RecruitingNot ApplicableNCT07754305

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.


Sponsor

Riphah International University

Enrollment

64 participants

Start Date

Aug 12, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

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.


Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 24 Years

Plain Language Summary

Simplified for easier understanding

This clinical trial is studying a behavioral approach called Diaphragm-Pelvic Floor Synergy (DPFS) Training and a medical device called Transcutaneous Electrical Nerve Stimulation (TENS) for people with dysmenorrhea. The study is currently recruiting participants at 1 location. People eligible for this study include women aged 18 Years to 24 Years.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALDiaphragm-Pelvic Floor Synergy (DPFS) Training

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.

DEVICETranscutaneous 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.


Locations(1)

Prime Institute of Health Sciences, Islamabad

Islamabad, Punjab Province, Pakistan

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NCT07754305


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