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CTRI Number  CTRI/2025/12/099238 [Registered on: 16/12/2025] Trial Registered Prospectively
Last Modified On: 15/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   “Which Therapy Improves Arm Movement After Stroke?” 
Scientific Title of Study   ‘Tech-driven Recovery: Evaluating Digital Mirror Therapy Against Task-oriented Training For Upper Limb Rehabilitation In Subacute Stroke Patients’- A Comparative 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  Vamja Dhruv Gulabbhai 
Designation  Post Graduate Student 
Affiliation  School of Physiotherapy RK University 
Address  School of Physiotherapy,RK University, Bhavnagar Highway, Kasturbadham, Rajkot

Rajkot
GUJARAT
360020
India 
Phone  8160244489  
Fax    
Email  dvamja452@rku.ac.in  
 
Details of Contact Person
Scientific Query  
Name  Dr Shrikant Savaniya 
Designation  Assistant Professor School of Physiotherapy RK. University 
Affiliation  School of Physiotherapy RK University 
Address  School of Physiotherapy,RK University, Bhavnagar Highway, Kasturbadham, Rajkot

Rajkot
GUJARAT
360020
India 
Phone  8980748154  
Fax    
Email  shrikant.savaniya@rku.ac.in  
 
Details of Contact Person
Public Query  
Name  Vamja Dhruv Gulabbhai 
Designation  Post Graduate Student 
Affiliation  School of Physiotherapy RK University 
Address  School of Physiotherapy,RK University, Bhavnagar Highway, Kasturbadham, Rajkot

Rajkot
GUJARAT
360020
India 
Phone  8160244489  
Fax    
Email  dvamja452@rku.ac.in  
 
Source of Monetary or Material Support  
Vamja Dhruv Gulabbhai School of Physiotherapy,RK University, Bhavnagar Highway, Kasturbadham, Rajkot - 360020, Gujarat, India 
 
Primary Sponsor  
Name  Vamja Dhruv Gulabbhai 
Address  School of Physiotherapy,RK University, Bhavnagar Highway, Kasturbadham, Rajkot - 360020, Gujarat, 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 
Vamja Dhruv Gulabbhai  RK Physiotherapy Rehabilitation and Research Centre  Physiotherapy Department Room no 1 Opp Meghani Rangbhavan Bhaktinagar Circle Rajkot Gujarat India
Rajkot
GUJARAT 		 8160244489

dvamja452@rku.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee School of Physiotherapy RK University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G811||Spastic hemiplegia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Digital Mirror Therapy  Digital Mirror Therapy is a rehabilitation method using a tablet based virtual mirror display that shows the unaffected upper limb to simulate movement of the affected limb. Participants will perform tasks including peg transfers, card flipping, object manipulation, and wrist and hand movements. Sessions will last thirty to forty five minutes, five days per week, for four weeks. The therapy aims to improve upper limb motor function by stimulating the sensorimotor cortex in subacute stroke patients. 
Comparator Agent  Task Oriented Training  Task Oriented Training includes repetitive, goal directed functional tasks to improve upper limb motor control. Participants will practice activities such as pegboard transfer, block stacking, and card flipping. Sessions will last thirty to forty five minutes, five days per week, for four weeks. The training aims to enhance motor relearning and functional use of the affected upper limb in subacute stroke patients. 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  MCA strokes patients those who are confirmed with CT or MRI
Age between 35 to 60
Unilateral stroke of three month to six month
Able to understand and follow the instructions
Patients who meet the inclusion criteria and provide written informed consent will be included in the study.
Fugl-Meyer Assessment-Upper Extremity (FMA-UE) motor score between 19 and 58

 
 
ExclusionCriteria 
Details  Patients with other neurological conditions like Parkinson’s disease
Musculoskeletal problems (deformity, recent fractures)
All type of visual problems that cannot be corrected
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Fugl-Meyer Assessment for upper extremity (FMA-UE)

 		 Baseline (Day 0) and Post-intervention (Week 4)
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="32" 
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)   31/12/2025 
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="0"
Months="6"
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 commonly causes long term upper limb disability and only a small percentage of patients regain full function. Neuroplasticity based rehabilitation during the subacute stage is important for recovery. Task Oriented Training involves repetitive goal directed functional tasks, while Digital Mirror Therapy uses virtual mirror feedback to stimulate the sensorimotor cortex. Evidence comparing these two approaches in subacute stroke is limited, creating a need for this study. This prospective randomized controlled trial will include thirty two subacute stroke patients aged thirty five to sixty years who meet the inclusion criteria. Participants will be randomly allocated into two parallel groups using simple computer generated randomization. Group A will receive Task Oriented Training involving functional tasks such as pegboard transfer, block stacking and card flipping. Group B will receive Digital Mirror Therapy using a tablet based virtual mirror display of the unaffected limb performing tasks such as peg transfers, card flipping and object manipulation. Both groups will receive sessions of thirty to forty five minutes, five days per week for four weeks. Pre test assessment will include the Fugl Meyer Assessment for the upper extremity performed one day before intervention. Post test assessment will be done one day after completing the four week program. The primary outcome measure is the Fugl Meyer Assessment Upper Extremity score. The study aims to compare the effectiveness of Task Oriented Training and Digital Mirror Therapy in improving upper limb motor function in subacute stroke patients and to determine which approach offers better functional recovery. 
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