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CTRI Number  CTRI/2016/06/007051 [Registered on: 29/06/2016] Trial Registered Retrospectively
Last Modified On: 19/10/2016
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   Effect of a novel technique to correct knee hyperextension in subjects with stroke  
Scientific Title of Study   Effectiveness of prowling with proprioceptive training on knee hyperextension in stroke subjects- A randomised controlled trail 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Khushboo Dalal 
Designation  Post graduate student 
Affiliation  Kasturba Medical College 
Address  Department of Physiotherapy, KMC hospital, Jyoti circle Mangalore

Dakshina Kannada
KARNATAKA
575003
India 
Phone  9028141639  
Fax    
Email  khushboo.k.dalal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Abraham M Joshua 
Designation  Senior associate professor  
Affiliation  Kasturba Medical College 
Address  Department of Physiotherapy, KMC hospital , Jyoti circle Mangalore

Dakshina Kannada
KARNATAKA
575003
India 
Phone  9886188221  
Fax    
Email  abraham.joshua@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Khushboo Dalal 
Designation  Post graduate student 
Affiliation  Kasturba Medical College 
Address  Department of Physiotherapy, KMC hospital, Jyoti circle Mangalore

Dakshina Kannada
KARNATAKA
575003
India 
Phone  9028141639  
Fax    
Email  khushboo.k.dalal@gmail.com  
 
Source of Monetary or Material Support  
manipal university 
 
Primary Sponsor  
Name  Manipal University  
Address  Light house, Hill road Mangalore 575001 
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 khushboo k dalal  KMC mangalore  Department of Physiotherapy, 5th floor KMC hospital, Jyoti circle Mangalore
Dakshina Kannada
KARNATAKA 
9028141639
-
khushboo.k.dalal@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Kasturba Medical College, Mangalore   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  acute stroke subjects, walking with knee hyperextension and Brunnstorm recovery stage 3 and above,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  conventional therapy  routinely prescribed exercises for stroke 45-60 minutess per day,once daily, for 6 days 
Intervention  prowling and proprioception training  prowl walking proprioceptive exercises 60-80 minutes per day, once daily, for 6 days 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  acute stroke
hemiplegic participants walking with knee hyperextension of knee
MMSE more than or equal to 24 
 
ExclusionCriteria 
Details  any musculoskeletal disease affecting knee joint 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
videographic analysis  Pre intervention and post intervention (6 days) 
 
Secondary Outcome  
Outcome  TimePoints 
wisconsin gait index  nil 
 
Target Sample Size   Total Sample Size="38"
Sample Size from India="38" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   01/04/2015 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  
Diagnosed stroke subjects, referred by neurologists to the Department of Physiotherapy will be approached. Informed consent will be taken from willing subjects. Eligible subjects after screening of exclusion n inclusion criteria will be explained the purpose of the study and Demographic data also will be collected.
The eligible subjects will be allocated to two groups by randomizationsation i.e group A (experimental) and group B (control). The baseline data will be collected by video-graphy and WGS. A camera mounted on tripod stand with spirit level will be kept at 4 meters perpendicular distance from the midpoint of walkway. Plumb line will ensure that the camera is on specified point. And height of the camera will be corresponding to the level of greater trochanter. Ductapes will be used to mark the specified distance. The subject will be made to walk 5m distance and this will be video recorded. Naked eye video analysis will be done by kinovea movement analysis software and following things will be noted:
1. The degree of hyperextension of knee
2. The degree of ankle dorsiflexion
3. The number of times knee goes into hyperextension
4. The total time taken to complete this distance.
After videography analysis Wiscosin gait scale will be assessed.
Both the groups would be given routine stroke exercises. Group A will be given following exercises in addition for approximate 20mins:
1. Walking in partial squat position or prowling.
2. Partial squats
3. Single limb stance.
4. Single limb partial squat stance on stable surface (affected limb weight bearing) with or without support
5. Single limb partial squat standing on a piece of foam (affected limb weight bearing) with or without support.
 
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