Diaphragm-Pelvic Floor Training for Young Women with Menstrual Pain

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized controlled trial compares an eight-week Diaphragm-Pelvic Floor Synergy (DPFS) training program to standard symptomatic care (TENS and heat therapy) for young women with primary dysmenorrhea. The intervention focuses on coordinating the diaphragm and pelvic floor to improve core stability and reduce pain. Participants perform progressive exercises three times per week, advancing from supine to standing positions. Outcomes are measured with the WALIDD pain scale and the WHOQOL-BREF quality-of-life assessment to determine non-pharmacological benefits. The study is conducted at the Prime Institute of Health Sciences with 64 participants aged 18–25 and aims to inform physiotherapy approaches in South Asian clinical settings.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. University going girls aged 18-24 years.
2. Normal weight (BMI 18.5-24.9 kg/m²) based on measured height and weight.
3. Primary dysmenorrhea: recurrent menstrual pain without pelvic pathology, present for ≥6 months, with pain intensity ≥4/10 on VAS.
4. Regular menstrual cycles (21-35 days).
5. From socioeconomically disadvantaged backgrounds (e.g., low parental education, low household income, government/public school enrolment - specify in protocol).
6. Currently enrolled in school/college.
7. Informed consent/assent obtained (with parental consent if \<18 years).
8. Willing to participate in intervention and data collection.

Exclusion Criteria:

1. diagnosed pelvic pathologies (e.g., endometriosis, fibroids, pelvic inflammatory disease).
2. Irregular menstrual cycles (\<21 days or \>35 days).
3. Current or recent use of hormonal contraceptives or hormonal therapy (within last 3 months).
4. History of pelvic/abdominal surgery.
5. Pregnancy or recent childbirth (within 6 months).
6. Any diagnosed musculoskeletal, neurological, or medical condition contraindicating exercise or acupressure.
7. Current participation in another clinical trial or structured exercise/physiotherapy program for dysmenorrhea.
8. Unwillingness to provide consent/assent or comply with study procedures

Where it's running

• Prime Institute of Health Sciences, Islamabad
  Islamabad, Punjab Province, Pakistan Recruiting

Study contacts

• Principal investigator: Summra Andleeb, MSOMPT — Riphah International University
• Study coordinator: Summra Andleeb, MSOMPT
• Email: summer.spring90@gmail.com
• Phone: 03450510617872

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.