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CTRI Number  CTRI/2022/09/045230 [Registered on: 05/09/2022] Trial Registered Prospectively
Last Modified On: 08/05/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare the Effect of Cupping Therapy versus Myofascial Release in Mechanical Low Back Pain 
Scientific Title of Study   Efficacy of Cupping Therapy versus Myofascial Release in Mechanical Low Back Pain: A Randomized Clinical Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Kunal 
Designation  MPT Student 
Affiliation  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation 
Address  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed to be University

Ambala
HARYANA
133207
India 
Phone  9034420555  
Fax    
Email  kunalsetia52@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sunita Sharma 
Designation  Associate Professor 
Affiliation  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation 
Address  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed to be University

Ambala
HARYANA
133207
India 
Phone  9467633734  
Fax    
Email  drsunita.sharma@mmumullana.org  
 
Details of Contact Person
Public Query
 
Name  Sunita Sharma 
Designation  Associate Professor 
Affiliation  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation 
Address  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed to be University

Ambala
HARYANA
133207
India 
Phone  9467633734  
Fax    
Email  drsunita.sharma@mmumullana.org  
 
Source of Monetary or Material Support  
Musculoskeletal Physiotherapy Research Lab, Maharishi Markandeshwar Institute of Physiotherapy, Maharishi Markandeshwar deemed to be University, Ambala, Haryana 
 
Primary Sponsor  
Name  Kunal 
Address  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, Haryana 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Sunita Sharma  Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, Haryana 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Kunal  Maharishi Markandeshwar Hospital Department of Musculoskeletal Physiotherapy  Department of Musculoskeletal Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, Haryana
Ambala
HARYANA 
9034420555

kunalsetia52@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
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: M959||Acquired deformity of musculoskeletal system, unspecified, (2) ICD-10 Condition: M00-M99||Diseases of the musculoskeletal system and connective tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Cupping Therapy  In Group A manual suction pump and four Plastic cups, estimate one will be utilized for the interventions. The cups will be applied to the lower back, parallel to L1 to L5 vertebrae, with a 3-cm distance between them, bilaterally. With 4 cups to the lower back with manual suction pump for 15 minutes three days a week for 2 weeks. 
Comparator Agent  Myofascial Release  Group B was given Myofascial Release (MFR) three days a week for 2 weeks for 15 minutes. The myofascial convention included a selection of three techniques: 1. Longitudinal sliding of lumbar paravertebral muscles 2. Myofascial release of the thoracolumbar fascia 3. Myofascial release of quadratus lumborum. 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1. Age between 25 to 55 years
2. Both males and females
3. Low Back Pain ≥ 2-3 weeks
4. Low Back pain without neurological deficit
5. No previous treatment with cupping therapy for low back pain
 
 
ExclusionCriteria 
Details  1. Radiating Pain with neurological deficit
2. Previous history of any injury, trauma, fracture, surgery, infection, tumor in lumbar spine
3. Pregnancy
4. Recent motor vehicle accident including lumbar spine
5. Osteoporosis
6. Contraindication to cupping therapy 
 
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 
• Modified Oswestry Low Back Disability Index Questionnaire (MODI)  3 times for 2 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
• Numeric Pain Rating Scale (NPRS)  3 times for 2 weeks 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   Phase 1/ Phase 2 
Date of First Enrollment (India)   05/09/2022 
Date of Study Completion (India) 15/03/2023 
Date of First Enrollment (Global)  05/09/2022 
Date of Study Completion (Global) 15/03/2023 
Estimated Duration of Trial   Years="0"
Months="11"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   None Yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
Ethical Statement:



Ethical approval of this study will be taken from the student project committee and ethical committee of Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation. Study will be done in accordance with Helsinki declaration revised 2013 and the National Ethical Guidelines for Biomedical Research involving Human Participants, 2017.

Recruitment and Intervention:

The objective of the study is to find out the efficacy of Cupping Therapy versus Myofascial Release in Mechanical Low Back Pain patients on pain intensity and low back disability. Participants will be chosen from a group of 25–55-year-old who had been suffering from low back pain for at least 2-3 weeks. Each subject’s complete demographic information, including name, age, gender, weight, and height, will be recorded. For 2 weeks, treatment will be provided thrice a week. The Numeric Pain Rating Scale is used to assess pain intensity, and the Modified Oswestry Low Back Disability Index Questionnaire is used to assess disability, and baseline measures will be done after the 1st and 2nd week of the intervention.


 
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