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CTRI Number  CTRI/2015/10/006300 [Registered on: 23/10/2015] Trial Registered Prospectively
Last Modified On: 09/10/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda
Other (Specify) [Panchakarma Procedure]  
Study Design  Other 
Public Title of Study   An Ayurvedic Panchakarma therapy for cervical spondylosis. 
Scientific Title of Study   EVALUATION OF THE EFFECT OF JAMBEERA PINDA SWEDA IN CERVICAL SPONDYLOSIS WRT CLINICAL SYMPTOMATOLOGY 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sakshi Sharma 
Designation  Research Officer (Ay.) 
Affiliation  CENTRAL COUNCIL FOR RESEARCH IN AYURVEDIC SCIENCES 
Address  Ayurvedic Central Research Institute, Punjabi Bagh, New Delhi
Central Council for Research in Ayurvedic Sciences, Jawaharlal Nehru BhartiyaChikisaEvam Homoeopathy AnusandhanBhawan 61-65, Institutional Area, Opposite D-Block Janakpuri, New Delhi - 110058
West
DELHI
110026
India 
Phone  9013092250  
Fax  01125225546  
Email  drsakshi.sharma87@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sakshi Sharma 
Designation  Research Officer (Ay.) 
Affiliation  CENTRAL COUNCIL FOR RESEARCH IN AYURVEDIC SCIENCES 
Address  Ayurvedic Central Research Institute, Punjabi Bagh, New Delhi
Central Council for Research in Ayurvedic Sciences, Jawaharlal Nehru BhartiyaChikisaEvam Homoeopathy AnusandhanBhawan 61-65, Institutional Area, Opposite D-Block Janakpuri, New Delhi - 110058
West
DELHI
110026
India 
Phone  9013092250  
Fax  01125225546  
Email  drsakshi.sharma87@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sakshi Sharma 
Designation  Research Officer (Ay.) 
Affiliation  CENTRAL COUNCIL FOR RESEARCH IN AYURVEDIC SCIENCES 
Address  Ayurvedic Central Research Institute, Punjabi Bagh, New Delhi
Central Council for Research in Ayurvedic Sciences, Jawaharlal Nehru BhartiyaChikisaEvam Homoeopathy AnusandhanBhawan 61-65, Institutional Area, Opposite D-Block Janakpuri, New Delhi - 110058
West
DELHI
110026
India 
Phone  9013092250  
Fax  01125225546  
Email  drsakshi.sharma87@gmail.com  
 
Source of Monetary or Material Support  
Central Council for Research in Ayurvedic Sciences 
 
Primary Sponsor  
Name  CCRAS 
Address  Central Council for Research in Ayurvedic Sciences, Jawaharlal Nehru BhartiyaChikisaEvam Homoeopathy AnusandhanBhawan 61-65, Institutional Area, Opposite D-Block Janakpuri, New Delhi - 110058 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sakshi Sharma  AyurvedaCentral Research Institute  ACRI, Road no. 66 Punjabi Bagh West, New Delhi-110026
West
DELHI 
9013092250
01125225546
drsakshi.sharma87@gmail.com 
Dr P Radhakrishnan  National Research Institute for Panchakarma  National Research Institute for Panchakarma, Cheruthuruthy P.O,Thrissur, Kerala
Thrissur
KERALA 
9495076710
04884-262366
dr.radhakrishnancrip@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
ACRI Institutional ethics Committee  Approved 
NRIPC Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Cervical Spondylosis with clinical and radiological evidence of Cervical Spondylosis with or without cervical radiculopathy., (1) ICD-10 Condition: M479||Spondylosis, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  JAMBEERA PINDA SWEDA  The Jambeerapindasweda refers to the sudation performed by specially prepared bundles of Jambeera (citrus acida) fruit pieces. The procedure will be done for 14 days. The sudation will be done for 30-35 min. every day once in the morning. 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Cervical Spondylosis with clinical and radiological evidence of Cervical Spondylosis with or without cervical radiculopathy.
2.Willing Patients with informed consent obtained.
 
