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CTRI Number  CTRI/2024/06/069239 [Registered on: 19/06/2024] 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, Crossover Trial 
Public Title of Study   Effect of cold spinal douche and neutral spinal douche in Healthy individuals 
Scientific Title of Study   Immediate Effect of Cold Spinal Douche and Neutral Spinal Douche on Autonomic Variables in Healthy Individuals- A Counter Balanced Randomized Crossover 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,Belthangady, Dakshina Kannada-574240 Karnataka 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,Belthangady, Dakshina Kannada-574240 Karnataka India


KARNATAKA
574240
India 
Phone  8277466588  
Fax    
Email  kotreshhm97@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Geetha B Shetty 
Designation  Professor and 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,Belthangady, Dakshina Kannada-574240 Karnataka 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 Shativana, Dharmasthala, Belthangady, Dakshina Kannada Karnataka, India 
 
Primary Sponsor  
Name  Dr Kotresh Hiremath R 
Address  Department of Natural Therapeutics, SDM College Of Naturopathy and Yogic Sciences, Ujire, Belthangady, Dakshina Kannada-574240 Karnataka India 
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 Therapeutics, Sri Dharmasthala Manjunatheshwara Yoga and Nature cure Hospital Shantivana, Dharmasthala, Belthangady, 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  Healthy individuals 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  cold spinal douche   After positioning the subject, 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 to 24℃ with pressure of 40lbs towards the spine and about 1-2 inches lateral to the spine moving the column of water from top to bottom for Duration- 5 minutes. 
Comparator Agent  Neutral Spinal Douche  After positioning the subject, the intervener stands holding the nozzle of the apparatus at a distance of 3.5 meters away from the subject and Neutral douche at a temperature of 33 to 36°C and pressure of 40lbs was administered towards the spine and about 1-2 inches lateral to the spine moving the column of water from top to bottom for a Duration-5 minutes 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  1 Age: 18 – 30 years
2 Subjects who are willing to participate in the study
3 Gender: Male and Female
 
 
ExclusionCriteria 
Details  1 Weak and debilitating individuals
2 Systemic illness
3 Subjects with open wounds
 
 
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 
Heart Rate Variability(HRV)  Baseline and 5 minutes post intervention 
 
Secondary Outcome  
Outcome  TimePoints 
1 Heart Rate
2 Blood Pressure 
1 Baseline & 5 minutes post intervention
2 Baseline & 5 minutes post intervention  
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "30"
Final Enrollment numbers achieved (India)="30" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   01/08/2024 
Date of Study Completion (India) 15/08/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 15/08/2025 
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   The Spinal douche is a treatment modality used in hydrotherapy. Traditional references suggests the beneficial effect of spinal douche may control the blood pressure and autonomic functions. It is necessary to understand the physiological effect of the treatment before being used as a treatment modality. Hence this study is designed to understand the effect cold and neutral spinal douche on autonomic function.
 Objectives of the study 
 To assess the effect of cold and neutral spinal douche on Heart Rate (HR), Blood Pressure (BP).
 To quantify the changes in Heart Rate Variability (HRV).
Allotment will be done by using a Computer generated random number 
Day 1: Subject 1- Cold spinal douche for 5 minutes 
           Subject 2- Neutral spinal douche for 5 minutes 
Day 4: Subject 1- Neutral spinal douche for 5 minutes
           Subject 2- Cold spinal douche for 5 minutes 
Assessments will be done before the intervention and immediately after the intervention 
 
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