| 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
|
|
|
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
|
|
|
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. |