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CTRI Number  CTRI/2025/09/094506 [Registered on: 10/09/2025] Trial Registered Prospectively
Last Modified On: 09/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Physiotherapy Program After Robotic-Assisted Abdominal Surgery: A Feasibility Study 
Scientific Title of Study   A STRUCTURED MULTIMODAL PHYSIOTHERAPY PROTOCOL IN POST ROBOTIC-ASSISSTED LAPROSCOPIC ABDOMINAL SURGERIES: A FEASIBILITY STUDY 
Trial Acronym  SMART-RAS 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aathira Nair 
Designation  Post-Graduate Student 
Affiliation  KAHER Instittute of Physiotherapy 
Address  Advanced physiotherapy, KLE Dr Prabhakar Kore Hospital Belgaum

Belgaum
KARNATAKA
590010
India 
Phone  7276675973  
Fax    
Email  draathiranairpt@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Varun Naik 
Designation  Associate Professor 
Affiliation  KAHER Instittute of Physiotherapy 
Address  Advanced physiotherapy, KLE Dr Prabhakar Kore Hospital Belgaum

Belgaum
KARNATAKA
590010
India 
Phone  09986497065  
Fax    
Email  varunnaik@klekipt.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Varun Naik 
Designation  Associate Professor 
Affiliation  KAHER Instittute of Physiotherapy 
Address  Advanced physiotherapy, KLE Dr Prabhakar Kore Hospital Belgaum

Belgaum
KARNATAKA
590010
India 
Phone  09986497065  
Fax    
Email  varunnaik@klekipt.edu.in  
 
Source of Monetary or Material Support  
KLE Dr Prabhakar Kore Hospital and research center, Nehru Nagar, Belgavi, Karnataka, India, 590010 
 
Primary Sponsor  
Name  KAHER Institute of physiotherapy 
Address  KAHER Institute of Physiotherapy, JNMC campus, Nehru nagar, Belgavi 
Type of Sponsor  Research institution and hospital 
 
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 Aathira Nair  KLE Dr. Prabhakar Kore Hospital  Department of Cardiovascular and pulmonary Physiotherapy, Room no.6, KLE Hospital, JNMC Campus, Nehru Nagar, Belgaum
Belgaum
KARNATAKA 
07276675973

draathiranairpt@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Research and Ethical Committee KLEU Institute of Physiotherapy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K00-K95||Diseases of the digestive system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  Structured Multimodal Protocol  The participants will receive a Structured Multimodal Physiotherapy Protocol for three consecutive days following robotic-assisted laparoscopic abdominal surgery. The intervention will begin within 24 hours after surgery and include a combination of evidence-based physiotherapy techniques aimed at enhancing recovery and preventing post-operative complications.Intensity and progression of activities will be tailored to the patient’s tolerance, vital signs, and surgical recovery status, ensuring safety and feasibility throughout the 3-day period. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  69.00 Year(s)
Gender  Both 
Details  1.Aged between 20-69 years of age of all genders 2.Patients undergoing elective Robotic-assisted laparoscopic abdominal surgeries
with expected duration more than 4 hours.
3.Subjects willing to participate.  
 
ExclusionCriteria 
Details  1.Subjects undergoing open abdominal surgeries. - 2.Pre-existing history of asthma, chronic obstructive pulmonary disease (COPD), or other chronic lung conditions.
3.Subjects undergoing laparoscopic oncologic surgeries.
4.Mechanically ventilated patients after surge 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Respiratory capacity
1 Incentive Spirometry
2 Respiratory rate and oxygen saturation
3.Peak expiratory flow rate. 
Pre and post assessment will be taken. Pre- assessment will be taken before the session and post-assessment post session of each day for 3 days. 
 
Secondary Outcome  
Outcome  TimePoints 
Functional capacity
1 Timed up & Go test
2 Fatigue Index 
Pre & post assessment will be taken. Pre- assessment will be taken before the session & post-assessment post session of each day for 3 days. 
Quality of Life
1.THE INTERNATIONAL PHYSICAL ACTIVITY
QUESTIONNAIRE (QOL Questionnaire)  
Pre and post assessment will be taken.  
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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)   01/10/2025 
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 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
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [draathiranairpt@gmail.com].

  6. For how long will this data be available start date provided 02-02-2026 and end date provided 02-02-2027?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   OBJECTIVE - To determine the effect of structured multimodal physiotherapy protocol on respiratory capacity, functional capacity and quality of life using incentive spirometry, oxygen saturation, timed up and go test, fatigue index, International Physical Activity Questionnaire (IPAQ-QOL) in post robotic assisted laparoscopic abdominal surgeries.

INCLUSION CRITERIA: 
- Aged between 20-69 years of age of all genders.(5,6) 
- Patients undergoing elective Robotic-assisted laparoscopic abdominal surgeries with expected duration more than 4 hours 
- Subjects willing to participate. 

 EXCLUSION CRITERIA: 
- Subjects undergoing open abdominal surgeries. 
- Pre-existing history of asthma, chronic obstructive pulmonary disease (COPD), or other chronic lung conditions. 
- Subjects undergoing laparoscopic oncologic surgeries. 
- Mechanically ventilated patients after surgery. 

OUTCOME MEASURES-
RESPIRATORY CAPACITY-
1. INCENTIVE SPIROMETRY
2. RESPIRATORY RATE AND OXYGEN SATURATION 
3.PEAK EXPIRATORY FLOW RATE

FUNCTIONAL CAPACITY -
1. TIMED UP AND GO TEST(TUGT)
2.FATIGUE INDEX

QUALITY OF LIFE 
1. THE INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRE (QOL Questionnaire)
 
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