| CTRI Number |
CTRI/2024/12/078665 [Registered on: 27/12/2024] Trial Registered Prospectively |
| Last Modified On: |
25/12/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Ayurveda Physiotherapy (Not Including YOGA) Other (Specify) [MARMA THERAPY AND TENS THERAPY] |
| Study Design |
Randomized, Parallel Group, Multiple Arm Trial |
|
Public Title of Study
|
Comparing Two Treatments for Back Pain: Traditional Healing Methods vs. Electric Nerve Stimulation for Lumbar Spine Issues |
|
Scientific Title of Study
|
A comparative clinical study of marmachikithsa and transcutaneous electrical nerve stimulation in management of katigraha with special reference to lumbar spondylosis |
| 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.PURUSHOTHAMAN M P |
| Designation |
M.Sc scholar |
| Affiliation |
National Institute of Ayurveda jaipur |
| Address |
The Department of Marmalogy and Sports Medicine, National Institute of Ayurveda (Deemed to be University, De Novo), is located at Jorawar Singh Gate, Amer Road, Jaipur, Rajasthan.
Jaipur RAJASTHAN 302002 India |
| Phone |
9495516028 |
| Fax |
|
| Email |
mallisserypurushothaman@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
DR P HEMANTHA KUMAR |
| Designation |
PROFESSOR AND HOD |
| Affiliation |
National Institute of Ayurveda jaipur |
| Address |
The Department of Marmalogy and Sports Medicine, National Institute of Ayurveda (Deemed to be University, De Novo), is located at Jorawar Singh Gate, Amer Road, Jaipur, Rajasthan.
Jaipur RAJASTHAN 302002 India |
| Phone |
9414056362 |
| Fax |
|
| Email |
profphknia@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
DR P HEMANTHA KUMAR |
| Designation |
PROFESSOR AND HOD |
| Affiliation |
National Institute of Ayurveda jaipur |
| Address |
The Department of Marmalogy and Sports Medicine, National Institute of Ayurveda (Deemed to be University, De Novo), is located at Jorawar Singh Gate, Amer Road, Jaipur, Rajasthan.
Jaipur RAJASTHAN 302002 India |
| Phone |
9414056362 |
| Fax |
|
| Email |
profphknia@gmail.com |
|
|
Source of Monetary or Material Support
|
| National institute of Ayurveda, jorawar singh gate,amer road,jaipur,302002,rajasthan ,india |
|
|
Primary Sponsor
|
| Name |
Self |
| Address |
Dr Purushothaman M P
National institute of Ayurveda
Madhav villa palace
Amer road
jaipur
302002
Rajasthan
India
Jaipur
Rajasthan |
| Type of Sponsor |
Other [national institute of ayurveda, deemed university] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| DrPurushothaman m p |
National institute of Ayurveda |
OPDnumber 32
National institute of Ayurveda
Madhav villa palace
Amar road
Jaipur
Rajasthan Jaipur RAJASTHAN |
9495516028
mallisserypurushothaman@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| National Instute of Ayurveda |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition:M478||Other spondylosis. Ayurveda Condition: ASTHIVAHASROTADUSHTIH, |
|
|
Intervention / Comparator Agent
|
| sno | Intervention/Comparator | Type | Drug-Type | Procedure Name | Details | | 1 | Comparator Arm | Procedure | - | marmacikitsA, मरà¥à¤®à¤šà¤¿à¤•ितà¥à¤¸à¤¾ | (Procedure Reference: Marmachikitha, Procedure details: Marmachikitsa will be administered by stimulating the Pada Kshipra Marma, Gulpha Marma, Indravasti Marma, Katikataruna Marma, & Kukundara Marma, with each Marma stimulated at a frequency synchronized with the rhythm of respiration, approximately 18 times per minute. The treatment will be conducted once daily for 15 days, with stretching & strengthening exercises introduced only after the initial 7 days & continued for the remaining duration)
| | 2 | Intervention Arm | Procedure | - | marmacikitsA, मरà¥à¤®à¤šà¤¿à¤•ितà¥à¤¸à¤¾ | (Procedure Reference: marmachikithsa, Procedure details: Marmachikitsa will be administered by stimulating the Pada Kshipra Marma, Gulpha Marma, Indravasti Marma, Katikataruna Marma, & Kukundara Marma, with each Marma stimulated at a frequency synchronized with the rhythm of respiration, approximately 18 times per minute. The treatment will be conducted once daily for 15 days, with stretching & strengthening exercises introduced only after the initial 7 days & continued for the remaining duration)
| | 3 | Intervention Arm | Procedure | - | vyAyAmaH, वà¥à¤¯à¤¾à¤¯à¤¾à¤®à¤ƒ | (Procedure Reference: physiotherapy, Procedure details: Procedure Reference: , Procedure details: TENS therapy will be administered for 10 minutes at 100 Hz once daily for 15 days. Stretching & strengthening exercises will begin after the first 7 days of TENS therapy & continue for the remaining duration.))
