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CTRI Number  CTRI/2021/05/033793 [Registered on: 25/05/2021] Trial Registered Prospectively
Last Modified On: 16/06/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda
Yoga & Naturopathy 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Online Yoga for Managing Covid-19 Induced Psychological Problems 
Scientific Title of Study   Online Yoga Intervention as Tertiary Prevention of Psychological Comorbidities of Covid-19 Survivors 
Trial Acronym  OYITPPCCOVID 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rudra Bhandari 
Designation  Assistant Professor 
Affiliation  University of Patanjali 
Address  University of Patanjali, Department of Yoga Science, Sadbhavana Building Patanjali Yogpeeth Phase-1,Haridwar
University of Patanjali, Department of Yoga Science, Sadbhavana Building Patanjali Yogpeeth Phas1,Haridwar,Uttarakhand,249405.
Hardwar
UTTARANCHAL
249405
India 
Phone  9634510540  
Fax    
Email  rbap@uop.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rudra Bhandari 
Designation  Assistant Professor 
Affiliation  University of Patanjali 
Address  University of Patanjali, Department of Yoga Science Sadbhavana Building Patanjali Yogpeeth Phase-1,Haridwar
University of Patanjali, Department of Yoga Science Sadbhavana Building Patanjali Yogpeeth Phas1,Haridwar,Uttarakhand,249405.
Hardwar
UTTARANCHAL
249405
India 
Phone  9634510540  
Fax    
Email  rbap@uop.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Velan  
Designation  JRF 
Affiliation  University of Patanjali 
Address  University of Patanjali, Department of Yoga Science Room No: 421, Patanjali Ayurved College Patanjali Yogpeeth Phase-1, Haridwar
University of Patanjali, Department of Yoga Science Room No: 421, Patanjali Ayurved College Patanjali Yogpeeth Phas-1, Haridwar,Uttarakhand
Hardwar
UTTARANCHAL
249405
India 
Phone  9094525759  
Fax    
Email  yogaforcovid@gmail.com  
 
Source of Monetary or Material Support  
Department of Science and Technology, MoST, Govt. of India 
 
Primary Sponsor  
Name  Patnajli Ayurved Hospital 
Address  Sadbhavana Building, Patanjali Yogpeeth-1, Haridwar-249405  
Type of Sponsor  Private hospital/clinic 
 
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 Rudra Bhandari  Patanjali Ayurved Hospital, AIIMS Rishikesh and Relevant Covid Hospitals of India  Patanjali Ayurved Hospital Department of Kayachikitsa Room No.: 421, Patanjali Yogpeeth Phase-1, Haridwar Department of Psychiatry, AIIMS Rishkesh, Birbhadra Road, Rishikesh
Hardwar
UTTARANCHAL 
9634510540

rbap@uop.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:F063||Mood disorder due to known physiological condition. Ayurveda Condition: MANOVAHASROTOVIKARAH,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control Group  22 participants will be given no input for one-month. They will be provided video recordings of Online Yoga Intervention after taking post data. 
Intervention  Online Yoga Intervention  22 participants are expected to go through one-month online yoga classes (5 classes/week) by covering the yogic practices as mentioned in yoga protocol. Asanas Loosening and Energing Series (LES):Toes stretch, ankle stretch, ankle rotation, knee stretches, knee rotation, half butterfly, hip joint stretch and rotation, semi spinal twists with extended legs, fingers stretches from middle and distal phalangeal joints, palm stretches, wrist stretches and rotations, shoulder stretches and rotations, neck movements: up-down, sidewise- tilts and twists, rotation, chest opening, spinal stretch, hands rotation from shoulders, facial movements- protraction, retraction, clinching, grinding teeth Pranamasana(Prayers pose) Tadasana (Palm Tree Pose) Padhastasana (Head to Toe Pose), Ustrasana (Camal Pose) Utkatasana (Chair pose) Yogmudrasana(Rabbit pose with hands extended back with interlocked fingers) Ardhatadasana(Semi Palm Tree Pose) Bhujangasana (Cobra pose) Shalabhasana (Locust pose) Vakrasana(Seated Semi Spinal Twist) Vajrasana (Thunderbolt pose) Makarasana (Crocodile Pose) Note: Practice of the aforesaid poses will be synchronized with breathing patterns and mental awareness by caring patients comfort limits. Breathing practices Uni-nostril Breathing (UNB) Alternate Nostril Breathing (ANB) Kapalbhati Bhastrika Kapol Shakti Vikasak(KSV) (Crown Breathing) Ujjayai. Bhramari Mudras: Gyan, Sanmukhi, Prana, and Apana. Bandhas: Mool, Jalandhar, and Uddiyan Note: Breathing practices will be synchronized with specified Mudras and Bandhas. Savita Dhyan (meditation of rising sun). Attmabodha and Tattwabodh. Nadyog- Durga Rag and Prayer  
Intervention  Yoga cum Herbal Concoction  22 Participants are expected to go through online yoga intervention (5 classes/week) along with intake 150 ml of one-time concoction preferably in morning in empty stomach for one month. The concoction will be given for all seven days of the week. Herbal Concoction will be prepared from Withania Somnifera (Ashwagandha) Tinospora Cordifolia (Guduchi) Ocimum Tenuiflorum (Tulsi) Glycyrrhiza Glabra (Mulathi) Zingiber Officinale (Ginger) Piper Nigrum (Black Pepper) Vitis Vinifera (Raisins)  
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1)An email address, an internet-connected computer with camera and sound system/ tablet or 4G and/or Wi-Fi enabled Smartphone (running Google chrome).

