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CTRI Number  CTRI/2026/02/104150 [Registered on: 18/02/2026] Trial Registered Prospectively
Last Modified On: 17/02/2026
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   Improving Surgical Precision: The Role of Fine Motor Exercises in Ear Reconstruction Training 
Scientific Title of Study   Evaluation of fine motor enhancing exercises in Ear reconstruction simulator: A Randomized control 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  Dr Trisha agiwal  
Designation  Post graduate student 
Affiliation  DR. D Y Patil dental college and hospital, DR. D Y Patil vidyapeeth, pimpri, pune 
Address  Department of oral and maxillofacial surgery, 3rd floor opd no.9,DR. D Y Patil dental college and hospital, DR. D Y Patil vidyapeeth, pimpri, pune
DR. D Y Patil dental college and hospital, DR. D Y Patil vidyapeeth, pimpri, pune 411018
Pune
MAHARASHTRA
411018
India 
Phone  7760391233  
Fax    
Email  agiwaltrisha18@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Lakshmi Shetty 
Designation  professor  
Affiliation  DR. D Y Patil dental college and hospital, DR. D Y Patil vidyapeeth, pimpri, pune 
Address  Department of oral and maxillofacial surgery, 3rd floor opd no.9,DR. D Y Patil dental college and hospital, DR. D Y Patil vidyapeeth, pimpri, pune
DR. D Y Patil dental college and hospital, DR. D Y Patil vidyapeeth, pimpri, pune 411018
Pune
MAHARASHTRA
411018
India 
Phone  9673006494  
Fax    
Email  drlakshmishetty21@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Lakshmi Shetty 
Designation  professor  
Affiliation  DR. D Y Patil dental college and hospital, DR. D Y Patil vidyapeeth, pimpri, pune 
Address  Department of oral and maxillofacial surgery, 3rd floor opd no.9,DR. D Y Patil dental college and hospital, DR. D Y Patil vidyapeeth, pimpri, pune
DR. D Y Patil dental college and hospital, DR. D Y Patil vidyapeeth, pimpri, pune 411018
Pune
MAHARASHTRA
411018
India 
Phone  9673006494  
Fax    
Email  drlakshmishetty21@gmail.com  
 
Source of Monetary or Material Support  
Department of oral and maxillofacial surgery, 3rd floor opd no.9,DR. D Y Patil dental college and hospital.DR. D Y Patil vidyapeeth, pimpri, pune maharashtra,India,411018,  
 
Primary Sponsor  
Name  DR D Y Patil dental college and hospital 
Address  Department of oral and maxillofacial surgery, 3rd floor opd no.9,DR. D Y Patil dental college and hospital.DR. D Y Patil vidyapeeth, pimpri, pune, maharashtra, India, 411018 
Type of Sponsor  Other [deemed university] 
 
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 
Dr Trisha agiwal  DR. D Y Patil dental college and hospital.  department of oral and maxillofacial surgery, opd no 9 DR. D Y Patil dental college and hospital.DR. D Y Patil vidyapeeth, pimpri, pune
Pune
MAHARASHTRA 
07760391233

agiwaltrisha18@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee. Dr.D.Y.Patil Vidyapeeth,Pune.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  under devepoled hand skills  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  fine motor skill excercises   reidents will be trained for fine motor skills for 20 days and will assessed on 21st day  
Comparator Agent  without fine motor skills excercises   resident will be assessed on 21st day without fine motor skill excercises  
 
Inclusion Criteria  
Age From  22.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  1. Oral and maxillofacial surgery residents from any year of training (first-year to senior residents).
2. Willingness to participate in the study and complete the structured ear reconstruction simulation.
3.Consent to have their performance evaluated and data collected for research purposes.

 
 
ExclusionCriteria 
Details  1.Residents who decline to provide consent for participation or data collection.
2.Residents with physical limitations that affect hand mobility or coordination.
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
The study expects potato ear carving to prove a reliable and effective tool. for assessing fine motor skills in oral surgery residents. It is anticipated that residents with more advanced training will demonstrate superior performance in carving tasks, showing higher precision and anatomical accuracy. The method should be well-received, offering valuable feedback on skill development. Additionally, the findings may highlight the potential of potato ear carving as an accessible, low-cost alternative for early-stage fine motor skill assessment and training in oral surgery, contributing to improved competency and patient safety.  21 days 
 
Secondary Outcome  
Outcome  TimePoints 
The study expects to indicate that using structured fine-motor enhancement exercises before simulation significantly enhances the psychomotor performance  21 days 
 
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   Phase 3/ Phase 4 
Date of First Enrollment (India)   10/03/2026 
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="0"
Days="21" 
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 advances surgical education by providing controlled evidence that motor refinement is a trainable and quantifiable skill, not merely acquired through clinical exposure. It emphasizes the role of neuroplasticity and repetition in improving micro-level hand movements essential for anatomical modeling. By tracking improvements across objective criteria—symmetry, detailing, and execution time—it highlights the impact of motor-specific exercises on skill acquisition. The findings underscore the need to treat fine motor training as a core competency, contributing to curriculum design in fields requiring high-precision manual skills, such as reconstructive and microsurgery.

The study evaluates and enhances key technical capabilities essential for precision-driven surgery. These include fine motor control, bimanual coordination, spatial awareness, and manual steadiness—all critical for replicating complex anatomical structures. Through repetitive training, participants are expected to demonstrate improved accuracy in contouring, better surface detailing, and reduced execution time. The structured protocol also allows for objective assessment of skill progression, highlighting how consistent motor drills can strengthen hand–eye coordination and instrument handling efficiency. These improvements reflect core competencies required in reconstructive, aesthetic, and microsurgical procedures, supporting the integration of skill-focused modules into surgical training.

This study supports integrating fine motor skill training into early surgical curricula. By demonstrating measurable improvement through structured practice, it advocates for low-cost, skill-focused modules that enhance surgical readiness, reduce intraoperative errors, and build technical confidence before clinical exposure—improving outcomes in reconstructive and precision-based surgical procedures.

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