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CTRI Number  CTRI/2025/08/092872 [Registered on: 12/08/2025] Trial Registered Prospectively
Last Modified On: 12/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Can Specific Posture Exercises Improve Back Pain Pelvic Alignment and Foot Pressure in Participants with Long Term Low Back Pain 
Scientific Title of Study   Effect of progressive postural control exercises on altered pelvic tilts and plantar pressure in individuals with chronic low back pain - A randomised 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  Adarsh Shere 
Designation  Post Graduate Student 
Affiliation  Dr. DY Patil College of Physiotherapy 
Address  Dept. of MSK, Floor 3 Room 1, Dr DY Patil College of Physiotherapy, Sant Tukaram Nagar, Pimpri, Pune 411018

Pune
MAHARASHTRA
411018
India 
Phone  07038031753  
Fax    
Email  dr.adarshshere@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mrudula Sangaonkar 
Designation  Associate Professor 
Affiliation  Dr. DY Patil College of Physiotherapy 
Address  Dept. of MSK, Floor 3 Room 1, Dr DY Patil College of Physiotherapy, Sant Tukaram Nagar, Pimpri, Pune 411018

Pune
MAHARASHTRA
411018
India 
Phone  8087469330  
Fax    
Email  mrudula.sangaonkar@dpu.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Mrudula Sangaonkar 
Designation  Associate Professor 
Affiliation  Dr. DY Patil College of Physiotherapy 
Address  Dept. of MSK, Floor 3 Room 1, Dr DY Patil College of Physiotherapy, Sant Tukaram Nagar, Pimpri, Pune 411018

Pune
MAHARASHTRA
411018
India 
Phone  8087469330  
Fax    
Email  mrudula.sangaonkar@dpu.edu.in  
 
Source of Monetary or Material Support  
Dr. D.Y. Patil College of Physiotherapy, Pimpri, Pune 411018 
 
Primary Sponsor  
Name  Adarsh Shere 
Address  Dept. of MSK, Floor no. 3, Room no. 1, Dr. D.Y. Patil College of Physiotherapy, Pimpri, Pune 411018 
Type of Sponsor  Other [Self] 
 
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 Adarsh Shere  Dr DY Patil College Of Physiotherapy, Pimpri, Pune 411018  Dr. D. Y Patil college of Physiotherapy OPD, MSK DEPT. ROOM NO 1 Ground floor , Pimpri, Pune Pune MAHARASHTRA
Pune
MAHARASHTRA 
7038031753

dr.adarshshere@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institiutional ethics commitee meeting  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  Progressive Postural Control Exercises  three sessions a week pelvic backswept, glute bridges, crunches, bird dog, bear crawl, contralateral arm lift 
Comparator Agent  Routine Physical Therapy  5 session per week Heat Therapy, Pelvic Bridging, pelvic tilts, back extension, static back, knee to chest, lion stretch, static back, cat camel, curl up 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1.Individuals having chronic low back pain
2.individuals having abnormal anterior/
posterior
left lateral/right lateral pelvic tilts.
3.Age 20-50 years.
4.Samples who have volunteered and gave informed consent to participate in this study.
 
 
ExclusionCriteria 
Details  1.lower limb fracture or surgery.
2.Pregnant women and post-partum.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment    
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1. pain {nprs)
2. lumbar rom
3. core strength
4. degree of pelvic tilt 
At baseline and 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
plantar pressure  initially at week 1 and at the end session of week 4 
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
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)   25/08/2025 
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 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  

Low back pain (LBP) is a prevalent musculoskeletal condition caused by poor posture, muscle weakness, degenerative changes, and neurological factors. Conventional physiotherapy, including heat therapy, stretching, strengthening exercises, postural training, and manual therapy, helps reduce pain, improve spinal stability, and enhance mobility. Strengthening exercises like pelvic tilts, bridging, and back extensions target core muscles for better spinal support. Progressive Postural Control Exercise (PPCE) further improves neuromuscular adaptation and postural control, reducing pain and disability in chronic LBP. Both approaches are effective in enhancing function, preventing recurrences, and promoting long-term spinal health through structured rehabilitation programs.

Chronic low back pain (CLBP) affects mobility, posture, and quality of life, often leading to altered pelvic tilt and plantar pressure distribution, causing postural imbalances and gait abnormalities. While core stability exercises are commonly used, their effectiveness in correcting pelvic misalignment remains unclear. Progressive Postural Control Exercises (PPCE) integrate motor control, core strengthening, and balance training to improve neuromuscular adaptation and postural stability. This study explores PPCE’s role in pelvic alignment and plantar pressure correction, aiming to enhance movement efficiency, reduce pain, and improve functional outcomes in CLBP patients.

 
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