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CTRI Number  CTRI/2026/01/100004 [Registered on: 01/01/2026] Trial Registered Prospectively
Last Modified On: 30/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Pelvic Muscle Release Technique to Reduce Pelvic Pain in Endometriosis  
Scientific Title of Study   Effectiveness Of Pelvic Diaphragm Release Technique On Pelvic Pain And Quality Of Life In Endometriosis Patients 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL   NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Godisela Sahana  
Designation  Postgraduate Student  
Affiliation  Sri Ramachandra Institute Of Higher Education and Research  
Address  Faculty OF Physiotherapy, No.1 Ramachandra Nagar Porur, Chennai - 600 116 Tamil Nadu, India.
Faculty Of Physiotherapy, No.1 Ramachandra Nagar Porur, Chennai - 600 116 Tamil Nadu, India.
Chennai
TAMIL NADU
600116
India 
Phone  9398794600  
Fax    
Email  godiselasahana@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  MS PPonmathi  
Designation  Assistant Professor  
Affiliation  Sri Ramachandra Institute Of Higher Education And Research  
Address  Sri Ramachandra Institute of Higher Education and Research Faculty Of Physiotherapy, No.1 Ramachandra Nagar Porur, Chennai - 600 116 Tamil Nadu, India.
Faculty Of Physiotherapy, No.1 Ramachandra Nagar Porur, Chennai - 600 116 Tamil Nadu, India.
Chennai
TAMIL NADU
600116
India 
Phone  9787211229  
Fax    
Email  ponmathi.p@sriramachandra.edu.in  
 
Details of Contact Person
Public Query
 
Name  MS PPonmathi 
Designation  Assistant Professor  
Affiliation  Sri Ramachandra Institute Of Higher Education And Research 
Address  Faculty Of Physiotherapy, No.1 Ramachandra Nagar Porur, Chennai - 600 116 Tamil Nadu, India.
Faculty Of Physiotherapy, No.1 Ramachandra Nagar Porur, Chennai - 600 116 Tamil Nadu, India.
Chennai
TAMIL NADU
600116
India 
Phone  09787211229  
Fax    
Email  ponmathi.p@sriramachandra.edu.in  
 
Source of Monetary or Material Support  
Sri Ramachandra Institute Of Higher Education And Research  
 
Primary Sponsor  
Name  NIL 
Address  NIL 
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 
DrPPonmathi   Department Of Obstetrics and Gynecology, Sri Ramachandra Hospital, room no.4,1st floor,G-block   No.1 Ramachandra Nagar Porur, Chennai - 600 116 Tamil Nadu, India.
Chennai
TAMIL NADU 
9787211229

ponmathi.p@sriramachandra.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Ramachandra Institute of Higher Education and Research (Deemed to be University),  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N738||Other specified female pelvic inflammatory diseases,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Pelvic Diaphragm Release Technique  Pelvic Diaphragm Release Technique: The patient was in a supine position. One hand was placed under the lumbosacral junction and the other hand on the upper surface of the pelvic area, perpendicular to the one below. A slight compression was performed for 5 min to produce a relaxation in the fascial tissue for 3 weeks . 
Comparator Agent  pelvic floor muscle relaxation exercises   pelvic floor muscle relaxation: a different type of pelvic floor stretching exercises and positions for 30 seconds overall duration for 3 weeks  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1.Female participants between the ages of 20 and 45 years.
2.Endometriosis diagnosis established either through clinical evaluation or laparoscopic confirmation or MRI diagnosed.
3.A history of persistent pelvic pain lasting 6 months.
4.Baseline pain intensity of at least 4/10 on the Visual Analogue Scale (VAS).
5.Ability to understand the study, Commitment to attend scheduled therapy sessions throughout the study period and provide voluntary written consent
 
 
ExclusionCriteria 
Details  1.Women who are currently pregnant or have been pregnant in the preceding 6 months.
2.Those who have undergone recent pelvic or abdominal surgery (within the last 6 months).
3.Participants with neurological impairments influencing pelvic floor function (e.g., spinal cord injury, multiple sclerosis).
4.Presence of active pelvic infections such as pelvic inflammatory disease, urinary tract infection, or genital infection.
5.Individuals on medications that alter muscle tone or pain perception (e.g., opioids, muscle relaxants).
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
NPRS-Scale For Evaluation Of Pelvic Pain and intensity of the pain.   6 Months 
 
Secondary Outcome  
Outcome  TimePoints 
EHP-5 For Evaluation Of Quality Of Life In Endometriosis Patients   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   Phase 1 
Date of First Enrollment (India)   12/01/2026 
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="6"
Days="15" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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  
Endometriosis Affects Approximately 10 Percent Of Women Of Reproductive Age Globally, And characterized By The Ectopic Endometrial Tissue Leading To Chronic Pelvic Pain, And Reduce Quality Of Life. Studies Indicate That Pelvic Floor Muscles Dysfunction, Particularly, Pelvic Diaphragm Hypertonicity and Trigger PointsContributes Significantly Persistent Pain In The Endometriosis Patients.
Pelvic Diaphragm Release, A Manual Therapy Technique Targeting Pelvic Floor Muscles Has Show Effect On  Allevating Pain And Improving Quality Of Life. However, Their Is A Limited Evidence Focusing Specifically On Its Isolated Effects In The Endometriosis .
This Study Is Designed To Evaluate The Effectiveness Of Pelvic Diaphragm Release On Pelvic Pain And Quality Of Life In Women With Endometriosis, Aiming To Inform Evidence Based, Non-invasive Therapeutic stratergie.
 
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