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CTRI Number  CTRI/2019/05/019154 [Registered on: 15/05/2019] Trial Registered Prospectively
Last Modified On: 14/05/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA)
Behavioral 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Non-invasive techniques to improve sleep disturbance induced cognitive impairments 
Scientific Title of Study   Sleep Disturbance-Induced Cognitive Impairment in Collegiates: Effects of Brain Wave Entrainment and Aerobic Exercise 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mohammed Ejaz Hussain 
Designation  Director 
Affiliation  Jamia Millia Islamia 
Address  Jamia Millia Islamia Jamia Nagar
Jamia Nagar
South
DELHI
110025
India 
Phone  9899339816  
Fax    
Email  ehusain@jmi.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Anam Aseem 
Designation  Ph.D. Scholar 
Affiliation  Jamia Millia Islamia 
Address  Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia Jamia Nagar
Jamia Millia Islamia, Maulana Mohammed Ali Jauhar Marg, Jamia Nagar
South
DELHI
110025
India 
Phone  8826837035  
Fax    
Email  anam.aseem@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Anam Aseem 
Designation  Ph.D. Scholar 
Affiliation  Jamia Millia Islamia 
Address  Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia Jamia Nagar
Jamia Millia Islamia, Maulana Mohammed Ali Jauhar Marg,Jamia Nagar
South
DELHI
110025
India 
Phone  8826837035  
Fax    
Email  anam.aseem@gmail.com  
 
Source of Monetary or Material Support  
Technology Bhavan New Mehrauli Road, New Delhi, Delhi 110016 
 
Primary Sponsor  
Name  Department of Science and Technology 
Address  Govt of India 
Type of Sponsor  Government funding agency 
 
Details of Secondary Sponsor  
Name  Address 
Centre for Physiotherapy and Rehabilitation Sciences  Jamia Millia Islamia 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Prof Mohammed Ejaz Hussain  Jamia Millia Islamia  Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia, Jamia Nagar
South West
DELHI 
9899339816

ehusain@jmi.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Sleep disturbance 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Aerobic Exercise  Participants randomly assigned to the aerobic training group will undergo a supervised eight-week intervention where they shall attend three sessions per week for 8 weeks, approximately 45 min per session on treadmill. Training intensity for each participant will be determined using the heart rate maximum (HRmax) obtained during the baseline assessment. Initial training intensity will be set at 65% HRmax (±5 beats per minute), increased by 5% per week to 85% HRmax (±5 beats per minute), and then the intensity will be maintained at 85% HRmax from week 4 to 8 of the intervention. Heart rate will be monitored throughout the training sessions. Each training session will involve a 5 min warm-up stretching before the aerobic exercise and 5 min cool-down period after the exercise. All the participants will also be given sleep hygiene recommendations and they will be asked to follow the same for the course of study. 
Comparator Agent  Control group  Subjects in this group will receive sleep hygiene recommendations and will be asked to follow the same for the complete study duration. 
Intervention  Cranial Electrostimulation  The participants in this group will receive brain wave entrainment treatment via a small, safe, user friendly, hand held device for three times a week for 8 weeks using a micro current cranial electrotherapy stimulator during a nap opportunity of 60 minutes in the afternoon. Based on the CES Ultra manual and the previous researches, current and frequency will be set at 100 μA and 0.5 Hz, respectively. Clip electrodes will be attached to both earlobes to deliver treatment. This group will also be given sleep hygiene recommendations and will be asked to follow the same for the complete study duration. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  28.00 Year(s)
Gender  Both 
Details  Subjects volunteering to participate in the study
A score >5 on Kuppuswamy socio-economic status scale
Physician approval for participation in study program
Subjects having basic understanding of English language
 
 
ExclusionCriteria 
Details  History of any neurological, psychological and psychiatric disorders
History or evidence of cardiovascular disease (history of angina, shortness of breath, uncontrolled hypertension)
Alcoholism and other drug abuse/ smoking
Use of centrally active medications
Use of sleep medications
Receiving any physical therapy intervention or engaged in any regular physical activity program for last 6 months
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Quality and quantity of sleep, Cognitive functions   Baseline, 4th week, 8th week 
 
Secondary Outcome  
Outcome  TimePoints 
Subjective stress, Anxiety, Quality of life, Well being, Biomarkers of sleep and cognition  Baseline, 4th week, 8th week 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   22/05/2019 
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="1"
Days="1" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   Problems related to sleep are very common in modern society. Consequences of sleep problems can be many out of which decrements in cognitive performance is amongst the top ranked ill effect. Physiologically, lack of slow wave activity (SWA) occurring during slow-wave sleep (SWS) is by far the most argued reason for cognitive decline associated with sleep problems. Moreover, SWA and its coupling with other sleep features, reorganizes cortical circuitry, supporting cognition. SWA enhancement techniques range from behavioural interventions (such as various forms of exercises), which have high feasibility but low specificity, to laboratory based techniques (such as brain wave stimulation), which have high specificity but are less feasible for widespread use. Here, we propose to examine the effects of two SWA enhancement techniques on sleep and cognitive functions. Therefore, the present study is a randomised, single blinded, multiple arm comparative trial to ascertain the effects of non invasive, non pharmacological SWA enhancement techniques, i.e., Aerobic exercise and Brain wave entrainment on sleep and cognition in collegiate students. Apart from sleep and cognition, this study also intends to investigate the effect of SWA enhancement techniques on stress, anxiety, quality of life, well-being and biomarkers of sleep and cognitive function in sleep disturbed collegiate students. This study is to be conducted in Jamia Millia Islamia. The participants will be recruited from the University campus. If came out with positive results, this study protocol has the potential to be used for improving sleep as well as cognitive functions in university students. 
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