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CTRI Number  CTRI/2025/08/093698 [Registered on: 26/08/2025] Trial Registered Prospectively
Last Modified On: 02/07/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Does Weak core and Hip Strength Affect Knee Alignment in People with Knee Pain 
Scientific Title of Study   Relationship of abdominal and hip abductor strength with Q angle among patients with mechanical knee pain 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sumayya shahul 
Designation  Postgraduate  
Affiliation  Yenepoya physiotherapy college 
Address  PG student yenepoya physiotherapy college university road deralakatte mangaluru karnataka india

Dakshina Kannada
KARNATAKA
575018
India 
Phone  7510229620  
Fax    
Email  sumayyabalkiz@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Nigath Fathima 
Designation  Associate Professor 
Affiliation  Yenepoya physiotherapy college 
Address  Associate professor Department of physiotherapy yenepoya physiotherapy college university road deralakatte mangaluru karnataka india

Dakshina Kannada
KARNATAKA
575018
India 
Phone  7406225106  
Fax    
Email  fathimanigat@yenepoya.edu.in  
 
Details of Contact Person
Public Query
 
Name  Nishitha S 
Designation  Assistant professor  
Affiliation  Yenepoya physiotherapy college 
Address  Assistant professor department of physiotherapy yenepoya physiotherapy college university road deralakatte mangaluru karnataka india

Dakshina Kannada
KARNATAKA
575018
India 
Phone  7994656746  
Fax    
Email  nishithas@yenepoya.edu.in  
 
Source of Monetary or Material Support  
Yenepoya Physiotherapy college,Yenepoya deemed to be university Mangalore ,575018,Dakshina Kannada ,karnataka ,India  
 
Primary Sponsor  
Name  sumayya shahul  
Address  Yenepoya Physiotherapy college,Yenepoya deemed to be university Mangalore ,575018,Dakshina Kannada ,karnataka ,India  
Type of Sponsor  Other [Self funding ] 
 
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 sumayya shahul PT  Yenepoya medical college hospital and university  yenepoya medical college hospital ,physiotherapy department 7 th floor ,OPD,Ortho ward first floor university university road deralakatte mangaluru karnataka india
Dakshina Kannada
KARNATAKA 
7510229620

sumayyabalkiz@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
YENEPOYA ETHICS COMMITTEE-3  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M255||Pain in joint,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  population with mechanical knee pain

according to the KOOS score greater than 50 is included in this study  
 
ExclusionCriteria 
Details  Individual with any history of spinal pathology or fracture

Recent abdominal surgery within 1 year

patients with Low back pain ( History of IVDP, Spinal canal stenosis ,spondylolisthesis )

other surgical history related to lower extremity like TKR THR MENISCAL TEAR ANKLE INJURES

KOOS Score less than 50

  pregnant women 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.Leg lowering test
2.McGill Torso muscualr endurance test
3.side lying hip abductor test
4.Q angle measurement by universal goniometer 
30 minute 
 
Secondary Outcome  
Outcome  TimePoints 
leg lowering test
McGill Torso muscular endurance test
side lying hip abductor test
 
collected at the single time point 
 
Target Sample Size   Total Sample Size="79"
Sample Size from India="79" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="105" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/09/2025 
Date of Study Completion (India) 10/02/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
The result of the study finalized there is a strong inverse relationship in abdominal and hip abductor strength with Q angle among patients with mechanical knee pain. So, there is a reduction in the abdominal strength that alter the lower extremity biomechanics especially the hip abductor strength and Q angle alignment that eventually led to increases the stress in the knee joint.

Therefore, assessment as well as the treatment goal for abdominal strength in prior rehabilitation plays important role to improving functional outcome, early recovery and prevention of abnormalities in knee joint. Abdominal may act as hidden part in our body, but its strength and its role speak through the lower extremity especially knee joint.
 
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