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Trial registered on ANZCTR
Registration number
ACTRN12613001195741
Ethics application status
Not yet submitted
Date submitted
25/10/2013
Date registered
30/10/2013
Date last updated
30/10/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Effects of an exercise intervention on menstrual pain in women with primary dysmenorrhea: A randomized controlled trial
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Scientific title
Effects of vigorous aerobic training combined with an exercise programme in comparison to usual care on menstrual pain in women with primary dysmenorrhea: A randomized controlled trial.
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Secondary ID [1]
283451
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Primary Dysmenorrhea
290371
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Condition category
Condition code
Physical Medicine / Rehabilitation
290760
290760
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0
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Physiotherapy
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Reproductive Health and Childbirth
290762
290762
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0
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Menstruation and menopause
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will undergo vigorous aerobic training on a treadmill for 30 minutes at 70-85% of their maximum heart rate. Treadmill training will be preceded by warm-up exercises for 10 minutes and followed by cool down exercises for 10 minutes, including stretching for mid and lower back muscles and abdominal strengthening. The training sessions will be administered and supervised by a trained physiotherapist on a one-on-one participant basis at School of Physiotherapy (SoP), University of Otago. Frequency of intervention will be for 3 days a week for three weeks for a maximum of 50 minutes each session. On completion of intervention at SoP, participants will be required to continue at home, the walking/jogging program for 30 minutes, and warm up and cool down stretching and strengthening exercises for 10 minutes each, three times a week, in 3 week blocks between menstrual periods for the next 6 months. Attendance will be taken at every session at SoP, in order to monitor adherence to intervention programme. Adherence to home exercise programme will be monitored with the use of exercise adherence diary.
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Intervention code [1]
288167
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Lifestyle
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Intervention code [2]
288183
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Treatment: Other
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Comparator / control treatment
Usual control group. No standard treatments are withheld and they are free to take medications for controlling their menstrual pain.
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Control group
Active
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Outcomes
Primary outcome [1]
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short form of McGill pain questionnaire
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Assessment method [1]
290757
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Timepoint [1]
290757
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On day of maximum pain of menstual period pre-intervention; on day of maximum pain of menstrual period post-intervention; and on day of maximum pain of menstrual period at the end of 3 and 6 month follow up.
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Secondary outcome [1]
305182
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Patient Global Impression of Change
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Assessment method [1]
305182
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Timepoint [1]
305182
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On day of maximum pain of menstual period pre-intervention; on day of maximum pain of menstrual period post-intervention; and on day of maximum pain of menstrual period at the end of 3 and 6 month follow up.
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Secondary outcome [2]
305183
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12-Item short form health survey
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Assessment method [2]
305183
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Timepoint [2]
305183
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On day of maximum pain of menstual period pre-intervention; on day of maximum pain of menstrual period post-intervention; and on day of maximum pain of menstrual period at the end of 3 and 6 month follow up.
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Secondary outcome [3]
305184
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Women’s Health Initiative Insomnia Rating Scale
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Assessment method [3]
305184
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Timepoint [3]
305184
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On day of maximum pain of menstual period pre-intervention; on day of maximum pain of menstrual period post-intervention; and on day of maximum pain of menstrual period at the end of 3 and 6 month follow up.
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Secondary outcome [4]
305185
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Brief pain inventory short form
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Assessment method [4]
305185
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Timepoint [4]
305185
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On day of maximum pain of menstual period pre-intervention; on day of maximum pain of menstrual period post-intervention; and on day of maximum pain of menstrual period at the end of 3 and 6 month follow up.
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Eligibility
Key inclusion criteria
Non-pregnant women 18-43 years with general good health with primary dysmenorrhea (PD); not on formal exercise programme; women with regular menstrual cycles and having no pelvic abnormality; PD with pain scoring greater than or equal to 4 on a 0-10 numeric rating scale (NRS) for at least two consecutive months.