2)Symptomatic medical history of at least 2 month back and BDI Score≥10 or Hamilton Anxiety Scale Score greater than or equal to 17.

3)Faith on mind body practices and Ayurveda, no involvement in other exercises and interest for voluntary participation in the study.
 
 
ExclusionCriteria 
Details  Participants with medical health issues as under before the onset of clinical symptoms of Covid-19 infection:
Neurological, hypertension, diabetes mellitus, Cardiovascular disease, renal complications, liver disorders, locomotors disabilities, glaucoma, hernia, ulcers of the stomach or intestine, recent abdominal or spinal surgery, pregnancy/lactating phase, addictive behaviors (smoking, alcoholism, tobacco chewing) and age below 15 and above 60 years. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1)Proposed OYI with and without herbal concoction is expected to improve the PTSD, Anxiety, Depression and Quality of Life of COVID-19 survivors in Experimental groups as compared to the controls.

2)If this OYI protocol proves to be effective, then it may be a good option for over millions global COVID-19 survivors to overcome comorbidities, boost immunity and restore health.
 
Staff Recruitment & training: 01-15 July 2021
Recruitment of Participants, Randomization: 15 July- 15 August 2021
Baseline scoring of instruments: 15-30 August 2021 (4 weeks)
Final scoring of instruments after intervention: 01-05 September 2021 (one week)
Data Entry and Analysis: 15-30 September 2021
Compilation of annual report: October-November 2021

 
 
Secondary Outcome  
Outcome  TimePoints 
Anxiety, Post Traumatic Stress Disorder and Quality of Life
 
Baseline and Post Intervention Measurement of Secondary Outcome Variables will be completed in 4 weeks and one week respectively 
 
Target Sample Size   Total Sample Size="66"
Sample Size from India="66" 
Final Enrollment numbers achieved (Total)= "72"
Final Enrollment numbers achieved (India)="72" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   01/07/2021 
Date of Study Completion (India) 06/03/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 06/03/2022 
Estimated Duration of Trial   Years="0"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   To be published in PubMed indexed journal/s  
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

Background

Covid-19 Survivors are often found with psychological comorbidities such as depression, anxiety, traumatic disorder (PTSD), and poor quality of life (QoL). Online integral yoga intervention including yoga poses, breath regulations, seals, meditation and concoction of the selected medicinal herbs as tertiary prevention of Covid-19 Survivors may be safe, cost effective, and harmless  option to manage psychological comorbidities of Covid-19 survivors. 

Objectives

To assess the effect of 1-month Online Yoga Intervention with and without herbal concoction on selected depression, anxiety, post traumatic disorder and quality of life of Covid-19 survivors.

Study Design

Three armed RCT with 22 clinically significant depressive/anxious Covid-19 survivors to each control, yoga and yoga cum concoction group.  Covid-19 survivors aged from 15-60 years and  SARS-Cov.2 infection induced clinically significant depression/anxiety and faith on yoga and ayurveda will be included. Those with severe prior health complications and infidelity to yoga and ayruveda will be excluded.

Measures

Beck Depression Inventory, Hamilton Anxiety Scale, Davidson Trauma Scale and WHO brief version of Quality Life Questionnaire will be used to measure baseline and after intervention depression, anxiety, PTSD and QOL of the participants.    

Procedures and Protocol

After going through PIS and signing informed consent, the participants’ meeting IC will be shortlisted and randomized in three groups CG, YG and YCG for baseline data generation. Then, the participants of YG are expected to go through one-month online yoga classes (5 classes/week) by covering the yogic practices as mentioned in yoga protocol. The participants of YCG are expected to go through online yoga classes (5 classes/week) along with intake 150 ml of one-time concoction preferably in morning in empty stomach for one month. The intake of concoction will continue for one month without any break. Zoom App will be used as an interface for OYI. The procedure and precautions of concoction preparation will be detailed in online or offline meetings after baseline measurements. The said yoga protocol and concoction are harmless and claimed to moderate psychological comorbidities and recurrence of the infection in Covid-19 survivors. However, in case of special physical deformity/ disease, we would consult you in person and assist for needful care.

After completion of one month intervention, post data will be generated and the control group participants will be provided online video recordings related to online yoga intervention for their afterhand self-practice if desired.

Data Analysis

Repeated Measure ANOVAs with post hoc analyses will be performed by using 24th version of IBM SPSS. 

Expected Outcomes

Proposed OYI with and without herbal concoction is expected to improve Covid-19 induced depression, anxiety, PTSD and poor QoL among Covid-19 survivors as safe, inexpensive, and harmless option.  


 
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