<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20230306057633N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-05-15</date_registration>
      <primary_sponsor>Riphah International University Faisalabad</primary_sponsor>
      <public_title>Effects of calisthenic exercises and isometric exercises on diabetic patients with knee osteoarthritis</public_title>
      <acronym></acronym>
      <scientific_title>Comparative effects of calisthenic exercises and isometric exercises on pain, balance and functional disability in diabetic  patients with Knee Osteoarthritis</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-03-05</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>50</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/69267</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, we employed a method of randomization known as simple randomization. The unit of randomization was the individual participant. 
To facilitate the randomization process, we utilized computer software specifically designed for this purpose. The software generated a random sequence of treatment assignments based on the predetermined block sizes and strata. The random sequence was built using established algorithms that ensure the generation of pseudorandom numbers. Pseudorandom numbers appear to be random but are generated using deterministic algorithms.
To maintain allocation concealment, a crucial aspect of the randomization process, the treatment assignments were concealed from the researchers involved in participant enrollment and assignment. This was achieved by utilizing a centralized system or a secure database that stored the randomization sequence and assigned treatment codes or labels to participants in a manner that was not accessible to the researchers. This ensured that neither the researchers nor the participants knew the treatment assignment until after enrollment, reducing the potential for selection bias, Blinding description: Developing a blinding protocol: The researchers will develop a detailed blinding protocol that outlines the procedures for blinding assessors, such as ensuring that they do not have access to information that could reveal the treatment allocation.
Selecting assessors: The researchers will carefully select the assessors who will be responsible for evaluating the study's outcomes. These assessors will be trained to perform their evaluations without knowledge about the treatment allocation.
Concealing treatment allocation: The researchers should conceal the treatment allocation from the assessors to prevent any biases arising from knowledge of the treatment. This can be achieved by using coded or unlabeled treatments, using a separate team to manage treatment allocation, or using blinding procedures such as sham treatments or placebo.
Monitoring for unblinding: The researchers will monitor the study carefully to ensure that assessors are not inadvertently unblinded, such as through conversations with other study personnel or participants.
Analyzing data: Once the study is complete, the researchers should analyze the data in a blinded manner to prevent any biases arising from knowledge of the treatment allocation.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Knee Osteoarthitis.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1: will receive Callisthenic Exercises. Calisthenics is a form of exercise that uses a person's body weight and requires little to no equipment. Here are many health benefits to calisthenics, and most people can start exercising right away. Participants will receive 3 sets of 15 repetitions with 5 seconds rests between the sets. This treatment session will continue for 3 sessions per week for 4 weeks. Hence participants will get total 12 sessions. Intervention 2: Intervention group 2: will receive Isometric Exercises. Isometric exercises are tightening (contractions) of a specific muscle or group of muscles. During isometric exercises, the muscle doesn't noticeably change length. Participants will receive 3 sets of 15 repetitions with 5 seconds rests between the sets. This treatment session will continue for 3 sessions per week for 4 weeks. Hence participants will get total 12 sessions.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is Our decision not to share deidentified IPD in this study is based on several factors. First and foremost, ensuring the privacy and confidentiality of the study participants is of utmost importance to us. We take data protection and ethical considerations seriously, and we believe that releasing individual-level data could potentially compromise the anonymity and confidentiality of the participants.
Furthermore, there may be legal and regulatory constraints that prevent us from sharing the deidentified IPD. These constraints could be related to data protection laws, patient consent requirements, or specific agreements with the participants or institutions involved in the study.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Muhammad Talha Hassan Javed</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>house P 228, street-3, Sanora Colony, Samanabad, Faisalabad</address>
        <city>Faisalabad</city>
        <country1>Pakistan</country1>
        <zip>38000</zip>
        <telephone>+92 334 8196967</telephone>
        <email>talha.hassan@riphahfsd.edu.pk</email>
        <affiliation>Riphah International University Faisalabad</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Muhammad Talha Hassan Javed</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>House P 228, street-3, Sanora Colony, Samanabad, Faisalabad</address>
        <city>Faisalabad</city>
        <country1>Pakistan</country1>
        <zip>38000</zip>
        <telephone>+92 334 8196967</telephone>
        <email>drtalhahassan97@gmail.com</email>
        <affiliation>Riphah International University Faisalabad</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Subject with inter-articular knee joint pathology
Osteoarthritis diagnosed by an orthopedic surgeon
Grade 1 and 2 knee osteoarthritis
HbA1c should be 6.5 or more</inclusion_criteria>
      <agemin>45 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Subject history of lower extremity traumatic injury
Any Neurological deficit of lower extremity
History of any lower limb surgery</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M17</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Osteoarthritis of knee</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 1: will receive Callisthenic Exercises. Calisthenics is a form of exercise that uses a person's body weight and requires little to no equipment. Here are many health benefits to calisthenics, and most people can start exercising right away. Participants will receive 3 sets of 15 repetitions with 5 seconds rests between the sets. This treatment session will continue for 3 sessions per week for 4 weeks. Hence participants will get total 12 sessions.</i_keyword>
      <i_keyword>Intervention group 2: will receive Isometric Exercises. Isometric exercises are tightening (contractions) of a specific muscle or group of muscles. During isometric exercises, the muscle doesn't noticeably change length. Participants will receive 3 sets of 15 repetitions with 5 seconds rests between the sets. This treatment session will continue for 3 sessions per week for 4 weeks. Hence participants will get total 12 sessions.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain at Knee Joint. Timepoint: Pain will be measured at baseline, after 2 weeks and after 4 weeks. Method of measurement: Pain will be measured by Numeric Pain Rating Scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Range of Motion at Knee Joint. Timepoint: Range of motion will be measured at baseline, after 2 weeks and after 4 weeks. Method of measurement: Range of motion will be measured by Goniometer.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Riphah International University Faisalabad</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-02-15</approval_date>
        <contact_name>Research and Ethics Committee</contact_name>
        <contact_address>Adjacent Fish Farm, Satayana Rd, Faisalabad, Punjab 44000 Faisalabad Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
