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CTRI Number  CTRI/2025/12/098328 [Registered on: 02/12/2025] Trial Registered Prospectively
Last Modified On: 26/11/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   How well tele-rehabilitation -based balance training works for kids with juvenile diabetes who have trouble keeping their balance  
Scientific Title of Study   Effectiveness of Tele-Rehabilitation-Based Balance Training for Balance Dysfunction in Children With Juvenile Diabetes: 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  Dr. Sneha Mhetre 
Designation  Associate Professor  
Affiliation  KAHER Institute Of Physiotherapy 
Address  Advanced physiotherapy centre ,Room no. 39, Department of Paediatric Physiotherapy,Sagar floor , KLE Dr. Prabhakar Kore hospital and Medical Research centre , Belgaum , Karnataka ,590010

Belgaum
KARNATAKA
590010
India 
Phone  9145024691  
Fax    
Email  snehamhetre@klekipt.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Sneha Mhetre 
Designation  Associate Professor  
Affiliation  KAHER Institute Of Physiotherapy 
Address  Advanced physiotherapy centre ,Room no. 39, Department of Paediatric Physiotherapy,Sagar floor , KLE Dr. Prabhakar Kore hospital and Medical Research centre , Belgaum , Karnataka ,590010

Belgaum
KARNATAKA
590010
India 
Phone  9145024691  
Fax    
Email  snehamhetre@klekipt.in  
 
Details of Contact Person
Public Query
 
Name  Sejal Satish Achari 
Designation  Intern 
Affiliation  KAHER Institute Of Physiotherapy 
Address  Advanced physiotherapy centre ,Room no. 39, Department of Paediatric Physiotherapy ,Sagar floor , KLE Dr. Prabhakar Kore hospital and Medical Research centre , Belgaum , Karnataka ,590010

Belgaum
KARNATAKA
590010
India 
Phone  8390356870  
Fax    
Email  sejalachari@gmail.com  
 
Source of Monetary or Material Support  
Advanced physiotherapy centre ,Room no. 39, Department of Paediatric Physiotherapy,Sagar floor , KLE Dr. Prabhakar Kore hospital and Medical Research centre , Belgaum , Karnataka ,590010 
 
Primary Sponsor  
Name  Sejal Achari Shambhavi Kamat Tanvi B 
Address  Advanced physiotherapy centre ,Room no. 39, Department of Paediatric Physiotherapy,Sagar floor , KLE Dr. Prabhakar Kore hospital and Medical Research centre , Belgaum , Karnataka ,590010 
Type of Sponsor  Other [Self-Sponsored] 
 
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 Sneha Mhetre  KLE Hospital  JNMC campus, Nehru Nagar, Belagavi,Karnataka,590010
Belgaum
KARNATAKA 
9145024691

snehamhetre@klekipt.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC KLE ACADEMY OF HIGHER EDUCATION   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E109||Type 1 diabetes mellitus without complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Balance Training Exercises  3 days per week for 4 weeks 
Comparator Agent  Basic education  NIL 
 
Inclusion Criteria  
Age From  10.00 Year(s)
Age To  18.00 Year(s)
Gender  Both 
Details  Children aged 10 to 18 years diagnosed with juvenile diabetes for more than or equal to 5 years of diagnosed T1DM 
 
ExclusionCriteria 
Details  1. Other neurological or musculoskeletal disorders
2. Recent injury or surgery affecting balance
3. Severe visual or auditory impairments
4. Syndromic diabetes
5. Parents and children not willing to participate in the study
6. Children who are not diagnosed with juvenile diabetes. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Bruininks-Oseretsky Test of Motor Proficiency - 2nd Edition (BOT-2)  1 month 
 
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   Phase 1/ Phase 2 
Date of First Enrollment (India)   15/12/2025 
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)  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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response (Others) -  NIL

  6. For how long will this data be available start date provided 25-11-2025 and end date provided 12-02-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   The thesis investigates the effectiveness of a tele-rehabilitation-based balance training program for children aged 10–18 years with juvenile (type 1) diabetes who have had the illness for at least five years. These children are at high risk for subclinical balance and vestibular dysfunctions due to chronic hyperglycemia-related neuropathic complications. In this randomized controlled trial, eligible participants are randomized into an intervention group—receiving supervised tele-rehabilitation balance exercises thrice weekly for 4 weeks—and a control group—receiving standard care and education only. Balance is assessed pre- and post-intervention primarily using the Balance subtest of the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2), a validated pediatric tool, and changes in glycemic control (HbA1c) are also monitored. The study aims to determine whether a structured, remotely delivered program can significantly improve balance and postural control compared to routine care, and to assess feasibility and acceptability in this pediatric cohort 
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