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CTRI Number  CTRI/2025/11/097587 [Registered on: 17/11/2025] Trial Registered Prospectively
Last Modified On: 05/11/2025
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   To find out the effect of Intrinsic Foot muscle and Tibialis Posterior Muscle Training on Flat Foot Correction and Dynamic Balance in Bharatnatyam Dancers 
Scientific Title of Study   Effect of Intrinsic Foot muscle and Tibialis Posterior Muscle Training on Flat Foot Correction and Dynamic Balance in Bharatnatyam Dancers. 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  Sambodhi Ghanghav 
Designation  Student 
Affiliation  Pravara Institute of medical sciences 
Address  Dr APJ Abdul Kalam College of Physiotherapy Pravara Institute of Medical Sciences Loni Tal Rahata Dist Ahmadnagar Maharashtra Ahmadnagar Maharashtra 413736 India Ahmadnagar MAHARASHTRA 413736 India
Dr APJ Abdul Kalam College of Physiotherapy Pravara Institute of Medical Sciences Loni Tal Rahata Dist Ahmadnagar Maharashtra Ahmadnagar Maharashtra 413736 India Ahmadnagar MAHARASHTRA 413736 India
Ahmadnagar
MAHARASHTRA
413736
India 
Phone  9326376929  
Fax    
Email  ghanghavsambodhi@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr Deepali Hande 
Designation  Professor and Head of Department 
Affiliation  Pravara Institute of medical sciences 
Address  Community physiotherapy department Dr APJ Abdul Kalam College of Physiotherapy Pravara Institute of Medical Sciences Loni Tal Rahata Dist Ahmadnagar Maharashtra Ahmadnagar Maharashtra 413736 India Ahmadnagar MAHARASHTRA 413736 India
Community physiotherapy department Dr APJ Abdul Kalam College of Physiotherapy Pravara Institute of Medical Sciences Loni Tal Rahata Dist Ahmadnagar Maharashtra Ahmadnagar Maharashtra 413736 India Ahmadnagar MAHARASHTRA 413736 India
Ahmadnagar
MAHARASHTRA
413736
India 
Phone  8275034001  
Fax    
Email  deepali.hande@pmtpims.org  
 
Details of Contact Person
Public Query  
Name  Dr Deepali Hande 
Designation  Professor and Head of Department 
Affiliation  Pravara Institute of medical sciences 
Address  Community physiotherapy department Dr APJ Abdul Kalam College of Physiotherapy Pravara Institute of Medical Sciences Loni Tal Rahata Dist Ahmadnagar Maharashtra Ahmadnagar Maharashtra 413736 India Ahmadnagar MAHARASHTRA 413736 India
Community physiotherapy department Dr APJ Abdul Kalam College of Physiotherapy Pravara Institute of Medical Sciences Loni Tal Rahata Dist Ahmadnagar Maharashtra Ahmadnagar Maharashtra 413736 India Ahmadnagar MAHARASHTRA 413736 India
Ahmadnagar
MAHARASHTRA
413736
India 
Phone  8275034001  
Fax    
Email  deepali.hande@pmtpims.org  
 
Source of Monetary or Material Support  
Dr APJ Abdul Kalam College Of Physiotherapy and local dance classes in loni, loni 413736,Ahmednagar, Maharashtra,India 
 
Primary Sponsor  
Name  NIL 
Address  NIL 
Type of Sponsor  Other [] 
 
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 
Sambodhi Ghanghav  Dr APJ Abdul Kalam College Of Physiotherapy  Dr APJ Abdul Kalam College of Physiotherapy Pravara Institute of Medical Sciences Loni Tal Rahata Dist Ahmadnagar Maharashtra Ahmadnagar Maharashtra 413736 India Ahmadnagar MAHARASHTRA 413736 India
Ahmadnagar
MAHARASHTRA 		 09326376929

ghanghavsambodhi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Flat Foot 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Physiotherapy  1.Warm up exercises a)Toe raises b)Ankle circles c)Arch lifts 2.Stretching (low intensity) a)Calf stretch b)Achilles tendon stretch 3.Low impact activities Walking and cycling 4.Foot Care Advice on footwear  
Intervention  Strenghtening and flexibility exercises with conventional physiotherapy  1.Warm up exercises a)Toe raises b)Ankle circles c)Arch lifts 1.Strengthening Exercises a) Towel scrunches b) Marbel Pickup c) Heel Raises d) Ankle and Calf strengthening e)Foot Roll f) Toe curls 2. Stretching and flexibility Exercises a) Calf Stretches b)Plantar Fascia Stretch c) Achilles Tendon Stretch Duration 6 Week 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  1. Bharatnatyam dancers aged 18–35 years.
2. Dancers with at least 3 years of continuous training in Bharatanatyam.
3. Participants diagnosed with flat foot through a clinical assessment i.e. (Navicular Drop Test).
4. No history of lower limb fractures, surgeries, or acute musculoskeletal injuries within the past six months.
5. Participants actively practicing Bharatanatyam for at least 4 hours per week.
6. Participants willing to participate.
 
 
ExclusionCriteria 
Details  1. Participants with a history of fractures, ligament tears, tendon injuries, or surgical interventions affecting the foot, ankle, or lower limb.
2. Participants with musculoskeletal conditions affecting foot biomechanics and balance.
3. Participants with rigid flatfoot, clubfoot, hallux valgus, or other congenital anomalies that may alter study outcomes.
4. Participants diagnosed with vertigo, or any other conditions affecting equilibrium and postural control.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Foot Posture index.
Timed Up and Go (TUG) Test
 		 baseline 0week and 6 th week

 
 
Secondary Outcome  
Outcome  TimePoints 
Y Balance Test  week 0 to week 6 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   20/11/2025 
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 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  

1. The Participants will be selected based on the eligibility criteria.

2. Informed consent will be obtained from the participants and demographic data will be recorded.

3. The participants will be explained about the procedure and will be ensured that no harm will be caused to them.

 4. Participants will be randomly allocated to 2 groups that is experimental group (n=30) and control group (n=30).

 5. Both group participants will be given intervention of strengthening exercises, stretching exercises and manual therapy for 6 weeks.

 6. The results of the two groups will be analyzed and effectiveness of the therapy in the groups will be noted.

Group A: Control group

1.Warm up exercises:

a)Toe raises b)Ankle circles
c)Arch lifts
2.Stretching:

a)Calf stretch
b)Achilles tendon stretch
3.Low impact activities:
Walking and cycling
4.Foot Care:
Advice on footwear

Group B: Experimental group

1.Warm up exercises:

a)Toe raises b)Ankle circles
c)Arch lifts
2.Strengthening Exercises:
a) Towel scrunches
b) Marbel Pickup
c) Heel Raises
d) Ankle and Calf strengthening
e)Foot Roll
f) Toe curls
3.Stretching and flexibility Exercises:
a) Calf Stretches
b)Plantar Fascia Stretch
c) Achilles Tendon Stretch

Frequency: 5 days per week (5 reps x 2 set of each exercise)

Intensity: 10 sec hold

Time: 30 min

Type: Strengthening, stretching and manual therapy

 
 
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