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CTRI Number  CTRI/2026/02/104859 [Registered on: 26/02/2026] Trial Registered Prospectively
Last Modified On: 25/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [physiotherapy and pranayam]  
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   To see the effects of Pedal Exercise and Sama Vritti pranayama on blood pressure, respiratory rate, pulse rate and Fatigue level in hemodialysis patient. 
Scientific Title of Study   EFFECTS OF PEDAL EXERCISE VERSUS SAMA VRITTI PRANAYAMA ON HEMODYNAMIC PARAMETERS AND FATIGUE LEVEL IN HEMODIALYSIS PATIENTS :AN EXPERIMENTAL 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  Vanshika Patel 
Designation  PG MPT 1st year student 
Affiliation  College of Physiotherapy, Sumandeep Vidyapeeth. 
Address  PG1 classroom, 2nd floor, Department of CardioRespiratory Disorders and Intensive Care, College of Physiotherapy, Sumandeep Vidyapeeth, Pipariya taluka, Waghodia, Vadodara, Gujarat, India, 391760

Vadodara
GUJARAT
391760
India 
Phone  8128749894  
Fax    
Email  vanshikapatel1902@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Tejas R Chokshi 
Designation  Professor 
Affiliation  College of Physiotherapy, Sumandeep Vidyapeeth. 
Address  College of Physiotherapy, Sumandeep Vidyapeeth, Pipariya taluka, Waghodia, Vadodara, Gujarat, India, 391760

Vadodara
GUJARAT
391760
India 
Phone  9909557689  
Fax    
Email  svdu.administrator@sumandeepvidyapeethdu.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Tejas R Chokshi 
Designation  Professor 
Affiliation  College of Physiotherapy, Sumandeep Vidyapeeth. 
Address  College of Physiotherapy, Sumandeep Vidyapeeth, Pipariya taluka, Waghodia, Vadodara, Gujarat, India, 391760

Vadodara
GUJARAT
391760
India 
Phone  9909557689  
Fax    
Email  svdu.administrator@sumandeepvidyapeethdu.edu.in  
 
Source of Monetary or Material Support  
Dialysis unit, Department of Nephrology, Dhiraj General Hospital, Sumandeep Vidyapeeth Deemed to be University, Waghodia, Vadodara, Gujarat, India, 391760 
 
Primary Sponsor  
Name  Vanshika Patel 
Address  PG1 classroom, 2nd floor, Department of Cardio-Respiratory Disorders and Intensive Care, College of Physiotherapy, Sumandeep Vidyapeeth, Pipariya taluka, Waghodia, Vadodara, Gujarat, India, 391760. 
Type of Sponsor  Other [self - funded] 
 
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 Vanshika Patel  Dialysis Unit, Dhiraj General Hospital.  Dialysis Unit, Department of nephrology, Dhiraj General Hospital, Sumandeep Vidyapeeth Deemed to be university campus, Waghodia, pipariya, Vadodara, Gujarat, India, 391760.
Vadodara
GUJARAT 
8128749894

vanshikapatel1902@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sumandeep Vidhyapeeth Institutional Ethics Committee.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N186||End stage renal disease,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NA  NA 
Intervention  pedal exercise and sama vritti pranayama.  Group A including even number participants performs pedal exercise for 30 minutes in three phases warm up, conditioning and cool down phase and Group B including odd number participants performs sama vritti pranayama for 15 minutes. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  64.00 Year(s)
Gender  Both 
Details  Gender – Male and Female.
Age – Adults 18-64 years.
Receiving hemodialysis twice/thrice a week.
Haemodynamically stable individuals. 
 
ExclusionCriteria 
Details  Unstable cardiac conditions.
Severe dyspnea.
Lower-limb mobility limitations.
Cognitive impairment/ Dementia.
Acute infectious diseases. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Fatigue Level( using Borge scale)  pre to post intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Hemodynamic parameters( Blood pressure, Pulse rate and Respiratory rate)  pre to post intervention 
 
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)   09/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  09/03/2026 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
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 - NO
Brief Summary  

Participants undergoing hemodialysis will be screened based on inclusion criteria, and written informed consent will be obtained from eligible and willing individuals.Participants will be randomly allocated into two groups: Group A (Pedal Exercise) and Group B (Sama Vritti Pranayama). Baseline assessment of fatigue (using the Borg Rating of Perceived Exertion Scale) and hemodynamic parameters (blood pressure, pulse rate, and respiratory rate) will be recorded before each intervention session.Interventions will be administered twice weekly for four weeks during the first two hours of hemodialysis.Group A will perform a 30-minute pedal exercise session consisting of warm-up, conditioning (cycling at 45–50 RPM), and cool-down phases. Vital parameters will be monitored during exercise, and the session will be discontinued if adverse symptoms occur.Group B will perform Sama Vritti Pranayama (equal ratio breathing: 4-4-4-4 seconds) for approximately 15 minutes, completing six cycles with rest intervals between cycles.Post-intervention fatigue and hemodynamic parameters will be recorded immediately after the session and every 2 minutes until values return to baseline. The same procedure will be followed in all sessions for both groups over the 4-week study period.

 
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