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CTRI Number  CTRI/2025/05/086833 [Registered on: 13/05/2025] Trial Registered Prospectively
Last Modified On: 13/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Crossover Trial 
Public Title of Study   A study to compare two different learning methods to see which helps adult long term stroke survivors to walk better while doing a counting task 
Scientific Title of Study   Comparison between immediate effects of implicit and explicit motor learning strategies in gait cognitive dual task among adult chronic stroke survivors- A crossover experimental 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  Bhakti Somani 
Designation  Postgraduate Student-MPT 
Affiliation  All India Institute of Physical Medicine and Rehabilitation 
Address  Department of physiotherapy, All India Institute of Physical Medicine and Rehabilitation, Haji Ali Dargah, Keshavrao Khadye Marg, Haji Ali Government Colony, Mahalakshmi, Mumbai, Maharashtra 400034

Mumbai
MAHARASHTRA
400034
India 
Phone  9834925758  
Fax    
Email  bhaktisomani07@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Anitha Kumaravelan  
Designation  Lecturer  
Affiliation  All India Institute of Physical Medicine and Rehabilitation 
Address  Department of physiotherapy, All India Institute of Physical Medicine and Rehabilitation, Haji Ali Dargah, Keshavrao Khadye Marg, Haji Ali Government Colony, Mahalakshmi, Mumbai, Maharashtra 400034

Mumbai
MAHARASHTRA
400034
India 
Phone  9820285788  
Fax    
Email  anithakumaravelan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Bhakti Somani 
Designation  Postgraduate Student-MPT 
Affiliation  All India Institute of Physical Medicine and Rehabilitation 
Address  Department of physiotherapy, All India Institute of Physical Medicine and Rehabilitation, Haji Ali Dargah, Keshavrao Khadye Marg, Haji Ali Government Colony, Mahalakshmi, Mumbai, Maharashtra 400034

Mumbai
MAHARASHTRA
400034
India 
Phone  9834925758  
Fax    
Email  bhaktisomani07@gmail.com  
 
Source of Monetary or Material Support  
Department of Physiotherapy All India Institute of Physical Medicine and Rehabilitation, Haji Ali Dargah, Keshavrao Khadye Marg, Haji Ali Government Colony, Mahalakshmi, Mumbai, Maharashtra, India 400034 
 
Primary Sponsor  
Name  All India Institute of Physical Medicine and Rehabilitation 
Address  Department of Physiotherapy, All India Institute of Physical Medicine and Rehabilitation,Haji Ali Dargah, Keshavrao Khadye Marg, Haji Ali Government Colony, Mahalakshmi, Mumbai, Maharashtra, India 400034 
Type of Sponsor  Research institution and hospital 
 
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 Bhakti Somani PT  AIIPMR,KK Marg, Haji Ali Government Colony, Mahalakshmi, Mumbai, Maharashtra, India 400034  Room no.207, Adult Neuromotor Training Section, Department of Physiotherapy
Mumbai
MAHARASHTRA 
9834925758

bhaktisomani07@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee, AIIPMR  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:I699||Sequelae of unspecified cerebrovascular diseases. Ayurveda Condition: PAKSHAGHATA/PAKSHAVADHAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-Implicit and Explicit Motor Learning (Procedure Reference: , Procedure details: Participants will undergo dual-task gait training on a figure-of-eight path while counting tones. The training includes one practice block, five learning blocks (three sessions each), and a final re-enactment stage to assess gait. Group A will receive implicit training first, followed by explicit training with an interval of 48 hours, while Group B will follow the reverse order. )
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Unilateral Hemiparesis or Hemiplegia occurring for the first time after a CVA with duration of at least 6 months since onset.
2.Individuals walking independently with or without help of assistive device with speed of more than or equal to 0.4m per second.
3.Age-18-60 years.
4.Individuals with MMSE score more than 24.
 
 
ExclusionCriteria 
Details  1.Individuals having any other neurological or musculoskeletal or cardiopulmonary clinical manifestations that could affect gait performance. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Figure of 8 walking test   Baseline( Day 1), After first intervention on the same day (Day 1), After washout period of 48 hours post second intervention (Day 4) 
 
Secondary Outcome  
Outcome  TimePoints 
Not Applicable  Not Applicable 
 
Target Sample Size   Total Sample Size="18"
Sample Size from India="18" 
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   Phase 3 
Date of First Enrollment (India)   24/05/2025 
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  
Stroke is a leading cause of adult disability worldwide, commonly resulting in motor and cognitive impairments that significantly hinder daily activities, particularly dual tasks like talking while walking. Dual-task training is essential in stroke rehabilitation as it targets both motor and cognitive challenges, improving functional independence, community participation, and quality of life. Gait training is a key rehabilitation focus, though even after regaining walking ability, patients remain vulnerable to interference during multitasking. Motor learning which is critical in stroke recovery occurs in three phases: acquisition, consolidation, and retention, with different brain regions involved in each phase. Stroke-related brain damage affects these phases differently but may be mitigated by neural compensation. Two motor learning strategies-explicit (conscious, instruction-based) and implicit (automatic, unconscious) offer tailored approaches. While both methods can improve motor tasks, it’s still unclear which is more effective for dual-task situations. There is limited research comparing these approaches in real-life tasks as most studies have been done in non clinical tasks such as serial reaction time task. This study is aims to find out which learning strategy works best for improving dual-task performance of gait cognitive dual task after stroke, helping to guide better rehabilitation.
Methodology- This is a crossover experimental study. 18 participants who meet the selection criteria will participate in the study. Convenience sampling and then random allocation will be done. Pre training dual task measurement will be done for all participants. Each group will have nine participants. Group A will receive implicit training first, followed by explicit training after 48 hours, while Group B will follow the reverse order. All participants will undergo both types of training, with the sequence depending on their group assignment. Post training dual task measurement will be done.
Statistical analysis-Statistical analysis will be conducted at a 95% confidence level, with significance set at P < 0.05. Data normality will be assessed using the Shapiro-Wilk test; if normal, a paired t-test will be used, otherwise the Wilcoxon signed-rank test will be applied.
 
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