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CTRI Number  CTRI/2026/01/101849 [Registered on: 22/01/2026] Trial Registered Prospectively
Last Modified On: 22/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective repeated-measures observational study 
Study Design  Other 
Public Title of Study   Understanding how the menstrual cycle affects movement and injury risk in female athletes  
Scientific Title of Study   Menstrual cycle phase-dependent variations in neuromuscular control and biomechanical injury risk factor among female collegiate athletes: a repeated measure observational 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  Shramika  
Designation  Master of physiotherapy student 
Affiliation  Institute of Physiotherapy, Srinivas University  
Address  Institute of Physiotherapy, Srinivas University, Department of Musculoskeletal and Sports Physiotherapy, ground floor, City Campus, Pandeshwar, Mangaluru

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9901890286  
Fax    
Email  shramika2001@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vijayakumar Palaniswamy  
Designation  Professor  
Affiliation  Institute of Physiotherapy, Srinivas University  
Address  Institute of Physiotherapy, Srinivas University, Department of Musculoskeletal and Sports Physiotherapy, ground floor, City Campus, Pandeshwar, Mangaluru

Dakshina Kannada
KARNATAKA
575001
India 
Phone  918148745409  
Fax    
Email  vijayakumarpalaniswamy.ipt@srinivasuniversity.edu.in  
 
Details of Contact Person
Public Query
 
Name  Shramika 
Designation  Master of physiotherapy student 
Affiliation  Institute of Physiotherapy, Srinivas University  
Address  Institute of Physiotherapy, Srinivas University, Department of Musculoskeletal and Sports Physiotherapy, ground floor, City Campus, Pandeshwar, Mangaluru

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9901890286  
Fax    
Email  shramika2001@gmail.com  
 
Source of Monetary or Material Support  
NIL  
 
Primary Sponsor  
Name  Shramika  
Address  Institute Of Physiotherapy, Srinivas University, ground floor, city campus, Pandeshwar, Mangaluru, Dakshina Kannada, Karnataka  
Type of Sponsor  Other [Self ] 
 
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 
Shramika   Institute of Physiotherapy, Srinivas University, MSD Pandeshwar, Mangaluru   Institute Of Physiotherapy, Srinivas University, Department Of Musculoskeletal And Sports Physiotherapy ground floor, city campus, Pandeshwar, Mangaluru
Dakshina Kannada
KARNATAKA 
9901890286

shramika2001@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL REVIEW BOARD AND ETHICAL COMMITTEE (IRBEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  menstrual cycle related neuromuscular and biomechanical variation 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Female 
Details  -Female athletes aged 18-25
-Actively training and participating in or more of the following sports: throw ball, runners, weight lifting, karate, etc.
-Eumenorrheic
-Engaged in structured training more than or equal to 3 times per week
-No musculoskeletal injuries requiring more than or equal to 7 days of rest in the past 6 months
 
 
ExclusionCriteria 
Details  -Currently using hormonal contraceptives
-Diagnosed with PCOS or irregular menstrual cycles
-History of major lower limb surgery: ACL, PCL, MCL or LCL reconstruction/repair, meniscal repair
-Diagnosis or treatment for insomnia or other sleep disorder
-diagnosed endocrine disorder
-Taking medication that affect hormonal balance, neuromuscular control or cognitive function. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Y- balance test
Single-leg Hop
Drop Vertical Jump Test
Time-to-Stabilization Test
 
Follicular phase (baseline-day 2), ovulatory phase (day 14), luteal phase (day 21) within a single menstrual cycle
 
 
Secondary Outcome  
Outcome  TimePoints 
Manual Menstrual Diary  Written daily throughout one complete menstrual cycle  
Basal Body Temperature (BBT) Measurement
 
Daily throughout one menstrual cycle  
Perceived Stress Scale (PSS)  Follicular phase (day 2), ovulatory phase (Day 14),luteal phase ( day 21) within a menstrual cycle  
Borg Rating of Perceived Exertion (RPE)  Follicular phase, ovulatory phase, luteal phase  
Low Energy Availability in Females Questionnaire (LEAF-Q)  Baseline (day 2- follicular phase) of the menstrual cycle  
Beighton Score  Baseline ( day 2- follicular phase) of the menstrual cycle  
Pittsburgh Sleep Quality Index (PSQI)  Baseline ( day 2- follicular phase) of the menstrual cycle  
 
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)   02/02/2026 
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 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   This repeated- measures observational study evaluates menstrual cycle dependant variation in neuromuscular control among female collegiate athletes . Assessment will be done across 3 menstrual phases- follicular phase, ovulatory phase and luteal phase for primary outcomes. Secondary outcomes includes perceived stress, perceived exertion, sleep quality, general hyper mobility and risk of low energy availablity. Menstrual cycle charecteristics and ovulation confirmation will be done using manual dairy and daily basal body temperature measurement. All assessments are non-interventional and observational in nature. The study seeks to improve the understanding of menstrual cycle related neuromuscular variation that may influence injury risk in female athletes  
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