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CTRI Number  CTRI/2022/08/044938 [Registered on: 25/08/2022] Trial Registered Prospectively
Last Modified On: 30/08/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   To evaluate the effect of lumbar spine manipulation on sympathetic skin response and disability in chronic low back pain patients 
Scientific Title of Study   Effectiveness of lumbar spine manipulation on sympathetic skin response and disability in patients with chronic low back pain 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sahil Kalra 
Designation  MPT Student 
Affiliation  MAHARISHI MARKANDESHWAR INSTITUTE OF PHYSIOTHERAPY AND REHABILITATION, MM(DU) 
Address  MAHARISHI MARKANDESHWAR DEEMED TO BE UNIVERSITY
MAHARISHI MARKANDESHWAR INSTITUTE OF PHYSIOTHERAPY AND REHABILITATION
Ambala
HARYANA
133207
India 
Phone  7015426087  
Fax    
Email  sahilkalrask01@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Manu Goyal 
Designation  Professor & Principal 
Affiliation  MAHARISHI MARKANDESHWAR INSTITUTE OF PHYSIOTHERAPY AND REHABILITATION, MM(DU) 
Address  MAHARISHI MARKANDESHWAR DEEMED TO BE UNIVERSITY
MAHARISHI MARKANDESHWAR INSTITUTE OF PHYSIOTHERAPY AND REHABILITATION
Ambala
HARYANA
133207
India 
Phone  8307715320  
Fax    
Email  manu.goyal@mmumullana.org  
 
Details of Contact Person
Public Query
 
Name  Manu Goyal 
Designation  Professor & Principal 
Affiliation  MAHARISHI MARKANDESHWAR INSTITUTE OF PHYSIOTHERAPY AND REHABILITATION, MM(DU) 
Address  MAHARISHI MARKANDESHWAR DEEMED TO BE UNIVERSITY
MAHARISHI MARKANDESHWAR INSTITUTE OF PHYSIOTHERAPY AND REHABILITATION
Ambala
HARYANA
133207
India 
Phone  8307715320  
Fax    
Email  manu.goyal@mmumullana.org  
 
Source of Monetary or Material Support  
Musculoskeletal Physiotherapy Research lab, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed To Be University, Mullana, Ambala,Haryana, 133207 
 
Primary Sponsor  
Name  Sahil Kalra 
Address  Musculoskeletal Physiotherapy Research lab, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed To Be University, Mullana, Ambala,Haryana, 133207 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Prof Manu Goyal   Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed To Be University, Mullana, Ambala,Haryana, 133207 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Sahil Kalra  Musculoskeletal out patient department, Department of Musculoskeletal  Department of Musculoskeletal Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed To Be University, Mullana, Ambala,Haryana, 133207
Ambala
HARYANA 
7015426087

sahilkalrask01@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Communication of Decision of the Ethics Committee  Approved 
Communication of Decision of the Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: M95-M95||Other disorders of the musculoskeletal system and connective tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Experimental group  Experimental Group receives lumbar spine manipulation and conventional physiotherapy for 2 times a week for consecutive 3 weeks. Sham group receives only conventional physiotherapy for 2 times a week for consecutive 3 weeks. 
Comparator Agent  Sham group  This group receives conventional physiotherapy only. 
 
Inclusion Criteria  
Age From  19.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1. Both males and females of age 19-40 years
2 chronic mechanical low back pain
from last 3 months
3. Minimum score of 10 on Modified Oswestry
Disability Index 
 
ExclusionCriteria 
Details  1. Neurological condition: Nerve compression and
cauda equina syndrome
2. Osteoporosis and osteopetrosis
3. Aortic aneurysm and haemophillic joints
4. All known mechanical conditions of low back
pain
5. Uncoperative patients
6. Pregnancy
7. Malignancy 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Galvanic skin response Biofeedback  baseline and post treatment (immediate) follow up after last session of 3 week 
 
Secondary Outcome  
Outcome  TimePoints 
Modified Oswestry disability index  baseline and post treatment (immediate) follow up after last session of 3 week 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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   Phase 2 
Date of First Enrollment (India)   01/09/2022 
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="0"
Months="11"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   ETHICAL STATEMENT

Ethical clearance will be received by the institutional Research Ethical Committee of Maharishi Markandeshwar (Deemed to be University) Mullana, Ambala, Haryana and will be done in accordance with Helsinki declaration revised 2013 and National Ethical Guidelines for Biomedical Research involving Human Participants, 2017.

 Recruitment and intervention

   Mobilization/Manipulation is used as an effective intervention in the management of patients with chronic low back pain. Pain and sympathetic activity have shown to be associated closely and it is of utmost importance for physiotherapists to consider the impact of intervention on the sympathetic nervous system. Participants will receive two treatment sessions per week for consecutive 3 weeks. They will be assessed before and after the interventions and follow up after 3 weeks. There will be two treatment groups experimental group and the sham group. experimental group receive lumbar manipulations and conventional physiotherapy. Sham group receives only conventional therapy 


 
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