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CTRI Number  CTRI/2026/02/103691 [Registered on: 12/02/2026] Trial Registered Prospectively
Last Modified On: 11/02/2026
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   Comparing two exercise programs to improve memory, movement, sleep, and quality of life in older adults. 
Scientific Title of Study   Effect of Otago exercise vs Square stepping exercise on cognitive function, agility, sleep quality, and quality of life in elderly with mild cognitive impairment: A Randomized Clinical 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  Barsha Thapa 
Designation  post graduate student 
Affiliation  KAHER Institute of Physiotherapy 
Address  Advanced physiotherapy Center,Room No. 39, Sagar Floor, Dr.Prabhakar Kore Hospital and MRC. Belgaum KARNATAKA 590010 India Belgaum KARNATAKA

Belgaum
KARNATAKA
590010
India 
Phone  7068552426  
Fax    
Email  barshat07@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Barsha Thapa 
Designation  post graduate student 
Affiliation  KAHER Institute of Physiotherapy 
Address  Advanced physiotherapy Center,Room No. 39, Sagar Floor, Dr.Prabhakar Kore Hospital and MRC. Belgaum KARNATAKA 590010 India Belgaum KARNATAKA

Belgaum
KARNATAKA
590010
India 
Phone  7068552426  
Fax    
Email  barshat07@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anil Muragod 
Designation  Professor anf Head of Department of Geriatrics Physiotherapy 
Affiliation  KLE insttitute of Physiotherapy 
Address  Advanced physiotherapy Center,Room No. 39, Sagar Floor, Dr.Prabhakar Kore Hospital and MRC. Belgaum KARNATAKA 590010 India Belgaum KARNATAKA 590010 India Belgaum KARNATAKA 590010 India

Belgaum
KARNATAKA
590010
India 
Phone  08312473906  
Fax    
Email  anilmurgod@klekipt.edu.in  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Barsha Thapa 
Address  Advanced physiotherapy Center,Room No. 39, Sagar Floor, Dr.Prabhakar Kore Hospital and MRC. Belgaum KARNATAKA 590010 India Belgaum KARNATAKA 590010 India Belgaum 
Type of Sponsor  Other [self sponsored] 
 
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 Anil Muragod  KLES Dr. Prabhakar Kohre Hospital and MRC, Nehru nagar, Belagavi 590010  Advanced physiotherapy Center,Room No. 39, Sagar Floor, Dr.Prabhakar Kore Hospital and MRC. Belgaum KARNATAKA 590010 India Belgaum KARNATAKA 590010 India Belgaum KARNATAKA 590010 India
Belgaum
KARNATAKA 
08312473906

anilmurgod@klekipt.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Research and ethics committee KAHER Institute of physiotherapy   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  mild cognitive impairment in elderly 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  otago exercise  3 times per week for 4 week 
Comparator Agent  square stepping exercise  3 times per week for 4 weeks  
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  69.00 Year(s)
Gender  Both 
Details  Age from 60-69, elderly male and female in an old age home.
Mild cognitive impairment (MOCA: 18-25).
Able to ambulate independently or with assistive device for at least 200 meters.
Willing to participate in the study. 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Double Blind Double Dummy 
Primary Outcome  
Outcome  TimePoints 
1.MOCA( Montreal Cognitive Assessment) sacle.
2.8 foot up & go.
3.Pittsburgh sleep quality scale.
4. WHOQOL-BREF 
Base line and 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
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)   25/02/2026 
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="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   Balance impairment and decline in functional capacity increase significantly with age due to physiological decline, including reduced muscle strength, proprioception, and mobility. [1,2] Falls are a major global health problem among older adults, especially those living in nursing homes, where more than one-third experience at least one fall annually.[2] Mild cognitive impairment is a stage, between normal ageing and dementia, where an individual shows memory and cognition issues but is nevertheless able to carry out daily chores.[3,4] The prevalence of MCI varied by age category, ranging from 6%-25% for those aged 60 to 84.[3] Dementia is more common in MCI patients over 65 who have had the condition for two consecutive years.[3] Literature shows that physical exercise and cognitive training each improve strength, balance, and cognitive performance, which produces greater benefits than single interventions. In addition to improving brain and body function, exercise also promotes brain plasticity, which can postpone cognitive decline, boost blood flow to the brain, and activate nerve growth factors.[5] Previous studies consistently show that various forms of exercise, including aerobic, resistance, mini-body, and multicomponent, can enhance overall cognitive function and delay progression to dementia in older adults with mild cognitive impairment. However, activities that require agility, balance, and coordination also improve executive function, memory, and attention.[6] • Otago originally developed in New Zealand, is an evidence-based- based intervention prove 
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