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CTRI Number  CTRI/2025/12/098947 [Registered on: 11/12/2025] Trial Registered Prospectively
Last Modified On: 10/06/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Other 
Public Title of Study   Understanding How Foot Deformity Affects Knee Pain and Knee Load in People with Knee Arthritis 
Scientific Title of Study   Effect of Hallux Valgus on Knee Joint Loading in Patients With Knee Osteoarthritis: A Case-Control Study 
Trial Acronym  HAV-KOA Study 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  ANAGHA K 
Designation  PG STUDENT 
Affiliation  INSTITUTE OF PHYSIOTHERAPY, SRINIVAS UNIVERSITY  
Address  MUSCULOSKELETAL SCIENCES AND SPORTS PHYSIOTHERAPY DEPARTMENT, INSTITUTE OF PHYSIOTHERAPY, SRINIVAS UNIVERSITY, PANDESHWAR, DAKSHINA KANNADA MANGALORE

Dakshina Kannada
KARNATAKA
575001
India 
Phone  6282207301  
Fax    
Email  anaghapramod2000@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  MADHURIPU P 
Designation  ASSOCIATE PROFESSOR 
Affiliation  Institute of physiotherapy, Srinivas University  
Address  MUSCULOSKELETAL SCIENCES AND SPORTS PHYSIOTHERAPY DEPARTMENT, INSTITUTE OF PHYSIOTHERAPY, SRINIVAS UNIVERSITY, PANDESHWAR, DAKSHINA KANNADA MANGALORE

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9446292852  
Fax    
Email  madhuripu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  ANAGHA K 
Designation  PG STUDENT 
Affiliation  Institute of Physiotherapy, Srinivas university  
Address  MUSCULOSKELETAL SCIENCES AND SPORTS PHYSIOTHERAPY DEPARTMENT, INSTITUTE OF PHYSIOTHERAPY, SRINIVAS UNIVERSITY, PANDESHWAR, DAKSHINA KANNADA MANGALORE

Dakshina Kannada
KARNATAKA
575001
India 
Phone  6282207301  
Fax    
Email  anaghapramod2000@gmail.com  
 
Source of Monetary or Material Support  
INSTITUTE OF PHYSIOTHERAPY, SRINIVAS UNIVERSITY, PANDESHWAR, MANGALORE, DAKSHINA KANNADA, KARNATAKA, INDIA 575001 
 
Primary Sponsor  
Name  ANAGHA K 
Address  INSTITUTE OF PHYSIOTHERAPY, SRINIVAS UNIVERSITY, PANDESHWAR MANGALORE 
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 
ANAGHA K  MUSCULOSKELETAL SCIENCES AND SPORTS PHYSIOTHERAPY OPD  Musculoskeletal sciences and sports physiotherapy department, Institute of Physiotherapy, Srinivas University, City campus- ground floor, Pandeshwar, Dakshina Kannada, Mangalore
Dakshina Kannada
KARNATAKA 
6282207301

anaghapramod2000@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL REVIEW BOARD AND ETHICAL COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M170||Bilateral primary osteoarthritis of knee,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. Bilateral or unilateral OA knee
2. Individuals who fulfilled American College of Rheumatology criteria for knee osteoarthritis using history and physical examination
1a. Pain in the knee and any 3 of the following
2b. more than 50years of age
2c. less than 30 mins of morning stiffness
2d. Crepitus on active motion
2e. Bony tenderness
2f. Bony enlargement
2g. No warmth on palpation
3. Manchester self-assessment scale for HV score 2/3/4 as cases and score of 1 as controls.
 
 
ExclusionCriteria 
Details  1. History of lower extremity trauma or surgery
2. Neurologic problems affecting balance
3. Knee pain associated with other conditions, including hip joint disorders, fibromyalgia, and radiculopathies
4. Diabetes mellitus (DM) for more than 15years
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
KNEE JOINT LOADING PATTERN  Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
VAS  At baseline 
 
Target Sample Size   Total Sample Size="92"
Sample Size from India="92" 
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)   01/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  01/01/2026 
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)
Modification(s)  
Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
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  

Primary Purpose:

The primary purpose of this protocol is to evaluate the effect of hallux valgus (HV) on knee joint loading (KJL) patterns in patients with knee osteoarthritis (KOA). By comparing KOA patients with and without HV, the study aims to understand the biomechanical interplay between foot deformities and knee loading, which may inform targeted rehabilitation strategies.


Study Hypothesis:

KOA patients with HV will exhibit altered knee joint loading patterns, specifically changes in knee adduction and flexion moments, compared to KOA patients without HV.


 
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