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CTRI Number  CTRI/2026/04/107522 [Registered on: 02/04/2026] Trial Registered Prospectively
Last Modified On: 25/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Evaluation of a Multimodal Exercise Program for Improving Muscle Strength, Cognitive Function, and Sexual Health in Women with Surgical Menopause. 
Scientific Title of Study   Development and validation of multimodal exercise regime for muscular strength, cognitive function and sexual health matrix in surgical menopausal women A Delphi 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  Neha Rishikesh Javkar 
Designation  Post Graduate 
Affiliation  KAHER INSTITUTE OF PHYSIOTHERAPY 
Address  Advanced Physiotherapy Centre Department Of Community Based Physiotherapy Physiotherapy room no:14 Sagar floor Dr Prabhakar Kore Hospital and MRC Belgaum Karnataka 590010

Belgaum
KARNATAKA
590010
India 
Phone  8850020558  
Fax    
Email  nehajavkar2312@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vijay Kage 
Designation  Professor 
Affiliation  KAHER INSTITUTE OF PHYSIOTHERAPY 
Address  Advanced Physiotherapy centre Department of Orthopaedic Physiotherapy Physiotherapy room no:18 Sagar floor Dr Prabhakar Kore Hospital and MRC Belgaum Karnataka 590010 Belgaum

Belgaum
KARNATAKA
590010
India 
Phone  9845271899  
Fax    
Email  vijaykage@klekipt.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Vijayalaxmi Kanabur 
Designation  Assistant Professor 
Affiliation  KAHER INSTITUTE OF PHYSIOTHERAPY 
Address  Advanced Physiotherapy centre Department of Community Based Physiotherapy Physiotherapy room no:14 Sagar floor Dr Prabhakar Kore Hospital and MRC Belgaum Karnataka 590010 Belgaum

Belgaum
KARNATAKA
590010
India 
Phone  8867480565  
Fax    
Email  vijayalaxmikanabur@klekipt.edu.in  
 
Source of Monetary or Material Support  
Advanced Physiotherapy Centre Department Of Community Based Physiotherapy Physiotherapy room no:14 Sagar floor Dr Prabhakar Kore Hospital and MRC Belgaum Karnataka 590010 
 
Primary Sponsor  
Name  Neha Javkar 
Address  Advanced Physiotherapy Centre Department Of Community Based Physiotherapy Physiotherapy room no:14 Sagar floor Dr Prabhakar Kore Hospital and MRC Belgaum Karnataka 590010 
Type of Sponsor  Other [SELF SPONSORED] 
 
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 
Neha Javkar  KLE DR PRABHAKAR KORE HOSPITAL AND MRC  Advanced Physiotherapy Centre, room no. 39,Sagar Floor,KLE Dr.Prabhakar Kore Hospital and MRC,Nehru Nagar,Belagavi
Belgaum
KARNATAKA 
8850020558

nehajavkar2312@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
RESEARCH AND ETHICAL COMMIITTEE KLE INSTITUTEU OF PHYSIOTHERAPY,BELAGAVI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N998||Other intraoperative and postprocedural complications and disorders of genitourinary system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Mutimodal Exercise regime  Participants will undergo a tailor-made multimodal exercise program including strength training, pelvic floor exercises and cognitive tasks. The exercise protocol will be individualized according to participant capacity and will be supervised during the intervention period of 4 weeks 
Comparator Agent  Not Applicable  Not Applicable 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Women aged 30-45 years.Surgical menopause (Hysterectomy with
or without Oophorectomy).1 month post-surgery.Experiencing
sexual dysfunction or related symptoms.Willing to perform
exercises 
 
ExclusionCriteria 
Details  Recent pelvic or abdominal surgery within 3 months.Recent
pregnancy or breastfeeding.Severe cognitive impairment.Severe
musculoskeletal or neurological conditions.Medical conditions
contraindicating exercise (uncontrolled hypertension,recent MI). 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Thirty-Second Arm Curl Test,Thirty-Second
Chair Stand Test,Montreal Cognitive
Assessment (MoCA),Female Sexual Function
Index (FSFI) 
0 weeks,4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="10"
Sample Size from India="10" 
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)   06/04/2026 
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="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  

An initial multimodal exercise regime for women with surgical menopause will be developed through an extensive literature review. To establish content validity, a Delphi consensus process will be conducted with experts in women’s health physiotherapy. Experts having at least five years of academic or clinical experience will be invited to participate.

The developed exercise protocol will be shared with the expert panel along with a structured validation form. Experts will be asked to evaluate each component of the protocol for relevance, clarity, simplicity, and comprehensiveness using a 4-point Likert scale. Feedback and suggestions from the experts will also be collected.

Content validity will be calculated using the Item Content Validity Index (I-CVI) and Scale Content Validity Index (S-CVI). Items not meeting acceptable validity criteria will be revised based on expert recommendations, and subsequent Delphi rounds will be conducted until consensus is achieved.

After finalizing the validated multimodal exercise regime, a pilot feasibility assessment will be conducted among a small group of women with surgical menopause to evaluate feasibility, adherence, and acceptability. All collected data will be compiled and verified for completeness before statistical analysis.

 
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