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CTRI Number  CTRI/2024/08/072315 [Registered on: 12/08/2024] Trial Registered Prospectively
Last Modified On: 09/08/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized Factorial Trial 
Public Title of Study   Muscle energy technique versus neuro-physiological technique in improving shortness of breath and lung function among patient with lung condition. 
Scientific Title of Study   Effectiveness of muscle energy technique versus neuro-physiological facilitation technique on pulmonary function and dyspnea among patient with chronic obstructive pulmonary disease  
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shradha Gupta 
Designation  BPT Undergraduate student 
Affiliation  Maharishi Markandeshwar Medical Collage and Hospital Kumarhatti, Solan 
Address  Maharishi Markandeshwar University, Department of Orthopaedics, Physiotherapy OPD, Room number 510, Kumarhatti, Solan
Maharishi Markandeshwar Medical Collage and Hospital Kumarhatti, Solan, Himachal Pradesh 173229
Solan
HIMACHAL PRADESH
173229
India 
Phone  7876740052  
Fax    
Email  shradhagupta753@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Deeksha Sharma 
Designation  Assistant Professor 
Affiliation  Maharishi Markandeshwar Medical Collage and Hospital Kumarhatti, Solan 
Address  Maharishi Markandeshwar University, Department of Orthopaedics, Physiotherapy OPD, Room number 510, Kumarhatti, Solan
Maharishi Markandeshwar Medical Collage and Hospital Kumarhatti, Solan, Himachal Pradesh, 173229
Solan
HIMACHAL PRADESH
173229
India 
Phone  8146966176  
Fax    
Email  deeksha0075sharma@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Arushi Mishra 
Designation  Assistant Professor 
Affiliation  Maharishi Markandeshwar Medical Collage and Hospital Kumarhatti, Solan 
Address  Maharishi Markandeshwar University, Department of Orthopaedics, Physiotherapy OPD, Room number 510, Kumarhatti, Solan
Maharishi Markandeshwar Medical Collage and Hospital Kumarhatti, Solan, Himachal Pradesh, 173229
Solan
HIMACHAL PRADESH
173229
India 
Phone  8219368147  
Fax    
Email  arushimishra799@gmail.com  
 
Source of Monetary or Material Support  
Maharishi Markandeshwar Medical Collage and Hospital Kumarhatti, Solan, Himachal Pradesh, 173229 
 
Primary Sponsor  
Name  Shradha Gupta 
Address  Maharishi Markandeshwar Medical Collage and Hospital Kumarhatti, Solan 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Deeksha Sharma   Maharishi Markandeshwar Medical Collage and Hospital Kumarhatti, Solan 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Deeksha sharma  Maharishi Markandeshwar Medical Collage and Hospital Kumarhatti, solan, 173229  Room no 725 Department of Respiratory Medicine
Solan
HIMACHAL PRADESH 
8146966176

deeksha0075sharma@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethical committee maharishi markandeshwar medical collage and hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J449||Chronic obstructive pulmonary disease, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Muscle energy technique along with conventional physiotherapy   Muscle Energy Technique (Day 1 to Day 14) will be given in following muscle pectoralis major short pectoralis major sternocleidomastoid upper trapezius scalenus posticous middle fibres of scalene anterior fibres of the scalene. Dosimetry- 5 repetitions 10 second hold Conventional physiotherapy will include Pursed lip breathing Diaphragmatic breathing Thoracic expansion exercise Dosimetry- 5 repetitions of two sets, twice a day for 2 weeks.  
Intervention  Neuro-physiological Facilitation technique along with conventional physiotherapy  Neuro-physiological Facilitation technique (DAY 1 TO DAY 14) Perioral pressure intercostal stretch thoracic vertebral pressure co-contraction of the abdomen applied manual pressure Dosimetry- 5 repetitions of two sets, twice a day for 2 weeks Conventional physiotherapy will include Pursed lip breathing Diaphragmatic breathing Thoracic expansion exercise Dosimetry- 5 repetitions of two sets, twice a day for 2 weeks. 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Diagnosed cases of COPD.
Both Genders.
Age between 40 to 60 years.
Patient with symptoms of shortness of breath (Dyspnea).
Patient with an exacerbation of COPD.
Value of pulmonary function test below normal value FEV1 greater than equals to more 80% predicted.
 
 
ExclusionCriteria 
Details  Individuals suffering from severe spine-related orthopedic issues, neurological disorders impacting the respiratory muscles, unstable cardiac conditions etc.
Patients with no additional disorder such as pneumonia, lung Carcinoma.
Patients with Multidrug Resistant for COPD.
Mentally unstable patients.
Un-cooperative patients. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Pulmonary Function Test  Two point measurements(At Day 1 and At Day 14) 
 
Secondary Outcome  
Outcome  TimePoints 
Dyspnea 12 Questionnaire  Two point measurement (At Day 1 & At Day 14) 
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
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)   27/09/2024 
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="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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [shradhagupta753@gmail.com].

  6. For how long will this data be available start date provided 29-01-2025 and end date provided 27-12-2025?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Not Applicable
Brief Summary  

Chronic obstructive pulmonary disease (COPD)is a heterogeneous lung condition characterized by chronic respiratory symptoms (Dyspnea, cough, fatigue and expectoration) leads to limitation in lung airflow. The most typical symptoms of COPD are Dyspnea and fatigue which is debilitating for patients and also associated with a deterioration in their physical activity. A total of 64 patients with COPD based on inclusion criteria will be selected. Patients will be divided into 2 groups (32patients in each) by lottery method. Group A will receive Muscle energy technique and conventional physiotherapy whereas Group B will receive Neuro-physiological facilitation technique combined with conventional physiotherapy. On Day 1 Pulmonary function test (PFT) and Dyspnea-12 questionnaire (D-12) will be used as outcome measures and on the Day 14 Pulmonary function test (PFT) and Dyspnea-12 questionnaire (D-12) will be reassessed. The main goal of the treatment is to facilitate excretion of secretions.


 
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