| CTRI Number |
CTRI/2024/09/073961 [Registered on: 17/09/2024] Trial Registered Prospectively |
| Last Modified On: |
11/07/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Cluster Randomized Trial |
|
Public Title of Study
|
Protocol for front knee pain for the population of hilly terrain with conservative management without medication |
|
Scientific Title of Study
|
Prevalence of Patellofemoral Pain in Hilly Terrain and its Conservative management on Distal Factor |
| Trial Acronym |
Nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Jay Prashant Darjee |
| Designation |
Physiotherapist |
| Affiliation |
North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences(NEIGRIHMS),Shillong |
| Address |
Dept.of Orthopaedics
North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences(NEIGRIHMS)
Shillong
East Khasi Hills MEGHALAYA 793018 India |
| Phone |
793018 |
| Fax |
|
| Email |
jppt@rediffmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Jay Prashant Darjee |
| Designation |
Physiotherapist |
| Affiliation |
North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences(NEIGRIHMS),Shillong |
| Address |
Dept of Orthopaedics
North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences(NEIGRIHMS)
Shillong
East Khasi Hills MEGHALAYA 793018 India |
| Phone |
793018 |
| Fax |
|
| Email |
jppt@rediffmail.com |
|
Details of Contact Person Public Query
|
| Name |
Jay Prashant Darjee |
| Designation |
Physiotherapist |
| Affiliation |
,North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences(NEIGRIHMS)Shillong |
| Address |
dept.of orthopaedics
North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences(NEIGRIHMS)
Shillong
East Khasi Hills MEGHALAYA 793018 India |
| Phone |
793018 |
| Fax |
|
| Email |
jppt@rediffmail.com |
|
|
Source of Monetary or Material Support
|
| North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences(NEIGRIHMS),Shillong |
|
|
Primary Sponsor
|
| Name |
North Eastern Indira Gandhi Regional Institute of Health Medical SciencesNEIGRIHMS |
| Address |
Shillong,Meghalay
pin-793018 |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Bhaskar Borgohain |
North Eastern Indira Gandhi Regional Institute of Health And Medical Sciences |
Department of Orthopedics,NEIGRIHMS,Shillong East Khasi Hills MEGHALAYA |
9436563378
icmrborgbhaskar@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institution Ethics committe,North Eastern Indira Gandhi Regional Institute of Health & medical Sciencs(NEIGRIHMS) |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M999||Biomechanical lesion, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Exercise Protocol,Orthotics |
EMG of specific muscles will be taken for participants.
Home-based exercise protocol will be demonstrated.
3D printed customised Orthotic device will be developed.
Frequency: Once for each subjects .Duration:at least one reading for each subject. |
|
|
Inclusion Criteria
|
| Age From |
15.00 Year(s) |
| Age To |
50.00 Year(s) |
| Gender |
Both |
| Details |
Subjects with anterior knee pain
Population: Residents of hilly terrain
|
|
| ExclusionCriteria |
| Details |
Foot and ankle pathology or symptoms of pain
Systemic or inflammatory ailment
Knee pathology (e.g. instability, trauma, dislocations, tendinopathy)
Concomitant pain from other structures hip or lumbar spine
Recent treatment for Patellofemoral pain
Knee or hip arthroplasty or osteotomy
Planned lower limb surgery in the following months
Patellar alta and baja
Congenital deformity of knee, foot and ankle
Limb length discrepancy
Allergy to silver and with pacemaker implant
|
|
|
Method of Generating Random Sequence
|
Stratified randomization |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Pain relief |
3 moths,06 months and 12 months |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| effect of Pain Relief & orthotic on functional status |
by 12 months |
|
|
Target Sample Size
|
Total Sample Size="108" Sample Size from India="108"
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)
|
01/10/2024 |
| 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 - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Clinical Study Report
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - For individual participant data meta-analysis.
- By what mechanism will data be made available?
Response (Others) - not applicable
- For how long will this data be available start date provided 01-03-2025 and end date provided 31-12-2025?
Response - Beginning 9 months and ending 36 months following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
Abstract Introduction: It is not clear from the earlier studies that conservative management confined only to the distal factors of the intrinsic aetiology of PFP(not the local and proximal factors) will take care of the extrinsic factors of the aetiology of PFP. This study aims to see the effectiveness of tailored exercise protocol and Orthotic devices using additive manufacturing in PFP in hilly terrain. Methods: Diagnosed cases of PFP in the age group of 15-50 will be included, excluding the systemic, congenital deformity and traumatic conditions. Pre-intervention pain will be recorded using the PFP checklist and anterior knee pain scale. Bio-mechanical study for knee kinematics will be done using foot posture index, arch index, and navicular drop test. A kinetic study will be done using a force platform and EMG.3D printed customised orthosis will be designed, and gold standard Physiotherapeutic exercise protocol will be administered based on findings. Contribution of paper: · The research will be a novelty in the file of rehabilitation of patella-femoral pain especially residents of hilly terrain. · This research will develop a tailored Physiotherapy exercise protocol for Patellofemoral pain. · The tailored 3D printing orthotic developed from this study will be a milestone in correction foot biomechanics which will take care of extrinsic factors by working on the intrinsic factors. |