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CTRI Number  CTRI/2025/09/094816 [Registered on: 15/09/2025] Trial Registered Prospectively
Last Modified On: 04/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of Resistance Band and Swiss Ball Training on Balance, Fitness, and Foot Health in Taekwondo Athletes 
Scientific Title of Study   Instability Training With Resistance Bands and Swiss Ball Improves Balance, Fitness, and Foot Loading in Elite Taekwondo Athletes: A Randomized Controlled Trial 
Trial Acronym  NILL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ramesh Chandra Patra 
Designation  Professor 
Affiliation  Lovely Professional University Faculty of Applied Medical Sciences 
Address  Lovely Professional University, Jalandhar-Delhi, G.T. Road, Phagwara, Block 4, Room no 105

Jalandhar
PUNJAB
144411
India 
Phone  09653174563  
Fax    
Email  ramesh.19500@lpu.co.in  
 
Details of Contact Person
Scientific Query  
Name  Mohammad Sarfroz 
Designation  PG Student 
Affiliation  Lovely Professional University Faculty of Applied Medical Sciences 
Address  Lovely Professional University, Jalandhar-Delhi, G.T. Road, Phagwara, Punjab (INDIA)

Kapurthala
PUNJAB
144411
India 
Phone  09653174563  
Fax    
Email  rafiqsarfroz@gmail.com  
 
Details of Contact Person
Public Query  
Name  Dr Ramesh Chandra Patra 
Designation  Professor 
Affiliation  Lovely Professional University Faculty of Applied Medical Sciences 
Address  Lovely Professional University, Jalandhar-Delhi, G.T. Road, Phagwara, Punjab (INDIA)


PUNJAB
144411
India 
Phone  09653174563  
Fax    
Email  ramesh.19500@lpu.co.in  
 
Source of Monetary or Material Support  
Uni-hospital, Physiotherapy OPD, Room no. 105, Block-3 Lovely Professional University, Phagwara, Punjab. 
 
Primary Sponsor  
Name  Lovely Professional University 
Address  Block-4, Lovely Professional University, 144411 
Type of Sponsor  Other [University] 
 
Details of Secondary Sponsor  
Name  Address 
Nill   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ramesh Chandra Patra  Lovely Professional University Faculty of Applied Medical Sciences  Uni-hospital, Physiotherapy OPD, Room no. 105, Block-3 Lovely Professional University, Phagwara, Punjab.
Jalandhar
PUNJAB 		 09653174563

ramesh.19500@lpu.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Elite Taekwondo Athletes 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Exercise   Normal home-based stretching and strengthening exercise 
Intervention  Training With Resistance Bands and Swiss Ball   Each training session lasts about 60 minutes and is divided into five key components. It begins with a 10-minute warm-up that includes dynamic stretching, mobility drills, and light resistance band exercises to prepare the body. This is followed by 15 minutes of Swiss ball core training, featuring exercises such as planks on the ball, ball roll-outs, and single-leg bridges to enhance core stability. The next 15 minutes focus on TheraBand strength training, incorporating band-resisted squats, side steps, and single-leg kick extensions to build functional strength. Afterward, athletes perform 10 minutes of balance and footwork drills, including single-leg stances on the ball, banded kick pivots, and agility ladder drills to improve coordination and stability. The session concludes with a 10-minute cool-down, consisting of stretching, breathing techniques, and recovery exercises to promote flexibility and reduce muscle tension. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  Participants in this study will be elite Taekwondo athletes aged between 18 and 30 years with a minimum of three years of continuous Taekwondo training and active participation in state or national-level competitions. All participants must be in good general health, free from any current musculoskeletal injuries, and able to complete the full duration of the intervention program.

Athletes will be excluded if they have any recent lower limb injuries (within the past six months), a history of neurological disorders, balance or vestibular impairments, chronic musculoskeletal conditions, or any medical contraindications to physical exercise. Those currently undergoing other structured rehabilitation or training programs that could influence study outcomes will also be excluded. 
 
ExclusionCriteria 
Details 
Athletes will be excluded if they have any recent lower limb injuries (within the past six months), a history of neurological disorders, balance or vestibular impairments, chronic musculoskeletal conditions, or any medical contraindications to physical exercise. Those currently undergoing other structured rehabilitation or training programs that could influence study outcomes will also be excluded. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Dynamic balance performance   Baseline, 4 weeks and 8weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Plantar pressure distribution, Physical fitness measures, Muscular strength and Sport-specific performance  Baseline, 4 weeks and 8weeks 
 
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)   15/09/2025 
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="1"
Months="0"
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 randomized controlled trial aims to evaluate the effects of an eight-week instability training program incorporating Swiss balls and resistance bands (TheraBands) on balance performance, physical fitness, and plantar pressure distribution in elite Taekwondo athletes. A total of 40 participants, aged 18–30 years, will be randomly assigned to either an intervention group receiving additional instability-based training or a control group performing regular Taekwondo training only. Training sessions will be conducted three times per week for 60 minutes, focusing on core stability, lower-limb strength, and postural control. Primary outcome measures will include dynamic balance performance assessed with a balance assessment system, while secondary measures will include plantar pressure distribution, physical fitness parameters, and agility. Assessments will be conducted at baseline, mid-intervention (4 weeks), post-intervention (8 weeks), and follow-up (4–6 weeks after training). The findings are expected to provide evidence-based insights into targeted training strategies for enhancing performance and injury prevention in elite combat sport athletes. 
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