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Minimum age
18
Years
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Maximum age
43
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Women with secondary dysmenorrhea; women having intra uterine devices; women on oral contraceptives and hormonal therapy and; women with menstrual cycle interval exceeding 34 days.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/03/2014
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
70
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
5537
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New Zealand
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State/province [1]
5537
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Dunedin
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Funding & Sponsors
Funding source category [1]
288164
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Charities/Societies/Foundations
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Name [1]
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Physiotherapy New Zealand
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Address [1]
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Level 5, 195-201 Willis St, Wellington 6011, New Zealand
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Country [1]
288164
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New Zealand
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Funding source category [2]
288165
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Hospital
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Name [2]
288165
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Dunedin School of Medicine, Dunedin Hospital
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Address [2]
288165
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Section of Obstetrics & Gynaecology, Department of Women’s & Children’s Health
Dunedin School of Medicine, 201 Great King Street,
PO Box 913,
Dunedin 9054,
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Country [2]
288165
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New Zealand
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Funding source category [3]
288166
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University
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Name [3]
288166
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School of Physiotherapy, University of Otago
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Address [3]
288166
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School of Physiotherapy,
Centre for Health, Activity, and Rehabilitation Research, University of Otago,
P.O Box 56,
Dunedin 9054,
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Country [3]
288166
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New Zealand
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Primary sponsor type
Individual
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Name
Catherine Chapple
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Address
School of Physiotherapy,
Centre for Health, Activity, and Rehabilitation Research, University of Otago,
P.O Box 56,
Dunedin 9054,
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Country
New Zealand
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Secondary sponsor category [1]
286887
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None
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Name [1]
286887
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Address [1]
286887
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Country [1]
286887
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
290080
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Health and Disability Ethics Committee
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Ethics committee address [1]
290080
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Ministry of Health, No 1, The Terrace, PO Box 5013, Wellington 6145.
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Ethics committee country [1]
290080
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New Zealand
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Date submitted for ethics approval [1]
290080
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29/11/2013
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Approval date [1]
290080
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Ethics approval number [1]
290080
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Summary
Brief summary
Dysmenorrhea is the most common gynecological disorder experienced by menstruating women. Dysmenorrhea in the absence of pelvic abnormality is termed primary dysmenorrhea (PD). The health burden, social and economic cost of PD is high as it is reported to be the leading cause of recurrent absenteeism from school or work in adolescent girls and young adults. The efficacy of physiotherapy and complementary therapies such as acupuncture, acupressure, transcutaneous electrical stimulation, spinal manipulation, and heat therapy for PD have been extensively evaluated in experimental studies but the efficacy of exercise is poorly understood. The belief that exercise works for relieving symptoms in women with PD is based on anecdotal evidence and non-experimental studies. Moreover, there is very limited evidence high quality evidence to support the use of exercise to reduce the intensity and severity of menstrual pain/cramps. This clinical trial will therefore evaluate the effectiveness of exercise to reduce intensity and severity of pain in women with PD. The experimental hypothesis is that a treatment program consisting of aerobic training, strengthening and stretching exercises would be effective in reducing the menstrual pain and severity among women with Primary dysmenorrhea
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
43846
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Mrs PRIYA KANNAN
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Address
43846
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Postgraduate Student,
School of Physiotherapy,
University of Otago,
325 Great Kings street,
Dunedin 9054
New Zealand.
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Country
43846
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New Zealand
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Phone
43846
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+64 3 479 9619
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Fax
43846
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Email
43846
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[email protected]
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Contact person for public queries
Name
43847
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Dawn Miller
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Address
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Section of Obstetrics & Gynaecology,
Department of Women’s & Children’s Health
Dunedin School of Medicine,
Dunedin Hospital,
PO Box 913,
Dunedin 9054.
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Country
43847
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New Zealand
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Phone
43847
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+64 3 4747 999 ext 8566
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Fax
43847
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Email
43847
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[email protected]
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Contact person for scientific queries
Name
43848
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Cathy Chapple
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Address
43848
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School of Physiotherapy,
University of Otago,
PO Box 56,
Dunedin 9054.
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Country
43848
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New Zealand
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Phone
43848
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+64 3 479 5428
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Fax
43848
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Email
43848
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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