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CTRI Number  CTRI/2021/08/036063 [Registered on: 31/08/2021] Trial Registered Prospectively
Last Modified On: 27/04/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Studies on Relationships Between Poor Balance and Sleep in Sedentary Youth 
Scientific Title of Study   Studies on Understanding the Relationship Between Poor Balance and Sleep in Sedentary Young Adult Population – A Cross Sectional Analysis 
Trial Acronym  S&B 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Zubia Veqar 
Designation  Associate Professor 
Affiliation  Jamia Millia Islamia 
Address  Jamia Nagar, Okhla, New Delhi
Centre for Physiotherapy and Rehabilitation Sciences
South
DELHI
110025
India 
Phone  9958993486  
Fax    
Email  veqar.zubia@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Zubia Veqar 
Designation  Associate Professor 
Affiliation  Jamia Millia Islamia 
Address  Jamia Nagar, Okhla, New Delhi
Centre for Physiotherapy and Rehabilitation Sciences
South
DELHI
110025
India 
Phone  9958993486  
Fax    
Email  veqar.zubia@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Tarushi Tanwar 
Designation  PhD Scholar 
Affiliation  Jamia Millia Islamia 
Address  Jamia Nagar, Okhla, New Delhi
Centre for Physiotherapy and Rehabilitation Sciences
South
DELHI
110025
India 
Phone  9873852543  
Fax    
Email  tarushitanwar@gmail.com  
 
Source of Monetary or Material Support  
Jamia Millia Islamia, Mohammed Ali Jauhar Marg, Jamia Nagar, New Delhi- 110025 
 
Primary Sponsor  
Name  Jamia Millia Islamia 
Address  Maulana Mohammad Ali Jauhar Marg Jamia Nagar Okhla New Delhi - 110025 
Type of Sponsor  Other [Central University] 
 
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 Zubia Veqar  Room No 204, Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia  Maulana Mohammed Ali Jauhar Marg, Okhla
South
DELHI 
9958993486

veqar.zubia@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Sedentary Young Adults, Sleep Related Problems, Balance Related Problems 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Balance Improving Techniques – Sensorimotor Training  The exercises will be conducted thrice a week (alternate days with gap not exceedingly more than 48 hours) for six weeks (total 18 sessions). Each session will comprise of 5 minutes of warm-up, followed by 25-30 minutes of exercise, followed by 5 minutes of cool down. Warm-up exercise will include cycle ergometer or treadmill at intensity of 40-50% maximal heart rate. Heart rate was monitored using heart rate monitor (Polar Electro, RS 400, Kempele, Finland). Sensorimotor training will comprise of wall slides, bridging exercises, prone plank, sit to stand, wobble board exercises, one leg stance, heel and toe raise, tandem stance which will be gradually progressed to different grades using unstable surface (Thera Band® Stability Trainer) (Ahmad I et al, 2020). Following the training session, subjects will perform cool-down exercises, which will include deep breathing, abdominal breathing and mild stretching. The participation in the exercise will be modified, postponed, or stopped based on the individual performance of the participants. Exercise progression will be made on the basis of a criteria which will help in deciding whether the participant is ready for progressing to the next phase of exercise or not. 
Comparator Agent  Sleep Hygiene Education  The participants will be educated about good sleep hygiene and will be asked to practice the same in their daily life (Mastin DF et al., 2006). 
Intervention  Sleep Improving Techniques – Progressive Muscle Relaxation  Jacobsen progressive muscle relaxation technique will be demonstrated and taught after ensuring that the participants understood about the technique. A convenient place will be arranged in the in-patient department to demonstrate the progressive muscle relaxation technique. After participants will become familiar with performing the technique, they will be provided proper sessions by the same researcher. Sequence of progressive muscle relaxation techniques: Make them in a comfortable position (preferably sitting). While beginning to tense the muscle group, the patients will be asked to feel the tension, but not so much that deal of pain, and to keep the muscle tensed for approximately 5 seconds. Relax the muscles and keep it relaxed for approximately 10 to 15 seconds. Followed by instruction, relaxation sequences will be demonstrated to the patients in three steps. In first and third steps of the relaxation sequence, the patients will be advised to begin the technique from right side of the body followed by left side (Ramasamy S, et al., 2018). The technique will be conducted thrice a week (alternate days with gap not exceeding more than 48 hours) for six weeks (total 18 sessions). Participants will be instructed not to practice at home. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  29.00 Year(s)
Gender  Both 
Details  For Prevalence Study:
Age between 18 - 29 years (Furtado et al., 2016).
Participants with working knowledge of English language in order to complete the questionnaires and sign the informed consent.

