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CTRI Number  CTRI/2025/07/091277 [Registered on: 21/07/2025] Trial Registered Prospectively
Last Modified On: 31/12/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Effect Of comparsion of Knack Versus Pelvic Floor Muscles Exercise on Muscle Strength And Endurance Among Postpartum Females-Comparative Study. 
Scientific Title of Study   Effect Of Knack Versus Kegel Exercise On Pelvic Floor Muscle Strength And Endurance Among Postpartum Females- Comparative Study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Manjiri Desai 
Designation  Graduate 
Affiliation  Dr. ULhas Patil College of Physiotherapy 
Address  NH 06, Gat No. 57 1, Khirdi Shivar, Tal And Dist Jalgaon Jalgaon MAHARASHTRA 425001 India

Jalgaon
MAHARASHTRA
425001
India 
Phone  09822833907  
Fax    
Email  manjiridesai2879@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr Pradnya Mahajan 
Designation  Assistant Professor 
Affiliation  Dr. ULhas Patil College of Physiotherapy 
Address  NH 06, Gat No. 57 1, Khirdi Shivar, Tal And Dist Jalgaon

Jalgaon
MAHARASHTRA
425001
India 
Phone  09284034348  
Fax    
Email  ppradz1816@gmail.com  
 
Details of Contact Person
Public Query  
Name  Dr Pradnya Mahajan 
Designation  Assistant Professor 
Affiliation  Dr. ULhas Patil College of Physiotherapy 
Address  NH 06, Gat No. 57 1, Khirdi Shivar, Tal And Dist Jalgaon

Jalgaon
MAHARASHTRA
425001
India 
Phone  09284034348  
Fax    
Email  ppradz1816@gmail.com  
 
Source of Monetary or Material Support  
Dr. Ulhas Patil College of Physiotherepy 
 
Primary Sponsor  
Name  Manjiri Desai 
Address  DR.Ulhas Patil College Of Physiotherapy, Jalgaon, NH06, Gat No. 57 1, Khirdi Shivar, Tal And Dist Jalgaon Jalgaon MAHARASHTRA 425001 India 
Type of Sponsor  Private 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 
Manjiri Ravindra Desai  Dr. ULhas Patil College of Physiotherapy  OPD No 207, Physiotherapy OPD,NH 06, Gat No. 57 1, Khirdi Shivar, Tal And Dist Jalgaon Jalgaon MAHARASHTRA 425001 India
Jalgaon
MAHARASHTRA 		 09822833907

manjiridesai2879@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee of Dr. Ulhas Patil College of Physiotherapy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O60-O77||Complications of labor and delivery,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Kegel Exercise  For 1 and 2 week - In 1 minute– 100 contractions then gradually increase to 3 minutes 300 and give rest of 1 minute between 100 contractions. For 3 week - In 4 min– 400 contraction and give rest of 1 minute between 100 contractions. For 4 week - In 4 min– 400 contraction and give rest of 1 minute between 100 contractions. 
Comparator Agent  Knack Exercise  For 1 and 2 week - supine lying position 8 repetitions for every session. For 3 and 4 weeks sitting and standing position 8 repetitions for every session. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Female 
Details  1.Vaginally delivered primiparous females.
2.Postpartum duration of 4 week to 8 week not participated in any type of exercise during pregnancy.
3.Invite the patients who learned how to correctly perform PFM contractions and with grade 2 muscle strength.
4.Patients who willing to participate.
5.Age 18- 30 years.
6.No previous pelvic surgery: No history of pelvic surgery that could affect muscle strength.

7.Pelvic floor muscle strength Grade 0 to grade 2 on perineometer assessment.
 
 
ExclusionCriteria 
Details  1.Postpartum women who reported with chronic diseases (hypertension, diabetes mellitus, chronic lung disease)
2.perineal tear grade III-IV,
3.subjects with cesarean delivery,
4.postpartum of preterm birth,
5.And complicated pregnancy or delivery.
6.Active urinary or vaginal infection in the past 3 months
7.Pregnancy: Currently pregnant or planning to become pregnant during the study.
8.Pelvic Floor Disorders: Diagnosed pelvic floor disorders (e.g., prolapsed, incontinence) requiring medical treatment.
9.Neurological Disorders: Any neurological condition affecting muscle function or coordination.
10.Severe Medical Conditions: Chronic conditions (e.g., cardiovascular, respiratory) that could limit exercise participation.
11.Use of Pelvic Floor Devices: Use of vaginal weights or other pelvic devices that could interfere with the study.
12.Subjects who are taking physiotherapy rehabilitation.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Perineometer  Pre intervention and post intervention after 4 week of exercise intervation 
 
Secondary Outcome  
Outcome  TimePoints 
not applicable   
 
Target Sample Size   Total Sample Size="24"
Sample Size from India="24" 
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)   16/08/2025 
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="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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
Modification(s)  		 AIM :   To compare effect of four weeks of Knack Exercise verses Kegel Exercise on Pelvic Floor Muscle Strength among Postpartum Females.

