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CTRI Number  CTRI/2024/09/074286 [Registered on: 24/09/2024] Trial Registered Prospectively
Last Modified On: 19/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing VR and Physical Games for hand function in Post-Stroke Physiotherapy 
Scientific Title of Study   Effectiveness of Virtual Reality Games Versus Physical Games as an Adjunct to Conventional Physiotherapy For Improving Upper Limb Function in Post Stroke Hemiplegics  
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Sakshi Sabhagchandani 
Designation  MPTh  
Affiliation  MAEERS College of Physiotherapy Talegaon Dabhade pune  
Address  MAEERS College of Physiotherapy , A-229 Neuroscience Physiotherapy department,OPD Building 2 Floor Near talegaon dabhade railway station , talegaon dabhade pune

Pune
MAHARASHTRA
410507
India 
Phone  9112909610  
Fax    
Email  sabhagchandanisakshi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Sayli Paldhikar  
Designation  Professor 
Affiliation  MAEERS College of Physiotherapy Talegaon Dabhade pune  
Address  MAEERS College of Physiotherapy ,A- 220 OPD Building 2 Floor Near talegaon dabhade railway station , talegaon dabhade pune

Pune
MAHARASHTRA
410507
India 
Phone  8805174616  
Fax    
Email  saylithuse@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sayli Paldhikar  
Designation  Professor 
Affiliation  MAEERS College of Physiotherapy Talegaon Dabhade pune  
Address  MAEERS College of Physiotherapy , A 220 OPD Building 2 Floor Near talegaon dabhade railway station , talegaon dabhade pune


MAHARASHTRA
410507
India 
Phone  8805174616  
Fax    
Email  saylithuse@gmail.com  
 
Source of Monetary or Material Support  
MAEERS College of Physiotherapy Talegaon Dabhade Pune 410507 
 
Primary Sponsor  
Name  MAEERS College of Physiotherapy Talegaon Dabhade Pune 410507 
Address  MAEERS Colege of Physiotherapy OPD building 2nd floor near talegaon dabhade railway station Talegaon Dabhade 410507 
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 
Dr Sayli Paldhikar  MAEERS College of Physiotherapy, Talegaon, Dabhade  MAEERS College Of Physiotherapy ,A 229 Neuroscience Physiotherapy department OPD building 2nd floor near talegaon railway station talegaon dabhade 410507
Pune
MAHARASHTRA 
8805174616

saylithuse@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
MAEERS Physiotherapy college Ethical Committe  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Post Stroke Hemiplegics  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Physical Games   Effect of Physical games games along with conventional physiotherapy for upper limb function in post stroke hemiplegics will be given for 4 weeks, 3 times a week. Pre and post assessment will be done. 
Intervention  Virtual Reality   Effect of Virtual reality games using VR device along with conventional physiotherapy for upper limb function in post stroke hemiplegics will be given for 4 weeks, 3 times a week. Pre and post assessment will be done. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Acute and subacute post stroke hemiplegics .
Above 18 years .
post stroke hemiplegics having grade 3 to 4 on brunnstorm stages of recovery grading for upper limb .
Post stroke hemiplegics who fit in level 2 and level 3 of GRASP program  
 
ExclusionCriteria 
Details  patient with any deformity in hand
patients with bilateral stroke
MMSE score less than 24  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
MESUPES ( Motor Evaluation Scale For Upper Extremity in Stroke )  0 week and 4 week 
 
Secondary Outcome  
Outcome  TimePoints 
Handheld Dynamometer  0 week and 4 week 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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   Phase 2 
Date of First Enrollment (India)   19/10/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  19/10/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 - NO
Brief Summary   Stroke is a prevalent cause of physical disability, emphasizing the importance of rehabilitation for survivors. Motivating survivors during the long and challenging rehabilitation process is crucial. Various approaches like aquatic therapy and tai chi are used for multidisciplinary rehabilitation, aiming for improved function and quality of life. Extending rehabilitation programs may lead to additional benefits for stroke survivors. Persistent upper limb dysfunction post-stroke poses a significant challenge in rehabilitation, with motor impairments like muscle weakness and decreased sensation being common. The severity and extent of these impairments vary depending on lesion location and size. Tailoring therapy to individual impairments is crucial for maximizing functional recovery. Virtual Reality technology is increasingly used in physical therapy to enhance outcomes efficiently. Virtual Reality (VR) relies on subject-computer interaction via specialized software, providing real-time feedback based on sensory inputs. VR exercises should mimic daily activities. Game-based VR treatments complement traditional therapy, potentially reducing therapist workload and expediting rehabilitation. Identifying effective games for enhancing upper limb function is crucial. Combining games with traditional physiotherapy has shown improvements in upper limb functionality in healthy individuals. While VR can enhance therapy, its cost and complexity limit widespread use and research. Integrating VR games with conventional physiotherapy for stroke rehabilitation shows promise compared to standard therapy alone. However, more research is needed on the effectiveness of physical games in post-stroke upper limb function improvement. Comparing the effectiveness of Virtual Reality (VR) games and physical games as supplements to conventional physiotherapy in stroke rehabilitation is lacking in research. This study aims to evaluate the efficacy of these approaches to optimize cost-effective rehabilitation protocols for stroke patients. 
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