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CTRI Number  CTRI/2024/07/069747 [Registered on: 01/07/2024] Trial Registered Prospectively
Last Modified On: 08/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect Of Cold Douche On Physical Exhaustion in Athletes 
Scientific Title of Study   Impact Of Cold Douche to Lower Extremities On Neuromuscular Fatigue in Athletes-A Randomized Control Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Kotresh Hiremath R 
Designation  PG student 
Affiliation  SDM College Of Naturopathy and Yogic Sciences 
Address  Department of Natural Therapeutics, SDM College Of Naturopathy and Yogic Sciences, Ujire, Belthangadi, Dakshina Kannada-574240 India

Dakshina Kannada
KARNATAKA
574240
India 
Phone  8277466588  
Fax    
Email  kotreshhm97@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kotresh Hiremath R 
Designation  PG student 
Affiliation  SDM College Of Naturopathy and Yogic Sciences 
Address  Department of Natural Therapeutics, SDM College Of Naturopathy and Yogic Sciences, Ujire, Belthangadi, Dakshina Kannada-574240 India

Dakshina Kannada
KARNATAKA
574240
India 
Phone  8277466588  
Fax    
Email  kotreshhm97@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Geetha B Shetty 
Designation  Dean Division of Nutrition and Dietetics Department 
Affiliation  SDM College Of Naturopathy and Yogic Sciences 
Address  Department of Nutrition and Dietetics, SDM College Of Naturopathy and Yogic Sciences, Ujire, Belthangadi, Dakshina Kannada-574240 India

Dakshina Kannada
KARNATAKA
574240
India 
Phone  9449714767  
Fax    
Email  gbsujire@gmail.com  
 
Source of Monetary or Material Support  
Sri Dharmasthala Manjunatheshwara Yoga and Nature Cure Hospital Shantivana, Dharmasthala, Belthangadi, Dakshina Kannada-574216 Karnataka India 
 
Primary Sponsor  
Name  Dr Kotresh Hiremath R 
Address  SDM College Of Naturopathy and Yogic Sciences, Ujire, Belthangadi, Dakshina Kannada-574240 
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 
Dr Kotresh Hiremath R  Shri Dharmasthala Manjunatheshwara Yoga and Nature cure Hospital Shanthivana  COE,Department of Natural Theuraputics,Shanthivana, Dharmasthala,Belathangadi, Dakshina Kannada-574216 Karnataka India
Dakshina Kannada
KARNATAKA 
8277466588

kotreshhm97@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Dharmasthala Manjunatheshwara College of Naturopathy and Yogic Sciences Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Athletes 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Activity followed by Cold Douche to lower extremities  Subjects will be asked to undergo treadmill running this is followed by cold douche to lower extremities. The intervener stands holding the nozzle of the apparatus at a distance of 3.5 meters away from the subject and directs the single column of cold water of temperature 18°C to 24℃ with pressure of 40lbs towards both the lower extremities covering all the muscles of lower limb Duration- 5 minutes 
Comparator Agent  Supine rest  Subjects will be asked to undergo treadmill running this is followed by supine rest. Subjects are asked to relax for a Duration of 5 minutes 
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  1.Age: 16 – 25 years
2.Subjects who are willing to participate in the study
3.Gender: Male and Female
4.Athletes
 
 
ExclusionCriteria 
Details  1.Open wounds
2.Subjects not willing to participate in the study
3.Chronic Fatigue Syndrome (CFS)
4.Medical illness with medications
5.Smokers
6.Recent injuries and neuromuscular disorders
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Electromyographic variables
1 Root Mean Square(RMS) and
2 Integral of EMG  
Baseline ,5 minutes post-intervention 
 
Secondary Outcome  
Outcome  TimePoints 
To quantify the changes in Maximum Voluntary Contraction (MVC)  Bseline , 5 minutes post-intervention 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   15/07/2024 
Date of Study Completion (India) 30/03/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 30/03/2025 
Estimated Duration of Trial   Years="0"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
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
Modification(s)  
Previous studies on cold applications have demonstrated the extensive beneficial effect of cold water as a recovery strategy to overcome the acute neuromuscular fatigue and prevent sports injuries, thus improving the performance of the athletes in further competitions. Hence this study is designed to see the effect of cold douche on improving neuromuscular fatigue and muscle activity in the most active lower extremity muscles among the athletes 
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