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CTRI Number  CTRI/2026/04/108773 [Registered on: 20/04/2026] Trial Registered Prospectively
Last Modified On: 17/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   corelational 
Study Design  Other 
Public Title of Study   Study on the Effect of Knee Alignment and Foot Position on Balance and Foot Muscle Strength in Healthy Individuals Around Jayanagar 
Scientific Title of Study   Relationship Between Q Angle Variations and Subtalar Joint Positions on Balance and Ankle-Foot Muscle Strength Among Healthy Individuals in and Around Jayanagar 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vamshi Krishna PV 
Designation  MPT (MSK ) 
Affiliation  RV COLLEGE OF PHYSIOTHERAPY 
Address  Room No:G8,Department of Musculoskeletal Physiotherapy, No.CA 2, 83-3, 9th Main Rd, 4th T Block East, 4th Block, Jayanagar, Bengaluru, Karnataka 560011 india
Room No:G8,Department of Musculoskeletal Physiotherapy, No.CA 2, 83-3, 9th Main Rd, 4th T Block East, 4th Block, Jayanagar, Bengaluru, Karnataka 560011 india
Bangalore
KARNATAKA
560011
India 
Phone  8618446068  
Fax    
Email  vamshikvenu11@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr.Archana p 
Designation  Associate Professor  
Affiliation  RV COLLEGE OF PHYSIOTHERAPY 
Address  Room No:G8,Department of Musculoskeletal Physiotherapy, No.CA 2, 83-3, 9th Main Rd, 4th T Block East, 4th Block, Jayanagar, Bengaluru, Karnataka 560011 india
Room No:G8,Department of Musculoskeletal Physiotherapy, No.CA 2, 83-3, 9th Main Rd, 4th T Block East, 4th Block, Jayanagar, Bengaluru, Karnataka 560011 india
Bangalore
KARNATAKA
560011
India 
Phone  8095347575  
Fax    
Email  archanap.rvcp@rvei.edu.in  
 
Details of Contact Person
Public Query
 
Name  Vamshi Krishna PV 
Designation  MPT (MSK ) 
Affiliation  RV COLLEGE OF PHYSIOTHERAPY 
Address  Room No:G8,Department of Musculoskeletal Physiotherapy, No.CA 2, 83-3, 9th Main Rd, 4th T Block East, 4th Block, Jayanagar, Bengaluru, Karnataka 560011 india
Room No:G8,Department of Musculoskeletal Physiotherapy, No.CA 2, 83-3, 9th Main Rd, 4th T Block East, 4th Block, Jayanagar, Bengaluru, Karnataka 560011 india
Bangalore
KARNATAKA
560011
India 
Phone  8618446068  
Fax    
Email  vamshikvenu11@gmail.com  
 
Source of Monetary or Material Support  
RV COLLEGE OF PHYSIOTHERAPY No.CA 2, 83-3, 9th Main Rd, 4th T Block East, 4th Block, Jayanagar, Bengaluru, Karnataka 560011 
 
Primary Sponsor  
Name  Nil 
Address  nil 
Type of Sponsor  Other [Nil] 
 
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 
DrVamshi Krishna  RV college of physiotherapy  Room No:G8,Department of Musculoskeletal Physiotherapy, No.CA 2, 83-3, 9th Main Rd, 4th T Block East, 4th Block, Jayanagar, Bengaluru, Karnataka 560011 india
Bangalore
KARNATAKA 
8618446068

vamshikvenu11@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
RV COLLEGE OF PHYSIOTHERAPY  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  nil 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  19.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Individuals voluntarily willing to participate and sign the written informed consent form
Subjects between 19-40 years
Healthy Individuals with Normal BMI range Between 18.5 and 24.9 kg/m²
 
 
ExclusionCriteria 
Details  Individuals with any lower limb Musculoskeletal disorders and deformities Previous or current lower limb fractures Soft tissue injuries or surgeries
Individuals diagnosed with neuromuscular and congenital conditions
Any structural and congenital foot deformities
Individuals using foot orthotics or braces that could influence subtalar joint positioning
Presence of acute lower limb pain during assessment
Pregnant and lactating women
Severe Peripheral vascular diseases
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Foot Posture Index 6  baseline 
 
Secondary Outcome  
Outcome  TimePoints 
balance ankle foot muscle strength subtalar joint position  one time 
 
Target Sample Size   Total Sample Size="190"
Sample Size from India="190" 
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)   28/04/2026 
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="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   Human upright posture depends on an integrated kinetic chain extending from the feet to the cranium, enabling balance and efficient movement with minimal muscle activity. The foot and ankle serve as the foundation of this chain, transmitting forces and maintaining stability, while misalignments such as flat feet or altered subtalar positions can disrupt biomechanics and posture. The subtalar joint has three variations—neutral, pronation, and supination—which directly influence the Q-angle, with pronation increasing and supination decreasing it, thereby affecting knee function and balance. The ankle, being a complex and frequently injured weight-bearing joint, plays a vital role in gait and postural control. Ankle and intrinsic foot muscle strength contributes to maintaining proper alignment, preventing excessive pronation, dynamic knee valgus, and instability, while enhancing balance through improved neuromuscular control. Balance is regulated by continuous interaction between central and peripheral nervous systems, and abnormalities in Q-angle, subtalar position, or muscle strength increase the risk of injury and imbalance. Although these factors have been studied individually, limited research has examined their combined influence on balance in healthy individuals with normal BMI, highlighting the need for a comprehensive understanding of their interrelationship. 
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