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CTRI Number  CTRI/2023/06/054586 [Registered on: 30/06/2023] Trial Registered Prospectively
Last Modified On: 30/06/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of Breathing Training on Sitting Balance and Lung Function in people with Spinal Cord Injury 
Scientific Title of Study   Effect of Inspiratory Muscle Training on Seated Balance and Respiratory Function in people with Spinal Cord Injury 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Kanishka 
Designation  MPT Student 
Affiliation  Indian Spinal Injuries Centre - Institute of Rehabilitation Sciences  
Address  Indian Spinal Injuries Centre - Institute of Rehabilitation Sciences Sector - C, Vasant Kunj
New Delhi - 110070
South West
DELHI
110070
India 
Phone  8076810792  
Fax    
Email  kanishkagambhir@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Kanishka 
Designation  MPT Student 
Affiliation  Indian Spinal Injuries Centre - Institute of Rehabilitation Sciences  
Address  Indian Spinal Injuries Centre - Institute of Rehabilitation Sciences Sector - C, Vasant Kunj
New Delhi - 110070

DELHI
110070
India 
Phone  8076810792  
Fax    
Email  kanishkagambhir@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shambhovi Mitra 
Designation  Associate Professor  
Affiliation  Indian Spinal Injuries Centre - Institute of Rehabilitation Sciences  
Address  Indian Spinal Injuries Centre - Institute of Rehabilitation Sciences Sector - C, Vasant Kunj
New Delhi - 110070
South West
DELHI
110070
India 
Phone  9711968166  
Fax    
Email  shams.physio@gmail.com  
 
Source of Monetary or Material Support  
Indian Spinal Injuries Centre Sector C, Vasant Kunj, New Delhi - 110070 
 
Primary Sponsor  
Name  Indian Spinal Injuries Centre - Institute of Rehabilitation Sciences  
Address  Sector-C, Vasant Kunj, New Delhi - 110070 
Type of Sponsor  Research institution and hospital 
 
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 
Kanishka Gambhir  Indian Spinal Injuries Centre   Sector C, Vasant Kunj, New Delhi-110070
South West
DELHI 
8076810792

kanishkagambhir@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee- Indian Spinal Injuries Centre   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G95||Other and unspecified diseases ofspinal cord,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Incentive spirometry   Training using Incentive spirometer for 4 days a week for 6 weeks. 
Intervention  Inspiratory muscle training   Inspiratory muscle training will be given via a flow-resistive inspiratory muscle trainer (PrO2Fit) for 4 days a week for 6 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Acute traumatic spinal cord injury (less than 1 year since injury)
Spinal cord injury of level C4 to T6
ASIA grade A, B or C
Patients who are not receiving mechanical ventilation  
 
ExclusionCriteria 
Details  Tracheostomy
Subjects with diagnosed pulmonary conditions like asthma, COPD, etc.
Subjects with diagnosed head injury or neurological diseases other than spinal cord injury
Visual or auditory impairment which may interfere with participation  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Seated Balance using Function in Sitting Test-Spinal Cord Injury (FIST-SCI)  T0- at the time of allocation
T1- after 4 weeks of training
T2- after 6 weeks of training  
 
Secondary Outcome  
Outcome  TimePoints 
Respiratory function using Maximal Inspiratory Pressure (MIP), Sustained Maximal Inspiratory Pressure (SMIP) & Total Power (TP)  T0- at the time of allocation
T1- after 4 weeks of training
T2- after 6 weeks of training  
 
Target Sample Size   Total Sample Size="44"
Sample Size from India="44" 
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)   31/07/2023 
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="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This study is a randomised, double-blind, parallel group, single-centre trial to determine the effect of inspiratory muscle training on the seated balance and respiratory function in individuals with Spinal cord injury. Individuals will be randomly assigned to intervention or comparator groups. Training to intervention group will be given via flow-resistive IMT (PrO2Fit) while comparator group will recieve training via incentive spirometer for 4 days a week for a period of 6 weeks. Assessment of seated balance will be done using FIST-SCI scale and respiratory function will be assessed by MIP, SMIP and total power. Assessment will be done at the time of allocation and at the end of fourth and sixth week of training. 
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