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CTRI Number  CTRI/2025/07/090251 [Registered on: 07/07/2025] Trial Registered Prospectively
Last Modified On: 21/04/2026
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 electromyography biofeedback therapy with Scapular muscle activation exercises vs only Scapular muscle activation exercises on malalignment of Scapula in stroke survivors : A pilot study  
Scientific Title of Study   Effect of EMG biofeedback therapy combined with Scapular Stabilization exercises versus only Scapular Stabilization exercises on Scapular Dyskinesis in subacute and chronic stroke survivors : A pilot study 
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 Snehal Joshi PT 
Designation  Principal and HOD Neurophysiotherapy department 
Affiliation  D.E.S Brijlal Jindal college of Physiotherapy 
Address  Neurophysiotherapy Department, DES Brijlal Jindal college of Physiotherapy, Fergusson College Campus, Shivajinagar, Pune- 411004

Pune
MAHARASHTRA
411004
India 
Phone  9225340940  
Fax    
Email  snehal.joshi@despune.org  
 
Details of Contact Person
Scientific Query
 
Name  Dr Madhura Joshi PT 
Designation  Post graduate student 
Affiliation  D.E.S. Brijlal Jindal college of Physiotherapy 
Address  Neurophysiotherapy Department, DES Brijlal Jindal college of Physiotherapy, Fergusson College Campus, Shivajinagar, Pune- 411004

Pune
MAHARASHTRA
411004
India 
Phone  8104905308  
Fax    
Email  madhura.joshi308@deccansociety.org  
 
Details of Contact Person
Public Query
 
Name  Dr Madhura Joshi PT 
Designation  Post graduate student 
Affiliation  D.E.S. Brijlal Jindal college of Physiotherapy 
Address  Neurophysiotherapy Department, DES Brijlal Jindal college of Physiotherapy, Fergusson College Campus, Shivajinagar, Pune- 411004

Pune
MAHARASHTRA
411004
India 
Phone  8104905308  
Fax    
Email  madhura.joshi308@deccansociety.org  
 
Source of Monetary or Material Support  
DES Brijlal Jindal College of physiotherapy, Fergusson college campus, Shivajinagar, Pune- 411004, Maharashtra, India 
 
Primary Sponsor  
Name  Dr Madhura Joshi PT 
Address  Neurophysiotherapy Department Ground Floor, DES Brijlal Jindal college of Physiotherapy, Fergusson College Campus, Shivajinagar, Pune 411004 
Type of Sponsor  Other [Self] 
 
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 
Madhura Joshi  Neuro rehab centres and community setting   Neurophysiotherapy department, Ground floor, DES Brijlal Jindal college of Physiotherapy, Fergusson College Campus, Shivajinagar, Pune 411004
Pune
MAHARASHTRA 
8104905308

madhura.joshi308@deccansociety.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC DESBJCOP  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 
Intervention  EMG Biofeedback therapy combined with Scapular stabilization exercises  20 minutes of Real- time biofeedback observed in form of graph from muscle electrical activity recorded using surface electrodes combined with scapular stabilization exercise protocol for 7 sessions over 7 days 
Comparator Agent  Scapular stabilization exercises  20 minutes of Scapular strengthening exercises of the scapular stabilization muscles for 7 sessions over 7 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Adults diagnosed with ischemic or hemorrhagic stroke.
2. Diagnosed with stroke at least 3 months prior to data collection.
3. Presence of scapular dyskinesis.
4. Visual impairments corrected with prescribed glasses. 
 
ExclusionCriteria 
Details  1. Shoulder joint dysfunction due to any other pathology that may confound scapular dyskinesis assessment or intervention.
2. Unmanageable pain in shoulder or scapular region leading to inability in performing exercises.
3. Any cognitive impairment.
4. Any visual impairment. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Lateral scapular slide test  7 days, 1 week 
 
Secondary Outcome  
Outcome  TimePoints 
NIL   
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="28" 
Phase of Trial   N/A 
Date of First Enrollment (India)   31/07/2025 
Date of Study Completion (India) 15/03/2026 
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)   Completed 
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
Modification(s)  
The study aims to explore the combined effect of EMG biofeedback therapy and scapular stabilization exercises in subacute and chronic stroke survivors. In this study, the scapular position will be assessed for scapular dyskinesis in stroke survivors. Following this the protocol will be given for seven days. The control group will be given scapular stabilization exercises while the experimental group will be given EMG biofeedback by surface electrodes which record the muscle electrical activity combined with scapular stabilization exercises. After sessions are conducted for seven days, the scapular position will be reassessed and followed by analysis and interpreted. Owing to the lack of research on the combined effect of EMG biofeedback therapy and Scapular Stabilization exercises, this study will provide valuable insight into the efficacy of the intervention mentioned above for scapular dyskinesis in stroke survivors. 
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