For Interventional Study:
Male participants.
Age between 18 - 29 years (Furtado et al., 2016).
Participants with working knowledge of English language in order to complete the questionnaires and sign the informed consent.
Sedentary individuals (Scoring a ‘low’ level of physical activity on the International Physical Activity Questionnaire).
Participants having poor balance (Normalized composite score ≤ 94% of limb length on Y-balance test measurements).
Participants having poor sleep quality (Score of ≥ 5 on the Pittsburgh Sleep Quality Index). 
 
ExclusionCriteria 
Details  For Prevalence Study:
Participants suffering from any condition/disease/disorder that limits them from performing exercise and/or testing procedure.
Participants using therapies/treatments that may affect sleep patterns (e.g., diuretics, continuous positive airway pressure).
Participants suffering from any diagnosed psychiatric, musculoskeletal, neurological or cognitive, systematic, medical diseases/disorders or having any diagnosed orthopedic structural deformities.
Participants who underwent a physiotherapy treatment in the last six months.
Participants diagnosed with any visual, vestibular and/or somatosensory problems.
Participants using any orthosis or prosthesis.
Participants involved in sports-related activities on a regular basis.

For Interventional Study:
Participants suffering from any condition/disease/disorder that limits them from performing exercise and/or testing procedure.
Participants using therapies/treatments that may affect sleep patterns (e.g., diuretics, continuous positive airway pressure).
Participants suffering from any diagnosed psychiatric, musculoskeletal, neurological or cognitive, systematic, medical diseases/disorders or having any diagnosed orthopedic structural deformities.
Participants who underwent a physiotherapy treatment in the last six months.
Participants diagnosed with any visual, vestibular and/or somatosensory problems.
Participants using any orthosis or prosthesis.
Participants involved in sports-related activities on a regular basis. 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Balance/Postural Control
Sleep 
Week 0 & Week 6 
 
Secondary Outcome  
Outcome  TimePoints 
Spinal Posture
Sleep Quality
Sleep Health
Sleep-Related Beliefs and Attitudes
Sleep-Related Quality of Life
Stress
Physical activity 
Week 0 & Week 6 
 
Target Sample Size   Total Sample Size="96"
Sample Size from India="96" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/09/2021 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
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
Modification(s)  

This study will shed light on the prevalence of balance, posture, and sleep-related issues (sleep quality, sleep health, sleep-related beliefs and attitudes, and sleep-related quality of life) among young adults.

In addition, the study will explore various predictors of poor sleep in sedentary young adults. Determining the factors that may influence sleep in this population will ultimately lead to a better understanding of the issue and a more efficient solution.

This study will determine the efficacy of postural control and sleep-improving techniques on various parameters such as balance (COP, LOS, CTSIB), sleep (objective sleep parameters, sleep health, sleep-related beliefs and attitudes, sleep-related quality of life), stress and fatigue levels, anxiety, and depression in young sedentary males with poor sleep and balance.

Poor sleep has been associated with significant physical and mental health consequences. Poor balance has been linked to a higher risk of falls and accidents. Exploring interventions that could improve sleep and balance in this population will promote the overall health of sedentary young adults and reduce the associated health risks.

 
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