 
ExclusionCriteria 
Details  1. Age below 30 years and above 65 years.
2. Cases of cervical Spondylosis with intractable pain, neurological deficit, severe deltoid or wrist extensors weakness.
3. Patients with any cervical pathology apart from Cervical Spondylosis excluding any clinical evidence of Cervical Spondylotic myelopathy.
4. Patients with poorly controlled Hypertension ( 140/90 mmHg).
5. Patients with poorly controlled Diabetes Mellitus having HbA1C of 7.5%
6. Patients who have a past history of any type of heart disease or stoke.
7. Patients with any hepatic or renal disorder, with liver enzymes twice the normal or S. creatinine 1.4 mgm.
8. Any other condition which the Investigator thinks may jeopardize the study. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
•Relief in Signs & Symptoms (pain and associated complaints) of the disease by –

1. Change in the VAS score
2. Change in the percentage score of Northwick Park Neck Pain Questionnaires. 
1. Change in the VAS score from the baseline to the 14th and 21st day.
2. Change in the percentage score of Northwick Park Neck Pain Questionnaires from the baseline to the 14th and 21st day. 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement in health status by SF 36 Questionnaire  •SF-36 QOL assessment for any improvement from the baseline to the 14th day. 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "59"
Final Enrollment numbers achieved (India)="59" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   09/11/2015 
Date of Study Completion (India) 19/09/2017 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

Title of Study : EVALUATION OF THE EFFECT OF JAMBEERA PINDA SWEDA IN CERVICAL SPONDYLOSIS WRT CLINICAL SYMPTOMATOLOGY

Primary Objective

To evaluate the effect of JambeeraPinda Sweda in the management of Sign and symptoms of cervical spondylosis.

 

Secondary Objective

To observe the changes in the quality of life of the study participants by using SF-36 Questionnaire.

 

OUTCOMES

Primary outcome

·         Relief in Signs & Symptoms (pain and associated complaints) of the disease by –

 1.  Change in the VAS score from the baseline to the 14th and 21st day. 

2.  Change in the percentage score of Northwick Park Neck Pain Questionnaires from the baseline to the 14th and 21st day.

Secondary outcome

·         SF-36 QOL assessment for any improvement from the baseline to the 14th day.

Treatment Period- 14 Days

Follow up period – 7 Days without treatment after the procedure (on 21st Day).

 

TREATMENT PROCEDURE

 

1-14 days – Jambeera PindaSweda in the Morning.

 

JAMBEERA PINDA SWEDA

 

The Jambeerapindasweda refers to the sudation performed by specially prepared bundles of Jambeera (citru acida) fruit pieces.

 

Material required:

 

Ingredients:

1. Jambeera (chopped in to pieces)- 750 gm.

2.  Saindhava-             30gm

3. Turmeric powder-   60gm

4.  RasnadiChurna-    5g.

5.   Mahanarayan oil  :  For abhyanga- 100ml.

               :  For frying the ingredient-100ml.

               : For reheating the Potali- Q.S

   6.  ksheerbala oil for talam-10ml

Preparation of potali:

Sliced lemon and other ingredients fried in 100 ml mahanarayan taila till the brown color appears. Then it should be divided in to 4 equal parts and made in to potalis accordingly.

Preoperative Procedure:

The Patient should be seated with leg extended on the droni and talam is applied with Ksheerabala taila.

Procedure:

Abhyanga should be performed with Ksheerabala taila. Out of the four Potalis ,the two potalis should be heated up to 40-450c by keeping on the hot pan containing Mahanarayan  oil. These potalis are applied to the patients as per the general procedure for about 30-45 minutes.

Post operative Procedure:

After the procedure body should be wiped with clean towel, talam should be removed and Rasnadichoorna should be applied. The patient should be advised to take complete rest for half to one hour.

METHODS OF ASSESSMENT

Prior to selection – (Screening)

·         Informed Consent

·         Eligibility evaluation

·         Physical examination

·         Visual Analogue Scale (VAS)

·         Laboratory Investigations

·         Digital X-ray Cervical Spine AP, Lateral and Oblique View.

 

During Selection-(Baseline o Day)

·         General information-(Personal Identification and Demographic profile)

·         Medical history, General Physical and Systemic examination

·         Physical examination and clinical assessment

·         Visual Analogue Scale (VAS)

·         Northwick Park Neck Pain Questionnaire.

·         SF36 Questionnaire.

 

At the end of 7th day (during treatment)

·          Physical examination and clinical assessment

·         Visual Analogue Scale (VAS)

·         Northwick Park Neck Pain Questionnaire.

 

At the end of the treatment i.e. 14th day

·          Physical examination and clinical assessment

·         Visual Analogue Scale (VAS)

·         Northwick Park Neck Pain Questionnaire.

·         SF36 Questionnaire.

 

At the end of 21st Day (Follow up without treatment)

·         Physical examination and clinical assessment

·         Visual Analogue Scale (VAS)

·    Northwick Park Neck Pain Questionnaire.

 
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