| CTRI Number |
CTRI/2025/07/090658 [Registered on: 10/07/2025] Trial Registered Prospectively |
| Last Modified On: |
09/07/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Ayurveda |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
To assess the efficacy of Kalari Marma Chikitsa (an Ayurvedic procedure) for pain reduction in Sciatica cases |
|
Scientific Title of Study
|
Neurobiological and biochemical assessment of pain perception after Kalari Marma Chikitsa in Sciatica |
| Trial Acronym |
Nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| Nil |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Ipsita Panda |
| Designation |
PhD Scholar |
| Affiliation |
Institute of teaching and research in Ayurveda |
| Address |
O.P.D room no: 112
Shalya Tantra Dept.
Panchakarma Bhavan
ITRA, Jamnagar
Gujarat
India
Jamnagar GUJARAT 361008 India |
| Phone |
8630205873 |
| Fax |
|
| Email |
pandaipsita82@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
T. S. Dudhamal |
| Designation |
H.O.D and Prfofessor Shalya Tantra Department |
| Affiliation |
Institute of teaching and research in Ayurveda |
| Address |
Room no.: 304
3rd floor
Shalya Tantra Department
Panchakarma Bhavan
ITRA, Jamnagar
Gujarat
India
Jamnagar GUJARAT 361008 India |
| Phone |
8849298620 |
| Fax |
|
| Email |
drtsdudhamal@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Ipsita Panda |
| Designation |
PhD Scholar |
| Affiliation |
Institute of teaching and research in Ayurveda |
| Address |
O.P.D Room No.: 112
Shalya Tantra department
Panchakarma Bhavan
ITRA, Jamnagar
Gujarat
India
Jamnagar GUJARAT 361008 India |
| Phone |
8630205873 |
| Fax |
|
| Email |
pandaipsita82@gmail.com |
|
|
Source of Monetary or Material Support
|
| Institute of teaching and research in Ayurveda
Jamnagar
Gujarat
361008 |
|
|
Primary Sponsor
|
| Name |
ITRA, Jamnagar |
| Address |
Opp. B-Division Police Station, Gurudwara Road, Jamnagar, Gujarat 361008 |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Ipsita Panda |
Institute of teaching and research in Ayurveda. |
O.P.D and I.P.D of Shalya Tantra Department
Room no.: 112
Panchakarma Bhavan
ITRA, Jamnagar Jamnagar GUJARAT |
8630205873
pandaipsita82@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition:G55||Nerve root and plexus compressionsin diseases classified elsewhere. Ayurveda Condition: GRUDHRASI, |
|
|
Intervention / Comparator Agent
|
| sno | Intervention/Comparator | Type | Drug-Type | Procedure Name | Details | | 1 | Intervention Arm | Procedure | - | marmacikitsA, मर्मचिकित्सा | (Procedure Reference: Marmacikitsa Basic Tenets in Ayurveda and Therapeutic Approaches, Procedure details: Kalari Marma Chikitsa of hip and lower limb for 1hour per day for 2 weeks.
Purvakarma
Marma massage,
Pradhankarma
Marma stimulation and manipulation.
Paschatkarma
Bandage or Bandhana of lumbosacral region.)
|
|
|
|
Inclusion Criteria
|
| Age From |
30.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
Patients suffering from sign and symptoms of sciatica for more than 1month.
Patients within the age group 30-65 years, irrespective of gender, religion, occupation, and socioeconomic status will be included in the study.
Patients willing to undergo trial.
Patients with mild and moderate pain (upto grade 3) on a visual analogue scale.
Patients coming under the minimal and moderate disability gradation of Oswestry Low Back Pain Disability Questionnaire.
|
|
| ExclusionCriteria |
| Details |
Patients with red flag conditions in sciatica (muscle wasting of one or both leg, bowel or bladder dysfunction, progressive neurological deficits, saddle anesthesia, sudden onset bilateral radiculopathy, incapacitating pain and unrelenting night pain).
Cauda equina syndrome.
Fractures related to spine and hip joint.
Tuberculosis, other infectious disease and malignancy of lumbosacral spine.
Sciatica patients with associated symptoms like fever, nausea, unexplained weight loss and considerable loss of appetite will be excluded.
Patients of controlled diabetes mellitus.
Patients of controlled hypertension.
Other diseases like cardiac diseases, renal diseases, endocrine disorders, severe anemia and malignancy.
Pregnant or lactating female.
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
The primary outcome is to evaluate the change of leg pain intensity on the basis of VAS from baseline to week 2.
To assess the change in pain perception by evaluating the changes in neurotransmitter levels before and after the treatment.
|
0 day and 14 day
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Changes in paresthesia, stiffness and muscle power grading of muscles of affected lower limb.
Changes in ROM.
Changes in straight leg raise test.
Changes in Sciatica Frequency and Bothersomeness Index (SFBI), it measures the frequency and symptom severity of sciatica with scores ranging from 0 to 24 respectively.
Changes in Oswestry Low Back Pain Disability Questionnaire to assess the relief in sciatica grades.
|
0 day and 14 day. |
|
|
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
|
N/A |
|
Date of First Enrollment (India)
|
30/07/2025 |
| 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="2" Months="0" 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 - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report
- Who will be able to view these files?
Response - Anyone
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [pandaipsita82@gmail.com].
- For how long will this data be available start date provided 01-06-2025 and end date provided 30-06-2027?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
Kalari Marma Chikitsa is an age old method used in southern regions of India especially the state of Kerala for various neuromuscular and arthrological disorders while clinical studies regarding its efficacy for pain management in sciatica is insufficient. This study aims to explore the feasibility and efficacy of Kalari Marma Chikitsa in pain perception of sciatica patients at both clinical and biochemical levels. |