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CTRI Number  CTRI/2025/09/093962 [Registered on: 01/09/2025] Trial Registered Prospectively
Last Modified On: 30/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Effectiveness of closed kinetic verses open kinetic chain exercises 
Scientific Title of Study   Effectiveness of closed kinetic chain exercises verses open kinetic chain exercise on reducing pain, improving functional activity and muscle strength in patients with unilateral patellofemoral pain syndrome - comparative 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  Lavanya M 
Designation  PG Resident 
Affiliation  College of Physiotherapy, Sri Ramakrishna Institute Of Paramedical Science  
Address  3rd Floor, 2nd Room, College of Physiotherapy, Sri Ramakrishna Institute Of Paramedical Science, 395, Sarojini Naidu road, Sidhapudur, coimbatore

Coimbatore
TAMIL NADU
641044
India 
Phone  8825639011  
Fax    
Email  lavanya10122000@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  V S Seetharaman 
Designation  Principal  
Affiliation  College of Physiotherapy, Sri Ramakrishna Institute Of Paramedical Science  
Address  3rd Floor, 2nd Room, College of Physiotherapy, Sri Ramakrishna Institute Of Paramedical Science, 395, Sarojini Naidu road, Sidhapudur, coimbatore

Coimbatore
TAMIL NADU
641044
India 
Phone  9842744406  
Fax    
Email  principal@sripmsphysio.ac.in  
 
Details of Contact Person
Public Query
 
Name  V S Seetharaman 
Designation  Principal  
Affiliation  College of Physiotherapy, Sri Ramakrishna Institute Of Paramedical Science  
Address  3rd Floor, 2nd Room, College of Physiotherapy, Sri Ramakrishna Institute Of Paramedical Science, 395, Sarojini Naidu road, Sidhapudur, coimbatore

Coimbatore
TAMIL NADU
641044
India 
Phone  9842744406  
Fax    
Email  principal@sripmsphysio.ac.in  
 
Source of Monetary or Material Support  
College of Physiotherapy, Sri Ramakrishna Institute Of Paramedical Science, coimbatore, Tamil Nadu, India, postal code-641044, 
 
Primary Sponsor  
Name  Lavanya M 
Address  3rd Floor, 2nd Room, College of Physiotherapy, Sri Ramakrishna Institute Of Paramedical Sciences, 395, Sarojini Naidu road, Sidhapudur, coimbatore-641044  
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 
VS Seetharaman   Sri Ramakrishna Hospital (Multi speciality)  Sri Ramakrishna Hospital (Multi speciality) 395, Sarojini Naidu road, Sidhapudur, Coimbatore-641044
Coimbatore
TAMIL NADU 
9842744406

principal@sripmsphysio.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRI RAMAKRISHNA HOSPITAL ETHICAL COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M222||Patellofemoral disorders,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Closed Kinetic Chain Exercises  Wall Squat and Stretching  
Comparator Agent  Open kinetic Chain Exercises   Muncie Method And Stretching  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Normal BMI, Mild to moderate (3-5) Visual Analogue Scale (VAS) score without medication, Lysholm knee scoring (grade- 65 to 83 points fair knee function), Positive Waldron’s test and Patellofemoral Apprehension test, Unilateral patellofemoral pain syndrome 
 
ExclusionCriteria 
Details  History of Recent knee surgery and Arthritis, History of Recent Dislocation and Subluxation of knee, Recent Acute Ligament and Tendon Rupture of knee, Recent Articular Capsule and Meniscus Related Injury of knee, Unresponsive to Conservative Medical Treatment  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.VISUAL ANALOGUE SCALE
2.LYSHOLM KNEE SCORING SCALE
3.HAND HELD DYNAMOMETER 
6 MONTHS 
 
Secondary Outcome  
Outcome  TimePoints 
   
 
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)   10/09/2025 
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 - NO
Brief Summary  
Patellofemoral pain syndrome (PFPS) is a prevalent musculoskeletal condition characterized by anterior knee pain, particularly during weightbearing 
activities. Rehabilitation strategies often incorporate both open kinetic chain (OKC) and closed kinetic chain (CKC) exercises to address pain, improve function, and 
enhance muscle strength. However, the comparative effectiveness of these two approaches remains underexplored in patients with unilateral PFPS. Study
aims to compare the effects of CKC exercises versus OKC exercises on pain reduction, functional activity, and quadriceps muscle strength in individuals 
with unilateral PFPS. A randomized controlled trial was conducted with 30 participants diagnosed with unilateral PFPS. Participants were randomly assigned   
to either the CKC exercise group or the OKC exercise group for a 6-month intervention program. Outcome measures included pain assessment using the 
(VAS), functional activity evaluated with the Lysholm knee scoring scale, and strength measured with a handheld dynamometer. Assessments 
were performed at baseline and post-intervention

 
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