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CTRI Number  CTRI/2022/09/045822 [Registered on: 23/09/2022] Trial Registered Prospectively
Last Modified On: 21/09/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Mobile based application for tele-rehabilitation of older adults with primary Insomnia 
Scientific Title of Study   Mobile-based application for telerehabilitation of older adults with primary insomnia 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rajani Mullerpatan 
Designation  Professor Director 
Affiliation  MGM School of Physiotherapy MGM Institute of Health Sciences 
Address  MGM Educational Campus Plot no 1 and 2 Kamothe Taluka Panvel

Raigarh
MAHARASHTRA
410209
India 
Phone  02227437866   
Fax    
Email  rajani.kanade@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajani Mullerpatan 
Designation  Professor Director 
Affiliation  MGM School of Physiotherapy MGM Institute of Health Sciences 
Address  MGM Educational Campus Plot no 1 and 2 Kamothe Taluka Panvel

Raigarh
MAHARASHTRA
410209
India 
Phone  02227437866   
Fax    
Email  rajani.kanade@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rajani Mullerpatan 
Designation  Professor Director 
Affiliation  MGM School of Physiotherapy MGM Institute of Health Sciences 
Address  MGM Educational Campus Plot no 1 and 2 Kamothe Taluka Panvel
MGM Educational Campus Plot no 1 and 2 Kamothe Taluka Panvel

MAHARASHTRA
410209
India 
Phone  02227437866   
Fax    
Email  rajani.kanade@gmail.com  
 
Source of Monetary or Material Support  
MGM Institute of Health Sciences-infrastructure and material support  
 
Primary Sponsor  
Name  MGM Institute of Health Sciences  
Address  MGM Educational Campus Plot no 1 and 2 Kamothe Taluka Panvel District Raigad 410209  
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
Not Applicable  Not Applicable 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Rajani Mullerpatan  MGM School of Physiotherapy MGM Institute of Health Sciences   MGM School of Physiotherapy OPD 2nd floor room no 55 MGM Hospital Kamothe Plot no 1 and 2 Navi Mumbai Taluka Panvel 410209
Raigarh
MAHARASHTRA 
09920048476

rajani.kanade@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee for Research on Human Subjects of Mahatma Gandhi Missions Institute of Health Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G89-G99||Other disorders of the nervous system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Supervised Physiotherapy Exercise   Participant education using informative booklets and Aerobic training, strength training, balance training and pelvic floor strengthening and cognitive training for 12 weeks, 6 days a week  
Intervention  Telerehab Exercise Intervention   Participant education using informative booklets and Aerobic training, strength training, balance training and pelvic floor strengthening and cognitive training for 12 weeks, 6 days a week. 
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Older adults able to read, hear, understand and follow the visual data and auditory data. Older adults with controlled hypertension and controlled diabetes. 
 
ExclusionCriteria 
Details  Older adults with a history or current manifestations of Cardiopulmonary diseases, Stroke, Parkinson’s, Multiple sclerosis, Myasthenia gravis, Neuromuscular diseases, Encephalitis, Amyotrophic lateral sclerosis,
Dementia, Alzheimer’s disease, Spinal cord injury, Ataxia, Brain tumors, Cerebral aneurysm, Epilepsy and Seizures, Guillain barre syndrome, Head injuries, Meningitis, Cancer, any Systemic malfunction, Physical disabilities, Spinal disc
herniation or dislocation & fractures will be excluded.
These medical conditions will make it difficult for elderly people to physically operate the mobile based application as well as to read, understand and follow the visual and auditory data.  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1.The Pittsburgh Sleep Quality Index (PSQI) is an effective instrument used to measure the quality and patterns of sleep in the older adult

2.Polysomnography

3. Development of final version of the mobile application 
The Pittsburgh Sleep Quality Index (PSQI) and Polysomnography : Baseline: 1-4 months and post intervention: 15-18 months

Development of final version of the mobile application: 13-14 month 
 
Secondary Outcome  
Outcome  TimePoints 
Knowledge, attitude and belief survey, Timed up and go, 30 seconds chair stand test, Functional reach test, arm curl test,Incontinence Impact Questionnaire (IIQ-7) and Urinary distress short form (UDI-6), chair sit and reach, mini cog scale, 6 minute walk test  Knowledge, attitude and belief survey: 1-4 months

Timed up and go, 30 seconds chair stand test, Functional reach test, arm curl test,Incontinence Impact Questionnaire (IIQ-7) and Urinary distress short form (UDI-6), chair sit and reach, mini cog scale, 6 minute walk test: Baseline: 1-4 months, post intervention: 15-18 months
 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
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)   19/11/2022 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not Applicable 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

·           Aim: To create awareness about physiotherapy and self-empowerment of older adults to improve sleep quality and for maximization of physical function through mobile-based application for tele-rehabilitation.

Objectives:
• To maximize functional level and self-empower elderly for independent living.
• To implement the concept of geotechnology for rehabilitation of Indian older adults.
• To check the effectiveness of long-term comprehensive exercise program on sleep quality and physical functioning in elderly.

Summary of the proposed research: This research aims at creating awareness about physiotherapy and self-empowerment of older adults to improve sleep quality and for maximization of physical function through mobile based application for tele-rehabilitation. In India, Insomnia is a common but under recognized problem in the elderly population and is reported to have multiple negative health correlates. Hence the public health burden of insomnia is significant given greater odds of hospitalization, use of home health care services, and nursing home use. In situations, like the current Covid 19 pandemic, tele-rehabilitation provides an excellent opportunity to provide a continuum of care, monitoring of daily vitals and enhance the exercise regime to improve the sleep quality and also simultaneously improve balance, strength, flexibility and aerobic capacity in older adults.
 
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