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CTRI Number  CTRI/2025/12/099187 [Registered on: 16/12/2025] Trial Registered Prospectively
Last Modified On: 16/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Protocol development for vaginal hysterectomy 
Scientific Title of Study   Development and validation of structured preoperative exercise protocol for patients undergoing vaginal hysterectomy 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SHAILA BANU S 
Designation  POSTGRADUATE STUDENT 
Affiliation  SRI RAMACHANDRA INSTITUTE OF HIGHER EDUCATION AND RESEARCH 
Address  NO 1, RAMACHANDRA NAGAR,SRI RAMACHANDRA FACULTY OF PHYSIOTHERAPY, PORUR, CHENNAI

Chennai
TAMIL NADU
600116
India 
Phone  9150178516  
Fax    
Email  asanshaila2001@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  MS P PONMATHI  
Designation  ASSISTANT PROFESSOR 
Affiliation  SRI RAMACHANDRA INSTITUTE OF HIGHER EDUCATION AND RESEARCH 
Address  NO 1, RAMACHANDRA NAGAR,SRI RAMACHANDRA FACULTY OF PHYSIOTHERAPY, PORUR, CHENNAI

Chennai
TAMIL NADU
600116
India 
Phone  9787211229  
Fax    
Email  ponmathi.p@sriramachandra.edu.in  
 
Details of Contact Person
Public Query
 
Name  MS P PONMATHI  
Designation  ASSISTANT PROFESSOR 
Affiliation  SRI RAMACHANDRA INSTITUTE OF HIGHER EDUCATION AND RESEARCH 
Address  NO 1, RAMACHANDRA NAGAR,SRI RAMACHANDRA FACULTY OF PHYSIOTHERAPY, PORUR, CHENNAI

Chennai
TAMIL NADU
600116
India 
Phone  9787211229  
Fax    
Email  ponmathi.p@sriramachandra.edu.in  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  SHAILA BANU S 
Address  NO 1, RAMACHANDRA NAGAR,SRI RAMACHANDRA FACULTY OF PHYSIOTHERAPY, PORUR, CHENNAI 
Type of Sponsor  Other [NIL] 
 
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 
MS P PONMATHI   DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY,SRI RAMACHANDRA HOSPITAL  NO 1, RAMACHANDRA NAGAR,SRI RAMACHANDRA FACULTY OF PHYSIOTHERAPY, PORUR, CHENNAI
Chennai
TAMIL NADU 
9787211229

ponmathi.p@sriramachandra.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRIHER  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N99-N99||Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  control group  standard preoperative instructions including surgical details, postoperative complications and breathing strategies (may include patients posted for vaginal hysterectomy in less than a week) 
Intervention  structured preoperative exercise protocol   structured exercise protocol will be developed through delphi survey with the opinions of 10 experts protocol will include atleast 3 weeks of preoperative exercises for 4 to 5 sessions per week 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Female 
Details  patients undergoing elective vaginal hysterectomy 
 
ExclusionCriteria 
Details  Patients undergoing emergency or non-elective hysterectomy.
History of severe cardiovascular, respiratory, musculoskeletal, or neurological disorders.
Previous major pelvic surgery
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To develop a structured preoperative exercise protocol specifically designed for patients undergoing vaginal hysterectomy through delphi survey method.
 
6 months 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the effect of the structured preoperative exercise protocol on postoperative outcomes such as pain, mobility, urinary continence, and length of hospital stay.  6 months 
 
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   N/A 
Date of First Enrollment (India)   30/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  30/12/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
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   Vaginal hysterectomy is widely recognized as one of the least invasive surgical approaches for hysterectomy; however, despite its minimally invasive nature, it is still associated with several post-operative complications such as pain, reduced mobility, and urinary incontinence. While there is substantial evidence and a variety of exercise protocols available for patients undergoing abdominal hysterectomy, there remains a notable gap in research specifically addressing pre-operative exercise protocols for vaginal hysterectomy. To address this gap, the present study is designed in two phases. In the initial phase, the Delphi method will be employed to develop and validate a structured pre-operative exercise protocol with the guidance and consensus of a panel of experts. Following the validation process, the second phase will involve conducting an experimental study to evaluate the effectiveness of the developed protocol. Participants will be recruited from the Gynaecology Department of Sri Ramachandra Hospital and randomly allocated into two groups. The control group will receive standard pre-operative care as routinely practiced, while the experimental group will undergo the structured pre-operative exercise protocol developed through the Delphi method. The outcomes will then be systematically analyzed and compared between the two groups to determine the impact of the protocol on post-operative recovery and associated complications. 
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