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CTRI Number  CTRI/2025/04/085600 [Registered on: 24/04/2025] Trial Registered Prospectively
Last Modified On: 23/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Siddha
Other (Specify) [Siddhar Yogam]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Siddhar yogam with and without Vilvathy Legiyum in the Management of Lumbar Spondylosis 
Scientific Title of Study   Evaluation of the Therapeutic Effect of Siddhar Yogam with and without Vilvathi Legiyum in the management of Thandagavadham (Lumbar Spondylosis) in Patients Reporting at Ayothidoss Pandithar Hospital, National Institute of Siddha, - A Randomized, Double Arm, Single Centric Comparative Clinical 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 V R Manobala 
Designation  Postgraduate Scholar 
Affiliation  National Institute of Siddha 
Address  Room no 13 Department of Siddhar Yoga Maruthuvam National Institute of Siddha Tambaram Sanatorium Chennai

Kancheepuram
TAMIL NADU
600047
India 
Phone  9994967103  
Fax    
Email  vrmanobala25@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr V Mahalakshmi 
Designation  Professor & Head of the Department 
Affiliation  National Institute of Siddha 
Address  Room no 13 Department of Siddhar Yoga Maruthuvam National Institute of Siddha Tambaram Sanatorium Chennai

Kancheepuram
TAMIL NADU
600047
India 
Phone  9444519975  
Fax    
Email  rvmahalakshmi85@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr V Mahalakshmi 
Designation  Professor & Head of the Department 
Affiliation  National Institute of Siddha 
Address  Room no 13 Department of Siddhar Yoga Maruthuvam National Institute of Siddha Tambaram Sanatorium Chennai

Kancheepuram
TAMIL NADU
600047
India 
Phone  9444519975  
Fax    
Email  rvmahalakshmi85@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Siddha Tambaram Sanatorium- 600047 
 
Primary Sponsor  
Name  National Institute of Siddha 
Address  National Institute of Siddha Tambaram Sanatorium- 600047 
Type of Sponsor  Research institution and hospital 
 
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 V R Manobala  National Institute of Siddha  Room no 13, Department of Siddhar Yoga Maruthuvam OPD National Institute of Siddha Tambaram Sanatorium Chennai 600047
Kancheepuram
TAMIL NADU 
9994967103

vrmanobala25@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee National Institute of Siddha  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M47||Spondylosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group A - Siddhar Yogam   Aasanas Padahastasanam 2 minutes Balasanam 2 minutes Bhoominamaskaaram 2 minutes Jadara parivarthini 2 minutes Bhavanamukthasanam 2 minutes Makrasanam 2 minutes Shanthiasanam 2 minutes Pranayamam: Thirumoolar pranayamam - 5 minutes Dhiyanam with Mudra: Vaayu mudra - 2 minutes for 48 days 
Intervention  Group B Vilvathy Legiyum and Siddhar Yogam  Vilvathi Legiyum 10 Gms (Kottaipakalavu) (twice a day after food) and Aasanas Padahastasanam 2 minutes Balasanam 2 minutes Bhoominamaskaaram 2 minutes Jadara parivarthini 2 minutes Bhavanamukthasanam 2 minutes Makrasanam 2 minutes Shanthiasanam 2 minutes Pranayamam: Thirumoolar pranayamam - 5 minutes Dhiyanam with Mudra: Vaayu mudra - 2 minutes for 48 days 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Oswestry Disability index score 15 - 24 
 
ExclusionCriteria 
Details  K/C/O Uncontrolled Hypertension
K/C/O Rheumatoid arthritis
K/C/O Uncontrolled diabetes
K/C/O Cardiac disorders
K/C/O Osteoporosis
Pregnancy and lactation
Tuberculosis in spine
Osteomyelitis
Ankylosing spondylitis
Spine deformity
Pyogenic bone infection
Patients with recent surgical and traumatic history  
 
Method of Generating Random Sequence   Permuted block randomization, variable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The outcome of the study will assessed by using Oswestry Disability index and expected
reduction in the score will interpreted as
Moderate disability (15-24) to Mild disability (5-14)-Moderate improvement
Moderate disability (15-24) to No disability (0-4)-Significant improvement 
Baseline, once in 7 days upto 49th day 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "40"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   30/05/2025 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   Lumbar spondylosis is a common degenerative condition affecting a significant population, causing pain, disability, and reduced quality of life. Yoga is generally believed to improve flexibility, strength, balance, and agility. Most people experience low back pain at some point in their lives. The peak in the number of cases occurs at 50–55 years, and women experience low back pain more frequently than men. The prevalence and disability impact of low back pain are greatest among older people aged 80–85 years.  For patients with low back pain yoga appears to address imbalances in the musculoskeletal system affecting spinal alignment and posture. Yoga has been shown to reduce chronic low back pain and disability in patients with lumbar spondylosis. Regular practice improves spinal flexibility and strength, enhancing functional ability. Recent research has also indicated that yoga can reduce pain catastrophizing, increase pain acceptance and improve overall emotional functioning among individuals with chronic pain. The raw drugs used in  Vilvathi Legiyum has Anti- Inflammatory , analgesic, antioxidant, hepatoprotective, immunomodulatory activities. This study aims to study the effect of Siddhar Yogam with and without Vilvathi Legiyum for the management of Lumbar spondylosis (Thandagavadham) by using Oswestry Disability Index. As per the inclusion criteria, 40 patients will be included in this trial. The selected patients will be divided into two groups. Group A: Siddhar Yogam for 20 patients  Group B: Siddhar Yogam and Vilvathi Legiyum for 20 patients.I nformed consent will be obtained from each patient. Group A Patients will be taught selected Siddhar Yogam and for Group B patients the trial drug Vilvathi Legiyum 140 gms will be given once in 7 days and Siddhar Yogam will be taught and advised to follow for 48 days.  
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