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CTRI Number  CTRI/2026/03/106405 [Registered on: 17/03/2026] Trial Registered Prospectively
Last Modified On: 17/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Study to find which physiotherapy method is better for improving arm use and daily activities after stroke 
Scientific Title of Study   Effectiveness of Action Observation Treatment versus Modified Constraint Induced Movement Therapy on Improving Upper Limb Function in Subacute Stroke Patients: A Quasi-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  GUDITI SHRUTI 
Designation  Postgraduate Student MPT 
Affiliation  MALLA REDDY UNIVERSITY 
Address  Room No. 4305, Department of Physiotherapy, School of Allied Health Sciences, Malla Reddy University, Maisammaguda, Bhadurpalle, Hyderabad, Telangana – 500100, India.

Hyderabad
TELANGANA
500100
India 
Phone  8106911579  
Fax    
Email  2421PT010045@mallareddyuniversity.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  GUDITI SHRUTI 
Designation  Postgraduate Student MPT 
Affiliation  MALLA REDDY UNIVERSITY 
Address  Room No. 4305, Department of Physiotherapy, School of Allied Health Sciences, Malla Reddy University, Maisammaguda, Bhadurpalle, Hyderabad, Telangana – 500100, India.

Hyderabad
TELANGANA
500100
India 
Phone  8106911579  
Fax    
Email  2421PT010045@mallareddyuniversity.ac.in  
 
Details of Contact Person
Public Query
 
Name  GUDITI SHRUTI 
Designation  Postgraduate Student MPT 
Affiliation  MALLA REDDY UNIVERSITY 
Address  Room No. 4305, Department of Physiotherapy, School of Allied Health Sciences, Malla Reddy University, Maisammaguda, Bhadurpalle, Hyderabad, Telangana – 500100, India.

Hyderabad
TELANGANA
500100
India 
Phone  8106911579  
Fax    
Email  2421PT010045@mallareddyuniversity.ac.in  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Malla Reddy College of Physiotherapy (SOAHS) 
Address  Department Of Physiotherapy, SOAHS, Maisammaguda, Bhadurpalle, Hyderabad, Telangana 500100 
Type of Sponsor  Private medical college 
 
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 Chandrika Adi PT  MALLA REDDY HOSPITAL  Department of General Medicine Male and Female Medicine IP Wards, Male Medicine IP Rooms No. 2301, 4302 Female Medicine IP Rooms No. 101, 102, Malla Reddy Hospital, Venkatarama Colony, Suraram,Hyderabad, Telangana – 500055, India
Hyderabad
TELANGANA 
8688387639

adi.chandrika@mallareddyuniversity.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committe Malla Reddy Institute Of Medical Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I639||Cerebral infarction, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Action Observation Treatment  Participants observe videos demonstrating task-oriented upper limb activities and subsequently perform the observed movements under therapist supervision. The intervention focuses on improving motor learning and upper limb function in subacute stroke patients for 5 days per week for 4 weeks, Total duration is One month 
Comparator Agent  Modified Constraint Induced Movement Therapy  Participants undergo modified constraint induced movement therapy where the unaffected upper limb is restrained for a specified period while performing repetitive task-oriented training using the affected upper limb to improve motor function for 5 days per week for 4 weeks, Total duration is One month 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1 Patients with a confirmed diagnosis of subacute stroke 1 week to 6 months
2 Both Sexes and age between 30 to 80 years
3 Brunnstorm Stage 2 to 5 for the affected upper limb
4 Spasticity should be smaller than or equal to grade 3 in Modified Ashworth Scale
5 Patients should be able to understand and follow simple commands and no severe cognitive imairement Mini mental state Examination score more than or equal to 24
Hearing and visual acuity 20 by 20 to 20 by 80 that is normal to mild impairement with aids 
 
ExclusionCriteria 
Details  1 Completely Flaccid Upper limb with no voluntary movements Fugl Meyer Assessment Upper Extremity less than or equal to 20
2 Patients with recurrent strokes leading to bilateral limb involvement
3 Dementia Severe Depression or other neurological disorders affecting motor learning
4 severe neglect Visual field Deficits or inability to observe movements properly
5 Uncontrolled Cardiovascular diseases or Orthopedic conditions or other systemic illnesses limiting participation
6 Patients who have undergone intensive rehabilitation programs within the last 3 months  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Fulg Meyer Assessment-Upper Extremity  Baseline (0 week),Post- Intervention (4 weeks) 
 
Secondary Outcome  
Outcome  TimePoints 
Functional Independence Measure  Baseline (0 week)
Post- Intervention (4 weeks) 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   N/A 
Date of First Enrollment (India)   29/03/2026 
Date of Study Completion (India) 30/04/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)   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   Participants included in this study are individuals diagnosed with subacute stroke presenting with unilateral upper limb motor impairment At baseline demographic characteristics such as age and gender will be recorded Clinical characteristics including duration of stroke and level of motor impairment and baseline upper limb functional status will be assessed using standardized outcome measures before the initiation of interventions 
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