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CTRI Number  CTRI/2026/03/106005 [Registered on: 12/03/2026] Trial Registered Prospectively
Last Modified On: 11/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Crossover Trial 
Public Title of Study   How the 4-7-8 Breathing Technique Affects Heart and Lung Function Right After Exercise in Young Adults 
Scientific Title of Study   Immediate Effect of 4-7-8 breathing technique after SubMaximal exercise on Cardiorespiratory Function in young adults: A Randomized Crossover Trial 
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 Siddhi Milind Waikar  
Designation  PG student 
Affiliation  TMVs Lokmnaya Tilak college of Physiotherapy  
Address  TMVs Lokmanya Tilak College of Physiotherapy Third Floor Department of CVRS Physiotherapy Tilak Maharashtra Vidyapeeth J Block Sector 14 Near Raghunath Vihar Kharghar Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  9822485998  
Fax    
Email  siddhi.waikar0@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vijayendra Rajguru  
Designation  Head of department and professor  
Affiliation  TMVs Lokmnaya Tilak college of Physiotherapy  
Address  TMVs Lokmanya Tilak College of Physiotherapy Third Floor Department of CVRS Physiotherapy Tilak Maharashtra Vidyapeeth J Block Sector 14 Near Raghunath Vihar Kharghar Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  9769944908  
Fax    
Email  vijendrarajguru777@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vijayendra Rajguru 
Designation  Head of department and professor  
Affiliation  TMVs Lokmnaya Tilak college of Physiotherapy  
Address  TMVs Lokmanya Tilak College of Physiotherapy Third Floor Department of CVRS Physiotherapy Tilak Maharashtra Vidyapeeth J Block Sector 14 Near Raghunath Vihar Kharghar Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  9769944908  
Fax    
Email  vijendrarajguru777@gmail.com  
 
Source of Monetary or Material Support  
TMVs Lokmanya Tilak college of Physiotherapy , kharghar 410210 ,navi mumbai, Maharashtra,india  
 
Primary Sponsor  
Name  TMVs Lokmanya Tilak college of Physiotherapy  
Address  TMVs Lokmanya Tilak College of Physiotherapy Third Floor Department of Cardiovascular and respiratory Physiotherapy Tilak Maharashtra Vidyapeeth J Block Sector 14 Near Raghunath Vihar Kharghar 410201, Navi Mumbai , Maharashtra, India  
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
TMVs Lokmanya Tilak college of Physiotherapy   TMVs Lokmanya Tilak College of Physiotherapy, Block J, Raghunath Vihar, Sector 14, Kharghar- 410210 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Siddhi Milind Waikar   TMVs Lokmanya Tilak College of Physiotherapy  CVRS department of physiotherapy,3rd floor, Block J, Raghunath Vihar, Sector 14, Kharghar- 410210
Raigarh
MAHARASHTRA 
9822485998

siddhi.waikar0@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
TMVs Lokmanya Tilak College of Physiotherapy Institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  18-25 yr healthy adults  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  4 7 8 breathing exercises   4 7 8 breathing technique inhale through nose for 4 second and hold breath for 7 seconds then exhale slowly through pursed lips for 8 seconds repeat this cycle for 4 to 8 times purpose to promotes relaxation reduce stress improve sleep quality benefites are maintain heart rate reduces sympathetic drive control breathing pattern helpful in hyperventilation and insomnia  
Comparator Agent  pre and post respiratory rate blood pressure oxygen saturation and heart rate recovery in 1 min 3 min and 5 min   submaximal test will increase all the parameters so comparing these parameters pre and post recovery will provide data reagarding effectivness of 4 7 8 breathing technique  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  1. Age Range:18–25 years
2. Both gender: male and female
3. Consent: Subject who voluntarily agree to participate and sign an informed consent form.  
 
ExclusionCriteria 
Details  1. Medical Conditions: Diagnosed respiratory (e.g., asthma, COPD), cardiovascular (e.g., hypertension), or neuromuscular disorders. Any chronic illness or condition affecting functional capacity.
2. Medication Use: Regular use of medications that could influence respiratory function or physical performance (e.g., bronchodilators, beta-blockers).
3. Physical Limitations: Any musculoskeletal injuries or conditions that limit physical activity (e.g., inability to perform the Harvard Step Test).
4. Pregnancy: Pregnant or breastfeeding individuals, due to physiological changes that could affect the study outcomes.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Respiratory rate
blood pressure
oxygen saturation
rate of perceived exertion
resting heart rate
heart rate recovery 
1min , 3 min , 5 min pre and post
2 days of washout period for crossover  
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   25/03/2026 
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="1"
Months="6"
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 - NO
Brief Summary   Objective To evaluate the immediate effect of the 4 7 8 breathing technique on cardiorespiratory function following submaximal exercise in healthy young adults aged 18 to 25 years
Inclusion Criteria  Healthy males and females aged 18 to 25 years who voluntarily agree to participate and provide informed consent
Exclusion Criteria Individuals with diagnosed cardiovascular  respiratory or neuromuscular disorders those on medications affecting cardiorespiratory function  participants with musculoskeletal limitations restricting exercise performance and pregnant or breastfeeding individuals
Outcome Measures Heart rate recovery  blood pressure  respiratory rate  oxygen saturation and rate of perceived exertion 
Procedure Participants will perform a modified Harvard Step Test as a submaximal exercise protocol followed by either passive recovery or a supervised 4 7 8 breathing intervention for 5 minutes After a two-day washout period participants will cross over to the alternate intervention and cardiorespiratory parameters will be measured before and after each intervention
 
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