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CTRI Number  CTRI/2025/02/080903 [Registered on: 19/02/2025] Trial Registered Prospectively
Last Modified On: 02/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Siddha 
Study Design  Single Arm Study 
Public Title of Study   A Clinical Trial to Determine the Therapeutic effect of Varmam Manipulation Technique with Vasavaathi thailam (External) for The Management of Lateral Epicondylitis-Tennis Elbow) 
Scientific Title of Study   An Open Single Arm Clinical Trial to Determine the Therapeutic effect of Varmam Manipulation Technique with Vasavaathi thailam (External) for The Management of Puramuli Thaabitham (Lateral Epicondylitis-Tennis Elbow) 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Jayachitra K 
Designation  PG scholar 
Affiliation  National Institute of Siddha 
Address  OP Room no.15,Department of Varma Maruthuvam,National Institute of Siddha,Tambaram Sanatorium,Chennai, Kancheepuram,TamilNadu 600047 India

Kancheepuram
TAMIL NADU
600047
India 
Phone  8428620829  
Fax    
Email  jayachitra10041999@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  M V Mahadevan 
Designation  Associate Professor 
Affiliation  National Institute of Siddha 
Address  OP Room no.14, HOD Department of Pura Maruthuvam,National Institute of Siddha,Tambaram Sanatorium,Chennai, Kancheepuram,TamilNadu 600047 India

Kancheepuram
TAMIL NADU
600047
India 
Phone  9840417565  
Fax    
Email  puramaruthuvam@gmail.com  
 
Details of Contact Person
Public Query
 
Name  M V Mahadevan 
Designation  Associate Professor 
Affiliation  National Institute of Siddha 
Address  OP Room no.14, HOD Department of Pura Maruthuvam,National Institute of Siddha,Tambaram Sanatorium,Chennai, Kancheepuram,TamilNadu 600047 India

Kancheepuram
TAMIL NADU
600047
India 
Phone  9840417565  
Fax    
Email  puramaruthuvam@gmail.com  
 
Source of Monetary or Material Support  
Ayothidoss Pandithar Hospital, National institute of Siddha, Tambaram sanatorium kancheepuram district Chennai 600047  
 
Primary Sponsor  
Name  National institute of Siddha 
Address  OP Room no.15,Department of Varma Maruthuvam,National Institute of Siddha,Tambaram Sanatorium,Chennai, Kancheepuram,TamilNadu 600047 India 
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 Jayachitra K  Ayothidoss Pandithar Hospital  OP Room no.15,Department of Varma Maruthuvam,National Institute of Siddha,Tambaram Sanatorium,Chennai, Kancheepuram,TamilNadu 600047 India
Kancheepuram
TAMIL NADU 
08428620829

jayachitra10041999@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE NATIONAL INSTITUTE OF SIDDHA CHENNAI -600 047  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M771||Lateral epicondylitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  not applicable  not applicable 
Intervention  Varmam manipulation technique with Vasavaathi thailam for the management of Puramuli thaabitham ( Lateral epicondylitis- Tennis elbow)  Varmam manipulation technique with Vasavaathi thailam for the management of Puramuli thaabitham (Lateral epicondylitis- Tennis elbow) for 14 sittings weekly twice for 7 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Participants with pain, tenderness, stiffness in the lateral side of elbow joint.
Participants with positive response in the following provocative tests Mills test, Cozens test, Maudsley test. (15)
Participants with the symptoms of lateral epicondylitis for the time period of greater than 4 weeks to 6 months.
Based on PRTEE Questionnaire, participants with score range of 40 to 80 of total score 100.
 
 
ExclusionCriteria 
Details  Musculoskeletal conditions like Inflammatory and Infective arthritis, Dislocations and deformities in upper extremities, Myositis ossificans etc.
Nerve entrapment condition of upper limb.
History of trauma, fracture and surgical procedure in upper limb.
Uncontrolled Diabetes Mellitus.
Pregnant and lactating women.
Any other serious systemic illness.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Reduction of Patient Related Tennis Elbow Evaluation Questionnaire (PRTEE) score from the baseline assessment.

For clinical significance defined as ‘little better’ the MCID of total PRTEE score is 7 points or 22% of baseline score.

For clinical significance defined as ‘completely recovered’ the MCID of total PRTEE score is 11 points or 37% of baseline score.
 
49 th day 
 
Secondary Outcome  
Outcome  TimePoints 
not applicable  not applicable 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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 
Date of First Enrollment (India)   15/03/2025 
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 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 - NO
Brief Summary   An open single arm clinical trial to determine the therapeutic effect of varmam manipulation technique with vasavaathi thailam for the management of Puramuli thaabitham (Lateral epicondylitis -Tennis elbow )will be carried out for 49 days in Varma maruthuvam OPD,Ayothidoss pandithar hospital,National institute of siddha with 30 patients as sample size.The patients will be non randomly selected based on inclusion and exclusion criteria for enrollment in the study and treated with 14 sittings of varmam manipulation technique-varma thadaval weekly twice for 7 weeks. Prognosis will be documented in the appropriate forms enclosed in the protocol. The outcome of the study will be assessed by the PRTEE score  before and after treatment and the results will be statistically analysed. 
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