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CTRI Number  CTRI/2019/08/020969 [Registered on: 29/08/2019] Trial Registered Prospectively
Last Modified On: 02/03/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Effect of electrical stimulation in facial deviation after stroke 
Scientific Title of Study   Effect of transcutaneous electrical nerve stimulation on facial asymmetry in acute ischemic middle cerebral artery syndrome – a single blinded 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  Zalino Paphino 
Designation  Post graduate student  
Affiliation  Nitte Institute of Physiotherapy 
Address  Room no 1, Department of Physiotherapy, Ground floor, Nitte Institute of Physiotherapy, Nithyananda Nagar, Deralakatte, Mangalore

Dakshina Kannada
KARNATAKA
575018
India 
Phone  8001387797  
Fax    
Email  zalipaphino@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sukumar S 
Designation  Assistant Professor 
Affiliation  Nitte Institute of Physiotherapy 
Address  Room no 1, Department of Physiotherapy, Ground floor, Nitte Institute of Physiotherapy, Nithyananda Nagar, Deralakatte, Mangalore

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9611839013  
Fax    
Email  suku729@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Zalino Paphino 
Designation  Post graduate student 
Affiliation  Nitte Institute of Physiotherapy 
Address  Room no 1, Department of Physiotherapy, Ground floor, Nitte Institute of Physiotherapy, Nithyananda Nagar, Deralakatte, Mangalore

Dakshina Kannada
KARNATAKA
575018
India 
Phone  8001387797  
Fax    
Email  zalipaphino@gmail.com  
 
Source of Monetary or Material Support  
Zalino Paphino Address: Nitte Institute of Physiotherapy, Office room, Ground floor, Nithyananda Nagar, Deralakatte, Mangalore- 575018 
 
Primary Sponsor  
Name  Zalino Paphino 
Address  Nitte Institute of Physiotherapy, Deralakatte, Mangalore, Karnataka 
Type of Sponsor  Other [Self] 
 
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 
Zalino Paphino  Justice KS Hegde Charitable Hospital  Department of Physiotherapy, Basement 2, Room no. 20, NITTE University, Deralakatte, Mangalore.
Dakshina Kannada
KARNATAKA 
8001387797

zalipaphino@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS 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 
Comparator Agent  Traditional Facial Exercises  Facial exercises and massage techniques for decreasing the facial asymmetry for 10 minutes 
Intervention  Transcutaneous Electrical Nerve Stimulation  An electrical instrument for stimulation of nerves 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Participants diagnosed with acute MCA stroke
Participants with the evidence of contra lateral lower quadrant facial palsy
Patients willing to participate
 
 
ExclusionCriteria 
Details  Uncooperative patients
Participants with cognitive impairments
Participants with contraindications of TENS like
Altered sensation
Skin infections
Active tumors
- Over mucosal surfaces
- Over the eyes
- Person with Arterial or venous diseases
- Pregnancy 
 
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 
House Brackmann Scale  First day and at the end of two weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Sunnybrook Facial Grading System   First day and at the end of two weeks 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "30"
Final Enrollment numbers achieved (India)="30" 
Phase of Trial   N/A 
Date of First Enrollment (India)   03/09/2019 
Date of Study Completion (India) 20/02/2020 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The purpose of the study is to compare the effect of Transcutaneous Electrical Nerve Stimulation and facial exercises with the effect of exercises alone in post stroke facial asymmetry. According to literature search, there is a lack of literature of effectiveness of Transcutaneous Electrical Nerve Stimulation on the facial weakness post stroke. Hence, this study has been taken up. Patients will be allocated into groups I and II. Patients in both groups will be taught facial exercises whereas patients in group I will be given additional Transcutaneous Electrical Nerve Stimulation. Outcome measures will be taken on the first day and at the end of two weeks. Participants will be treated once a day,six times a week.

  
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