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CTRI Number  CTRI/2026/04/107233 [Registered on: 01/04/2026] Trial Registered Prospectively
Last Modified On: 01/04/2026
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   A study comparing two exercise programs done for four weeks to improve balance and body awareness in young adults with ankle sprain aged between 18-30 years 
Scientific Title of Study   Effect of four weeks of proprioceptive neuromuscular facilitation versus progressive balance control strategies on balance and proprioception in ankle sprain aged 18-30 years - a randomized control trail 
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 Khushi Surana 
Designation  Post graduate student  
Affiliation  VSPMs college of Physiotherapy, Nagpur  
Address  Musculoskeletal department of VSPMs College of Physiotherapy, Nagpur

Nagpur
MAHARASHTRA
440016
India 
Phone  8530049079  
Fax    
Email  suranakhushi887@gmail.com   
 
Details of Contact Person
Scientific Query
 
Name  Dr Kiran Mendhe 
Designation  Associate Professor  
Affiliation  VSPMs college of Physiotherapy, Nagpur  
Address  Musculoskeletal department of VSPMs College of Physiotherapy, Nagpur

Nagpur
MAHARASHTRA
440016
India 
Phone  9503173612  
Fax    
Email  kjanbandhu@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Khushi Surana 
Designation  Post graduate student  
Affiliation  VSPMs college of Physiotherapy, Nagpur  
Address  Musculoskeletal department of VSPMs College of Physiotherapy, Nagpur


MAHARASHTRA
440016
India 
Phone  8530049079  
Fax    
Email  suranakhushi887@gmail.com   
 
Source of Monetary or Material Support  
Musculoskeletal department of VSPMs college of Physiotherapy Nagpur 440016 Maharashtra India  
 
Primary Sponsor  
Name  Dr Khushi Surana  
Address  Musculoskeletal department VSPMs college of Physiotherapy Nagpur Digdoh hills Hingana road Nagpur Maharashtra India 440016 
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 
Dr Khushi Surana   Lata Mangeshkar Hospital   Department of Musculoskeletal Physiotherapy VSPMs college of physiotherapy Nagpur digdoh hills hingana road Nagpur Maharashtra
Nagpur
MAHARASHTRA 
8530049079

suranakhushi887@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ETHICS COMMITTEE VSPMs COLLEGE OF PHYSIOTHERAPY  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M708||Other soft tissue disorders related to use, overuse and pressure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  PROGRESSIVE BALANCE CONTROL STRATEGIES   Progressive balance control exercise group includes balance exercises which have its modification done each week starting with Double Leg position grasping a medicine ball, Single leg balance on a soft surface, single leg hop to stabilisation level 1 exercises. Intervention for week two consists of single leg hop to stabilisation level 2 exercises, double leg balance on BOSU ball. BOSU single leg balance, Lateral hop stabilisation exercises. Single leg perturbation balance exercises with eyes open and visual perturbation is the protocol for the third week of rehabilitation. Single leg balance exercises with eyes closed, static standing 30 seconds for 7-10 times, single leg Balance with eyes closed perturbations is the protocol for the fourth week. The frequency of the exercises are 3 sets, 10 repetitions. The total duration of this intervention is four weeks 
Intervention  PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION   This group will receive only proprioceptive neuromuscular facilitation exercises for four weeks 1) PNF rhythmic stabilization training - it consists of alternating ankle (plantar flexion, dorsiflexion, inversion and eversion ) isometric contraction against resistance for 10 sec with no motion intended. 3 sets of 10 repetitions are performed for the first week 2) Combination of Isotonic technique with ankle plantar flexion and dorsiflexion - resisted active concentric contraction for 5 sec, resisted eccentric contraction for 5 sec and resisted maintained during contraction for 5 sec 3 sets of 10 repetitions are performed for the second week. 3) Dynamic Reversals technique with active motion changing from one direction to the other without pause or relaxation. 3 sets of 10 repetitions are performed for third and fourth week of intervention The total duration of this intervention is four weeks  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  Diagnosed and referred cases of ankle sprain, non-athletic population aged between 18-30 years.
unilateral ankle sprain with Cumberland ankle instability tool score of less than 24.
 
 
ExclusionCriteria 
Details  History of previous musculoskeletal structured surgeries to lower extremity.
History of fracture requiring re-alignment.
History of Grade 3 ankle sprain
Athletes and Elite Players
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Star Excursion Balance Test (SEBT)   outcome measure should be assessed at baseline and at the end of four weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Joint Position Sense (JPS)
Cumberland Ankle Instability Tool (CAIT)
Foot & Ankle Measure (FAAM)  
All outcome measures should be assessed at baseline & at the end of four weeks 
 
Target Sample Size   Total Sample Size="48"
Sample Size from India="48" 
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)   20/04/2026 
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="1"
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   The present study will be performed to see the effectiveness of Proprioceptive Neuromuscular Facilitation and Progressive Control Balance Strategies on ankle sprain of patients aged between 18-30 years.
The study comprises of two groups in which one will be obtaining for PNF with conventional exercises and the other group Progressive Balance Control Strategies with conventional exercises. Outcome measures like balance and proprioception will be checked and compared pre and post study. 
 
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