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Clinical Trials/CTRI/2025/09/095508
CTRI/2025/09/095508
Not yet recruiting
Not Applicable

The effectiveness of scapular stabilization exercises on upper extremity and hand motor function in subacute stroke patients: A Randomized Controlled Trial.

Dr Neha Burange1 site in 1 country44 target enrollmentStarted: October 9, 2025Last updated:
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Overview

Phase
Not Applicable
Status
Not yet recruiting
Sponsor
Dr Neha Burange
Enrollment
44
Locations
1
Primary Endpoint
WFMT (Wolf motor function test)
OverviewStudy DesignEligibility CriteriaOutcomesInvestigatorsSitesRecords & IdentifiersSimilar Trials

Overview

Brief Summary

TitleThe effectiveness of scapular stabilization exercises on upper extremity and hand motor function in subacute stroke patients: A Randomized Controlled Trial

Background

  • Stroke is a leading cause of disability, with many survivors developing upper limb dysfunction.
  • Weakness of scapular stabilizers alters shoulder mechanics, reducing motor control and functional ability.
  • Early rehabilitation (within 6 months) is critical due to higher neuroplasticity.

ObjectiveTo evaluate whether 4 weeks of scapular stabilization exercises improve upper extremity and hand motor function in subacute stroke patients.

Hypothesis

  • Null (H0): No significant effect of scapular stabilization exercises.
  • Alternate (H1): Significant improvement in upper extremity and hand motor function.

Methods

  1. Design: Randomized controlled trial, double-blinded.
  2. Sample size: 44 patients (22 per group).
  3. Population: First-ever stroke, 1–6 months, age 40–80 years, no severe cognitive impairment.
  4. Groups:
  • Experimental: Scapular stabilization + conventional physiotherapy.
  • Control: Conventional physiotherapy only.
  • Both: 30 minutes, 5 days/week, for 4 weeks.
  1. Outcome measures:
  • Wolf Motor Function Test (WMFT) – upper extremity motor function.
  • Chedoke Arm and Hand Activity Inventory (CAHAI) – hand motor function.
  1. Analysis: Normality check (Shapiro-Wilk). T-tests or non-parametric equivalents (Wilcoxon, Mann-Whitney) using SPSS.

Intervention Details

  • Experimental group: Scapular exercises (protraction/retraction, elevation/depression, rotation, wall push-ups).
  • Control group: Conventional arm/shoulder mobility and functional exercises (supine, sitting, standing).

Expected Outcomes

  • Scapular stabilization will improve scapular control, enhance shoulder mobility, and positively impact upper limb and hand motor recovery compared to conventional therapy alone.

Significance

  • Provides evidence for incorporating scapular stabilization in subacute stroke rehabilitation.
  • May optimize functional recovery by targeting scapular mechanics early during the neuroplastic window.

Study Design

Study Type
Interventional
Allocation
Other
Masking
Participant and Investigator Blinded

Eligibility Criteria

Ages
40.00 Year(s) to 80.00 Year(s) (—)
Sex
All

Inclusion Criteria

  • •First ever occurence of stroke 1 to 6 months 2.clinically pre diagnosed ischemic and hemorrhagic stroke
  • •No severe cognitive impairment 4.Both left and right sided hemiplegia.

Exclusion Criteria

  • •Recent cervical injury
  • •Hand deformity
  • •Non-ambulatory patients
  • •Visual Field deficits
  • •Psychological problem.

Outcomes

Primary Outcomes

WFMT (Wolf motor function test)

Time Frame: 4 weeks

Secondary Outcomes

  • CAHAI (Chedoke arm and hand activity inventory)(4 weeks)

Investigators

Sponsor
Dr Neha Burange
Sponsor Class
Other [Other (self)]
Responsible Party
Principal Investigator
Principal Investigator

Dr Neha Burange

YMT College of Physiotherapy, kharghar

Study Sites (1)

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