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CTRI Number  CTRI/2021/04/032618 [Registered on: 07/04/2021] Trial Registered Prospectively
Last Modified On: 01/04/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy
Physiotherapy (Not Including YOGA)
Other (Specify) [Physiotherapy with yoga]  
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Study of Effect of two techniques Manual Therapy (MT) and Mindfulness-Based Stress Reduction (MBSR) Therapy in Patients with Diabetic Frozen Shoulder. 
Scientific Title of Study   Study of Effect of Manual Therapy (MT) and Mindfulness-Based Stress Reduction (MBSR) Therapy in Patients with Diabetic Frozen Shoulder 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  NIRAJ KUMAR 
Designation  Ph.D Scholar Physiotherapy (Orthopaedics) 
Affiliation  SHRI GURU RAM RAI UNIVERSITY 
Address  SHRI GURU RAM RAI UNIVERSITY PATEL NAGAR, DEHRADUN UTTARAKHAND
PATEL NAGAR, DEHRADUN UTTARAKHAND
Dehradun
UTTARANCHAL
248001
India 
Phone  7037957755  
Fax    
Email  drnirajkumar25@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Niraj Kumar  
Designation  Ph.D Scholar Physiotherapy (Orthopaedics) 
Affiliation  SHRI GURU RAM RAI UNIVERSITY 
Address  SHRI GURU RAM RAI UNIVERSITY SHRI GURU RAM RAI Institute of Medical & Health Sciences PATEL NAGAR, DEHRADUN UTTARAKHAND
PATEL NAGAR, DEHRADUN UTTARAKHAND
Dehradun
UTTARANCHAL
248001
India 
Phone  7037957755  
Fax    
Email  drnirajkumar25@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Navneet Badoni  
Designation  Professor Department of Orthopaedics  
Affiliation  SHRI GURU RAM RAI UNIVERSITY 
Address  SHRI GURU RAM RAI UNIVERSITY SHRI GURU RAM RAI Institute of Medical & Health Sciences PATEL NAGAR, DEHRADUN UTTARAKHAND
PATEL NAGAR, DEHRADUN UTTARAKHAND
Dehradun
UTTARANCHAL
248001
India 
Phone  09897069972  
Fax    
Email  badoninavneet@yahoo.com  
 
Source of Monetary or Material Support  
Shri Guru Ram Rai University Patel Nagar, Dehradun, Uttarakhand 
 
Primary Sponsor  
Name  SHRI GURU RAM RAI UNIVERSITY  
Address  Shri Guru Ram Rai University Patel Nagar, Dehradun, Uttarakhand  
Type of Sponsor  Private medical college 
 
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 
NIRAJ KUMAR  Shri Mahant Indiresh Hospital  Department of Physiotherapy and Orthopedic units OPD & IPD SMIH Patel Nagar, Dehradun (Uttrakhand).
Dehradun
UTTARANCHAL 
7037957755

drnirajkumar25@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutinal Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M958||Other specified acquired deformities of musculoskeletal system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Manual Therapy   Manual Therapy with Mindfulness-Based Stress Reduction Therapy is a new intervention techniques used to improve ROM of shoulder joint and decrease pain. In Mulligan Techniques the frequency will be performed 3 sets of 10 repetitions, with 1 minute rest between sets. Maitland Mobilization Techniques the frequency 10-15 repetitions will be made of grade 3 and 4 for 3 sets with 1 minute rest in between sets. Muscle Energy Techniques (MET) For Rotatar Cuff Muscle the frequency will be given for 5 repetitions per set for 3 sets and the treatment procedure performed 3 sessions. Shoulder Stabilization Exercise the frequency will be 8 to 15 repetitions for 3 sets only 5 times / week for 8 weeks.  
Comparator Agent  Mindfulness-Based Stress Reduction Therapy (MBSR)  MBSR would be 8-week programs with weekly 2 to 2.5 hour sessions and an additional 6-hour session in the 6th week.. Daily home work of 45 minutes meditation will be recommended 6 days a week. 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Subjects with limited Range of motion of shoulder abduction, external rotation and flexion.
All the patients (both males and females) between ages 40 to 70 years.
Diabetic patients
All the subjects must have frozen shoulder for at least last 15 days.
Affected shoulder must have not more than 90 degrees of abduction and 50% decreased external rotation as compared to normal side/normal ROM values.
 
 
ExclusionCriteria 
Details  Subjects with Rotator cuff tears and other shoulder ligament injuries.
History of any arthritis related to shoulder.
RA shoulder secondary to fracture, dislocation, Reflex sympathetic dystrophy, neurological disorder
Malignancy.
All the patients having any cervical or thoracic problem. If present must be treated first before including in the study.
All the objects having any intra articular injection in the glenohumeral joint during last three months.
Patients with fractured scapula.
Any history of surgery on that shoulder and patients with tendon calcification.
Patients with cervical rib.
 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
PAIN
DISABILITY
RANGE OF MOTION
ANXITY AND DEPRESSION
SOMATIC SYMPTOMS
QUALITY OF LIFE (QOL)
 
0 Week, 2 Week, 4 Week, 6 Week And 8 Week 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="155"
Sample Size from India="155" 
Final Enrollment numbers achieved (Total)= "155"
Final Enrollment numbers achieved (India)="155" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   15/04/2021 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="6"
Days="5" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Attached  
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  

Niraj Kumar, Siddhartha Sen, Navneet Badoni, Anirban Patra, Sobhit Garg (2022). Effectiveness of Movement with Mobilization (MWM) on Pain, Proprioception and Muscle Strength in Diabetic Frozen Shoulder Conditions. International Journal of Health Sciences, 6 (S1), 2630–2645. https://doi.org/10.53730/ijhs.v6nS1.5338.  

Niraj Kumar, Navneet Badoni, Siddhartha Sen, Anirban Patra, Shobit Garg, Kanchan Joshi (2022). Effectiveness of Mindfulness-Based Stress Reduction Therapy (MBSRT) on Anxiety and depression, Quality of Life and Mindfulness in Diabetic Frozen Shoulder Conditions. Journal of Positive School Psychology. 6 (2). 2291 – 2308 https://journalppw.com/index.php/jpsp/article/view/1810/1025

 
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