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CTRI Number  CTRI/2017/04/008399 [Registered on: 24/04/2017] Trial Registered Prospectively
Last Modified On: 10/01/2020
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   Taping and foot exercises in runners  
Scientific Title of Study   Effect of taping with intrinsic foot muscle strengthening exercises on dynamic balance in elite runners with pronated foot: A randomized clinical placebo trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Priyanka P More 
Designation  Post graduation student  
Affiliation  Manipal University 
Address  Department of Physiotherapy,N0.98,Rustam Bagh, Old Airport Road, Manipal Hospital, Bangalore

Bangalore
KARNATAKA
560017
India 
Phone  8806345069  
Fax    
Email  p93more@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Karvannan H  
Designation  Assistant Professor- Selection Grade 
Affiliation  Manipal University 
Address  Department of Physiotherapy,N0.98,Rustam Bagh, Old Airport Road, Manipal Hospital, Bangalore

Bangalore
KARNATAKA
560017
India 
Phone  9986565966  
Fax    
Email  karvannan.h@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Prem V  
Designation  Associate Professor 
Affiliation  Manipal University  
Address  Department of Physiotherapy,N0.98,Rustam Bagh, Old Airport Road, Manipal Hospital, Bangalore

Bangalore
KARNATAKA
560017
India 
Phone  9886647732  
Fax    
Email  prem.v@manipal.edu  
 
Source of Monetary or Material Support  
Department of physiotherapy,School of allied health sciences, Manipal university, Manipal 576104  
 
Primary Sponsor  
Name  SOAHS Manipal University 
Address  Department of Physiotherapy,N0.98,Rustam Bagh, Old Airport Road, Manipal Hospital, Bangalore 
Type of Sponsor  Research institution and hospital 
 
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 
Priyanka P More   Manipal Hospital Bangalore  Orthopaedic Outpatient Physiotherapy Department,Upper basement Manipal Hospital,Old airport road, Bangalore
Bangalore
KARNATAKA 
8806345069

p93more@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Research Committee SOAHS Manipal University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  pronated foot ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Anti-pronation rigid taping with intrinsic muscle strengthening   Anti-pronation taping with intrinsic muscle exercises will be given for 6 weeks. 2 sessions of supervised intervention per week.Anti-pronation rigid taping will be applied twice in week. Intrinsic muscle exercises includng Veles forward lean, reverse tandem gait will be given for 6 weeks.Short foot exercises will be given as follows- Week 1- short foot exercises in sitting position will be given.Week 2- progression of short foot exercises in double standing position.Week 3 and 4- short foot exercises in single standing position. Week 5 and 6 - short foot exercises in half squat position.  
Comparator Agent  Placebo taping for pronated foot with intrinsic muscle strengthening exercises   Placebo anti-pronation taping with intrinsic muscle exercises will be given for 6 weeks. 2 sessions of supervised intervention per week.Placebo anti-pronation taping without tension will be applied twice in week. Intrinsic muscle exercises includng Veles forward lean, reverse tandem gait will be given for 6 weeks.Short foot exercises will be given as follows- Week 1- short foot exercises in sitting position will be given.Week 2- progression of short foot exercises in double standing position.Week 3 and 4- short foot exercises in single standing position. Week 5 and 6 - short foot exercises in half squat position.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Elite runners with pronated foot (navicular drop >10mm)
Elite runners who score +6 and above score according to Foot Posture Index-6
 
 
ExclusionCriteria 
Details  Elite runners with previous history of lower limb injury since last six months 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Star excursion balance test  2 points
1st point before intervention
2nd point after 6 weeks of intervention. 
 
Secondary Outcome  
Outcome  TimePoints 
Foot posture index 6,Navicular drop test,Hop test   2  
 
Target Sample Size   Total Sample Size="52"
Sample Size from India="52" 
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)   27/04/2017 
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="2"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   Running is dynamic sport in which foot plays an important role for projecting the body forward and increasing velocity. Three foot types are seen- neutral,supinated,pronated. Pronated foot leads to increase in medial forces in lower limb which is the  cause for  many injuries. In runners with pronated foot , time to achieve maximum pronation is delayed by 40% which delays the onset of supination in turn delaying the propulsion of foot and affects the velocity. Therefore, foot cannot act as an effective  lever.
Studies have shown that people with pronated foot have affected balance as it influences somatosensory input via changes in joint mobility or surface contact area or changes in muscular strategies. 
Many interventions have been used to correct this pronated foot like foot orthoses, motion control footwear, etc.
There is paucity of literature on  effect of anti-pronation rigid taping and intrinsic muscle strengthening on dynamic balance.
 
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