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CTRI Number  CTRI/2025/11/097834 [Registered on: 21/11/2025] Trial Registered Prospectively
Last Modified On: 20/11/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   This study compares two types of physiotherapy exercises to find out which one works better for reducing back pain, improving daily movement, and strengthening muscle control in adults who have lower back pain. 
Scientific Title of Study   Effect of motor-motor vs cognitive-motor dual tasks on gait and neuromuscular control in adults with mechanical low back 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  Hariharasudhan Ravichandran 
Designation  Professor 
Affiliation  Alvas college of physiotherapy and research centre 
Address  Department of physiotherapy and research centre Dakshina Kannada Karnataka 574227 India

Dakshina Kannada
KARNATAKA
574227
India 
Phone  9789906015  
Fax    
Email  hrkums63@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sridharan Balaji 
Designation  Lecturer 
Affiliation  Alvas college of physiotherapy and research centre 
Address  Department of physiotherapy Dakshina Kannada Karnataka 574227 India

Dakshina Kannada
KARNATAKA
574227
India 
Phone  8144332255  
Fax    
Email  sridharans107@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sridharan Balaji 
Designation  Lecturer 
Affiliation  Alvas college of physiotherapy and research centre 
Address  Department of physiotherapy and research centre Dakshina Kannada Karnataka 574227

Dakshina Kannada
KARNATAKA
574227
India 
Phone  8144332255  
Fax    
Email  sridharans107@gmail.com  
 
Source of Monetary or Material Support  
Alva’s College of Physiotherapy and Research Centre, Moodbidri, Karnataka, India 
 
Primary Sponsor  
Name  Alva’s College of Physiotherapy and Research Centre, Moodbidri, Karnataka, India 
Address  Alva’s College of Physiotherapy and Research Centre, Moodbidri, Karnataka, India 
Type of Sponsor  Research institution 
 
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 
Hariharasudhan ravichandran  Alvas college of physiotherapy and research centre  Old emergency entrance, Outpatient physiotherapy department, AHC complex, Ahc road, Moodbidri, DK, Karnataka- 574227
Dakshina Kannada
KARNATAKA 
9789906015

hrkums63@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional review board Alvas college of physiotherapy and research centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M545||Low back pain,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Motor-motor vs cognitive-motor dual task training  Participants perform combined motor and cognitive tasks and motor-motor tasks 4 weeks in this type of training hence we compare the tasks which is better 
Intervention  Motor-motor vs cognitive-motor dual task training   Participants perform combined motor and cognitive tasks such as walking while performing arithmetic calculation reciting alternate numbers and both motor-motor tasks such as walking while doing repetitive exercise 4 weeks in type of training wash out period 1 week for each training 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Participants clinically diagnosed with mechanical low back pain for more than 3 months
Participants able to ambulate independently without assistive device
Participants willing to provide inform consent and participate  
 
ExclusionCriteria 
Details  Participants with any neurological disorder affecting gait or balance
History of spinal surgery and structural deformities (scoliosis and kyphosis)
Cognitive impairment or inability to follow dual task instructions
Radiating pain or recent fratures 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Oswestry disability index

 
1 month 4 week 
 
Secondary Outcome  
Outcome  TimePoints 
VAS visual analog scale   1 month 4 week 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   10/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  10/12/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
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  

The purpose of this interventional study is to compare the effects of motor–motor dual task training and cognitive–motor dual task training on gait and neuromuscular control in adults with mechanical low back pain. Mechanical low back pain is often associated with impaired motor control and altered gait patterns. Dual task training aims to improve coordination and functional performance by simultaneously challenging multiple systems involved in movement control.

The study will include forty participants aged between twenty and forty years, randomly allocated into two groups. The motor–motor dual task group will perform two motor activities simultaneously, while the cognitive–motor dual task group will perform combined motor and cognitive activities. Training sessions will be conducted for four weeks,  under physiotherapist supervision 


 
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