| CTRI Number |
CTRI/2025/07/090696 [Registered on: 10/07/2025] Trial Registered Prospectively |
| Last Modified On: |
09/07/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Other (Specify) [Occupational Therapy] |
| Study Design |
Cluster Randomized Trial |
|
Public Title of Study
|
A study to see how early balance and movement therapy affects walking, balance, and daily activities in patients after brain surgery |
|
Scientific Title of Study
|
The Effect Of Early Vestibular Rehabilitation and Balance Training on Functional Balance, Gait and Activities of Daily Living in Patients with Cerebellopontine Angle Tumor Resection |
| 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 Pooja More |
| Designation |
Post Graduate Student in Occupational Therapy |
| Affiliation |
OT Training School and Centre LTMMC and GH |
| Address |
5th floor MRO building, Occupational Therapy Training School and Centre, Lokmanya Tilak Municipal Medical College and General Hospital, Laxmibai Kelkar Road, Sion East, Mumbai, Maharashtra, India 400022
Mumbai MAHARASHTRA 400022 India |
| Phone |
9930334313 |
| Fax |
|
| Email |
pooja2000more@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Anuradha Pai |
| Designation |
Asst Professor |
| Affiliation |
OT Training School and Centre LTMMC and GH |
| Address |
5th floor MRO building, Occupational Therapy Training School and Centre, Lokmanya Tilak Municipal Medical College and General Hospital, Laxmibai Kelkar Road, Sion East, Mumbai, Maharashtra, India 400022
Mumbai MAHARASHTRA 400022 India |
| Phone |
9820661856 |
| Fax |
|
| Email |
suchanu@rediffmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Anuradha Pai |
| Designation |
Asst Professor |
| Affiliation |
OT Training School and Centre LTMMC and GH |
| Address |
5th floor MRO building, Occupational Therapy Training School and Centre, Lokmanya Tilak Municipal Medical College and General Hospital, Laxmibai Kelkar Road, Sion East, Mumbai, Maharashtra, India 400022
Mumbai MAHARASHTRA 400022 India |
| Phone |
9820661856 |
| Fax |
|
| Email |
suchanu@rediffmail.com |
|
|
Source of Monetary or Material Support
|
| Occupational Therapy school and center Lokmanya Tilak Municipal Medical College Sion Mumbai |
|
|
Primary Sponsor
|
| Name |
Occupational Therapy school and center Lokmanya Tilak Municipal Medical College Sion Mumbai |
| Address |
Lokmanya Tilak Municipal Medical College Sion Mumbai 400022 |
| 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 Pooja More |
Lokmanya Tilak Municipal Medical College and General Hospital |
5th floor MRO building, Occupational Therapy Training School and Centre, Lokmanya Tilak Municipal Medical College and General Hospital, Laxmibai Kelkar Road, Sion East, Mumbai, Maharashtra, India 400022 Mumbai MAHARASHTRA |
9930334313
pooja2000more@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee Human Research, Lokmanya Tilak Municipal Medical College and General Hospital |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: D337||Benign neoplasm of other specifiedparts of central nervous system, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Balance Training |
Patients in the Balance Training Group will receive balance training for 6 weeks. Inpatient rehab will focus on static sitting and standing balance. Outpatient rehab will progress to dynamic balance and mobility training. |
| Intervention |
Vestibular and Balance Training |
Patients in the Vestibular and Balance training Group will receive 6 weeks. The inpatient phase will include seated cervical and trunk movements with horizontal-vertical eye-head coordination along with static sitting and standing balance . The outpatient phase will focus on dynamic standing tasks, gait stabilization, and advanced cervical and visual-vestibular integration along with dynamic balance and mobility training. |
|
|
Inclusion Criteria
|
| Age From |
20.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
1. First surgery involving cerebellopontine angle resection
2. The age range is twenty to sixty years, applicable to both males and females
3. The MOCA score range should be between eighteen and thirty
4. The motion sensitivity test and quotient score should be between eleven percent moderate to one hundred percent severe
|
|
| ExclusionCriteria |
| Details |
Any other neurological or psychiatric illness or autoimmune disease. |
|
|
Method of Generating Random Sequence
|
Permuted block randomization, fixed |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
Motion sensitivity will be assessed using Motion Sensitivity Scale.
Gait and Balance parameters will be assessed using the Functional Gait Assessment (FGA) Scale.
ADL parameters will be assessed using the Vestibular Activities of Daily Living (VADL) Scale. |
Motion Sensitivity Scale, Functional Gait Assessment (FGA) Scale. Vestibular Activities of Daily Living (VADL) Scale. All the three scale will be assessed at Day 0 of week 1 , end of the inpatient rehabilitation at end of 2 weeks and at the end of the outpatient rehabilitation at the end of 6 weeks. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Nil |
Nil |
|
|
Target Sample Size
|
Total Sample Size="40" Sample Size from India="40"
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)
|
20/07/2025 |
| 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="0" 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 - NO
|
|
Brief Summary
|
This study aims to evaluate the effect of early vestibular rehabilitation and balance training on functional balance, gait, and activities of daily living in patients post Cerebellopontine Angle (CPA) tumor resection. A total of 40 patients (aged 20–60 years) will be included, divided equally into a conventional group (balance training only) and an interventional group (balance + vestibular rehabilitation). Inclusion criteria include a MoCA score of 18–30 and Motion Sensitivity Quotient (MSQ) score of 11–100%. Participants will undergo 2 weeks of supervised inpatient therapy (5 days/week) followed by 4 weeks of structured outpatient therapy (once a week). Outcome measures include the Motion Sensitivity Test, Functional Gait Assessment, and the Vestibular Activities of Daily Living (VADL) scale. The conventional group will receive only balance training, focusing on static sitting and standing tasks during inpatient rehab and progressing to dynamic balance, gait training, and obstacle navigation during outpatient sessions. The interventional group will receive both vestibular and balance training. Inpatient vestibular rehab will emphasize seated cervical and trunk movements with horizontal-vertical eye-head coordination. Outpatient vestibular rehab will include dynamic standing tasks, gait stabilization, and visual-vestibular integration exercises. |