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CTRI Number  CTRI/2021/06/034466 [Registered on: 29/06/2021] Trial Registered Prospectively
Last Modified On: 09/07/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA)
Other (Specify) [PHYSIOTHERAPY INCLUDING PRANAYAMA TECHNIQUE WHICH CONSIDERED AS SPECIFIC BREATHING TECHNIQUE.]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of two different physiotherapy treatments essential hypertension.  
Scientific Title of Study   “A STUDY TO COMPARE THE EFFECTIVENESS OF INSPIRATORY MUSCLE TRAINING VERSUS ALTERNATIVE NOSTRIL YOGA BREATHING ON BLOOD PRESSURE, RESTING HEART RATE AND QUALITY OF LIFE IN ESSENTIAL HYPERTENSION - AN INTERVENTIONAL STUDY” 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  YAGNIK DAVE 
Designation  ASSISTANT PROFESSOR 
Affiliation  Saurashtra University, Rajkot 
Address  5th floor, Cabin 556, Faculty of Physiotherapy, Main building, Marwadi university, Morbi national highway near gauridad, RAJKOT.
Saurashtra University, University Road, Rajkot.
Rajkot
GUJARAT
360005
India 
Phone  8511844546  
Fax    
Email  yagnikdave93@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  YAGNIK DAVE 
Designation  ASSISTANT PROFESSOR 
Affiliation  Saurashtra University, Rajkot 
Address  5th floor, Cabin 556, Faculty of Physiotherapy, Main building, Marwadi university, Morbi national highway near gauridad, RAJKOT.
Saurashtra University, University Road, Rajkot
Rajkot
GUJARAT
360005
India 
Phone  8511844546  
Fax    
Email  yagnikdave93@gmail.com  
 
Details of Contact Person
Public Query
 
Name  YAGNIK DAVE 
Designation  ASSISTANT PROFESSOR 
Affiliation  Saurashtra University, Rajkot 
Address  5th floor, Cabin 556, Faculty of Physiotherapy, Main building, Marwadi university, Morbi national highway near gauridad, RAJKOT.

Rajkot
GUJARAT
360005
India 
Phone  8511844546  
Fax    
Email  yagnikdave93@gmail.com  
 
Source of Monetary or Material Support  
NONE 
 
Primary Sponsor  
Name  YAGNIK DAVE 
Address  MARWADI UNIVERSITY MORBI NATIONAL HIGHWAY RAJKOT 
Type of Sponsor  Other [SELF] 
 
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 
YAGNIK DAVE  Marwadi Institute of Physiotherapy  Physiotherapy OPD Ground MB00012 floor, Faculty of Physiotherapy, Main building, Marwadi university, Morbi national highway near gauridad, RAJKOT.
Rajkot
GUJARAT 
8511844546

yagnikdave93@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SAFE SEARCH INDEPENDENT ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I10||Essential (primary) hypertension,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Alternative nostril yoga breathing  15 min (one min training followed by one minute rest), 5 days per week for 4 weeks  
Intervention  Inspiratory muscle training  15 minutes (one minute training followed by one minute rest), 5 days per week, for 4 weeks using the Threshold Inspiratory Muscle Trainer 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  Stage 1 and stage 2 hypertensive with no change in medications for at least 2 months preceding the study.
Both gender of male and female aged between 30 to 55 years with BMI between 24.01 to 28.08kg/m2.
Those who were willing to participate in the study.
 
 
ExclusionCriteria 
Details  Secondary hypertension due to liver, heart, renal failure.
Habits of tobacco chewing, smoking and alcohol consumption.
Having disease of Respiratory tract e.g. history of tuberculosis, chronic obstructive airway disease respiratory tract infections.
Athletes, regular pranayama practitioners and patients undergoing any other form of exercise.
Recent cardiovascular events, pulmonary diseases, diabetes mellitus, neuropathies, cardiac arrhythmias.
Autoimmune diseases.
Use of neuroleptics/antiarrhythmic.
Nasal abnormalities such as nasal polyps.
Unconscious patients.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Blood Pressure
Heart rate
Quality of Life
 
Baseline day 1
After 4 weeks
 
 
Secondary Outcome  
Outcome  TimePoints 
Systolic blood pressure and Diastolic Blood pressure
Resting Heart rate
MINICHAL QoL: Mental and Somatic manifestations 
0 day 28 day 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   30/06/2021 
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="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
Hypertension is the most common controllable disease affecting around 40% of the adult population worldwide. It is an important public health challenge in both economically developing and developed countries
A multidisciplinary approach, comprising clinical, pharmacological treatment and non-pharmacological intervention is more effective in optimal control of blood pressure.
Many studies have been conducted to control blood pressure as non-pharmacological management. Like Aerobic training, breathing exercise, alternate nostril breathing, inspiratory muscle training etc.
Previous studies have reported that autonomic cardiovascular control alterations with different breathing patterns implicating a ventilatory influence on hemodynamics. So respiratory control exercises may be an applicable treatment option for hypertension with a more favorable effect. 
But there is a lack of evidence which suggest more effective treatment among of inspiratory muscle training and alternative nostril yoga breathing on blood pressure and heart rate in essential hypertension, hence there is a need to compare the effectiveness of inspiratory muscle training versus alternative nostril yoga breathing on quality of life questionnaire in essential hypertension.
 
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