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CTRI Number  CTRI/2025/09/094180 [Registered on: 03/09/2025] Trial Registered Prospectively
Last Modified On: 01/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Single Arm Study 
Public Title of Study   Exercises for Shoulder pain after Stroke 
Scientific Title of Study   Efficacy of Scapular Stabilization Exercise on Shoulder Hand Syndrome among Post-Stroke Patients 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sayda Sadia Tuj Jahra 
Designation  Student 
Affiliation  Jashore University of Science and Technology 
Address  Room no: 304, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Bangladesh



7408
Other 
Phone  8801877122109  
Fax    
Email  sadiatazneen213@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr Ehsanur Rahman 
Designation  Assistant Professor  
Affiliation  Jashore University of Science and Technology 
Address  Room no: 401, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Bangladesh



7408
Other 
Phone  8801716062263  
Fax    
Email  e.rahman@just.edu.bd  
 
Details of Contact Person
Public Query  
Name  Dr Ehsanur Rahman 
Designation  Assistant Professor  
Affiliation  Jashore University of Science and Technology 
Address  Room no: 401, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Bangladesh



7408
Other 
Phone  8801716062263  
Fax    
Email  e.rahman@just.edu.bd   
 
Source of Monetary or Material Support  
Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology  
 
Primary Sponsor  
Name  Department of Physiotherapy and Rehabilitation 
Address  Room: 401, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore-7408, Bangladesh 
Type of Sponsor  Other [University] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Bangladesh  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Farzana Sharmin Rumana   Centre for the Rehabilitation of the Paralysed (CRP)  Neurology Unit, Centre for the Rehabilitation of the Paralysed, Savar, Bangladesh

 		 8801614118881

rumanaphysio@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IRB of Department of Physiotherapy and Rehabilitation, JUST  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I638||Other cerebral infarction,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  No comparator as it is a single group pre-test post-test design  It is a single group pre-test post-test design 
Intervention  Scapular Stabilization Exercise  Participants will receive scapular stabilization exercises 3 times per week for 4 weeks, delivered through supervised physiotherapy sessions aimed at reducing shoulder-hand syndrome symptoms 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  1. Confirmed diagnosis of a first-ever stroke supported by a head CT or MRI scan
2. first-onset stroke patients with unilateral hemiparesis.
3. 2 months to 6 months after stroke onset
4. Brunnstrom recovery stage four or above for the affected upper limb.
5. Impaired upper extremity fluid return, and vasomotor dysfunction following central nervous system injury
6. Attend voluntarily for this study with a signed informed consent.
7. Well general condition with stabilized vital signs and normal consciousness.
 
 
ExclusionCriteria 
Details  1. Reversible stroke.
2. Hemorrhagic stroke
3. Spasticity in the upper limb
4. Severe visceral organ (e.g., heart, lung, liver, and kidney) dysfunction
5. Severe diagnosed cognitive dysfunction
6. History of diagnosed mental disease and could not cooperate in rehabilitation treatment
7. Implanted with cardiac pacemaker with upper limb dysfunction due to other causes
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Constant Murley Score will be used to assess shoulder function through pain intensity, activities of daily living, range of motion, and muscle strength  4 Weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1. Pain intensity measured by Pressure Pain Threshold (PPT)
2. Spasticity will be measured by Modified Ashworth Scale (MAS)
3.Pain level and extent of difficulty with Activity of Daily Livings will be assessed by Shoulder Pain and Disability Index (SPADI) 		 4 Weeks 
 
Target Sample Size   Total Sample Size="33"
Sample Size from India="33" 
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)   Date Missing 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  12/09/2025 
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 Applicable 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identiļ¬cation.

  2. What additional supporting information will be shared?
    Response -  Study Protocol

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [e.rahman@just.edu.bd].

  6. For how long will this data be available start date provided 01-02-2026 and end date provided 01-02-2031?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   This is a single-group, pre-test post-test study aimed at evaluating the efficacy of scapular stabilization exercises in the management of shoulder-hand syndrome (SHS) among post-stroke patients. The intervention is intended to enhance shoulder function by addressing pain, muscle tone, range of motion, and upper limb mobility. Primary and secondary outcomes will be measured using the Scapular Pain and Disability Index (SPADI), Constant-Murley Score (CMS), Modified Ashworth Scale (MAS), and Pressure Pain Threshold (PPT). The study will be conducted at the Neurology Unit of the Centre for the Rehabilitation of the Paralyzed (CRP), Savar, Bangladesh. 
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