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CTRI Number  CTRI/2023/05/052453 [Registered on: 10/05/2023] Trial Registered Prospectively
Last Modified On: 22/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Dentistry
Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparative evaluation of Transcutaneous Electrical Nerve Stimulation (TENS) and astaxanthin in Myofascial Pain Dysfunction Syndrome (MPDS)  
Scientific Title of Study   Comparative evaluation of efficacy of Transcutaneous Electrical Nerve Stimulation (TENS), Transcutaneous Electrical Nerve Stimulation with Muscle relaxant, Transcutaneous Electrical Nerve Stimulation with Astaxanthin and Astaxanthin alone in the management of Myofascial Pain Dysfunction Syndrome (MPDS) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Smriti Jagdhari Golhar 
Designation  PhD Scholar 
Affiliation  Sharad Pawar Dental College And Hospital 
Address  department of oral medicine and radiology

Wardha
MAHARASHTRA
442001
India 
Phone  9766640600  
Fax    
Email  drsmritigolhar@rediffmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Aarti Panchbhai 
Designation  professor 
Affiliation  Sharad Pawar Dental College And Hospital 
Address  department of oral medicine and radiology

Wardha
MAHARASHTRA
442001
India 
Phone  9822220023  
Fax    
Email  artipanch@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Smriti Jagdhari Golhar 
Designation  PhD Scholar 
Affiliation  Sharad Pawar Dental College And Hospital 
Address  department of oral medicine and radiology

Wardha
MAHARASHTRA
442001
India 
Phone  9766640600  
Fax    
Email  drsmritigolhar@rediffmail.com  
 
Source of Monetary or Material Support  
Datta Meghe institue of Medical science, Sawangi,Wardha Maharashtra-442004 
 
Primary Sponsor  
Name  smriti jagdhari 
Address  SPDC, DIMMS DU Sawangi 
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 Smriti Jagdhari Golhar  Sharad Pawar Dental College  Department of Oral Medicine And Radiology
Wardha
MAHARASHTRA 
9766640600

drsmritigolhar@rediffmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K088||Other specified disorders of teethand supporting structures,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Astaxanthin   antioxidant drug 8 mg Astaxanthin once a day for a month  
Intervention  Transcutaneous Electrical Nerve Stimulation (TENS)  physiotheraputic modality for 10 sessions, 3 sessions per week for 10 minutes  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  using Laskin’s criteria and DC/TMD Axis I and II criteria  
 
ExclusionCriteria 
Details  • Patients Under management
• Patients with congenital anomalies of TMJ
• History of craniofacial trauma/fracture
• Any other diseases causing TMJ pain
• Congenital or degenerative changes of the spine
• Patients with mental disorders/stress
• Patients with pacemaker
• Pregnant females
• Patients with allergic to gel


 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
relief from muscle pain and tenderness
increase in mouth opening 
from day one (Base line up to 2 months) 
 
Secondary Outcome  
Outcome  TimePoints 
to assess quality of life  baseline, 1 month and 2 months 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "140"
Final Enrollment numbers achieved (India)="140" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   20/05/2023 
Date of Study Completion (India) 22/01/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   not yet published 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response (Others) -  NIL

  5. By what mechanism will data be made available?
    Response (Others) -  NIL

  6. For how long will this data be available start date provided 27-04-2023 and end date provided 27-12-2024?
    Response (Others) -  NIL

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary
Modification(s)  

Written informed consent will be obtained from patients included in the study. Detailed case history of each patient will be carried out with recording of all the relevant information.

All the included patients will be divided into two groups by simple randomization technique after elimination the preliminary cause. 

STUDY DESIGN – A Prospective, Randomized, intervention Clinical Study.

2. SOURCE OF DATA – Patient reporting in department of Oral & Medicine and Radiology of Dental Institute.

3. STUDY POPULATION – Physically fit human population with age between 18 to 60 years old.

4. SAMPLE SIZE – Total number of 30 patients were divided randomly in 4  groups as per the inclusion criteria.

5. SAMPLING TECHNIQUE – Simple Random Sampling

 

 

GROUP I: will be treated with TENS for 10 sessions, 3 sessions per week for 10 minutes with one month follow-up.

GROUP II: Patients will be treated for 10 sessions, 3 sessions per week for 10 minutes and  mg Muscle relaxant will be given once a day for a month with one month follows up

GROUP III: Patients will be treated for 10 sessions, 3 sessions per week for 10 minutes and 8 mg Astaxanthin will be given once a day for a month with one month follows up

GROUP IV: Patients will be treated for 8 mg Astaxanthin once a day for a month with one month follows up

During each visit patients will be examined for following clinical features

1. Range of motion (ROM)- a. Interincisal distance-   It will be recorded in mm by vernier calliper from mesio-incisal angle of upper central incisor up to the mesio-incisal line angle of lower incisor on 1st and last day of treatment.  b. Lateral excursion movements 16.On 1st and on the last day of treatment

2. Observation of pain intensity at rest, on movement of jaw –It will be assessed by visual analog scale (VAS) on 1st and on the last day of treatment

3. Palpation of muscle (grading based on scale for grades of tenderness): Grade of tenderness in various muscles at 1st and on the last day of treatment

4.   SF-36 Quality of life Questionnaire

5. Estimation of pre and post evaluation of oxidative stress using serum marker

 

 
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