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CTRI Number  CTRI/2025/02/081479 [Registered on: 28/02/2025] Trial Registered Prospectively
Last Modified On: 25/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of forehead cooling on working memory and reaction time in young adults  
Scientific Title of Study   Immediate effect of frontal head cooling on working memory performance and auditory reaction time among young adults: a randomized controlled 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 Varvanacia Suchiang  
Designation  MD Scholar 
Affiliation  SDM College of Naturopathy and Yogic Sciences, Ujire, Dakshina Kannada, Karnataka-574240  
Address  Department of Natural Therapeutics, SDM College of Naturopathy and Yogic Sciences, Ujire, Dakshina Kannada, Karnataka-574240

Dakshina Kannada
KARNATAKA
574240
India 
Phone  8794808347  
Fax    
Email  varvanacia@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Varvanacia Suchiang  
Designation  MD Scholar 
Affiliation  SDM College of Naturopathy and Yogic Sciences, Ujire, Dakshina Kannada, Karnataka-574240  
Address  Department of Natural Therapeutics, SDM College of Naturopathy and Yogic Sciences, Ujire, Dakshina Kannada, Karnataka-574240

Dakshina Kannada
KARNATAKA
574240
India 
Phone  8794808347  
Fax    
Email  varvanacia@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ashwin V P 
Designation  Assistant professor  
Affiliation  SDM College of Naturopathy and Yogic Sciences , Ujire , Dakshina Kannada , Karnataka-574240  
Address  Department of Natural Therapeutics, SDM College of Naturopathy and Yogic Sciences , Ujire , Dakshina Kannada , Karnataka-574240

Dakshina Kannada
KARNATAKA
574240
India 
Phone  9538372524  
Fax    
Email  ashwinvp09@gmail.com  
 
Source of Monetary or Material Support  
SDM College of Naturopathy and Yogic Sciences, Ujire, Dakshina Kannada, Karnataka-574240  
 
Primary Sponsor  
Name  Dr Varvanacia Suchiang  
Address  SDM College of Naturopathy and Yogic Sciences, Ujire, Dakshina Kannada, Karnataka-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 Varvanacia Suchiang  SDM Yoga and Nature Cure Hospital  Department of Natural Therapeutics, Shantivana, Dharmasthala, Belthangady, Dakshina Kannada, Karnataka, India 574216
Dakshina Kannada
KARNATAKA 
8794808347

varvanacia@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 Human Volunteers 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Dry head pack   The subject asked to wear minimal clothing and lie down in a supine position on the massage table and then dry head pack is placed over the subject’s forehead over the area of frontal cortex for 30 mins. Duration: 30 minutes 
Intervention  Frontal head cooling   Wetted-ice packs were made by placing 200 mL of cubed ice and 300 mL of room-temperature water into the bag. Wetted ice pack containing temperature of 14°C to 16°C. The subject is asked to wear minimal clothing and lie down in a supine position on the massage table and head cooling is placed over the subject’s forehead over the area of frontal cortex for 30mins.The baseline skin temperature will be measured for every 10 min. A digital thermometer is used to keep an eye on the water and pack temperatures. Duration: 30 minutes 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  24.00 Year(s)
Gender  Both 
Details  1. Healthy young adults
2. Subjects who are willing to participate in the study and provide written informed consent.
 
 
ExclusionCriteria 
Details  1. Weak and debilitating individuals
2. Systemic illness
3. Subjects with open wounds
4. Sinusitis
5. Intolerances to cold.
6. Subjects on regular influence of caffeine 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Auditory reaction time
Heart rate variability 
Baseline and immediately after the intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Digit symbol substitution test
Digit span test
Six - letter cancellation test
 
Baseline and immediately after the intervention 
 
Target Sample Size   Total Sample Size="76"
Sample Size from India="76" 
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 2/ Phase 3 
Date of First Enrollment (India)   10/03/2025 
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 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 - NO
Brief Summary   Forehead cooling have been shown to be involved in the thermoregulation (cooling) of the brain. Head-cooling has been proposed to enhance cognitive function both during and after exercise. Selective head cooling on the surface can be used to cool the grey matter of the brain, as shown by biomedical engineering models. In individuals with insomnia, frontal cerebral thermal treatment decreased frontal cerebral metabolism during sleep. Cooling the forehead simulates a combination of the two mechanisms thought to cool the brain, one being cooling of venous blood by the skin which in turn cools the arterial (carotid) blood supply to the brain. The other major brain cooling mechanism is the dissipation of heat through facial emissary veins or heat loss through the skull. Working memory is the minuscule quantity of information that can be kept in the mind and used for completing cognitive activities, as opposed to long-term memory, which is the vast amount of knowledge maintained during a person’s life. It has been regularly connected to or associated with learning, executive function, intelligence, information processing, understanding, and learning in people of all ages and simplifies thinking, planning, comprehending, and solving problems. The impairment of working memory is thought to be a key cognitive characteristic that distinguishes Attention-Deficits/hyperactivity disorder from Non-attention deficit/ hyper activity disorder. Impaired working memory is a prevalent trait in people with schizophrenia and those at high risk of developing psychosis; it is also a prospective target for early intervention techniques.  Benefits of working memory include enhanced attention and processing speed, which can help the brain networks that mediate memory functions more effectively and result in quick reaction times. This study intends to assess the immediate effect of frontal head cooling on working memory performance and auditory reaction time among young adults and to evaluate the changes in cognitive levels following the application of frontal Head cooling. 

 
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