OBJECTIVE -   1. To find out the effect of four weeks of knack exercises on pelvic floor muscle strength among postpartum females by using perineometer. 

 2. To find out the effect of four weeks of Kegels exercises on pelvic floor muscle strength among postpartum females by using perineometer.

 3. To compare the effect of four weeks of Knack exercises and Kegel exercises on pelvic floor muscle strength among postpartum females by using perineometer.

Procedure-   Ethical clearance will be obtained from Institutional Ethical Committee & of Dr. Ulhas Patil college of Physiotherapy. A written informed consent form will be obtained from subjects who are willing to participate. Subject will be screened according to inclusion and exclusion criteria. The aim of the study and its objective will be explained to willing participants. Selected participants demographics details outcome measures will be recorded.
Intervention Protocol-
GROUP A -  KNACK EXERCISE

Training protocol ( Week 1 and week 2)

 1. Exercise: Trunk flexion (detaching the shoulders from the support), contracting the vaginal muscles before and during the movement.

Initial position: Lying down with the knees bent.

Repetition: 8 repetitions for every session.

2. Exercise: Trunk flexion (detaching the shoulders from the support), placing the right hand on the left knee (diagonal) and contracting the vaginal muscles before and during the movement.

Initial position: Lying down with the knees bent.

Repetition: 8 repetitions for every session.

3. Exercise: Trunk flexion (detaching the shoulders from the support), placing the left hand on the right knee (diagonal) and contracting the vaginal muscles before and during the movement.

Initial position: Lying down with the knees bent.

Repetition: 8 repetitions for every session.         

Training protocol : 3 week

1. Exercise: Rise from a seat contracting the vaginal muscles before and during the movement.

Initial position: Sitting with the back straight and without any support.

Repetition: 8 times.

2. Exercise: Lift something from the floor contracting the vaginal muscles before and during the movement.

Repetition: 8 times.

3. Exercise: Squat contracting the vaginal muscles before and during the movement.

Initial position: Standing up.

Repetition: 8 times.

4. Exercise: Contract the vaginal muscles and cough twice. After coughing twice, relax the vaginal muscles. Repeat 3 times.

Training protocol : 4 week

1. Exercise: Walk or run in place contracting the vaginal muscles before and during the movement.

Initial position: Standing up.

Repetition: 20 to 30 seconds.

2. Exercise: Jump in place, contracting the vaginal muscles before and during the movement.

Initial position: Standing up.

Repetition: 8 times. 

3. Exercise: Squat and jump in place, contracting the vaginal muscles before and during the movement.

Initial position: Standing up.

Repetition: 8 times.

4. Exercise: Contract the vaginal muscles and cough 3 times. After coughing 3 times, relax the vaginal muscles. Repeat 3 times.

GROUP B - KEGEL EXERCISE

Training protocol: 1 week and 2 week.

Position: Patient must be in crook lying position.

Ask patient to tighten or contract your pelvic floor muscles and hold for 3-5 seconds initially. Relax the muscles for the same amount in given time.

Dosage: In 1 minute – 100 contractions then gradually increase to 3 minutes 300 and give rest of 1 minute between 100 contractions.

Training protocol:  3 week.

Position: Patient must be in crook lying position with pelvic bridging.

Ask patient to tighten or contract your pelvic floor muscles and hold for 3-5 seconds initially.   Relax the muscles for the same amount in given time

Dosage: In 4 min – 400 contraction and give rest of 1 minute between 100 contractions.

Training protocol:  4 week.

Position: Patient in squatting position.

Ask patient to tighten or contract your pelvic floor muscles and hold for 3-5 seconds initially.  Relax the muscles for the same amount in given time.

Dosage:  In 4 min – 400 contraction and give rest of 1 minute between 100 contractions. 

 


 
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