[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100650994":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":31,"centralContacts":35,"locations":44,"responsibleParty":58,"collaborators":25,"id":60,"slug":61,"hasResults":62,"nctId":63,"briefTitle":64,"officialTitle":65,"acronym":25,"eligibilityCriteria":66,"healthyVolunteers":62,"sex":67,"minAge":68,"maxAge":69,"enrollmentInfo":70,"targetDuration":25,"studyType":73,"phases":74,"briefSummary":76,"conditions":77,"keywords":79,"overallStatus":84,"whyStopped":25,"lastUpdateSubmitDate":85,"lastUpdatePostDateStruct":86,"startDateStruct":89,"completionDateStruct":91,"leadSponsor":93,"locationsCount":94},{"fullName":5,"class":6},"Riphah International University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Diaphragm-Pelvic Floor Synergy (DPFS) Training","EXPERIMENTAL","Participants in this group undergo an active neuromuscular re-education protocol. The intervention focuses on restoring the \"piston-like\" coordination between the thoracic diaphragm and the pelvic floor muscles. Over an 8-week period, participants perform supervised exercises three times per week that synchronize breathing with pelvic floor activation. The training is progressive, advancing through four postural stages (supine, sitting, quadruped, and standing) to challenge the core's ability to regulate intra-abdominal pressure and alleviate symptoms of primary dysmenorrhea.",[13],"Behavioral: Diaphragm-Pelvic Floor Synergy (DPFS) Training",{"label":15,"type":16,"description":17,"interventionNames":18},"Standard Symptomatic Care","ACTIVE_COMPARATOR","This group serves as the clinical control, receiving conventional physiotherapy typically used for menstrual pain relief. During the first three days of the menstrual cycle, participants receive passive modalities, including High-Frequency Transcutaneous Electrical Nerve Stimulation (TENS) and moist heat therapy. On non-menstrual days, the group performs supervised Progressive Muscle Relaxation (PMR) three times per week. This design ensures that the control group remains as active as the experimental group while receiving standard-of-care treatments for symptom management.",[19],"Device: Transcutaneous Electrical Nerve Stimulation (TENS)",[21,26],{"type":22,"name":9,"description":23,"armGroupLabels":24,"otherNames":25},"BEHAVIORAL","This intervention is a supervised 8-week program consisting of 3 sessions per week. It focuses on the functional coordination of the thoracic diaphragm and pelvic floor muscles to regulate intra-abdominal pressure. The protocol involves a \"piston\" technique where participants perform a 4-second slow inhalation (allowing the pelvic floor to relax and descend) followed by a 6-second pursed-lip exhalation (actively contracting and elevating the pelvic floor). The training is progressive, advancing every two weeks through four postural levels: supine, sitting, quadruped, and standing.",[9],null,{"type":27,"name":28,"description":29,"armGroupLabels":30,"otherNames":25},"DEVICE","Transcutaneous Electrical Nerve Stimulation (TENS)","This arm receives established clinical treatments for menstrual pain. During the first three days of the menstrual cycle, participants receive 30 minutes of High-Frequency Transcutaneous Electrical Nerve Stimulation (TENS) at 100 Hz and 20 minutes of moist heat therapy. On non-menstrual days, they participate in supervised Progressive Muscle Relaxation (PMR) sessions three times per week to manage general muscle tension and stress.",[15],[32],{"name":33,"affiliation":5,"role":34},"Summra Andleeb, MSOMPT","PRINCIPAL_INVESTIGATOR",[36,40],{"name":33,"role":37,"phone":38,"phoneExt":25,"email":39},"CONTACT","03450510617872","summer.spring90@gmail.com",{"name":41,"role":37,"phone":42,"phoneExt":25,"email":43},"Rida Zafar, WHPT","03368753273","rida.zafar@riphah.edu.pk",[45],{"facility":46,"status":25,"city":47,"state":48,"zip":49,"country":50,"countryCode":51,"cosmosGeoPoint":52,"geoPoint":57,"contacts":25},"Prime Institute of Health Sciences, Islamabad","Islamabad","Punjab Province","44000","Pakistan","PK",{"type":53,"coordinates":54},"Point",[55,56],70.98946,29.6598,{"lat":56,"lon":55},{"type":59,"investigatorFullName":25,"investigatorTitle":25,"investigatorAffiliation":25,"oldNameTitle":25,"oldOrganization":25},"SPONSOR","100650994","diaphragm-pelvic-floor-synergy-training-in-young-females-with-primary-dysmenorrhea-100650994",false,"NCT07754305","Diaphragm-Pelvic Floor Synergy Training in Young Females With Primary Dysmenorrhea.","Effects of Diaphragm-Pelvic Floor Synergy Training on Pain and Quality of Life in Young Females With Primary Dysmenorrhea.","Inclusion Criteria:\n\n1. University going girls aged 18-24 years.\n2. Normal weight (BMI 18.5-24.9 kg\u002Fm²) based on measured height and weight.\n3. Primary dysmenorrhea: recurrent menstrual pain without pelvic pathology, present for ≥6 months, with pain intensity ≥4\u002F10 on VAS.\n4. Regular menstrual cycles (21-35 days).\n5. From socioeconomically disadvantaged backgrounds (e.g., low parental education, low household income, government\u002Fpublic school enrolment - specify in protocol).\n6. Currently enrolled in school\u002Fcollege.\n7. Informed consent\u002Fassent obtained (with parental consent if \\\u003C18 years).\n8. Willing to participate in intervention and data collection.\n\nExclusion Criteria:\n\n1. diagnosed pelvic pathologies (e.g., endometriosis, fibroids, pelvic inflammatory disease).\n2. Irregular menstrual cycles (\\\u003C21 days or \\>35 days).\n3. Current or recent use of hormonal contraceptives or hormonal therapy (within last 3 months).\n4. History of pelvic\u002Fabdominal surgery.\n5. Pregnancy or recent childbirth (within 6 months).\n6. Any diagnosed musculoskeletal, neurological, or medical condition contraindicating exercise or acupressure.\n7. Current participation in another clinical trial or structured exercise\u002Fphysiotherapy program for dysmenorrhea.\n8. Unwillingness to provide consent\u002Fassent or comply with study procedures","FEMALE","18 Years","24 Years",{"count":71,"type":72},64,"ESTIMATED","INTERVENTIONAL",[75],"NA","The research investigating the effects of Diaphragm-Pelvic Floor Synergy (DPFS) training targets primary dysmenorrhea in university-aged females. This randomized controlled trial evaluates how restoring the functional \"piston\" relationship between the diaphragm and pelvic floor can alleviate menstrual pain and enhance quality of life. By implementing an eight-week progressive exercise protocol, the study compares DPFS training against standard symptomatic care like TENS and heat therapy. Using the WALIDD scale and WHOQOL-BREF, the research aims to establish a non-pharmacological, evidence-based physiotherapy intervention that reduces medication reliance and academic absenteeism in South Asian clinical settings.",[78],"Dysmenorrhea",[80,81,82,83],"Diaphragm-Pelvic Floor Synergy","Quality of Life","Young Females","Primary Dysmenorrhea","NOT_YET_RECRUITING","2026-08-07",{"date":87,"type":88},"2026-08-10","ACTUAL",{"date":90,"type":72},"2026-07-28",{"date":92,"type":72},"2026-12",{"name":5,"class":6},1]