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CTRI Number  CTRI/2025/03/083449 [Registered on: 26/03/2025] Trial Registered Prospectively
Last Modified On: 21/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Muscle fatigue patterns in CKD population 
Scientific Title of Study   Lower extremity muscle fatigue characteristics in patients with chronic kidney disease undergoing hemodialysis and conservative treatment : A comparative cross sectional study 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vinitha Arasu 
Designation  Post graduate student 
Affiliation  SRM Institute of Science and technology 
Address  Room No: PT 20, IV Floor, SRM College of Physiotherapy, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  8637488187  
Fax    
Email  vinithabks@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sowmiya.M  
Designation  Assistant Professor 
Affiliation  SRM Institute of Science and technology 
Address  Room No: PT 10, V Floor, Experts paradise, SRM College of Physiotherapy, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  6369290837  
Fax    
Email  sowmiyam1@srmist.edu.in  
 
Details of Contact Person
Public Query
 
Name  Vinitha Arasu 
Designation  Post graduate student 
Affiliation  SRM Institute of Science and technology 
Address  Room No: PT 20, IV Floor, SRM College of Physiotherapy, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  8637488187  
Fax    
Email  vinithabks@gmail.com  
 
Source of Monetary or Material Support  
SRM College of Physiotherapy,SRM Institute of Science and technology,Kattankulathur, Tamil Nadu,India -603 203 
 
Primary Sponsor  
Name  Vinitha Arasu 
Address  Room No-PT20,SRM College of Physiotherapy, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur,Tamil Nadu,India-603 203 
Type of Sponsor  Other [Self funded] 
 
Details of Secondary Sponsor  
Name  Address 
NIL   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrVinitha Arasu  SRM Medical College Hospital and Research Centre  Room no- G10, V Floor, Department of Nephrology, SRM Medical College Hospital and Research Centre,SRM Institute of science and technology, Kattankulathur,Tamil Nadu,India-603 203
Kancheepuram
TAMIL NADU 
8637488187

vinithabks@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM Medical College Hospital and Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N183||Chronic kidney disease, stage 3 (moderate),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Not applicable  Not applicable  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Medically diagnosed patients of moderate to severe CKD (Stage 3a -5)

Self reported fatigue symptoms using FACIT - F (Scores 30 or less)
 
 
ExclusionCriteria 
Details  Severe cognitive impairments
Severe neurological diseases, Amputation,
Acute kidney disease,
Those with orthopedic implant in the lower limb,
Uncontrolled hypertension at rest,
OA and RA of Lower extremity joints,
Skin conditions that may not permit placement of surface electrodes. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
EMG indices of Mean power frequency and median frequency
 
Baseline
 
 
Secondary Outcome  
Outcome  TimePoints 
Self reported fatigue questionnaire FACIT-F
Functional Assessment of Chronic Illness Therapy-Fatigue
 
Baseline 
 
Target Sample Size   Total Sample Size="384"
Sample Size from India="384" 
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)   05/04/2025 
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="9"
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  

Informed written consent will be obtained from all the potential participants in regional language. Eligible participants will be administered with 13 items self- reported FACIT-F questionnaire (Functional Assessment of Chronic Illness therapy -Fatigue). Participant’s with scores 30 or less in FACIT-F is considered to have a severe fatigue symptoms. Selected participants will be taken for EMG fatigue analysis. Cardiologist and Nephrologist clearance will be taken before exposing them to fatigue protocol in order to ensure the safety of the CKD Patients. Participants will be clearly familiarized with the procedures of EMG before starting the protocol. The surface EMG electrodes and sensors will be placed over bilateral Vastus medialis and Medial head of gastrocnemius based on the SENIAM guidelines. Participants will be asked to perform the paced sit to stand protocol as per guidelines.


Procedures of Paced sit to stand Protocol:
Participants will be asked to be seated in 45 cm height chair or stool without the armrest. They will be asked to perform stand to sit in a chair repeatedly. The frequency of the sit to stand will be controlled by metronome (30 cycles /minute).The fatigue protocol will be stopped when one of the following conditions are met; When the participant indicate their inability to continue, the movement frequency fall below and remain below 30 cycles/ min after encouragement, or after 30 min.


 
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