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CTRI Number  CTRI/2024/05/067309 [Registered on: 14/05/2024] Trial Registered Prospectively
Last Modified On: 17/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda
Preventive
Other (Specify) [Mud Therapy]  
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Evaluate the analgesic effect of Mud Therapy in Tennis Elbow 
Scientific Title of Study   A Comparative Clinical Trial to Evaluate the Analgesic Effect of Mud Therapy and Mustadi Upanaha in the Management of Snayugata Vikara with special reference to Tennis Elbow 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sarvesh Kumar Agrawal 
Designation  Associate Professor 
Affiliation  National Institute of Ayurveda  
Address  Room no 228 Department of Swasthvritta and Yoga National Institute of Ayurveda Jorawar Singh Gate Amber Road Jaipur

Jaipur
RAJASTHAN
302002
India 
Phone  8058697177  
Fax    
Email  drsarvesh1008@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sarvesh Kumar Agrawal 
Designation  Associate Professor 
Affiliation  National Institute of Ayurveda  
Address  Room No 228 Department of Swasthvritta and Yoga National Institute of Ayurveda Jorawar Singh Gate Amber Road Jaipur

Jaipur
RAJASTHAN
302002
India 
Phone  8058697177  
Fax    
Email  drsarvesh1008@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shahab Hussain 
Designation  Pg Scholar 
Affiliation  National Institute of Ayurveda  
Address  Room No 201 Department of Swasthvritta and Yoga National Institute of Ayurveda Jorawar Singh Gate Amber Road Jaipur

Jaipur
RAJASTHAN
302002
India 
Phone  9917722775  
Fax    
Email  drshahabhussain26@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Ayurveda  
 
Primary Sponsor  
Name  National Institute Of Ayurveda 
Address  Department of swasthvritta and yoga National Institute of Ayurveda jorawar Singh gate amber road Jaipur Rajasthan 
Type of Sponsor  Government medical college 
 
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 Shahab Hussain   National Institute of Ayurveda   OPD No 21 Jorawar Singh gate amber road Jaipur Rajasthan
Jaipur
RAJASTHAN 
9917722775

drshahabhussain26@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee National Institute of Ayurveda  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M658||Other synovitis and tenosynovitis. Ayurveda Condition: SNAYUGATAVATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-upanAha-karma, उपनाह-कर्म (Procedure Reference: , Procedure details: mud will be applied on affected elbow once a day in the evening and will be covered with crepe bandage till it dries up )
2Comparator ArmProcedure-upanAha-karma, उपनाह-कर्म (Procedure Reference: sushrut samhita chikitsa sthana chapter 1 shloka 23 24, Procedure details: Upnaha will be applied locally once in a day at morning for duration of 4 weeks)
(1) Medicine Name: Mustadi Upnaha, Reference: charak chikitsa chapter 28 shloka 113, Route: Topical, Dosage Form: Lepa Churna, Dose: 20(g), Frequency: od, Duration: 4 Weeks
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Age 18 to 60 years irrespective of gender caste and religion
Patient with typical clinical features pertaining to acute elbow pain and difficulty in holding or gripping the objects
Patient of first and second stage of tennis elbow
First stage Involve Mild tenderness early inflammatory reaction single muscle Most commonly Extensor Carpi Radialis Bravis ECRB involvement
Second stage Mild to moderate tenderness partial tearing of ecrb plus subjacent of the common extensor followed by angiofibroblastic degeneration localized marked swelling
 
 
ExclusionCriteria 
Details  Chronic elbow pain and swelling
Any co morbid condition
Any systemic disease e g Osteoporosis rheumatoid arthritis gout
Third stage tennis elbow ie significant instability complete tear of ecrb possible tenderness medially and laterally completely restricted movement of elbow If pain provoking tests maudsley s test and resistive tennis elbow test cozen s test are positive
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Clinical improvement in pain  4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
the changes in pain score tenderness and loss of function scales  Baseline and four weeks 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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/ Phase 3 
Date of First Enrollment (India)   17/06/2024 
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   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

NEED OF STUDY

 Tennis Elbow is one of the common injury in tennis players and people who usually do the work which involve the twisting activity of the forearm.

RICE(Rest, Ice-packing, Compressions and Elevation), analgesics, anti-inflammatory drugs are general line of treatment of Tennis Elbow in Modern medical science.[11]

NSAIDs, corticosteroids and platelet rich plasma therapy are preferred for reducing pain and inflammation, although these medications posses several side effects.

Due to the presence of anti-inflammatory principle, Mud therapy is a best palliative treatment for pain management due to its multiple effect e.g. relieving muscle spasm and inflammation which has no side effect because it uses natural way of healing. This treatment can be easily planned, non-invasive and cost effective[12].

The clinical trial of mud therapy in tennis elbow is noble one. No study has been found in this area till date.

Aim

To explore mud therapy treatment modality for Snayu Gata Vata (Tennis Elbow).

Objective

To evaluate the analgesic effect of mud therapy in Snayu Gata Vata(Tennis Elbow).

 

 

RESEARCH QUESTION

Whether mud therapy has an analgesic effect in the management of Snayu Gata Vatavikara (Tennis Elbow)?

NULL HYPOTHESIS (H0)

There is no difference in the analgesic effect of mud therapy and Mustadi Upnaha in tennis elbow. 
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