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CTRI Number  CTRI/2025/12/099223 [Registered on: 16/12/2025] Trial Registered Prospectively
Last Modified On: 14/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Single Arm Study 
Public Title of Study   Effect of multidirectional reach and sit-to-stand exercises with rhythmic sound cues on trunk control and standing postural control in patient with stroke 
Scientific Title of Study   Effect of multidirectional reach and sit to stand training with rhythmic auditory stimulation on trunk control and standing postural control in Patient with stroke  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Anjana Dinesh  
Designation  Post Graduate student  
Affiliation  Yenepoya Physiotherapy College  
Address  6th floor, department of physiotherapy, Yenepoya Physiotherapy College university road, Deralakatte, Mangaluru

Dakshina Kannada
KARNATAKA
575018
India 
Phone  8431742551  
Fax    
Email  anjanadineshkk@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Ms Anjana S 
Designation  Assistant professor  
Affiliation  Yenepoya Physiotherapy College 
Address  6th floor, department of physiotherapy, Yenepoya Physiotherapy College university road, Deralakatte, Mangaluru

Dakshina Kannada
KARNATAKA
575018
India 
Phone  6363924912  
Fax    
Email  anjanas@yenepoya.edu.in  
 
Details of Contact Person
Public Query  
Name  Ms Anjana S 
Designation  Assistant professor  
Affiliation  Yenepoya Physiotherapy College 
Address  6th floor, department of physiotherapy, Yenepoya Physiotherapy College university road, Deralakatte, Mangaluru

Dakshina Kannada
KARNATAKA
575018
India 
Phone  6363924912  
Fax    
Email  anjanas@yenepoya.edu.in  
 
Source of Monetary or Material Support  
6th floor, department of physiotherapy, Yenepoya Physiotherapy College university road, Deralakatte, Mangaluru 
 
Primary Sponsor  
Name  Anjana Dinesh  
Address  Yenepoya Physiotherapy College University Road, Deralakatte, Mangaluru, 575018, Karnataka ,India 
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 
Dr Anjana Dinesh PT  Yenepoya Ayurveda medical college   4th floor,Yenepoya Ayush campus naringana, Deralakatte mangalore ,Karnataka 575018
Dakshina Kannada
KARNATAKA 		 8431742551

anjanadineshkk@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee-3  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  Multi Directional reach   Multidirectional reaching was performed in forward, diagonal (right and left), and backward directions. Participants were instructed to reach toward a target placed at shoulder height, while maintaining an upright trunk posture. • In forward reach, the patient reached forward on Beat 1 and returned to the starting position on Beat 2. • In diagonal reach, the arm moved diagonally across the body toward the target, with Beat 1 for reach, Beat 2 for hold, and Beat 3 for return. • In backward reach, the arm was extended backward while maintaining postural stability, synchronized with rhythmic cues. Each reach direction was performed for 15 repetitions, with approximately 5 minutes allotted per direction. 
Comparator Agent  Nil   Nil 
Intervention  Rhythmic auditory stimulation   While doing Multi directional reach Cueing: Move in sync with the beat (extend on 1st beat, return on 2nd beat) While doing sit to stand training Cueing: “Lean forward on beat 1, hold on beat 2, push up on beat Cueing: Follow a 1-2-3-4 beat pattern: Beat 1: Lean forward Beat 2: Lift hips Beat 3: Extend knees Beat 4: Stand fully upright  
Intervention  Sit to stand Training   Sit-to-stand training was performed using rhythmic auditory cues to facilitate movement sequencing and postural control. 1. STS with Forward Weight Shift and Hold The participant was instructed to lean forward, rise to standing, and maintain upright posture for 5 seconds. • Beat 1: Forward lean • Beat 2: Lift hips • Beat 3: Knee extension • Beats 4–8: Hold standing position 2. Controlled STS with Arm Support The participant used arm support to assist with a smooth and controlled sit-to-stand movement. • Beat 1: Lean forward • Beat 2: Rise • Beat 3: Sit down 3. Repetitive STS with Rhythmic Cueing Continuous sit-to-stand repetitions were performed in synchrony with the auditory beats to enhance coordination and balance. Each STS exercise was performed for 10 repetitions, with 5 minutes allocated for each activity. 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Acute Stroke 1–7 days ,Subacute Stroke : Early 1 week-3 months Post stroke 3-6 months, Ischemic or hemorrhagic stroke, Trunk impairment scale score minimum 7,MMSE greater than 24,Brunnstrom Recovery Stage- 4 to 6 
 
ExclusionCriteria 
Details  Trunk instability where the patient cannot sit
Subjects with any musculoskeletal disorders such as recent fractures/dislocations, congenital/acquired disorders/deformities,
acute/chronic arthritis any Cardio-vascular disorders Other
neurological problems such as preexisting neurological disorders
and progressive diseases
(like Dementia, Alzheimer’s disease, Parkinsonism, Brain tumours,
Cerebral palsy)
Subjects with any visual or auditory problems
(Blindness, colour vision, diplopia, total or partial blindness 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.Trunk impairment scale
2.Postural assessment scale of stroke  		 Pre test before intervention
Post test after 4 weeks  
 
Secondary Outcome  
Outcome  TimePoints 
MMSE  Pre assessment before intervention 
 
Target Sample Size   Total Sample Size="23"
Sample Size from India="23" 
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)   26/12/2025 
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  

The study is a Single group Pre-Post Experimental Study design that will be focusing on evaluating the effect of multi directional reach and sit to stand training combining it With rhythmic auditory stimulation on trunk control and standing postural control. Participants will be selected from yenepoya ayurveda medical college using purposive sampling technique. The mini mental state scale examination in screening time. Postural Assessment Scale for stroke (PASS) and Trunk impairment scale (TIS)will be assessed before giving the intervention and 4 weeks post treatment . The experiment involves the Sit to stand training and Multidirectional Reach with rhythmic auditory stimulation . Measurements will be taken solely by the Principal Investigator (PI). Only authorized study personnel will be present during the measurement. This study will adhere to ethical guidelines, and participants will provide informed consent before participating in the research. Confidentiality and privacy of participant information will be strictly maintained. This study aims to provide valuable insights into the effect of multi directional reach and sit to stand training with rhythmic auditory stimulation on trunk control and standing postural control among stroke population 



 
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