  The first ray includes the first metatarsal, the first metatarsocuneiform joint, the medial cuneiform and the medial naviculo-cuneiform joint. Weightbearing forces are transmitted from the first metatarsal head to the ankle through the medial column. The first ray and medial column act as a rigid lever during the heel rise phase of the gait cycle. When the gastroc-soleus contracts, the foot plantarflexes, rotating around the centre of the talar body. The combined forces of weightbearing and Achilles’ tendon tension must be transmitted to the ground through the medial column/first ray, in order to propel a person forward. [Corinne Van Beek, et al 2011]

 


 
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