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CTRI Number  CTRI/2025/09/095407 [Registered on: 25/09/2025] Trial Registered Prospectively
Last Modified On: 24/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Neuromuscular Exercise as a correction for hyperextended knee in young adults 
Scientific Title of Study   EFFECT OF NEURO MUSCULAR EXERCISE ON KNEE JOINT ALIGNMENT,JOINT POSITION,MUSCLE PERFORMANCE AMONG YOUNG ADULTS WITH HYPER EXTENDED KNEE POSTURE —AN EXPERIMENTAL STUDY 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Drashti Jigneshkumar Patel 
Designation  PG Student 
Affiliation  SPB physiotherapy college, Surat 
Address  SPB Physiotherapy College OPD(musculoskeletal department)ugat bhesan road morabhagal surat

Surat
GUJARAT
395005
India 
Phone  9825116488  
Fax    
Email  drashtijpatel2011@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr Dharti Pansala  
Designation  Associate Professor 
Affiliation  SPB Physiotherapy college 
Address  SPB Physiotherapy College OPD(musculoskeletal department) ugat bhesan road morabhagal surat

Surat
GUJARAT
395005
India 
Phone  8141570075  
Fax    
Email  physiodharti@yahoo.co.in  
 
Details of Contact Person
Public Query  
Name  Dr Dharti Pansala  
Designation  Associate Professor 
Affiliation  SPB Physiotherapy college 
Address  SPB Physiotherapy College OPD(musculoskeletal department) ugat bhesan road morabhagal surat

Surat
GUJARAT
395005
India 
Phone  8141570075  
Fax    
Email  physiodharti@yahoo.co.in  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Drashti Jigneshkumar Patel 
Address  SPB Physiotherapy College (musculoskeletal department , Lower limb OPD) ugat bhesan road morabhagal surat, 395005 
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 
Drashti jigneshkumar patel  SPB Physiotherapy college   SPB Physiotherapy college (musculoskeletal department, lower limb OPD) ugat bhesan road morabhagal surat
Surat
GUJARAT 		 09825116488

drashtijpatel2011@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee SPB Physiotherapy College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Hyperextended knee  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control group  knee flexion concentrically with two legs,knee flexion eccentrically with one leg,mini squats with less than 80 flexion without weights,stationary bicycling,stretching of knee extensors,stretching of knee flexors. 
Intervention  Neuromuscular exercises  Weeks 0 to 2:- gluteus medius and maximus strengthening,inclination in anterior and lateral direction,quadriceps isometric strengthening exercise,quadriceps eccentric control exercise week 2 to 4:- up and down exercise in anteriorposterior and lateral direction,walking in anterior and posterior directions with eyes opened and closed,walking in lateral direction with eyes opened and closed,standing on one extremity week 4 to 8:- up and down on bosu exercise,standing on one extremity on bosu,standing on one extremity on minitrampoline. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  young adults aged 18 to 25 yrs
both male and female included
presence of knee hyper extension exceeding 5 degree beyound normal in standing.
subject with bilateral hyper extended knee posture.
ability and willingness to attend schedulded intervention session and assessments.
provision of written informed consent.
 
 
ExclusionCriteria 
Details  history of lower limb surgrey or trauma in the preceding six months
presence of knee pain/instability
presence of any neurological,any cardiopulmonary,psychosomatic conditions
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Joint angle, Joint position , muscle performance ( quadriceps, hamstring, calf )  At baseline and at 8 weeks of treatment 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   15/10/2025 
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="8"
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  

Title:- Effect of neuro muscular exercise on knee joint alignment, joint position, muscle performance among young adults with hyper extended knee-An experimental study
Knee hyperextension (genu recurvatum) occurs when the knee extends beyond its normal range of motion.It is uncommon in the general population but more frequently seen in athletes and in individuals with specific medical conditions.A cross-sectional survey found 38% of participants had flexibility limitations, with 90% of them showing knee hyperextension.In total knee arthroplasty (TKA) cases, preoperative genu recurvatum is present in 1%–3.9% of patients. Patients with >5° hyperextension undergoing ACL reconstruction (using hamstring tendon autografts) face higher failure rates compared to those with less hyperextension.
The condition involves pathoanatomical structures including the ACL, PCL, MCL and the posterolateral corner. Factors influencing knee stability include muscle performance, joint alignment and proprioception. Weak quadriceps, hamstring- quadriceps imbalance contribute to instability, while hyperextension strains ligaments and the posterior capsule.Patients with hyper extended knee of age between 18 to 25years. Were divided in two groups, Group A Neuro muscular exercises group and Group B controlgroup. The treatment was given 3 days per week for 8 weeks. evaluation of joint angle, evaluation of joint postion sense and evaluation of hamstring and calf strength used as outcome measures.The patient will be screened on the basis of inclusion and exclusion criteria andtheir demographic data will be taken by an assessment Performa. Prior to theCommencement of the study, detailed procedure of the study will be explained to the Patients and a signed informed consent form will be taken from them.Then the Patient will be randomly assigned to a 8-week intervention protocol and allocated randomly to Group A and Group B. The subjects will be allocatedto any of the two groups by random allocation using chit method. The therapist will measure joint angle, joint position and muscle strength error before the interventionon the first day of the Treatment.   

 
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