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CTRI Number  CTRI/2026/01/102429 [Registered on: 29/01/2026] Trial Registered Prospectively
Last Modified On: 29/01/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of Graded Motor Imagery for patient recovery after Anterior Cruciate Ligament reconstruction 
Scientific Title of Study   Effect of Graded Motor Imagery for Enhanced Recovery in rehabilitation of individuals after Anterior Cruciate Ligament Reconstruction on Pain, Mobility, Kinesiophobia, Mental imagery ability and Functions: A Randomized Controlled Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rutuja Phadke 
Designation  Assistant Professor 
Affiliation  Bharati Vidyapeeth (Deemed to University) 
Address  Bharati Vidyapeeth (Deemed to be University), School of Physiotherapy, Sangli

Sangli
MAHARASHTRA
416410
India 
Phone  8669155407  
Fax    
Email  rutuja.phadke9@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rutuja Phadke 
Designation  Assistant Professor 
Affiliation  Bharati Vidyapeeth (Deemed to University) 
Address  Bharati Vidyapeeth (Deemed to be University), School of Physiotherapy, Sangli

Sangli
MAHARASHTRA
416410
India 
Phone  8669155407  
Fax    
Email  rutuja.phadke9@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rutuja Phadke 
Designation  Assistant Professor 
Affiliation  Bharati Vidyapeeth (Deemed to University) 
Address  Bharati Vidyapeeth (Deemed to be University), School of Physiotherapy, Sangli

Sangli
MAHARASHTRA
416410
India 
Phone  8669155407  
Fax    
Email  rutuja.phadke9@gmail.com  
 
Source of Monetary or Material Support  
Bharati Vidyapeeth Medical College and Hospital, Sangli-Miraj Road, Wanleswadi, Sangli Maharashtra, India- 416416 
 
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 Rutuja Phadke  Bharati Vidyapeeth (Deemed to University)  OPD no. 18, Orthopedic Physiotherapy department, Bharati Vidyapeeth Medical College and Hospital, Sangli-Miraj Road, Wanleswadi, Sangli Maharashtra, India- 416416
Sangli
MAHARASHTRA 
08669155407

rutuja.phadke9@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Bharati Vidyapeeth (Deemed to by University) Medical college % Hospital, Sangli  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M968||Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Graded Motor Imagery and Standard Rehabilitation  GMI aims to facilitate cortical reorganization via neuroplasticity, gradually activating motor cortical areas and reducing disinhibition to decrease pain and improve movement. 
Comparator Agent  Standard rehabilitation  Standard Pre operative and Post operative rehabilitation will be given to both the groups 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1) All gender Aged 18- 45.
2) Individuals with a confirmed diagnosis of Grade 2 or Grade 3 ACL tear on MRI and who are scheduled for reconstructive surgery.
3) Individuals who opted for Spinal anesthesia during the surgical procedure.
4)Able to follow verbal instructions and cognitively engage with imagery techniques (Clinician judgment)
 
 
ExclusionCriteria 
Details  1. Not willing to participate
2. Visual or cognitive impairments that preclude engagement in GMI tasks
3. Non-compliance with rehab protocols or inability to attend follow-up sessions
4. Uncontrolled systemic illness or comorbidities
(e.g., uncontrolled diabetes, severe cardiac or respiratory disease)
5. Severe psychiatric illness (e.g., psychosis, major depression) that may interfere with participation
6. History of previous lower limb injury/ trauma.
 
 
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 
Pain, Range of motion, Kinesiophobia, Motor imagery ability, Functions  at baseline 3 weeks 3 months  
 
Secondary Outcome  
Outcome  TimePoints 
Quadriceps & Hamstring Strength,Postural Stability, Length of Hospital Stay, Patient Satisfaction  at baseline 3 weeks 3 months 
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
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 4 
Date of First Enrollment (India)   11/02/2027 
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="2"
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  

Individuals diagnosed with ACL injury and scheduled for reconstructive surgeries will be screened for eligibility using inclusion and exclusion criteria. The study procedures will be explained to the participants and informed consent will be obtained. The demographic data and all the baseline outcome measures will be assessed. All the participants will then be divided into two groups using computer-generated randomization sequence number table. The intervention group will receive Graded motor imagery in addition to the traditional rehabilitation (GMI: 2 week preoperative, perioperative and 3 week postoperative plus Traditional rehabilitation: 2 week preoperative, 3 peek post operative and home exercise program till 3 month follow up)whereas group B will only receive Standard Rehabilitation Traditional rehabilitation: 2 week preoperative, 3 peek post operative and home exercise program till 3 month follow up) The outcome measures will be assessed at 3 timeframes. Baseline;  At 5 week (3week post op) and ; 3 month follow up. The home exercise program will be monitored by Telephonic follow up and home diary. Any adverse events will be managed by qualified personnel, and appropriate care will be provided if required

 
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