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CTRI Number  CTRI/2020/03/024249 [Registered on: 25/03/2020] Trial Registered Prospectively
Last Modified On: 17/03/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Unani
Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect Of Wet Cupping In Neck Pain 
Scientific Title of Study   Efficacy Of Hijama Bish Shart In The Pain Management Of WajaÊ» ur Raqaba (Cervical Spondylosis) - A Randomized Controlled Clinical Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Hina Kouser V 
Designation  PG Scholar 
Affiliation  National Institute Of Unani Medicine 
Address  National Institute Of Unani Medicine, Kottigepalya, Magadi main road, Bangalore-560091

Bangalore
KARNATAKA
560091
India 
Phone  9025234062  
Fax    
Email  hinakouser56@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mohd Nayab 
Designation  Assistant Professor 
Affiliation  National Institute Of Unani Medicine 
Address  National Institute Of Unani Medicine, Kotttigepalya, Magadi main road, Bangalore-560091

Bangalore
KARNATAKA
560091
India 
Phone  9019080556  
Fax    
Email  nayabdr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mohd Nayab 
Designation  Assistant Professor 
Affiliation  National Institute Of Unani Medicine 
Address  National Institute Of Unani Medicine, Kottigepalya, Magadi main road, Bangalore-560091

Bangalore
KARNATAKA
560091
India 
Phone  9019080556  
Fax    
Email  nayabdr@gmail.com  
 
Source of Monetary or Material Support  
National Institute Of Unani Medicine, kottigepalya, magadi main road, Bangalore-560091 
 
Primary Sponsor  
Name  National Institute Of Unani Medicine 
Address  Kottigepalya, Magadi Main Road, Bangalore-560091 
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 Mohd Nayab  National Institute Of Unani Medicine  Kottigepalya, magadi main road, Bangalore-560091
Bangalore
KARNATAKA 
9019080556

nayabdr@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, NIUM  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M478||Other spondylosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  TENS  Transcutaneous Electrical Nerve Stimulation Weekly 6 Sitting for 2 weeks 
Intervention  Wet Cupping  3 Sittings Of Wet Cupping For Cervical Spondylosis. 1st Sitting on nape of neck on 0 day, 2nd sitting on suprascapular region on 7th day, 3rd sitting on interscapular region on 14th day 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Diagnosed cases of Cervical Spondylosis clinically and radiologically
2. No apparent spinal deformity like- Kyphosis, scoliosis, Lordosis etc
3. VAS score for pain not less than 3
 
 
ExclusionCriteria 
Details  1. Unstable, bed ridden and mentally retarded patients
2. Diabetes mellitus patient with multiple drug (more than two)
3. Other severe neurologic, psychiatric and bleeding disorders
4. Pregnant and lactating women
5. Previous history of neck trauma, cervical fracture or surgery, congenital spinal abnormality, spinal tumour and cancer
6. AIDS,HIV and HBsAG positive cases
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Visual Analogue Scale (VAS)  0th day and 21st day
 
 
Secondary Outcome  
Outcome  TimePoints 
1. Neck disability index (NDI)
2. Cervical range of Motion
 
0th day and 21st day 
 
Target Sample Size   Total Sample Size="43"
Sample Size from India="43" 
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   Phase 2 
Date of First Enrollment (India)   05/04/2020 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None Yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Cervical spondylosis (WajaÊ» ur Raqaba) is a chronic degenerative process of the cervical spine characterized by pain in neck, degenerative changes in intervertebral disc and osteophyte formation. Most common degenerative changes are seen in C5-C6 followed by C6-C7 and C4-C5. About two third of the population have neck pain at some time in their live and prevalence is highest in middle ageAs neck pain affects a person’s life both at home and at work, therefore, relief from pain is mandatory for social, psychological, economical and medical reasons.

Though, the use of analgesics provides significant relief in symptoms of cervical spondylosis for a very short time, and their prolong use may induce a number of adverse effects. Similarly, most of the patients avoid surgeries due to complications associated with it. These ways of treatment definitely relieve the symptoms of cervical spondylosis but not up to the mark of satisfaction and free from adverse effects.  Hence, there is a dire need to develop a safe and effective mode of treatment for the management of cervical spondylosis.

In Unāni system of medicine, the term WajaÊ» ur Raqaba is not mentioned in any of the classical text, but most of the eminent physicians have used a broad term Waja’ ul Mafāṣil to describe all types of joint pain. Unāni physicians have treated WajaÊ» ul Mafāṣil successfully with various drugs & regimenal modalities including Hijāma Bish Shará¹­, Dalk, Riyāḍat etc. Hijāma Bish Shará¹­ is one which is commonly prescribed to evacuate Mawād-i-Fāsida and to provide relief to the patients of WajaÊ» ul Mafāṣil. Hence keeping the above facts in mind, I planned a study to evaluate the effect of Hijāma Bish Shará¹­ in the management of WajaÊ» ur Raqaba entitled as Efficacy of Hijāma Bish Shará¹­ in the pain management of Waja’ ur Raqaba (Cervical Spondylosis): An Open Label Randomized Controlled Clinical Trial is contemplated
 
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