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CTRI Number  CTRI/2026/01/101989 [Registered on: 23/01/2026] Trial Registered Prospectively
Last Modified On: 20/01/2026
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   Comparing virtual reality and watching movement videos for stroke recovery in people with depression 
Scientific Title of Study   Effect of virtual reality versus action observation therapy in post stroke survivors with depression- A randomized control 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 Sanjiv kumar 
Designation  Professor 
Affiliation  KLE institute of physiotherapy 
Address  KLEs Dr. Prabhakar Kore Hospital and Medical Research Center, Room no. 39, Sagar Floor, Advanced physiotherapy center, Department of Neurophysiotherpy, Belgaum, Karnataka

Belgaum
KARNATAKA
590010
India 
Phone  7624919304  
Fax    
Email  tejaswinipatrot@klekipt.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sanjiv kumar 
Designation  Professor 
Affiliation  KLE institute of physiotherapy 
Address  KLEs Dr. Prabhakar Kore Hospital and Medical Research Center, Room no. 39, Sagar Floor, Advanced physiotherapy center, Department of Neurophysiotherpy, Belgaum, Karnataka

Belgaum
KARNATAKA
590010
India 
Phone  7624919304  
Fax    
Email  tejaswinipatrot@klekipt.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Raghavendrasingh dharwadkar 
Designation  associate professor 
Affiliation  KLE institute of physiotherapy 
Address  KLEs Dr. Prabhakar Kore Hospital and Medical Research Center, Room no. 39, Sagar Floor, Advanced physiotherapy center, Department of Neurophysiotherpy, Belgaum, Karnataka

Belgaum
KARNATAKA
590010
India 
Phone  9886288225  
Fax    
Email  raghvendrasingh@klekipt.edu.in  
 
Source of Monetary or Material Support  
KLEs Dr. Prabhakar kore Hospital and Medical Research center 
 
Primary Sponsor  
Name  KAHER UNIVERSITY 
Address  KLEs Dr. Prabhakar Core Hospital and Medical Research Center  
Type of Sponsor  Research institution and hospital 
 
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 
Sanjiv kumar  KLEs Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi.  KLEs Dr. Prabhakar Kore Hospital and Medical Research Center, Room No. 39, Sagar Floor, Advanced Physiotherapy Centre, Department of Neurophysiotherapy, Belgaum, Karnataka. Belgaum KARNATAKA
Belgaum
KARNATAKA 
7624919304

tejaswinipatrot@klekipt.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Research and Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G819||Hemiplegia, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Action Observation therapy group  The session will be conducted by therapists trained in administering the protocol, the session will be of 40 mins, 3 times a week for 4 weeks, participants will have to come to the physiotherapy OPD for the same, where a video of different movements was shown to the patients via videography and then they were asked to perform the same movement along with conventional therapy for the same 
Comparator Agent  Mental imagery  MI protocol included the imagination of scenarios that are calming for the patients, which will be administered for 30 minutes and then followed by the conventional therapy protocol. Then they would be administered the same protocol for 4 weeks, 3 sessions per week 
Intervention  Virtual reality  Virtual reality protocol will be given via Head mounted device, where a video will play for 30 mins, which will include sceneries and a peaceful music for relaxation for 3 times a week for 4 weeks, which will be give along with conventional therapy. 
 
Inclusion Criteria  
Age From  25.00 Day(s)
Age To  75.00 Year(s)
Gender  Both 
Details  subjects with occurrence of first stroke, minimum time post onset of stroke should be 3 months

2. Diagnosed cases of Depression and evaluated by a Psychiatrist. Participants with a score of 11 to 16 on Becks Depression Inventory II will be recruited.

3. Vividness of mental image scale will be used at screening tool to assess patients ability to perform the mental imagery efficiently.

4. Montreal Cognitive assessment (MoCA) will be used to assess the cognitive ability and a minimum score of 26 or more will be recruited. 
 
ExclusionCriteria 
Details  1. Subjects with previous history or cases with presence of any diagnosed Psychiatric illness.

2. Subjects not willing to participate in the study and difficulty in comprehension.

3. Participants with history of associated Neurological or Orthopedics conditions.

4. Subjects with visual impairments or vestibular dysfunctions and recent eye surgeries will not be included in the study. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Centralized 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
BDI-2  10 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
Montreal Cognitive Assessment   10 minutes 
Stroke-specific quality of life  10 minutes 
Motor assessment scale  10 minutes 
 
Target Sample Size   Total Sample Size="74"
Sample Size from India="74" 
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 1/ Phase 2 
Date of First Enrollment (India)   15/02/2026 
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 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   Title: Effect of virtual reality versus action observation therapy in post-stroke survivors with depression - A randomised control trial 
  This study investigates the effect of virtual reality versus action observation therapy in post-stroke survivors with depression. Depression is a common psychological disorder that often accompanies post-stroke. Virtual reality and action observation therapy have shown successful improvement. Its immersive, multi-sensory approach can be beneficial in treating post-stroke depression.
This is an experimental interventional study involving 74 stroke survivors with at least one episode of stroke and a minimum time from the onset of stroke should be 3 months between the age group of 25-75 years conducted over 4 weeks. Participants will undergo a structured training protocol of duration of 3 sessions per week for 4 weeks, for 85 minutes.
The study aimed to evaluate the effectiveness of virtual reality and action observation therapy in reducing depression among stroke survivors.

 
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