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CTRI Number  CTRI/2025/02/080451 [Registered on: 12/02/2025] Trial Registered Prospectively
Last Modified On: 09/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of Treatment based on Movement Modification and Correction in Daily Activities for Knee Joint Restriction 
Scientific Title of Study   Effectiveness of Movement System Impairment(MSI) based Classification Treatment on Clinical Outcomes among Subjects with Tibiofemoral Hypomobility Syndrome: A Randomized Controlled Trial 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Paarthasarathy K 
Designation  Student 
Affiliation  Sri Ramachandra Institute of Higher Education and Research 
Address  Physical Rehabilitation Department, Ground Floor, New Block, Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research, Sri Ramachandra Nagar, Porur, Chennai.

Kancheepuram
TAMIL NADU
600116
India 
Phone  8428276858  
Fax    
Email  kmsarathy27@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Soundararajan K 
Designation  Assistant Professor 
Affiliation  Sri Ramachandra Institute of Higher Education and Research 
Address  Physical Rehabilitation Department, Ground Floor, New Block, Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research, Sri Ramachandra Nagar, Porur, Chennai.

Chennai
TAMIL NADU
600116
India 
Phone  9551163416  
Fax    
Email  k.soundararajan1995@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Soundararajan K 
Designation  Assistant Professor 
Affiliation  Sri Ramachandra Institute of Higher Education and Research 
Address  Physical Rehabilitation Department, Ground Floor, New Block, Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research, Sri Ramachandra Nagar, Porur, Chennai.

Chennai
TAMIL NADU
600116
India 
Phone  9551163416  
Fax    
Email  k.soundararajan1995@gmail.com  
 
Source of Monetary or Material Support  
Sri Ramachandra Institute of Higher Education and Research, Physical Rehabilitation Department, Ground Floor, New Block, Faculty of Physiotherapy,Sri Ramachandra Nagar, Porur, Chennai. 
 
Primary Sponsor  
Name  Paarthasarathy K 
Address  Physical Rehabilitation Department, Ground Floor, New Block, Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research, Sri Ramachandra Nagar, Porur, Chennai. 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Paarthasarathy K  Sri Ramachandra Institute of Higher Education and Research  Physical Rehabilitation Department, Ground Floor, New Block, Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research, Sri Ramachandra Nagar, Porur, Chennai.
Kancheepuram
TAMIL NADU 
8428276859

kmsarathy27@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Ramachandra Institute of Higher Education and Research Institutional Ethics Committee for Student Project  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M00-M99||Diseases of the musculoskeletal system and connective tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Movement System Impairment Based Classification Treatment  Treatment based on the MSI Classification System includes Patient Education, Modification and Correction of Performance of Daily Activities, and Prescription of Specific Flexibility and Strengthening Exercises. Duration-45 to 60 minutes 
Comparator Agent  Routine Physiotherapy  A Routine Physiotherapy Based on Guidelines to improve the Quadriceps Function and Stretch the adjacent Structure. Exercises are Terminal Knee Extension, SLR, Isometric Quadriceps and Hamstrings, Hamstring and Gastrocnemius Stretches and VMO Strengthening. A Daily Home Exercise Program with Instruction will be provided to each Patient.Duration- 45 to 60 minutes 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  History of gradual pain at the knee complex
Specific movement system impairment(restricted ROM, Altered gait)
Patient with Flexed knee posture
 
 
ExclusionCriteria 
Details  History of Knee surgery in last 3 months
Structural abnormalies of knee
Severe osteoporosis
Malignant tumors
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Physical Function (KOOS), Pain Intensity, Range of Motion  Baseline, Week 1, Week 3, Week 4, Week 6, Week 8, Week 10, Week 12 
 
Secondary Outcome  
Outcome  TimePoints 
Muscle Strength, Physical Performance Test  Baseline, Week 1, Week 3, Week 4, Week 6, Week 8, Week 10, Week 12 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   24/02/2025 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
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 participants will be screened for eligibility criteria. An initial assessment of evaluating the symptoms and signs of patients with tibiofemoral hypomobility syndrome made by a judgement based on MSI classification. Once participant fulfills inclusion criteria, informed consent will be obtained, and all baseline outcome measure will be recorded. Participants will be assigned to one of two groups (Group A: Experimental group, Group B: Standard Exercise care)   using block randomization. The allocation sequence will be placed in opaque, sealed envelopes. The therapist treating the participants would open the sealed envelope and administer the treatment according to the group allocation during treatment time. A qualified therapist who unaware of the study protocol, participants group allocation will assess all outcome measures (Numeric pain rating scale, knee injury and osteoarthritis outcome score). Intervention group will receive MSI treatment based exercise. Control group will receive standarised exercise therapy. Between group comparison will be performed

 
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