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CTRI Number  CTRI/2024/06/069013 [Registered on: 18/06/2024] Trial Registered Prospectively
Last Modified On: 15/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda
Other (Specify) [marma therapy]  
Study Design  Single Arm Study 
Public Title of Study   Role of Marma Therapy in Mangement of Pain and Stiffness of Shoulder Joint 
Scientific Title of Study   Evaluating the efficacy of Marma Therapy in Post traumatic pain and stiffness of Shoulder Joint 
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 Neelam Dhabhai 
Designation  MD SCHOLAR 
Affiliation  Post graduation institute of Ayurveda, jodhpur 
Address  PG Department of Rachana Sharir Post Graduate Institute of Ayurveda, Dr Sarvepalli Radhakrishnan Rajasthan Ayurved University Campus Kadvad Jodhpur Rajasthan India Jodhpur RAJASTHAN

Jodhpur
RAJASTHAN
342037
India 
Phone  9784245742  
Fax    
Email  dhabhaineelam28@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR NEELAM DHABHAI 
Designation  MD SCHOLAR 
Affiliation  Post graduation institute of Ayurveda, jodhpur 
Address  PG Department of Rachana Sharir Post Graduate Institute of Ayurveda, Dr Sarvepalli Radhakrishnan Rajasthan Ayurved University Campus Kadvad Jodhpur Rajasthan India Jodhpur RAJASTHAN

Jodhpur
RAJASTHAN
342037
India 
Phone  9784245742  
Fax    
Email  dhabhaineelam28@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prof Mahandra Sharma 
Designation  Head of Department 
Affiliation  Post graduation institute of Ayurveda, jodhpur 
Address  PG Department of Rachana Sharir Post Graduate Institute of Ayurveda, Dr Sarvepalli Radhakrishnan Rajasthan Ayurved

Jodhpur
RAJASTHAN
342037
India 
Phone  9166191561  
Fax    
Email  Vdmahendrasharma@gmail.com  
 
Source of Monetary or Material Support  
Post Graduate Institute of Ayurveda,Jodhpur(Rajasthan, India) 342037 
 
Primary Sponsor  
Name  Post Graduate Institute of Ayurveda 
Address  PG Department of Kaumarbhritya Post Graduate Institute of Ayurveda, Dr Sarvepalli Radhakrishnan Rajasthan Ayurved University Campus Kadvad Jodhpur Rajasthan India Jodhpur RAJASTHAN 342037 India 
Type of Sponsor  Government medical college 
 
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 Neelam Dhabhai  Post Graduate institute of ayurveda  Pg department rachana sharir, opd num. 11, Dr Sarvepalli Radhakrishnan Rajasthan Ayurveda University, Jodhpur, Rajasthan Jodhpur RAJASTHAN
Jodhpur
RAJASTHAN 
9784245742

dhabhaineelam28@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee PGIA Jodhpur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M259||Joint disorder, unspecified. Ayurveda Condition: ABIGHATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-marmacikitsA, मर्मचिकित्सा (Procedure Reference: Susruth Sharir 6/16,6/37, Procedure details: PROCEDURE (SOP)- MARMA THERAPY The patient will be made to sit on the chair in comfortable position. Stimulation of each Marma point will be done at least 18 times by applying constant tolerable pressure of .8s (cardiac cycle)followed by relaxation in a constant rhythamic pattern.The same procedure will be done 3 times daily. Patient will be advised to take complete rest for 10 minutes in a comfortable manner. Duration: Usually 18 minutes)
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Willing to participate and is diagnosed with
post traumatic shoulder injury. 
 
ExclusionCriteria 
Details  1.Tuberculosis of shoulder joint.
2.Sprengel’s shoulder (Congenital elevation of the scapula)
3.Non – traumatic conditions and systemic disorders.
4.Female patients having pregnancy, breast feeding period and delivery
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Marma Therapy will be effective to ameliorate post traumatic pain and stiffness of shoulder joint.
 
45 DAYS
 
 
Secondary Outcome  
Outcome  TimePoints 
Marma Therapy will be provide a safe and effective treatment  45 DAYS 
 
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 3/ Phase 4 
Date of First Enrollment (India)   26/06/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  26/06/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
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  
Materials and Methods:
The study will be conducted through three main approaches:
Review of Ayurvedic Literature: Literary references will be collected from Ayurveda classics, commentaries, modern literature, PubMed, Google Scholar, and Ayush research
journals. Previous research work and internet sources will also be analyzed.
Cadaveric Study: Dissection will be performed at the region of Amsa pradesh Marma in the PG department of Sharira Rachana, University college of Ayurveda, Jodhpur (Raj). The
structures related to the Marma will be identified, analyzed, and compared with Ayurvedic literature and contemporary sciences.
Clinical Study: A clinical trial involving 30 patients diagnosed with post traumatic injuries on the shoulder joint will be conducted. The patients will receive Marma therapy on the
amsa pradesha Marma. The patients’ progress will be monitored with regular follow-ups every 7 days for a total trial duration of 45 days.
Aims and Objectives:
The primary objectives of this study are as follows:
To comprehensively study Marma Shareera, particularly focusing on Amsa pradesh Marma.
To explore the Vaikalyakara Marma in detail and analyze it in the context of regional and applied anatomy as described in contemporary science.
To perform a cadaveric dissection to study the structures related to amsa pradesh Marma.
To compare the anatomical changes that occur at Amsa Sandhi after severe traumatic injuries with the Granthokta Viddha Lakshanan of Amsa Marma.
To evaluate the therapeutic effect of Marma therapy in managing common sports injuries.
STUDY DESIGN:-
Study type-Single arm clinical trial.
Interventional model- one group
Allocation- Randomized
Masking- Open level
Purpose- Pain and stiffness management.
Timing- 3Months
End point- Efficacy
Group – one
PROCEDURE (SOP)-
MARMA THERAPY
• The patient will be made to sit on the chair in comfortable position.
• Stimulation of each Marma point will be done at least 18 times by applying constant tolerable pressure of .8s (cardiac cycle)followed by relaxation in a constant rhythamic pattern.The same procedure will be done 3 times daily.
• Patient will be advised to take complete rest for 10 minutes in a comfortable manner.
Duration: Usually 18 minutes



 
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