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CTRI Number  CTRI/2026/01/100085 [Registered on: 01/01/2026] Trial Registered Prospectively
Last Modified On: 15/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Unani
Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   5 weeks Effect of myofacial release and stretching on wrist flexor spasticity in stroke patients 
Scientific Title of Study   Effectiveness of Myofascial release and Maintained stretch on wrist flexors spasticity by assessing H reflex in Patients with Stroke- an 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  Maheshwari Harishchandre 
Designation  Professor 
Affiliation  DVVPFs College of Physiotherapy 
Address  College of Physiotherapy Neurophysiotherapy

Ahmadnagar
MAHARASHTRA
414111
India 
Phone  9130054937  
Fax    
Email  maheshwariharishchandre@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sudhir Tungikar 
Designation  Professor and Head 
Affiliation  Dr Balasaheb Vikhe Patil Rural Medical College Loni 
Address  Department of Medicine Rural Medical College Loni
Rural Medical College Loni
Ahmadnagar
MAHARASHTRA
413736
India 
Phone  9405679329  
Fax    
Email  sudhirtungikar@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Maheshwari Harishchandre 
Designation  Professor 
Affiliation  DVVPFs College of Physiotherapy 
Address  College of Physiotherapy Neurophysiotherapy


MAHARASHTRA
414111
India 
Phone  9130054937  
Fax    
Email  maheshwariharishchandre@gmail.com  
 
Source of Monetary or Material Support  
Vikhe Patil Memorial Hospital Physiotherapy OPD Vadgaon Gupta Pincode 414111 Maharashtra India 
 
Primary Sponsor  
Name  NIL 
Address  NIL 
Type of Sponsor  Other [NIL] 
 
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 
Maheshwari  Vikhe Patil Memorial Hospital   Physiotherapy OPD Neuro OPD room no 102
Ahmadnagar
MAHARASHTRA 
9130054937

maheshwariharishchandre@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G938||Other specified disorders of brain,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Myofascial release  5 days week 1session per day 
Intervention  Myofascial release teachniques and sretching   5 weeks MFR and 5 weeks Stretching 5days per week 1 session per day  
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  First Onset Diagnosed Stroke Patients
Subacute and Chronic Stage Both Gender
20to55years stroke participants
Spasticitygrades1to 3
 
 
ExclusionCriteria 
Details  • HemiplegicstrokeParticipantswhohaveanyothermusculoskeletal(recentfracture,handdeformity)cardiacvascularrelatedconditions(uncontrolledhypertensionmyocardialinfarction) 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Modified tardieu scale  5 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
H reflex  5 weeks 
 
Target Sample Size   Total Sample Size="63"
Sample Size from India="63" 
Final Enrollment numbers achieved (Total)= "63"
Final Enrollment numbers achieved (India)="63" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/01/2026 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
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   Stroke is the leading cause of the death in India. spasticity is a common complication observed after stroke. Wrist flexor spasticity is limits the patients functional capacity. patients facing difficulties or inability to do the daily activities like bathing brushing kitchen work dressing undressing eating combing which is important in day to day life. Modifed tardieu scale and ah reflex are the measurement tools  which helps to measure the spasticity in muscles. conventionally there are so many techniques are used to relieve the spasticity but Myofacial release techniques and stretching are mainly used to reduce the spasticity and helps to improve the hand function. 
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