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CTRI Number  CTRI/2026/01/102583 [Registered on: 30/01/2026] Trial Registered Prospectively
Last Modified On: 29/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparision on the effect of different breathing muscle training intensities on blood pressure and nerve function in patients with high blood pressure 
Scientific Title of Study   Comparing The Effect Of High Intensity vs Low Intensity Inspiratory Muscle Training on Blood Pressure And Autonomic Function on Hypertensive Patients 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  NASSEM E 
Designation  Post Graduate student 
Affiliation  Durgabai Deshmukh Hospital And Research Centre 
Address  26Q7C Vidhya Nagar OU ROAD Adikmmet Hyderabad

Hyderabad
TELANGANA
500044
India 
Phone  9361352817  
Fax    
Email  naseemebrahim1630@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  N SIVA JYOTHI  
Designation  Associate Professor 
Affiliation  Durgabai Deshmukh Hospital And Research Centre 
Address  26Q7C Vidhya Nagar OU ROAD Adikmmet Hyderdrabad

Hyderabad
TELANGANA
500044
India 
Phone  9866176055  
Fax    
Email  sivajyothimpt@gmail.com  
 
Details of Contact Person
Public Query
 
Name  N SIVA JYOTHI  
Designation  Associate Professor 
Affiliation  Durgabai Deshmukh College Of Physiotherapy 
Address  26Q7C Vidhya Nagar Adikmmet Hyderabad

Hyderabad
TELANGANA
500044
India 
Phone  9866176055  
Fax    
Email  sivajyothimpt@gmail.com  
 
Source of Monetary or Material Support  
NASEEM E Vidhya Nagar OU ROAD Adikmet Hyderabad Telangana 500044 
 
Primary Sponsor  
Name  NASEEM E 
Address  Vidhya Nagar OU ROAD Adikmet Hyderabad TG 500044 
Type of Sponsor  Other [self] 
 
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 NASEEM  Durgabai Deshmukh Outpatient Department Of Physiotherapy  Durgabai deshmukh Hospital OutPatient DEPT Of Physiotherapy Ground Floor Block 1 26Q7C Vidhya Nagar Adikmet OU ROAD
Hyderabad
TELANGANA 
9361352817

naseemebrahim1630@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethics committee Durgabai deshmukh hospital and research centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I158||Other secondary hypertension,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  GROUP A High intensity IMT  High Intensity inspiratory training group will be performed at 50-60% of PI max training using a inspiratory muscle trainer 30 breaths per session once daily 3 days per week 2 days home program followed with 2 rest days for upto 6 weeks 
Comparator Agent  GROUP B Low Intensity IMT  low Intensity inspiratory training group will be performed at 30-45% of PI max training using a inspiratory muscle trainer 30 breaths per session once daily 3 days per week 2 days home program followed with 2 rest days for upto 6 weeks 
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Diagnosed with stage 1-2 essential hypertension
on stable antihypertensive medication below or equal to 4 weeks
able to understand and follow instructions 
 
ExclusionCriteria 
Details  Secondary Hypertension
Severe cardiac or pulmonary or renal disease
Neurological disorders like stroke or neuropathies
Current smoker or Alcohol dependence
Participation in structured respiratory training programs in past 6 months 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
systolic and diastolic blood pressure using bp monitor
HRV indices
PI max strength 
pre assessment and post assessment after 6 weeks of intervention 
 
Secondary Outcome  
Outcome  TimePoints 
PI max strength using capsule sensing pressure aguge meter  pre assesment before the treatment post assesment after 6 weeks of intervention 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   16/02/2026 
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="0"
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   The study is to compare the effect of high intensity vs low intensity inspiratory muscle training on blood pressure and autonomic function in hypertensive patients by assesing thier systolin and diastolic blood pressure ,heart rate variability and inspiratory muscle strength PI MAX. where the patients will be treated for with 6 weeks intervention period post assessment we will know which training shows better improving among hypertensive patients.thus,this study provides evidence for clinical apllication of IMT in hypertensive ptients 
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