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CTRI Number  CTRI/2024/07/071757 [Registered on: 31/07/2024] Trial Registered Prospectively
Last Modified On: 08/07/2024
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   Effects of Pranayama versus Respiratory Muscle Releasing Technique and Respiratory muscle Coordination/ Facilitation Technique on heart and lung Function in Patients with extended stroke.  
Scientific Title of Study   Effects of Pranayama versus Diaphragmatic Releasing Technique and Respiratory Proprioceptive Neuromuscular Facilitation Technique on Cardiorespiratory Function in Patients with Subacute Stroke: A non-randomized 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  Shweta M Vayal 
Designation  Post graduate 
Affiliation  MGM school of physiotherapy 
Address  MGM Institute of health science MGM School of Physiotherapy Sector 1, plot no 1 and 2, Neuro-physiotherapy department, OPD no 55 Kamothe, Navi Mumbai, India.

Raigarh
MAHARASHTRA
410209
India 
Phone  8779654235  
Fax    
Email  shwetavayal05@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amrita Ghosh 
Designation  Head of department of neuro physiotherapy 
Affiliation  MGM school of physiotherapy, MGM SCHOOL OF PHYSIOTHERAPY, NAVI MUMBAI 
Address  MGM Institute of health science MGM School of Physiotherapy Sector 1, plot no 1 and 2, Neuro-physiotherapy department, physiotherapy school building, OPD no 55, Kamothe, Navi Mumbai, India.

Raigarh
MAHARASHTRA
410209
India 
Phone  02227437866  
Fax    
Email  aghosh@mgmsopnm.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Amrita Ghosh 
Designation  Head of department of neuro physiotherapy 
Affiliation  MGM school of physiotherapy, MGM SCHOOL OF PHYSIOTHERAPY, NAVI MUMBAI 
Address  MGM Institute of health science MGM School of Physiotherapy Sector 1, plot no 1 and 2, Neuro-physiotherapy department, physiotherapy building, OPD no 55, Kamothe, Navi Mumbai, India.

Raigarh
MAHARASHTRA
410209
India 
Phone  02227437866  
Fax    
Email  aghosh@mgmsopnm.edu.in  
 
Source of Monetary or Material Support  
MGM School of Physiotherapy, MGM Institute of Health Sciences Address- MGM School of Physiotherapy Sector 1, plot no 1 and 2, Kamothe, Navi Mumbai, Maharashtra, India.  
 
Primary Sponsor  
Name  MGM School of Physiotherapy 
Address  MGM School of Physiotherapy MGM Institute of Health Sciences Address- MGM School of Physiotherapy Sector 1, plot no 1 and 2, Kamothe, Navi Mumbai, Maharashtra, India.  
Type of Sponsor  Research institution and hospital 
 
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 Amrita Ghosh  MGM institute of health sciences, Navi Mumbai.  Department of MGM School of Physiotherapy, MGM Institute of health science, OPD room no 55, Sector 1, plot no 1 and 2, Kamothe, Navi Mumbai, Maharashtra 410209.
Raigarh
MAHARASHTRA 
02227437866

aghosh@mgmsopnm.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE. MAHATMA GANDHI MISSIONS DENTAL COLLEGE AND HOSPITAL  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I638||Other cerebral infarction,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Effects of Pranayama versus Diaphragmatic Releasing Technique and Respiratory Proprioceptive Neuromuscular Facilitation Technique on Cardiorespiratory Function in Patients with Subacute Stroke.  26 subacute stroke patients that will be recruited of which 13 subacute stroke patients will be practising Diaphragmatic Releasing Technique and Respiratory Proprioceptive Neuromuscular Facilitation Technique for 6 weeks under guidance of the therapist for the project on subacute stroke patients. Pre and post assessment with primary outcome as pulmonary function test and secondary outcome measures as vitals and questionnaire will be used. The data will be studied and compared with interventional group that is Pranayama for better results and effects on cardiorespiratory function in subacute stroke individuals. 
Intervention  Effects of Pranayama versus Diaphragmatic Releasing Technique and Respiratory Proprioceptive Neuromuscular Facilitation Technique on Cardiorespiratory Function in Patients with Subacute Stroke.  26 subacute stroke patients will be recruited for the study, out of which 13 subacute stroke patients will be practising pranayama technique for 6 weeks under guidance of the therapist for the project on subacute stroke patients. Pre and post assessment with primary outcome as pulmonary function test and secondary outcome measures as vitals and questionnaire will be used. The data will be studied and compared with comparator group that is respiratory Diaphragmatic Releasing Technique and Respiratory Proprioceptive Neuromuscular Facilitation Technique for better results and effects on cardiorespiratory function in subacute stroke individuals.  
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Subacute stroke patients with respiratory and cardiovascular muscle weakness
Patients with Ischemic stroke
Both male and female patients
On pre-assessment - patient who will be scoring less on Borg scale for dyspnoea
On pre-assessment - patient who will be scoring less on Fatigue assessment scale
Minimum functional ability
Patient who can perform sitting independently
 
 
ExclusionCriteria 
Details  Known case of other cardiorespiratory complications like COPD and chronic bronchitis
Stroke patients with severe cognition impairment
Patients who are severely hypertensive Patients who are hypertensive even after medications
Patients already practising pranayama and other yogic training
As there will be significant improvement in patients previously practising yoga
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Respiratory rate
Heart rate
Blood pressure
Chest expansion
Chest excursion
Pulmonary function test
 
Baseline and six weeks
 
 
Secondary Outcome  
Outcome  TimePoints 
Fatigue assessment scale
Borg scale for dyspnoea
Functional independence score.
 
Baseline and six weeks 
 
Target Sample Size   Total Sample Size="26"
Sample Size from India="26" 
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)   19/08/2024 
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 Applicable 
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   The primary focus of this study is to understand the impact of two distinct techniques, namely 6 weeks Pranayama and the Diaphragmatic Release Technique combined with the Respiratory PNF Technique, on individuals with  subacute stroke. This research will examine outcome measures such as  Respiratory rate, Heart rate, Blood pressure, Chest expansion, Chest excursion, Fatigue assessment scale, Borg scale for dyspnea, Pulmonary function test, and Functional independence score, as both pre and post-intervention evaluation metrics. This study holds significant promise in shedding light on the potential benefits and effectiveness of these techniques in improving the overall respiratory health and functional independence of individuals with subacute stroke 
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