[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100607280":3},{"organization":4,"armGroups":7,"interventions":22,"overallOfficials":28,"centralContacts":41,"locations":28,"responsibleParty":51,"collaborators":53,"id":56,"slug":57,"hasResults":58,"nctId":59,"briefTitle":60,"officialTitle":61,"acronym":28,"eligibilityCriteria":62,"healthyVolunteers":58,"sex":63,"minAge":64,"maxAge":28,"enrollmentInfo":65,"targetDuration":28,"studyType":68,"phases":69,"briefSummary":71,"conditions":72,"keywords":76,"overallStatus":87,"whyStopped":28,"lastUpdateSubmitDate":88,"lastUpdatePostDateStruct":89,"startDateStruct":92,"completionDateStruct":94,"leadSponsor":96,"locationsCount":28},{"fullName":5,"class":6},"Haute Ecole de Santé Vaud","OTHER",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"Adapted Physical Activity with or without Pelvic Floor Rehabilitation","EXPERIMENTAL","Participants attend weekly 60-minute sessions of adapted physical activity, from enrollment (≤27 weeks gestation) until 36-38 weeks of pregnancy. Sessions alternate between land and aquatic settings and include mobility, lumbopelvic stabilization, core and multifidus strengthening, and safe aerobic training. If pelvic floor dysfunction is identified at baseline using the Pelvic Floor Distress Inventory (PFDI-20), participants will also receive individualized pelvic floor rehabilitation (up to 9 sessions) focusing on pelvic floor muscle relaxation, strengthening, and coordination.",[13,14],"Behavioral: Adapted Physical Activity","Behavioral: Pelvic Floor Rehabilitation",{"label":16,"type":17,"description":18,"interventionNames":19},"Standard Care and Educational Flyer","ACTIVE_COMPARATOR","Participants receive standard prenatal care as provided by their healthcare providers. In addition, they are given a validated flyer containing international recommendations for safe physical activity during pregnancy. No supervised physiotherapy or structured exercise sessions are provided.",[20,21],"Other: Standard Care (in control arm)","Other: Educational Flyer",[23,29,33,37],{"type":24,"name":25,"description":26,"armGroupLabels":27,"otherNames":28},"BEHAVIORAL","Adapted Physical Activity","Group-based, weekly supervised 60-minute sessions including mobility, stability, strengthening, and aerobic exercises adapted for pregnancy and pelvic girdle pain.",[9],null,{"type":24,"name":30,"description":31,"armGroupLabels":32,"otherNames":28},"Pelvic Floor Rehabilitation","Individual physiotherapy sessions using the PERFECT scheme to assess and retrain pelvic floor muscle function, including education, manual therapy, relaxation, and strengthening",[9],{"type":6,"name":34,"description":35,"armGroupLabels":36,"otherNames":28},"Standard Care (in control arm)","Usual prenatal care provided by obstetricians or midwives according to local practice.",[16],{"type":6,"name":38,"description":39,"armGroupLabels":40,"otherNames":28},"Educational Flyer","Written information with evidence-based international guidelines on physical activity during pregnancy.",[16],[42,47],{"name":43,"role":44,"phone":45,"phoneExt":28,"email":46},"Jeanne BERTUIT, Associate Professor","CONTACT","+41 21 316 81 33","jeanne.bertuit@hesav.ch",{"name":48,"role":44,"phone":49,"phoneExt":28,"email":50},"Tara REMAN, Assistant Professor","+41 21 556 64 54","tara.reman@hesav.ch",{"type":52,"investigatorFullName":28,"investigatorTitle":28,"investigatorAffiliation":28,"oldNameTitle":28,"oldOrganization":28},"SPONSOR",[54],{"name":55,"class":6},"La Tour Hospital","100607280","adapted-physical-activity-and-pelvic-floor-function-for-pelvic-girdle-pain-during-pregnancy-100607280",false,"NCT07186504","Adapted Physical Activity and Pelvic Floor Function for Pelvic Girdle Pain During Pregnancy","Impact of Adapted Physical Activity Combined With Pelvic Floor Functionality on Pelvic Girdle Pain During Pregnancy: A Randomized Controlled Exploratory