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CTRI Number  CTRI/2020/09/027539 [Registered on: 02/09/2020] Trial Registered Prospectively
Last Modified On: 29/01/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of strengthening and stretching exercise on blood glucose level in type 2 diabetes patients 
Scientific Title of Study   Effect of Proprioceptive Neuromuscular facilitation on blood glucose level and quality of life among type 2 diabetes mellitus 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  shagun agarwal 
Designation  Research scholar 
Affiliation  amity institute of physiotherapy 
Address  Amity university sec 125 gautam budh nagar

Gautam Buddha Nagar
UTTAR PRADESH
201301
India 
Phone  9910259583  
Fax    
Email  shagunbpt@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  JASOBANTA SETHI 
Designation  DIRECTOR 
Affiliation  amity institute of physiotherapy 
Address  amity university sec 125 gautam budh nagar

Gautam Buddha Nagar
UTTAR PRADESH
201301
India 
Phone  9988600462  
Fax    
Email  jsethi@amity.edu  
 
Details of Contact Person
Public Query
 
Name  shagun agarwal 
Designation  Research scholar 
Affiliation  amity institute of physiotherapy 
Address  amity university sec 125 gautam budh nagar

Gautam Buddha Nagar
UTTAR PRADESH
201301
India 
Phone  9910259583  
Fax    
Email  shagunbpt@yahoo.com  
 
Source of Monetary or Material Support  
AMITY UNIVERSITY GAUTAMBUDH NAGAR 
 
Primary Sponsor  
Name  amity institute 
Address  amity institute of physiotherapy sec125  
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
shagun agarwal  amity university  sec125 , gautam budh nagar
Gautam Buddha Nagar
UTTAR PRADESH 
9910259583

shagunbpt@yahoo.com 
shagun agarwal  IAMR  9mile stone , delhi meerut road duhai ghaziabad
Ghaziabad
UTTAR PRADESH 
9910259583

shagunbpt@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
amity university  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E119||Type 2 diabetes mellitus without complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  proprioceptive neuromuscular strengthening  Strengthening with theraband in PNF patterns using slow reversal hold 10 reps x 3 sets UE patterns in standing LE patterns in standing Theraband would be selected from least resistance (yellow) to more (black) based on 10RM 10RM would be checked after 2 weeks 3 times /week for 12 weeks PATTERNS OF UPPER LIMB AND LOWER LIMB D1Flexion D2Flexion D1Extension D2Extension TRUNK LT /RT ROTATION Walk as per control group DIET PLAN  
Intervention  proprioceptive neuromuscular stretching  Slow Reversal Hold-relax method will be used Hold for 10 sec and relax for 10 sec Repetition 4 times 3 times /week for 12 weeks PATTERNS OF UPPER LIMB AND LOWER LIMB D1Flexion D2Flexion D1Extension D2Extension --TRUNK LT /RT ROTATION Walk as per control group DIET PLAN  
Comparator Agent  walking  Type of exercise :prolonged , rhythmic activities using large muscle groups(e.g walking ) Duration : 150 min/week . Frequency :5-7 days /week with no more than two days without exercise Diet chart  
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  Subjects with T2DM diagnosed by clinician
Sedentary life style (Not involved in active sports , gym, yoga, before 6 months from study)
Age group 35-55(both male and female )
HbA1c level above 6.5
Ready to adherent to diet chart  
 
ExclusionCriteria 
Details  Any other neurological disorder
Recent musculoskeletal injury
Involved in active sports
Current insulin therapy
Changes during the previous three months in:
Oral hypoglycemic medication
Anti hypertensive medication
Lipid lowering medication
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Blood glucose level
HbA1C
2.Average plasma glucose
3.Quality of life
Tool: Quality of life instrument for Indian diabetes patients (QOLID)
 
12 weeks
 
 
Secondary Outcome  
Outcome  TimePoints 
quality of life   12 weeks 
 
Target Sample Size   Total Sample Size="399"
Sample Size from India="399" 
Final Enrollment numbers achieved (Total)= "460"
Final Enrollment numbers achieved (India)="460" 
Phase of Trial   N/A 
Date of First Enrollment (India)   07/09/2020 
Date of Study Completion (India) 20/08/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="1"
Days="15" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Effect of proprioceptive neuromuscular facilitation stretching versus aerobic training on glycosylated hemoglobin (HbA1C) in patients with type 2 diabetes mellitus Shagun Agarwal, Jasobanta Sethi, Rajeev Aggrawal Amity institute of Physiotherapy, Amity University Uttar Pradesh, Noida, India Effect of proprioceptive neuromuscular facilitation strengthening versus proprioceptive neuromuscular facilitation stretching on glycosylated haemoglobin in patients with type 2 diabetes mellitus Shagun Agarwal, Jasobanta Sethi, Rajeev Aggrawal Amity institute of Physiotherapy, Amity University Uttar Pradesh, Noida, India 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
Type 2 diabetes mellitus is a chronic disease characterized by decrease insulin sensitivity and overall poor glucose tolerance .Diabetes is fast gaining the status of a potential epidemic in INDIA with more than 72 million diabetic individuals currently diagnosed with the disease ,figure expected to almost double to 134 million by 2025. the annual cost to treat diabetes is estimated to be rs 27400 per capita, which if constant would reach an annual 1.95 lac crore by 2025.
American diabetes association says that adoption and maintenance of physical activity are critical for blood glucose management and overall health in individuals with diabetes .
few explorations has been established in the field of strengthening and stretching effectiveness on blood glucose levels among patient with type 2 diabetes.
This study will give an insight to clinicians and patient community about the low cost therapeutic in blood glucose regulation among patients with type 2 diabetes mellitus .
This experimental study has been designed to see the long term effectiveness of proprioceptive neuromuscular facilitation strengthening and proprioceptive neuromuscular facilitation  stretching on HbA1c and quality of life in patient with type 2 diabetes mellitus .the study protocol is of 12 weeks so that we can see the long term effect of protocol.
This study will give low cost exercise tool to patients .
 
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