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CTRI Number  CTRI/2025/01/079801 [Registered on: 30/01/2025] Trial Registered Prospectively
Last Modified On: 29/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Physiotherapy in diabetes 
Scientific Title of Study   Effectiveness of Neurodynamic Approach in Lower Limb for Diabetic Peripheral Neuropathy: A Randomized 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  Ambika Kormoker 
Designation  Undergraduate student 
Affiliation  Jashore University of Science & Technology  
Address  Room no: 304, Department of Physiotherapy and Rehabilitation, jashore University of Science & Technology, Jashore-7408, Bangladesh



7408
Other 
Phone  8801779448587  
Fax    
Email  ambikakormokar56@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ambika Kormoker 
Designation  Undergraduate student 
Affiliation  Jashore University of Science & Technology  
Address  Room no: 304, Department of Physiotherapy and Rehabilitation, jashore University of Science & Technology, Jashore-7408, Bangladesh



7408
Other 
Phone  8801779448587  
Fax    
Email  ambikakormokar56@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Kazi Md. Amran Hossain 
Designation  Lecturer 
Affiliation  Jashore University of Science & Technology 
Address  Room no: 302, Department of Physiotherapy and Rehabilitation, jashore University of Science & Technology, Jashore-7408, Bangladesh



7408
Other 
Phone  8801735661492  
Fax    
Email  kma.hossain@just.edu.bd  
 
Source of Monetary or Material Support  
Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology, 7408 Jashore Bangladesh 
 
Primary Sponsor  
Name  Dr. Ehsanur Rahman 
Address  Room: 401, Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology, Jashore-7408, Bangladesh 
Type of Sponsor  Other [University] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Bangladesh  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Md Jahid Hasan  Nurul Islam Diabetes Centre  Room no: 201, Nurul Islam diabetes centre, Jashore, bangladesh

 
8801744129353

jahidhasantony@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IRB of Department of Physiotherapy & Rehabilitation, JUST  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E114||Type 2 diabetes mellitus with neurological complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Neurodynamics  neural mobilization, 10 rep. (10-15 second hold) for 4 weeks 
Comparator Agent  Sham neurodynamics  Sham approach 10 rep (10-15 second hold) for 4 weeks 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Adults between 40 70 years old
2. Who have been diagnosed with T2DPN & T1DPN
3. To be eligible, Individuals with unilateral or bilateral DPN
4. Individuals who will give the informed consent.
5. THE MICHIGAN DIABETIC NEUROPATHY SCORE (MDNS) more than 6.
6. symmetrical or asymmetric peripheral neuropathy accompanied by lower extremities discomfort lasting more than six months.
7. Patients who can stand or walk with aids  
 
ExclusionCriteria 
Details  1. Persistent low back pain radiculopathy, and sciatalgia (for at least three days) in the previous six months.
2. Evidence of musculoskeletal dysfunctions like scoliosis, lumbar disc prolapse and lumbar spine associated radiculopathy
3. Chemical, drug, or alcohol dependency.
4. Medical diagnosis of a herniated disk in the back
5. History of lumbar surgery & trauma to the nerves of the lower
extremity.
6. Chemotherapy use within the past year.
7. Lower extremity amputations.
8. Open wounds & Infection in the lower limbs 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
The Michigan Diabetic Neuropathy Score (MDNS)  4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Pain by VAS scale
Quality of life by Neuro QoL 
4 weeks 
 
Target Sample Size   Total Sample Size="84"
Sample Size from India="84" 
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)   11/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  11/02/2025 
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 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 - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol

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

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [kma.hossain@just.edu.bd].

  6. For how long will this data be available start date provided 01-06-2025 and end date provided 01-06-2030?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   Effectiveness of Neurodynamic approach in lower limb for Diabetic Peripheral Neuropathy

The objectives are 
To find out how the neurodynamic technique is beneficial for patients suffering from lower limb diabetic peripheral neuropathy (DPN). 
To evaluate the impact of neurodynamic on neuropathy severity, pain, and quality of life (QoL) in individuals with diabetic peripheral neuropathy (DPN) Neuropathy specific quality of life questionnaire (Neuro QoL) will used patient’s assessment and follows up after treatment intervention. 
To evaluate how neurodynamic mobilization and foot exercises affect patients with PDPN’s pain, sensory complaints, and functional abilities. 
 
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