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CTRI Number  CTRI/2023/10/059141 [Registered on: 26/10/2023] Trial Registered Prospectively
Last Modified On: 25/10/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   A study to find out to different physiotherapy exercise on balance and gait in subacute stroke patients - a comparative study 
Scientific Title of Study   A study to find out the effect of square stepping exercise versus backward walking on balance and gait analysis in subacute stroke patients - a comparative 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  Princee Ashwinbhai Bhanderi  
Designation  Post Graduate student 
Affiliation  School of Physiotherapy, RK University. 
Address  School of Physiotherapy, RK University, Kasturbadham, Rajkot-Bhavnagar Highway, Rajkot, Gujarat, India

Rajkot
GUJARAT
360020
India 
Phone  9798434343  
Fax    
Email  pbhanderi268@rku.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Hiral Mehta 
Designation  MPT in Neuromuscular Science 
Affiliation  School of Physiotherapy, RK University. 
Address  School of Physiotherapy, RK University, Kasturbadham, Rajkot-Bhavnagar Highway, Rajkot, Gujarat, India

Rajkot
GUJARAT
360020
India 
Phone  7600801186  
Fax    
Email  hiral.mehta@rku.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Hiral Mehta 
Designation  MPT in Neuromuscular Science 
Affiliation  School of Physiotherapy, RK University. 
Address  School of Physiotherapy, RK University, Kasturbadham, Rajkot-Bhavnagar Highway, Rajkot, Gujarat, India


GUJARAT
360020
India 
Phone  7600801186  
Fax    
Email  hiral.mehta@rku.ac.in  
 
Source of Monetary or Material Support  
School of Physiotherapy, RK University. 
 
Primary Sponsor  
Name  Princee Ashwinbhai Bhanderi 
Address  School of Physiotherapy, RK University, Kasturbadham, Rajkot-Bhavnagar Highway, Rajkot, Gujarat, India 
Type of Sponsor  Other [Self ] 
 
Details of Secondary Sponsor  
Name  Address 
School of Physiotherapy RK University  School of Physiotherapy, RK University, Kasturbadham, Rajkot-Bhavnagar Highway, Rajkot, Gujarat, India 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Princee Bhanderi PT  RK Physiotherapy and Rehabilitation Research Center  Room no 1, Opp. Meghani Rang bhavan, 80 feet Road, Bhakti Nagar Cir, Rajkot, Gujarat 360002
Rajkot
GUJARAT 
9798434343

pbhanderi268@rku.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee, School of Physiotherapy,RK Univesity  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G811||Spastic hemiplegia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Backward Walking   Backward Walking and Conventional Physiotherapy will be given 5 times a week for 3 weeks 
Intervention  Square Stepping exercise   Square Stepping Exercise and Conventional Physiotherapy will be given 5 times a week for 3 weeks 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Age: 30 to 70 years
Gender: Both male and female
Individuals with subacute stroke
Individuals who are radiologically diagnosed with stroke
Individuals who have completed the Timed Up and Go Test in less than 20 seconds
Individuals who are capable of walking independently
 
 
ExclusionCriteria 
Details  Visual, auditory and vestibular impairments
Individuals who are not willing to participate
Individuals who are not capable of walking independently
Patients who have cognitive and perceptual impairments
Recent fracture or surgery of lower limb
Unstable cardiovascular conditions
Other balance disorders
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Performance Oriented Mobility
Assessment Scale 
At baseline and after 3 weeks of intervention  
 
Secondary Outcome  
Outcome  TimePoints 
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   Phase 1 
Date of First Enrollment (India)   10/11/2023 
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="0"
Months="3"
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   Title: A Study to Find Out the Effect of Square Stepping Exercise and Backward Walking on Balance and Gait Analysis in Subacute Stroke Patients – A Comparative Study

Investigator: Dr. Princee Bhanderi; PT, Dr. Hiral Mehta; MPT, School of Physiotherapy RK University.

Background: The term stroke is defined as the sudden demise of certain brain cells due to oxygen deprivation, caused by an interruption of the blood flow through an arterial blockage or rupture. Square stepping exercise involves moving in specific patterns resembling the shape of a square. During the square stepping exercise, individuals step forward, sideways, and diagonally, following the predetermined path on the ground. Backward walking involves walking in reverse, which challenges the body’s proprioceptive pathways. Performance Oriented Mobility Assessment developed by Tinetti provides a  reliable measure of balance and gait. The total score for the balance assessment is 16, the total score for the gait assessment is 12 and the total test score is 28.

Method: A total 30 subacute stroke patients will be selected as per inclusion and exclusion criteria by purposive sampling from various physiotherapy centers in and around Jamnagar and Rajkot. After taking consent and assessment of all subjects they will be divided into 2 groups, group A and group B. Afterwards, gait and balance will be measured in both groups by the Tinetti Performance Oriented Mobility Assessment. Square Stepping Exercise 5 times a week for 3 weeks, will be given to group A and Backward Walking 5 times a week for 3 weeks, will be given to group B. The outcome measure will be taken on the first day of the first week and the last day of the third week. The pre and post-data of the outcome measures will be assessed using SPSS.

 
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