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CTRI Number  CTRI/2022/05/042388 [Registered on: 05/05/2022] Trial Registered Prospectively
Last Modified On: 19/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Add on effect of Nasya Karma with Interferential Therapy in the management of Manyastambha (Cervical Spondylosis) 
Scientific Title of Study   Assessment of add on effect of Nasya Karma with Interferential Therapy in the management of Manyastambha (Cervical Spondylosis) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Upasana Narania 
Designation  PG Scholar 
Affiliation  Bharati Vidyapeeth Deemed to be University, College of Ayurved and hospital, Pune.43 
Address  Department of Panchakarma Bharati Vidyapeeth (Deemed to be University)College of Ayurveda and Hospital Dhanakawadi Pune-411043 Maharashtra India

Pune
MAHARASHTRA
411043
India 
Phone  7006055153  
Fax  2024321910  
Email  upasananarania@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manjula Chavan Matekar 
Designation  Associate Professor 
Affiliation  Bharati Vidyapeeth Deemed to be University, College of Ayurved and hospital, Pune.43 
Address  Department of Panchakarma Bharati Vidyapeeth (Deemed to be University)College of Ayurveda and Hospital Dhanakawadi Pune-411043 Maharashtra India

Pune
MAHARASHTRA
411043
India 
Phone  9890254424  
Fax  2024321910  
Email  manjulamatekar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Upasana Narania 
Designation  PG Scholar 
Affiliation  Bharati Vidyapeeth Deemed to be University, College of Ayurved and hospital, Pune.43 
Address  Department of Panchakarma Bharati Vidyapeeth (Deemed to be University)College of Ayurveda and Hospital Dhanakawadi Pune-411043 Maharashtra India

Pune
MAHARASHTRA
411043
India 
Phone  7006055153  
Fax  2024321910  
Email  upasananarania@gmail.com  
 
Source of Monetary or Material Support  
Bharati Vidyapeeth (Deemed to be University) College of Ayurved Pune-411043 
 
Primary Sponsor  
Name  Dr Upasana Narania 
Address  Bharati Vidyapeeth (Deemed to be University)College of Ayurveda and Hospital Dhanakawadi Pune-411043 Maharashtra India 
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 
Dr Upasana Narania  Bharati Vidyapeeth (Deemed to be University) College of Ayurved and Hospital Pune  Panchakarma OPD Ground Floor, College of Ayurveda and Hospital Dhanakawadi Pune-411043 Maharashtra India
Pune
MAHARASHTRA 
7006055153
2024321910
upasananarania@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
BV(DU)COA Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M479||Spondylosis, unspecified. Ayurveda Condition: MANYASTAMBAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-nasyam/ nastam, नस्यम्/ नस्तम् (Procedure Reference: Ayurvedic Panchakarma Vigyan by Shreedhar Kasture and Clayton’s Electrotherapy, Procedure details: Nasya- Gudadi nasya 8 drops (0.05ml) to be administered in each nostril after sthanik snehana and swedana once everyday for 7 days between 11am to 5pm and Interferential Therapy- It is a form of electrical treatment in which two medium frequency currents (one of 4000Hz and other at a varying frequency i.e. less than the first one) are used to produce a low frequency effect (the difference of the two also known as beat frequency) which is applied on the affected part. Out of four electrodes two a)
(1) Medicine Name: Gudadi Nasya, Reference: Shadangdhar Samhita Chapter 8 Nasya Vidhi, Route: Nasal, Dosage Form: Bindu/ Drops/ Spray (Karna/ Nasa/ Netra/ Mukha), Dose: 8(drops), Frequency: od, Duration: 7 Days
2Comparator Arm (Non Ayurveda)-Interferential TherapyInterferential Therapy- It is a form of electrical treatment in which two medium frequency currents (one of 4000Hz and other at a varying frequency i.e. less than the first one) are used to produce a low frequency effect (the difference of the two also known as beat frequency) which is applied on the affected part. Out of four electrodes two are placed at Para-spinal muscles and the other two are placed at sub-scapular space/over the trapezius muscle b/l). This is to be done once daily for 20 m
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Selection of the patients will be done irrespective of sex, socio-economic status
2.Patients of age group between 20 to 60 years
3.Patients with written consent
4. Patients who are indicated for Nasya and Interferential Therapy
5.Patients having symptoms of Manyastambha i.e. pain, stiffness, immobility in the back of the neck 
 
ExclusionCriteria 
Details  1.Patients below 20 years and above 60 years will be excluded.
2.Pregnant women and lactating mothers will be excluded
3.Patients continuing any other medication for Manyastambha
4.Patients contraindicated for Nasya and Interferential Therapy
5.Patients who are intolerant to heat will be excluded
6. Patients suffering/under medication for any other serious illness(Patients with pacemakers,Diabetes,Hypertension,Heart Diseases, Radiculopathy,Any shoulder pathology) 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Reduction in symptoms of Manyastambha i.e. pain, stiffness, rigidity, immobility in back of the neck  7th day, 15th day, 30th day 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement in movements of the neck  7th day, 15th day, 30th day 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "40"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   Phase 1/ Phase 2 
Date of First Enrollment (India)   05/05/2022 
Date of Study Completion (India) 20/02/2023 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
Patients suffering from Manyastambha ( Cervical Spondylosis) between the age group of 20-60 years and who fit the inclusion criteria were randomly selected and divided into two groups having 20  patients each.Group A received  Nasya and  Interferential Therapy for a period of 7 days, Group B was given Interferential Therapy for a period  of 7 days. Patients were assessed for reduction in the symptoms of Manyastambha and assessed for improvement on 7th day, 15th day, and 30th day.
The study showed significant improvement in symptoms and better and lasting results in Group-A  than Group -B.
 
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