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CTRI Number  CTRI/2025/07/091881 [Registered on: 28/07/2025] Trial Registered Prospectively
Last Modified On: 27/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   “Improving Lung Function in COPD Patients: Comparing Joint Manipulation and Chest Physiotherapy” 
Scientific Title of Study   EFFECT OF 3 WEEKS JOINT MANIPULATION VERSUS CONVENTIONAL CHEST PHYSIOTHERAPY ON CHEST EXPANSION AND PULMONARY FUNCTION AMONG CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) PATIENTS WITHIN VADODARA– ANEXPERIMENTAL 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  Dr Silvi Bajaj 
Designation  PG Scholar  
Affiliation  Drs Kiran and Pallavi Patel Global university  
Address  Cardio respiratory department, Drs. Kiran and Pallavi Global University, Vadodara-Mumbai National Highway 8, Vadodara, Gujarat
Cardio respiratory department, Drs. Kiran and Pallavi Global University, Vadodara-Mumbai National Highway 8, Vadodara, Gujarat
Vadodara
GUJARAT
391240
India 
Phone  8320065964  
Fax    
Email  silvibajaj41@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Shreya Trivedi (PT) 
Designation  Assistant professor  
Affiliation  Drs Kiran and Pallavi Patel Global university  
Address  Krishna School of Physiotherapy & Rehabilitation, KPGU Krishna Edu Campus, Varnama, Vadodara
Krishna School of Physiotherapy & Rehabilitation, KPGU Krishna Edu Campus, Varnama, Vadodara
Vadodara
GUJARAT
391240
India 
Phone  9428639469  
Fax    
Email  shreyatrivedi.kspr@kpgu.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Silvi Bajaj 
Designation  PG Scholar  
Affiliation  Drs Kiran and Pallavi Patel Global university  
Address  Cardio respiratory department, Drs. Kiran and Pallavi Global University, Vadodara-Mumbai National Highway 8, Vadodara, Gujarat
Cardio respiratory department, Drs. Kiran and Pallavi Global University, Vadodara-Mumbai National Highway 8, Vadodara, Gujarat
Vadodara
GUJARAT
391240
India 
Phone  8320065964  
Fax    
Email  silvibajaj41@gmail.com  
 
Source of Monetary or Material Support  
Dr Silvi Bajaj 
 
Primary Sponsor  
Name  Dr Silvi Bajaj 
Address  Bajaj Bhavan ghee kanta road soarathiya street kodinar gir somnath 
Type of Sponsor  Other [Self ] 
 
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 Silvi Bajaj   Pranayam Lung & Heart Institute – Multispeciality Hospital  Department of Physiotherapy, First Floor, Pranayam Lung & Heart Institute, New VIP Road, Vadodara, Gujarat, India – 390022
Vadodara
GUJARAT 
8320065964

silvibajaj41@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee for Biomedical and Health Research   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J449||Chronic obstructive pulmonary disease, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Chest Physiotherapy  Patients will receive Diaphragmatic Breathing exercise and Thoracic mobility exercise without Joint Manipulation. Therapy will be provided 10 repetitions/set, 3 set/day, 3 days/week for 3 weeks. Outcomes measured will include PFT and chest wall expansion. 
Intervention  Joint Manipulation with conventional Chest Physiotherapy   Patients will receive Diaphragmatic Breathing Exercise, Thoracic mobility exercise and Joint Manipulation. Joint Manipulation will be done in a prone position and 1 thrust at one level per day 3 days per week for 3 weeks. The Technique is performed for Thoracic spine T1-T10 in posteroanterior caudal and lateral directions. Pulmonary Function Test and chest wall expansion will be measured before and after intervention.  
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients diagnosed with chronic obstructive pulmonary disease (COPD) based on GOLD-stage classification of obstructive pulmonary disease severity to be included in the study.
Both male and female participations aged between 35 and 65 years. 
 
ExclusionCriteria 
Details  Patients with any other cardiorespiratory conditions
Patients with neurological, musculoskeletal and metabolic conditions
Presence of tumors
Acute exacerbations of COPD
Recent thoracoabdominal surgeries 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Forced Expiratory Volume in one second, Forced Vital Capacity ratio, Chest Expansion  At baseline (pre-intervention) and after 3 weeks (post-intervention) 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
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)   18/08/2025 
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="0"
Days="21" 
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  
This experimental study aims to compare the effectiveness of Joint Manipulation versus Conventional Chest Physiotherapy on Chest Expansion and Pulmonary function among Chronic Obstructive Pulmonary Disease (COPD) patients within Vadodara. A total of 36 patients aged 35 to 65, diagnosed with COPD, will be recruited and randomly allocated into two groups. Group A will receive Conventional Chest Physiotherapy and group B will receive Conventional Chest Physiotherapy with Joint Manipulation for thoracic spine (T1-T10). Group A will be treated with 10 repetitions/set, 3 set/day, 3 days/week for 3 weeks and Group B will be treated with 1 thrust at one level / day, 3 days/week for 3 weeks. Outcome measures including Chest Expansion and Pulmonary Function Test (FEV1/FVC). The intervention aims to improve Lung Function, Chest Expansion and Quality of life in COPD patients.
 
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