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CTRI Number  CTRI/2025/11/097580 [Registered on: 17/11/2025] Trial Registered Prospectively
Last Modified On: 12/11/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Measuring Pain Sensitivity at the Parshwasandhi Marma in Healthy People 
Scientific Title of Study   A Cross-Sectional Study for the Evaluation of Pressure Pain Threshold at Parshwasandhi Marma. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prof Sunil Kumar Yadav 
Designation  Professor Head of Department 
Affiliation  National Institute of AyurvedaDeemed University, Jaipur, Rajasthan. 
Address  Department of Rachana Sharir National Institute of Ayurveda Deemed University Jorawar Singh Gate Amer Road Jaipur Rajasthan
National Institute of Ayurveda Deemed University Jaipur
Jaipur
RAJASTHAN
302002
India 
Phone  09413181445  
Fax    
Email  drskyadav4@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof Sunil Kumar Yadav 
Designation  Professor Head of Department 
Affiliation  National Institute of AyurvedaDeemed University, Jaipur, Rajasthan. 
Address  Department of Rachana Sharir National Institute of Ayurveda Deemed University Jorawar Singh Gate Amer Road Jaipur Rajasthan
National Institute of Ayurveda Deemed University Jaipur
Jaipur
RAJASTHAN
302002
India 
Phone  09413181445  
Fax    
Email  drskyadav4@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prof Sunil Kumar Yadav 
Designation  Professor Head of Department 
Affiliation  National Institute of AyurvedaDeemed University, Jaipur, Rajasthan. 
Address  Department of Rachana Sharir National Institute of Ayurveda Deemed University Jorawar Singh Gate Amer Road Jaipur Rajasthan
National Institute of Ayurveda Deemed University Jaipur
Jaipur
RAJASTHAN
302002
India 
Phone  09413181445  
Fax    
Email  drskyadav4@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Ayurveda  
 
Primary Sponsor  
Name  National Institute of Ayurveda  
Address  National Institute of Ayurveda Jorawar Singh Gate Amer Road Jaipur Rajasthan 302002 
Type of Sponsor  Research institution 
 
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 Sunil Kumar Yadav  NationalInstitute ofAyurvedaHospital  OPD No 3 Department of Rachana Sharir National Institute of Ayurveda Deemed University Jorawar SinghGate Amer Road JaipurRajasthan. JaipurRAJASTHAN Jaipur RAJASTHAN
Jaipur
RAJASTHAN 
09413181445

drskyadav4@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONALETHICSCOMMITTEENATIONALINSTITUTE OFAYURVEDAJAIPUR  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  ICD 10 
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Healthy individuals of either gender
Aged 18 to 60 years
BMI: 18.5 to 24.9 kg/m²
Moderate activity level (non-athletes non-sedentary extremes)
No history of chronic pain trauma or neurological disorders
No co-morbidities such as hypertension diabetes musculoskeletal or neurological disorders
Not on medications affecting pain perception
Willing and able to provide informed consent 
 
ExclusionCriteria 
Details  Pain-related disorders
Pregnant or postpuerperal women
Psychological disorders
Substance abuse
Any contraindication to pressure stimulation 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Application of Pressure using Digital Pressure Algometer until the participant
indicates first pain sensation 
3 stimulations of 0.8 seconds at gap of 1 min
average reading will be taken  
 
Secondary Outcome  
Outcome  TimePoints 
To correlate PPT at Parshwasandhi Marma with individual Prakriti
To assess the association of PPT with Sattva Saar of participants 
Baseline 
 
Target Sample Size   Total Sample Size="385"
Sample Size from India="385" 
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)   15/12/2025 
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  

This cross-sectional observational study aims to evaluate the Pressure Pain Threshold (PPT) at Parshwasandhi Marma, one of the vital Marma points located at the lumbosacral junction, and to explore its correlation with individual Prakriti (body constitution) and Sattva Saar (mental strength) as described in Ayurveda. Marma Chikitsa, a traditional non-invasive therapeutic approach, has been historically practiced to alleviate musculoskeletal disorders. However, standardized parameters regarding pressure application at specific Marma sites remain undefined. This study seeks to establish baseline data to aid in the scientific standardization and personalization of Marma therapy.

A total of 385 healthy volunteers aged 18–60 years will be recruited from the National Institute of Ayurveda, Jaipur. Each participant’s Prakriti will be assessed using the CCRAS tool, and Sattva Saar will be evaluated with a validated questionnaire. The Parshwasandhi Marma will be anatomically localized, and PPT will be measured bilaterally using a Digital Pressure Algometer. The lowest pressure that induces pain will be recorded as the PPT. Three readings per side will be taken and averaged. Statistical analyses (ANOVA, correlation tests) will be applied to determine associations between PPT, Prakriti, and Sattva Saar.

The study is expected to yield normative data on PPT at Parshwasandhi Marma and identify variations linked to constitutional and psychological factors. Findings will help formulate individualized and evidence-based Marma Chikitsa protocols, contributing to safe and effective pressure application. This research is among the first to integrate psychophysical measurements with Ayurvedic parameters, bridging traditional knowledge and modern pain assessment techniques. The outcomes may support the standardization and wider clinical adoption of Marma therapy in integrative pain management.

 
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