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CTRI Number  CTRI/2026/04/108974 [Registered on: 21/04/2026] Trial Registered Prospectively
Last Modified On: 17/04/2026
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   Impact of Brain Gym Exercises on Memory, Attention, and Mental Awareness After Menopause. 
Scientific Title of Study   The Effect of Brain Gym in Domains of Cognition and Metacognition in Post-menopausal Women. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Abin Johnson 
Designation  Post Graduate Student 
Affiliation  Medical Trust Institute of Medical Sciences 
Address  MPT - Second Year, Department of Physiotherapy, 6th Floor, HOC Township Backside Road, Irumpanam

Ernakulam
KERALA
682309
India 
Phone  9562878809  
Fax    
Email  abythephysio@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Jerin K Issac 
Designation  Assistant Professor 
Affiliation  Medical Trust Institute of Medical Sciences  
Address  Department of Physiotherapy, HOC Township Backside Road, Irumpanam

Ernakulam
KERALA
682309
India 
Phone  7025946717  
Fax    
Email  mercyissac0@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Anila Paul 
Designation  Professor 
Affiliation  Medical Trust Institute of Medical Sciences 
Address  Department of Physiotherapy, HOC Township Backside Road, Irumpanam

Ernakulam
KERALA
682309
India 
Phone  04842843502  
Fax    
Email  mtimsbpt@medicaltrusthospital.in  
 
Source of Monetary or Material Support  
Medical Trust Institute of Medical Sciences, Kochi, Kerala, India - 682309 
 
Primary Sponsor  
Name  Medical Trust Institute of Medical Sciences 
Address  HOC Township Backside Road, Irumpanam, Kochi, Kerala, India - 682309 
Type of Sponsor  Research institution 
 
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 Jerin Issac  Association of Karunalayam  Ground Florr, Athani Mundapalam Rd, Kollamkudimugal Rd, Mundampalam, Kochi, Kerala 682021
Ernakulam
KERALA 
9562878809

abinjokottarathil@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Medical Trust 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: R418||Other symptoms and signs involvingcognitive functions and awareness,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Brain Gym Exercises  Brain Gym exercises are a set of simple, gentle, and structured physical movements designed to stimulate brain function by enhancing coordination between the brain and body. These exercises aim to improve attention, memory, learning ability, concentration, and self-regulation by promoting integration between the left and right hemispheres, as well as improving focus and emotional balance. Brain Gym activities typically involve cross-lateral movements, balance-based actions, breathing exercises, and relaxation techniques. They are easy to perform, require no special equipment, and can be adapted for different age groups. Due to their simplicity and safety, Brain Gym exercises are often used in educational, rehabilitative, and wellness settings to support cognitive performance and mental well-being. 5 sessions per week for 8 weeks 
Comparator Agent  Conventional Cognitive Protocol  Conventional Cognitive Protocol consists of walking and generalised lower limb self stretching for same treatment duration based on literature reviews.5 sessions per week for 8 weeks 
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  1.Postmenopausal women aged 50 to 65 years
2.Mild cognitive impaired with MoCA 18 to 25
3.Women with English proficiency
 
 
ExclusionCriteria 
Details  1.Diagnosed with any major neurological issues
2.Severe joint or muscle problems that limit movement
3.Uncontrolled heart disease, diabetes, or high blood pressure
4.Currently in another cognitive program, under or post chemotherapy or Whole brain radiation therapy.
5.Difficulty in walking independently or with minimal support.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Rey Auditory Verbal Learning Tool
Digit Span Test
Trial Making Test - B 
Baseline and Post Intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Metacognitive Awareness Inventory  Baseline and Post Intervention  
Nil  Nil 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   30/04/2026 
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="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   This study is designed to evaluate the effect of Brain Gym exercises on cognitive function and metacognitive awareness in post-menopausal women. Menopause-related changes may affect memory, attention, and mental awareness, which can impact daily functioning and quality of life. Brain Gym exercises are simple, movement-based activities that aim to improve brain–body coordination and mental performance.
In this interventional study, post-menopausal women with mild cognitive decline(MoCA score between 18 and 25)will participate in a structured Brain Gym exercise program for a 8 week duration. Cognitive function and metacognitive awareness will be assessed at baseline and after completion of the intervention using standardized assessment tools. The findings of this study may help establish Brain Gym exercises as a safe, non-invasive, and cost-effective approach for improving cognitive health in post-menopausal women.
 
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