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CTRI Number  CTRI/2020/12/029850 [Registered on: 16/12/2020] Trial Registered Prospectively
Last Modified On: 16/01/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda
Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Add on efficacy and safety of Myostaal liniment for the reduction of spasticity of the muscles with only Physiotherapy given group.  
Scientific Title of Study   A prospective, randomized, comparative, parallel, 2- arm study to evaluate the efficacy and safety of a Myostaal liniment application as add on therapy for the reduction of spasticity in patients suffering from Hemiplegia. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Hemant Toshikhane  
Designation  Professor / Dean  
Affiliation  Parul Institute Of Ayurveda / Parul University 
Address  Department of Shalya Tantra, Parul Ayurved Hospital and Parul Institute of Ayurveda; Parul University, Vadodara , Gujarat - 391760

Vadodara
GUJARAT
391760
India 
Phone  9964596478  
Fax    
Email  drhemantt@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Hemant Toshikhane  
Designation  Professor / Dean  
Affiliation  Parul Institute Of Ayurveda / Parul University 
Address  Department of Shalya Tantra, Parul Ayurved Hospital, Parul Institute of Ayurveda; Parul University, Vadodara , Gujarat - 391760

Vadodara
GUJARAT
391760
India 
Phone  9964596478  
Fax    
Email  drhemantt@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Hemant Toshikhane  
Designation  Professor / Dean  
Affiliation  Parul Institute Of Ayurveda / Parul University 
Address  Department of Shalya Tantra, Parul Ayurved Hospital and Parul Institute of Ayurveda; Parul University, Vadodara , Gujarat - 391760

Vadodara
GUJARAT
391760
India 
Phone  9964596478  
Fax    
Email  drhemantt@gmail.com  
 
Source of Monetary or Material Support  
Solumiks Herbaceuticals Limited, 135, Nanubhai Desai Rd, Charni Road East, Khetwadi, Girgaon, Mumbai, Maharashtra 400004  
 
Primary Sponsor  
Name  Solumiks Herbaceuticals Limited  
Address  Solumiks Herbaceuticals Limited, 135, Nanubhai Desai Rd, Charni Road East, Khetwadi, Girgaon, Mumbai, Maharashtra 400004  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
Superintendent   Khemdas Ayurveda Hospital, Parul University, AP Ishwarpura, Tal Waghodia, Vadodara, Gujarat 391760  
Superintendent   Parul Ayurveda Hospital, Parul University, AP Limda, Tal Waghodia, Vadodara, Gujarat 391760  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Divya B   Khemdas Ayurveda Hospital   OPD No 8, Khemdas Ayurved Hospital, Parul Institute of Ayurveda and Research,Parul University, P.O. Limda, Tal. Waghodia, Vadodara 391760 Vadodara GUJARAT
Vadodara
GUJARAT 
9844810958

dr.divyadeva3@gmail.com 
Dr Sangeeta Toshikhane   Parul Ayurveda Hospital   OPD no-105, Dept.of Panchakarma Parul institute of Ayurveda; Parul University, Vadodara, Gujarat-391760
Vadodara
GUJARAT 
9964596479

drsangeetaj@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Institutional Ethics Committee for Human Research   Approved 
PIAR - Institutional Ethics Committee for Human Research   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:G819||Hemiplegia, unspecified. Ayurveda Condition: Hemiplegia - Unspecified ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Myostaal liniment application and Physiotherapy exercises over affected part of the body   Application of Myostaal liniment once per day and standard physiotherapy exercises for 30 days 
Comparator Agent  Physiotherapy exercises for affected part of the body  standard physiotherapy exercises for 30 days 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Patient of either sex in the age group of 30-70 years.
2. Diagnosed case of Hemiplegia who is stable after onset up to 01 year.
3. Patients willing to give written informed consent.
4. Patients willing to follow up. 
 
ExclusionCriteria 
Details 
Subject Exclusion Criteria:
1. Comatose patients.
2. Patient on : (a) oral multi-vitamin therapy within the previous 07 days, or (b) intramuscular multiviatmins within 07 days, or (c) Oral protein suppliments which claims to enhance the muscle power, or (d) topical corticosteroid at the site of application within 14 days; Or patient requiring systemic corticosteroids during the course of study.
(e) Patients on NSAIDS use will be excluded
3. Patient who has undergone cranial surgery or who is planning to undergo surgery in next 1 month will be excluded from the study.
4. Patients suffering from cerebral and cerebellar atrophy due to infectious diseases like encephalitis.
5. Patient with space occupying lesions and known case of Epilepsy.
6. Patients with auto-immune disease, uncontrolled hypertension,
7. Diabetes mellitus requiring insulin injections, chronic severe respiratory disease and severe active infectious disease requiring hospitalization.
8. Patient with history of any other systemic illness, life threatening cardiovascular and other progressive neurological diseases.
9. Patient with history of severe allergy or anaphylactic reaction.
10. Patient participating in another investigational drug trial in the previous 30 days.
11. Patients who cannot give valid consent such as mentally retarded, unconscious patients and psychiatric illness
12. History of HIV, Hepatitis B or any immune deficient conditions 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Improvement in muscle strength assessed on basis of “Tardieu Scale” to assess the spasticity, Goniometer to assess the Range of movement of affected shoulder joint, elbow joint and wrist joint  at baseline, 15 days, at the end of 30 days  
 
Secondary Outcome  
Outcome  TimePoints 
Patient’s Global safety assessment score  at baseline, 15 days, 30 days  
Adverse events recording   at baseline, 15 days, at the end of 30 days  
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="33" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   21/12/2020 
Date of Study Completion (India) 26/11/2020 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not yet Published  
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

Stroke is the second leading cause of death amongst the persons above 60years of age, the fifth leading cause of death among 15-59 years old population and the leading cause of disability worldwide.

 

According to WHO 15 million people suffer from stroke worldwide each year (WHO 2002).

 In India stroke prevalence rate 84-262/100000 in rural; 334-424/100000 in urban area. Mid cerebral artery is the most common vascular lesion in cerebro vascular accidents.

 

In stroke when the injured area of brain controls Muscle tone, spasticity occurs. Effect of spasticity includes Stiff fingers, arm or legs affecting function of the muscles and mobility of joints. Each person of stroke requires a comprehensive rehabilitation programme to help them regain their quality of life;  this involves a multidisciplinary team approach with inputs from physician, physiotherapists. Physiotherapy enables people to relearn lost abilities and regain independence. Massage therapy aims to prevent stiffness of affected limbs.

 
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