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CTRI Number  CTRI/2025/12/099582 [Registered on: 22/12/2025] Trial Registered Prospectively
Last Modified On: 19/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Understanding How Leg Muscle Activation and Ankle Flexibility Affect the Chances of Ankle Injuries 
Scientific Title of Study   Association Between Lower Extremity Muscle Recruitment Patterns and Ankle Range of Motion as a Predictor of Ankle Injury Risk 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Athul Krishna K R 
Designation  PG student 
Affiliation  Tejasvini Physiotherapy College 
Address  Department of Neurological Sciences Tejasvini Physiotherapy College opp Anantha Padmanabha Temple Kudupu, Mangalore

Dakshina Kannada
KARNATAKA
575028
India 
Phone  7306104338  
Fax    
Email  athulkrishna709@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Athul Krishna K R 
Designation  PG student 
Affiliation  Tejasvini Physiotherapy College 
Address  Department of Neurological Sciences Tejasvini Physiotherapy College opp Anantha Padmanabha Temple Kudupu, Mangalore

Dakshina Kannada
KARNATAKA
575028
India 
Phone  7306104338  
Fax    
Email  athulkrishna709@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Athul Krishna K R 
Designation  PG student 
Affiliation  Tejasvini Physiotherapy College 
Address  Department of Neurological Sciences Tejasvini Physiotherapy College opp Anantha Padmanabha Temple Kudupu, Mangalore

Dakshina Kannada
KARNATAKA
575028
India 
Phone  7306104338  
Fax    
Email  athulkrishna709@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Athul Krishna K R 
Address  Tejasvini Physiotherapy college, opp Anantha Padmanabha Temple, Kudupu Mangalore, 575028 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
Riyas Basheer K B  Tejasvini Physiotherapy college, opp Anantha Padmanabha Temple, Kudupu Mangalore, 575028 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Athul Krishna K R  Tejasvini Physiotherapy College  Department of Neurological Sciences Tejasvini Physiotherapy College opp Anantha Padmanabha Temple kudupu Mangalore 575028
Dakshina Kannada
KARNATAKA 
7306104338

athulkrishna709@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Review Board  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  participate with and without history of ankle injuries 
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  undergraduate or postgraduate college students between 18 to 25 years
individuals willing to provide informed consent  
 
ExclusionCriteria 
Details  history of any lower extremity injury, including ankle sprains, within last 6 weeks
any lower extremity surgery
neuropathies or balance disorders
history of any musculoskeletal conditions that may affect outcomes

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
EMG activation profile
 
20-30 min 
 
Secondary Outcome  
Outcome  TimePoints 
Range of Motion of Ankle  5-10min 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   15/01/2026 
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 Yet Recruiting 
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  
This study aims to evaluate how neuromuscular activation of the tibialis anterior peroneus, and soleus muscles along with ankle joint range of motion ROM can predict ankle injury risk in physically active individuals A total of 50 participants aged 18 to 25 from Tejasvini Hospital Group of Institutions will be selected through simple random sampling It is a comparative cross sectional study conducted over 7to 8 months
Data will be collected using a goniometer for ankle ROM dorsiflexion plantarflexion inversion and eversion and surface electromyography for muscle activation assessment following SENIAM guidelines Screening tools include the International Physical Activity Questionnaire  Pittsburgh Sleep Quality Index and Cumberland Ankle Instability Tool
Statistical analysis will include descriptive statistics normality tests Shapiro Wilk or Kolmogorov Smirnov and between group comparisons using independent t tests or Mann Whitney U tests with significance set at p lessthan 0.05 The study hypothesizes that altered muscle activation and limited ankle ROM are significant predictors of increased ankle injury risk aiding in the development of targeted prevention strategies
 
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