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CTRI Number  CTRI/2025/09/095508 [Registered on: 30/09/2025] Trial Registered Prospectively
Last Modified On: 27/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To study the effects of scapular stabilization exercises on upper limb and hand function in stroke patients  
Scientific Title of Study   The effectiveness of scapular stabilization exercises on upper extremity and hand motor function in subacute stroke patients: A Randomized Controlled Trial. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Neha Burange 
Designation  Postgraduate student  
Affiliation  YMT College of Physiotherapy, kharghar 
Address  Dr. G. D. Pol Foundation, YMT College of Physiotherapy, Institutional Area, Belpada Rd, Sector 4, Kharghar, Navi Mumbai, Maharashtra 410210

Raigarh
MAHARASHTRA
442001
India 
Phone  9834434004  
Fax    
Email  nehaburange2017@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sharda Bhalerao 
Designation  Associate professor 
Affiliation  YMT College of Physiotherapy, kharghar 
Address  Dr. G. D. Pol Foundation, YMT College of Physiotherapy, Institutional Area, Belpada Rd, Sector 4, Kharghar, Navi Mumbai, Maharashtra 410210

Raigarh
MAHARASHTRA
410210
India 
Phone  9850059332  
Fax    
Email  bhalerosharda90@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sharda Bhalerao 
Designation  Associate professor 
Affiliation  YMT College of Physiotherapy, kharghar 
Address  Dr. G. D. Pol Foundation, YMT College of Physiotherapy, Institutional Area, Belpada Rd, Sector 4, Kharghar, Navi Mumbai, Maharashtra 410210

Raigarh
MAHARASHTRA
410210
India 
Phone  9850059332  
Fax    
Email  bhalerosharda90@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr Neha Burange 
Address  Dr. G. D. Pol Foundation, YMT College of Physiotherapy, Institutional Area, Belpada Rd, Sector 4, Kharghar, Navi Mumbai, Maharashtra 410210 
Type of Sponsor  Other [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 Neha Burange PT  YMT College of physiotherapy hospital, kharghar  Dr. G. D. Pol Foundation YMT College of Physiotherapy Institutional Area Belpada Rd Sector 4 Kharghar Navi Mumbai Maharashtra 410210 Neuro physiotherapy department Room no. 301
Raigarh
MAHARASHTRA 
9834434004

nehaburange2017@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
YMT COP Ethical institutional comittee   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  Conventional therapy exercises   It is a 4-week rehabilitation or exercise protocol 30 minutes per session, 5 days per week focusing on upper limb and lower limb functional training in different positions supine, sitting, standing. Supine lying on back Assisted arm elevation with circular motions progressing to independent lowering and lifting. Shoulder movements abduction, vertical lifting. Functional tasks touching head, opposite shoulder with therapist facilitating finger/thumb extension. Elbow flexion,extension in forearm supination without shoulder involvement. Pole exercises with elbows extended. Core or leg strengthening bridging, hip flexion, extension, abduction. Sitting Protective extension training using therapist’s resistance. Hand function grip and release with towel, walking hand upward. Sit-to-stand practice. Standing Weight-bearing on extended arms. Wall support with hand flat, lifting sound leg. Bridging, hip strengthening in multiple planes. Each exercise 5s second hold Rest 30 seconds between sets Volume 3 sets 15 reps Schedule 30 minutes per session, 5 days per week, for 4 weeks 
Intervention  scapular stabilization exercises  the effects of scapular stabilization exercises in subacute stroke patients in 4 weeks 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. First ever occurence of stroke 1 to 6 months
2.clinically pre diagnosed ischemic and hemorrhagic stroke
3. No severe cognitive impairment
4.Both left and right sided hemiplegia  
 
ExclusionCriteria 
Details  1. Recent cervical injury
2. Hand deformity
3. Non-ambulatory patients
4. Visual Field deficits
5. Psychological problem
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
WFMT (Wolf motor function test)
 
4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
CAHAI (Chedoke arm and hand activity inventory)  4 weeks 
 
Target Sample Size   Total Sample Size="44"
Sample Size from India="44" 
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)   09/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  09/10/2025 
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 Yet Recruiting 
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  

Title

The effectiveness of scapular stabilization exercises on upper extremity and hand motor function in subacute stroke patients: A Randomized Controlled Trial

Background

  • Stroke is a leading cause of disability, with many survivors developing upper limb dysfunction.

  • Weakness of scapular stabilizers alters shoulder mechanics, reducing motor control and functional ability.

  • Early rehabilitation (within 6 months) is critical due to higher neuroplasticity.

Objective

To evaluate whether 4 weeks of scapular stabilization exercises improve upper extremity and hand motor function in subacute stroke patients.

Hypothesis

  • Null (H0): No significant effect of scapular stabilization exercises.

  • Alternate (H1): Significant improvement in upper extremity and hand motor function.

Methods

  1. Design: Randomized controlled trial, double-blinded.

  2. Sample size: 44 patients (22 per group).

  3. Population: First-ever stroke, 1–6 months, age 40–80 years, no severe cognitive impairment.

  4. Groups:

    • Experimental: Scapular stabilization + conventional physiotherapy.

    • Control: Conventional physiotherapy only.

    • Both: 30 minutes, 5 days/week, for 4 weeks.

  5. Outcome measures:

    • Wolf Motor Function Test (WMFT) – upper extremity motor function.

    • Chedoke Arm and Hand Activity Inventory (CAHAI) – hand motor function.

  6. Analysis: Normality check (Shapiro-Wilk). T-tests or non-parametric equivalents (Wilcoxon, Mann-Whitney) using SPSS.

Intervention Details

  • Experimental group: Scapular exercises (protraction/retraction, elevation/depression, rotation, wall push-ups).

  • Control group: Conventional arm/shoulder mobility and functional exercises (supine, sitting, standing).

Expected Outcomes

  • Scapular stabilization will improve scapular control, enhance shoulder mobility, and positively impact upper limb and hand motor recovery compared to conventional therapy alone.

Significance

  • Provides evidence for incorporating scapular stabilization in subacute stroke rehabilitation.

  • May optimize functional recovery by targeting scapular mechanics early during the neuroplastic window.

 
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