|
|
|
|
Inclusion Criteria
|
| Age From |
40.00 Year(s) |
| Age To |
70.00 Year(s) |
| Gender |
Both |
| Details |
Patients will be diagnosed on the basis of signs and symptoms of lumbar spondylosis
Patients having chronic non radiating low back pain that is persistent and worsens with activity.
Radiological degenerative changes such as disc space narrowing, osteophyte formation, and facet joint degeneration.
Patients having reduced range of motion and stiffness, particularly in the lower back.
Age - 40 to 70 years, of either sex.
Patients willing to undergo trial.
Patients free from systemic illness. |
|
| ExclusionCriteria |
| Details |
Not willing to undergo trial.
Age below 40 years and above 70 years.
Patients having any previous surgical procedure of lumbo-sacral spine and pelvic cavity.
HIV, HBsAg positive patients.
Pregnancy.
Uncontrolled Diabetes Mellitus and any bleeding disorders.
Patients having any history of Malignancy, Hypertension, Tuberculosis, Epilepsy or Seizure disorders.
Cases of Spondylolisthesis, Sacroiliac arthritis, Herpes simplex infection causing radiating pain.
Potts spine, bamboo spine, PIVD
Patients affected with multiple wounds, cases with destructed vertebral bodies & fractures of the vertebra & lower limb.
Patient having low back pain radiating to legs.
Patients having pacemakers or any implanted electronic devices.
Fever or any infection.
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
| reduction in symptoms of lumbar spondylosis Change in ODI scale |
Reduction in symptoms of lumbar spondylosis. day 15 |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| change in quality of life of patient |
: Improvement in the quality of life of patients with lumbar spondylosis. day30 |
|
|
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 |
|
Date of First Enrollment (India)
|
16/01/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
16/01/2025 |
| 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 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 - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - Any purpose.
- By what mechanism will data be made available?
Response - Proposals should be directed to [drmallissery@yahoo.com].
- For how long will this data be available start date provided 28-02-2025 and end date provided 31-12-2025?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - Nil
|
|
Brief Summary
|
Dr. Purushothaman’s MSc dissertation focuses on a comparative clinical study of Marmachikitsa (a traditional Ayurvedic therapy targeting vital energy points or Marma) and Transcutaneous Electrical Nerve Stimulation (TENS) for managing Katigraha, a condition identified with lumbar spondylosis in Ayurveda, involving pain and stiffness in the lower back due to Vata dosha imbalance.
The study, conducted at the National Institute of Ayurveda, Jaipur, involves 30 patients divided into three groups:
1. Group A receives only Marmachikitsa.
2. Group B receives only TENS therapy.
3. Group C receives a combined treatment of Marmachikitsa and TENS.
Each treatment lasts for 15 days, with daily sessions and a final evaluation based on subjective criteria (such as pain and stiffness) and objective criteria (range of motion). Primary goals include assessing pain reduction and functional improvement using tools like the Oswestry Disability Index (ODI). By comparing these therapies, the study aims to fill research gaps, establish evidence-based practices, and optimize treatment strategies for lumbar spondylosis. |