Trial","Inclusion Criteria:\n\n* Pregnant women aged ≥18 years\n* Gestational age ≤27 weeks at enrollment\n* Clinically confirmed pelvic girdle pain, defined as:\n* Pain localized between the posterior iliac crest and the gluteal fold, particularly around the sacroiliac joints and\u002For pubic symphysis, Pain intensity ≥3\u002F10 on Visual Analog Scale (VAS), At least 3 positive clinical tests among: Posterior Pelvic Pain Provocation (P4) test, Patrick's FABER, Menell's test, Active Straight Leg Raise (ASLR), and palpation of long dorsal sacroiliac ligament or symphysis pubis\n* Ability to understand and provide written informed consent\n\nExclusion Criteria:\n\n* Isolated low back pain without pelvic involvement\n* Contraindications to exercise during pregnancy (e.g., severe preeclampsia, placenta previa after 26 weeks, risk of preterm labor, ruptured membranes, significant cardiac or pulmonary disease)\n* Neurological, rheumatologic, or orthopedic conditions that may interfere with participation\n* Insufficient French language proficiency to understand questionnaires and instructions\n* Participation in another interventional study that could affect outcomes","FEMALE","18 Years",{"count":66,"type":67},40,"ESTIMATED","INTERVENTIONAL",[70],"NA","Pelvic girdle pain (PGP) is a common condition during pregnancy, affecting up to two-thirds of women. It can cause significant discomfort, limit daily activities, and reduce quality of life. Current treatment options are limited, and many women continue to experience pain throughout pregnancy and even after childbirth.\n\nThis study will evaluate whether a structured program of adapted physical activity, with additional individualized pelvic floor rehabilitation when needed, can reduce pelvic girdle pain and improve function during pregnancy. The intervention consists of weekly 60-minute sessions of adapted physical activity, led by a pelvic health physiotherapist, from inclusion until 36-38 weeks of gestation. The exercises focus on lumbopelvic stability, mobility, strengthening, and safe aerobic activity. If a participant presents with pelvic floor dysfunction, individualized rehabilitation may be added in parallel.\n\nParticipants will be randomly assigned to either the intervention group (adapted physical activity ± pelvic floor rehabilitation) or a control group. The control group will receive standard pregnancy follow-up care plus a validated flyer with international recommendations on physical activity during pregnancy but without supervised sessions.\n\nThe primary outcomes are pain intensity and functional impact of PGP, measured using the Visual Analog Scale (VAS) and the Pelvic Girdle Questionnaire (PGQ). Secondary outcomes include self-reported physical activity, pelvic symptoms, pelvic floor function, adherence to the intervention, and acceptability of the program.\n\nA total of 40 pregnant women will be enrolled at Hospital La Tour in Geneva, Switzerland. Assessments will take place at three time points: inclusion (≤27 weeks of gestation), late pregnancy (36-38 weeks), and 3 months after delivery.\n\nThe study is expected to provide new evidence on the benefits of integrating pelvic floor functionality into physical activity programs for pregnant women with PGP. If effective, this approach could inform clinical practice and improve care for women during pregnancy",[73,74,75],"Pelvic Girdle Pain","Pregnancy","Pelvic Floor Dysfunctions",[77,78,79,80,81,82,83,84,85,86],"Pregnancy-related pelvic girdle pain","Prenatal pelvic pain","Pelvic floor function","Pelvic floor rehabilitation","Adapted physical activity","Prenatal exercise","Physiotherapy in pregnancy","Prenatal musculoskeletal pain","Maternal health","Randomized controlled trial","NOT_YET_RECRUITING","2025-09-15",{"date":90,"type":91},"2025-09-22","ACTUAL",{"date":93,"type":67},"2025-09-30",{"date":95,"type":67},"2027-10-31",{"name":5,"class":6}]