| CTRI Number |
CTRI/2026/02/103718 [Registered on: 12/02/2026] Trial Registered Prospectively |
| Last Modified On: |
12/02/2026 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) Process of Care Changes |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Functional electrical stimulation of abdominal musculature in patients following chest trauma: A pilot randomized controlled trial |
|
Scientific Title of Study
|
Functional electrical stimulation of abdominal musculature in patients on mechanical ventilation following chest trauma: A pilot feasibility open randomized controlled 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 |
KAPIL DEV SONI |
| Designation |
Professor Critical and Intensive Care |
| Affiliation |
All India Institute of Medical Sciences, New Delhi |
| Address |
Jai prakash Narayan apex trauma center, Rajnagar, Ring Road, Safdarjung Enclave, Delhi
South DELHI 110029 India |
| Phone |
9718661658 |
| Fax |
|
| Email |
kdsoni111@aiims.edu |
|
Details of Contact Person Scientific Query
|
| Name |
KAPIL DEV SONI |
| Designation |
Professor Critical and Intensive Care |
| Affiliation |
All India Institute of Medical Sciences, New Delhi |
| Address |
Jai prakash Narayan apex trauma center, Rajnagar, Ring Road, Safdarjung Enclave, Delhi
South DELHI 110029 India |
| Phone |
9718661658 |
| Fax |
|
| Email |
kdsoni111@aiims.edu |
|
Details of Contact Person Public Query
|
| Name |
KAPIL DEV SONI |
| Designation |
Professor Critical and Intensive Care |
| Affiliation |
All India Institute of Medical Sciences, New Delhi |
| Address |
Jai prakash Narayan apex trauma center, Rajnagar, Ring Road, Safdarjung Enclave, Delhi
South DELHI 110029 India |
| Phone |
9718661658 |
| Fax |
|
| Email |
kdsoni111@aiims.edu |
|
|
Source of Monetary or Material Support
|
| JPN Apex Trauma Centre, Rajnagar,Ring road , Safdarjung Enclave,All India Institute of Medical Sciences, New Delhi, 110029 |
|
|
Primary Sponsor
|
| Name |
Kapil Dev Soni |
| Address |
JPN Apex Trauma Centre, Rajnagar,Ring road , Safdarjung Enclave,All India Institute of Medical Sciences, New Delhi, 110029 |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Kapil Dev Soni |
JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi |
Rajnagar, Ring road, Safdarjung Enclave, Delhi South DELHI |
9718661658
kdsoni111@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institute Ethics Committee,All India Institue of Medical Sciences, Delhi |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: S22||Fracture of rib(s), sternum and thoracic spine, (2) ICD-10 Condition: S298||Other specified injuries of thorax, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
functional electrical stimulation of abdominal muscles. |
functional electrical Stimulation will be applied via surface electrodes for 30 min, twice per day, 5 days per week (including first 5 days consecutively), until discharge from the ICU.or till the patient is extubated or expired or undergoes abdominal surgical intervention.
Electrodes will be placed posterolateral over the abdominal wall designed to activate the rectus abdominus , transversus abdominis and internal and external oblique muscles(abdominal group of muscles)
The active group will receive abdominal FES at an intensity that causes a strong visible muscle contraction.
The stimulation current in the control group will set at possible sensation but no muscle contraction. |
| Comparator Agent |
Standard Care without application of effective Functional electrical stimulation. |
Stimulation current in the control group will set at possible sensation but no muscle contraction. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
age more than 18 years or equal to 18 years.
patients having chest injury.
patients must be dependent on mechanical ventilation due to critical illness. |
|
| ExclusionCriteria |
| Details |
Patients will be excluded if they are expected to be ventilated for less than 24 h or already ventilated for more than 72 h
pregnant
neurological paralysis (e.g. spinal cord injury)
physical obstacles that prevent abdominal FES (e.g. abdominal trauma)
A diagnosed terminal illness
Known morbidly obese.
abdominal surgery within 4 weeks prior to potential inclusion.
Uncooperative patient.
Patients with pacemakers, NMR-Imaging, defibrillators.
Patients with autonomic dysreflexia
|
|
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Method of Generating Random Sequence
|
Computer generated randomization |
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Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
1. Percentage of patients in whom procedure could be done.
2. Ventilator Free Days,
3. ICU Free Days
4. Hospital Free Days
5. Difference in muscle thickness.
6. Percentage of patients showing visible contraction.
7. Difference in muscle thickness.
8. Arrythmias
9. Seizures
10. Hypotension
11. Skin burns
12. Uncooperative patient
Analysis :
|
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1. Ventilator Free Days,
2. ICU Free Days
3. Hospital Free Days
4. Difference in muscle thickness.
5. Percentage of patients showing visible contraction.
6.Incidence of Arrythmias, Seizures,Hypotension and Skin burns during the procedure
|
|
|
|
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)
|
02/03/2026 |
| 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="2" 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
|
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Brief Summary
|
Functional electrical stimulation (FES) of abdominal musculature in mechanically ventilated patients following chest trauma will be evaluated in a pilot, feasibility, open randomized controlled trial to determine whether this intervention could improve respiratory outcomes and assist ventilator weaning. Patients with chest trauma requiring mechanical ventilation will be randomized to receive either standard care alone or standard care plus FES applied to abdominal muscles. The feasibility outcomes included recruitment rate, protocol adherence, safety, and patient tolerance.
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