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CTRI Number  CTRI/2025/09/094934 [Registered on: 16/09/2025] Trial Registered Prospectively
Last Modified On:
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   Testing Visual Feedback with Supported Treadmill Training to Improve Balance and Walking in People with Stroke 
Scientific Title of Study   Additive Effect of Visual Biofeedback with Body-Weight Support Treadmill Training on Balance and Gait Speed in Subacute 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  Ayushi Mantri 
Designation  Student 
Affiliation  Parul Institute of Physiotherapy 
Address  Parul institute of physiotherapy parul university neuro opd room no 201 post office limda taluka waghodia vadodara gujarat

Vadodara
GUJARAT
391760
India 
Phone  9552059894  
Fax    
Email  ayushimantri24@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr jigisha vaniya 
Designation  Assistant professor 
Affiliation  parul Institute of Physiotherapy 
Address  Parul institute of physiotherapy parul university neuro opd room no 201 post office limda taluka waghodia vadodara gujarat

Vadodara
GUJARAT
391760
India 
Phone  800070593  
Fax    
Email  jigishavaniya95@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr jigisha vaniya 
Designation  Assistant professor 
Affiliation  parul Institute of Physiotherapy 
Address  Parul institute of physiotherapy parul university neuro opd room no 201 post office limda taluka waghodia vadodara gujarat

Vadodara
GUJARAT
391760
India 
Phone  800070593  
Fax    
Email  jigishavaniya95@gmail.com  
 
Source of Monetary or Material Support  
Parul Sevashram Hospital Parul University PO Limda Tal Waghodia Dist Vadodara 391760 Gujarat State 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 
Dr Ayushi Mantri  Parul Sevashram Hospital  Parul Sevashram Hospital 2nd floor neurophysiotherapy department room no 201 post office limda taluka waghodia vadodara gujarat
Vadodara
GUJARAT 
09552059894

ayushimantri24@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Parul University Institutional ethics committee for human research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G968||Other specified disorders of central nervous system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Auditory Biofeedback with Bodyweight Support Treadmill Training with Conventional Rehabilitation   5 days per week for 3 weeks Harness with 30–40percent support start 0.5 mph 20 min progress to 2.5 mph 30 min by week 3 with auditory cues and therapist assistance as needed. 
Intervention  Visual Biofeedback with Bodyweight Support Treadmill Training with Conventional Rehabilitation   Bodyweight support treadmill training uses a treadmill with body-weight support and visual feedback. Training starts at 30–40percent support 0.5 mph for 20 min and progresses to less support 2.5 mph and 30 min by week 3 for 5days per week 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patient with a first-ever stroke of more than 3 months.
Both men and women who were older than 40 to 70 years.
Able to walk 3 m with or without ambulatory aids.
Patient who has a Mini-Mental State Examination score of more than 24.
 
 
ExclusionCriteria 
Details  Presence of significant medical complications or unstable vital signs that precluded participation in the study (orthopedic condition such as severe arthritis) fracture of the lower limb replacement arthroplasty of the lower limb.
Patient with cardiac diseases.
Movement disorder.
Hemiplegia due to Traumatic Brain Injury.
Significant cognitive deficits.
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Berg Balance Scale

 
3 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
10-Meter Walk Test
 
3 Weeks 
 
Target Sample Size   Total Sample Size="46"
Sample Size from India="46" 
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)   20/10/2025 
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  

Background
Stroke is a major cause of long-term disability frequently resulting in impaired balance, reduced gait speed, and functional dependence. Restoring independent walking is a key goal of rehabilitation in the subacute stage. Body-Weight Support Treadmill Training (BWSTT) is widely used as it provides task-specific, repetitive gait practice under safe conditions with partial unloading of body weight, thereby improving stepping ability and mobility. Despite these benefits, postural asymmetry and abnormal gait patterns often persist after BWSTT. Visual biofeedback, delivered through mirrors, can provide real-time information about posture and movement. This enhances self-awareness, facilitates motor learning, and promotes cortical reorganization, thereby helping patients achieve more symmetrical gait and better postural control.

Purpose
The purpose of this study is to evaluate the additive effect of visual biofeedback combined with BWSTT on balance and gait speed in subacute stroke patients. By integrating real-time feedback with treadmill-based gait training, this trial aims to determine whether the combined intervention accelerates recovery, improves walking performance, and enhances functional independence compared to BWSTT with auditory feedback.

 
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