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CTRI Number  CTRI/2024/06/068613 [Registered on: 10/06/2024] Trial Registered Prospectively
Last Modified On: 22/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Advanced Physiotherapy techniques to train balance in stroke individuals 
Scientific Title of Study   Effectiveness Of Vestibular Rehabilitation As An Adjunct To Pelvic Proprioceptive Neuromuscular Facilitation On Alignment Of Pelvis, Balance And Trunk Control In Chronic Stroke Individuals: A Randomized Controlled Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shetty Sakshi Shekhar 
Designation  Post-Graudate 
Affiliation  Nitte Institute of physiotherapy NITTE(Deemed to be university) 
Address  Department of physiotherapy,room no 20,second based division,Nitte Institute of physiotherapy NITTE(Deemed to be university)Derlakatte,Mangalore,Karnataka,India

Dakshina Kannada
KARNATAKA
575018
India 
Phone  8369571030  
Fax    
Email  sakshishetty1508@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Rakesh Krishna Kovela 
Designation  Assosiate Proffesor 
Affiliation  Nitte Institute of physiotherapy NITTE(Deemed to be university) 
Address  Department of physiotherapy,room no 20,second based division,Nitte Institute of physiotherapy NITTE(Deemed to be university)Derlakatte,Mangalore,Karnataka,India

Dakshina Kannada
KARNATAKA
575018
India 
Phone  7204346274  
Fax    
Email  rakesh.krishna@nitte.edu.in  
 
Details of Contact Person
Public Query
 
Name  Rakesh Krishna Kovela 
Designation  Assosiate Proffesor 
Affiliation  Nitte Institute of physiotherapy NITTE(Deemed to be university) 
Address  Department of physiotherapy,room no 20,second based division,Nitte Institute of physiotherapy NITTE(Deemed to be university)Derlakatte,Mangalore,Karnataka,India

Dakshina Kannada
KARNATAKA
575018
India 
Phone  7204346274  
Fax    
Email  rakesh.krishna@nitte.edu.in  
 
Source of Monetary or Material Support  
Nitte institute of physiotherapy(Nitte Deemed to be University) Derlakatte Mangalore-575018. 
 
Primary Sponsor  
Name  Nitte Institue Of Physiotherapy 
Address  Department of Physiotherapy Room no 20 Second based division,Nitte institue of physiotherapy(Nitte Deemed to be university)Derlakatte Mangalore,Karnataka India 
Type of Sponsor  Research institution and hospital 
 
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 Rakesh Krishna Kovela  Justice KS Hegde Charitable Hospital  Room No 20 Department Of Physiotherapy,Medical science complex Derlakatte Mangaluru Dakshina Kannada 575018
Dakshina Kannada
KARNATAKA 
7204346274

rakesh.krishna@nitte.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Nitte Institute of Physiotherapy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G819||Hemiplegia, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Pelvic pnf and Conventional therapy   Standard Care group will be receiving pelvic PNF along with the conventional physiotherapy for 1hour a day, 5 days a week for 4 weeks.  
Intervention  Vestibular Rehabilitation therapy and pelvic pnf  Vestibular rehabilitation therapy and pelvic PNF along with conventional physiotherapy for 1 hour a day, 5 days a week for 4 weeks. Controlled Group will be receiving pelvic PNF and conventional physiotherapy for 45 minutes a day, 5 days a week for 4 weeks.  
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patients with chronic stroke for the first time.
2.Patients Brunnstrom stage of recovery greater than or equal to 2 lower limbs between 40-60 years of age both males and females.
3.Patients capable of following commands (MMSE above 23) patients with pelvic asymmetry, balance and trunk control impairments
4.Patients who were able to walk with or without walking aids.
5.Patients with Ischemic stroke.
 
 
ExclusionCriteria 
Details  1.Patients with any other diagnosis along with stroke.
2.Patients who undergone any spine and lower limb surgery in past one year span.
3.Patients with any fixed spinal deformity.
4.Patients who are under antiepileptic medications.

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Palpation meter, Berg-balance scale,Trunk impairment scale  1st pre-evaluation and last day of post-evaluation in 4th week 
 
Secondary Outcome  
Outcome  TimePoints 
Mini-Mental State Examination Scale  Day1 
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="32" 
Final Enrollment numbers achieved (Total)= "32"
Final Enrollment numbers achieved (India)="32" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/07/2024 
Date of Study Completion (India) 07/02/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
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   The study states that exclusive pelvic pnf over alignment of pelvis is proven to be beneficial.Vestibular Rehabilitation is proved to improve balance by targetting gaze and postural stability but theres a dearth in literature which emphazies on impart of vestibular rehabilitation on alignment of pelvis,balance and trunk control which will be used along with pelvic pnf.Thus The study is warranted to be conducted to see the effect of vestibular rehabilitation so to see the impact and changes in the treatment for chronic stroke individuals.Theres evidences telling that vestibular rehabilitation is affective. 
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