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CTRI Number  CTRI/2020/10/028401 [Registered on: 13/10/2020] Trial Registered Prospectively
Last Modified On: 31/05/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   EFFECT OF EXERCISE FOR BACKWARD BALANCE PROBLEM IN ELDERLY POPULATION. 
Scientific Title of Study
Modification(s)  
EFFECT OF EXERCISE PROTOCOL FOR BACKWARD DISEQUILIBRIUM IN GERIATRIC POPULATION: A RANDOMIZED CONTROLLED TRIAL 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SRUTHI MOHAN 
Designation  MASTER OF PHYSIOTHERAPY(MPT) STUDENT 
Affiliation  NITTE INSTITUTE OF PHYSIOTHERAPY 
Address  GROUND FLOOR, ROOM NO 20, NITTE INSTITUTE OF PHYSIOTHERAPY, KS HEGDE MEDICAL SCIENCES COMPLEX, NITTE DEEMED TO BE UNIVERSITY, DERALAKATTE, MANGALORE

Dakshina Kannada
KARNATAKA
575018
India 
Phone  8150830455  
Fax    
Email  sruthimohan407@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mrs SUCHETHA P S  
Designation  ASSOCIATE PROFESSOR 
Affiliation  NITTE INSTITUTE OF PHYSIOTHERAPY 
Address  GROUND FLOOR, ROOM NO 20, NITTE INSTITUTE OF PHYSIOTHERAPY, KS HEGDE MEDICAL SCIENCES COMPLEX, NITTE DEEMED TO BE UNIVERSITY, DERALAKATTE, MANGALORE

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9448441292  
Fax    
Email  suchetaps@nitte.edu.in  
 
Details of Contact Person
Public Query
 
Name  SRUTHI MOHAN 
Designation  MASTER OF PHYSIOTHERAPY(MPT) STU 
Affiliation  NITTE INSTITUTE OF PHYSIOTHERAPY 
Address  GROUND FLOOR, ROOM NO 20, NITTE INSTITUTE OF PHYSIOTHERAPY, KS HEGDE MEDICAL SCIENCES COMPLEX, NITTE DEEMED TO BE UNIVERSITY, DERALAKATTE, MANGALORE

Dakshina Kannada
KARNATAKA
575018
India 
Phone  8150830455  
Fax    
Email  sruthimohan407@gmail.com  
 
Source of Monetary or Material Support
Modification(s)  
Community dwelling elderly population in and around deralakatte. K.s hegde geriatric day care center, Abhaya Ashraya (Asaigoli) 
 
Primary Sponsor  
Name  NITTE DEEMED TO BE UNIVERSITY 
Address  6TH FLOOR, UNIVERSITY ENCLAVE, MEDICAL SCIENCES COMPLEX DERALAKATTE, MANGALURU - 575018 KARNATAKA, INDIA 575018  
Type of Sponsor  Private medical college 
 
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 
SRUTHI MOHAN  JUSTICE K S HEGDE HOSPITAL  ROOM NO. 20, DEPARTMENT OF PHYSICAL THERAPY, DERALAKATTE, MANGALURU
Dakshina Kannada
KARNATAKA 
8150830455

sruthimohan407@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G00-G99||Diseases of the nervous system,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  BALANCE TRAINING  1. Standing with back against the wall with heels touching the wall 2. Sitting to standing 3. Standing to sitting 4. Continues stepping 5. Backward stepping The above exercises will be given for 30 minutes, 3 times in a week(alternative days) for 4 weeks. The progression will be made by increasing the complexity of task. [7] Along with the above exercises, general fitness training including Aerobic exercise, Strength training, Flexibility exercises, which is given for the control group will be given for 10 minutes 
Comparator Agent  GENERAL FITNESS EXERCISE  General fitness exercise for 40 minutes, 3 times in a week (alternative days) for 4 weeks. It includes Aerobic exercise, Strength training, Balance exercises, Flexibility exercises. 
 
Inclusion Criteria  
Age From  65.00 Year(s)
Age To  74.00 Year(s)
Gender  Both 
Details  - Age: 65-74years.
- Both Male and female.
- Mini mental state examination score: >21.
- Backward disequilibrium scale score ranging from 2-10.
- Berg balance score ranging from 21-52 
 
ExclusionCriteria 
Details  - Musculoskeletal complications effecting ambulation of patients.
- Cardiovascular complications.
- Neurological issues like tremors, akinesia, hypertonia, vertigo.
- People with visual impairments like visual field defect, visual acuity. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
BACKWARD DISEQUILIBRIUM SCALE  Outcome measures will be recorded on the first day and at the end of 4 weeks. 
 
Secondary Outcome  
Outcome  TimePoints 
BERG BALANCE SCALE  Outcome measures will be recorded on the first day and at the end of 4 weeks. 
 
Target Sample Size   Total Sample Size="34"
Sample Size from India="34" 
Final Enrollment numbers achieved (Total)= "34"
Final Enrollment numbers achieved (India)="34" 
Phase of Trial   N/A 
Date of First Enrollment (India)   03/11/2020 
Date of Study Completion (India) 30/04/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="2"
Days="3" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   The posture and gait disorders are common among elderly, as age increases posture and gait disorders also increase. The vestibular, visual, somatosensory system controls the balance by sending information into the central nervous system. As age increases there will be impaired performance of all the above system which leads to balance and postural disorders. One of the conditions which are seen in elderly is backward disequilibrium. [6] Backward disequilibrium, a postural disorder that has severe consequences like backward fall, imbalance, gait abnormalities etc. This could be improved by early diagnosis and management using appropriate interventions. Backward disequilibrium is a less researched area under imbalance. [4] The main aim of the study is to find the effect of exercise prescription of individual with backward disequilibrium. There are no higher evidence studies done to assess the patients with backward disequilibrium and to find the effect of exercise for its management. 
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