[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100642734":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":30,"centralContacts":34,"locations":42,"responsibleParty":62,"collaborators":25,"id":64,"slug":65,"hasResults":66,"nctId":67,"briefTitle":68,"officialTitle":69,"acronym":25,"eligibilityCriteria":70,"healthyVolunteers":66,"sex":71,"minAge":72,"maxAge":73,"enrollmentInfo":74,"targetDuration":25,"studyType":77,"phases":78,"briefSummary":80,"conditions":81,"keywords":83,"overallStatus":45,"whyStopped":25,"lastUpdateSubmitDate":87,"lastUpdatePostDateStruct":88,"startDateStruct":91,"completionDateStruct":93,"leadSponsor":95,"locationsCount":96},{"fullName":5,"class":6},"Riphah International University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Group A: Functional Movement Retraining with Hypopressive Exercise","EXPERIMENTAL","Participants in Group A will receive a combined intervention of pelvic floor functional movement retraining (PF-FMR) and hypopressive exercises. PF-FMR will focus on posture correction, diaphragmatic breathing, and integrating pelvic floor contractions into functional movements such as squats, bridges, and walking to improve muscle activation, alignment, and core stability. Hypopressive exercises will aim to reduce intra-abdominal pressure and activate deep core and pelvic floor muscles through apnea-based breathing in different positions, contributing to improved pelvic floor tone and symptom relief in women with pelvic organ prolapse.",[13],"Other: Functional Movement Retraining + Hypopressive Exercises",{"label":15,"type":16,"description":17,"interventionNames":18},"Group B: Functional Movement Retraining","ACTIVE_COMPARATOR","Group B will receive pelvic floor functional movement retraining (PF-FMR) alone for the same duration and frequency as Group A. The program will focus on pelvic floor muscle training integrated into functional movements such as bridges, squats, postural correction, and diaphragmatic breathing with pelvic floor contraction to improve core-pelvic coordination, muscle control, alignment, and endurance, aiming to reduce pelvic organ prolapse symptoms and improve quality of life. Participants will also follow a home exercise program and maintain adherence logs to track progress.",[19],"Other: Pelvic Floor Functional Movement Retraining",[21,26],{"type":6,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"Functional Movement Retraining + Hypopressive Exercises","Participants in Group A will receive a combined intervention consisting of pelvic floor functional movement retraining (PF-FMR) and hypopressive exercises (HE). The intervention will be delivered in supervised sessions three times per week for 8 weeks, each lasting 30-45 minutes. The PF-FMR component will include posture correction, diaphragmatic breathing, and integration of pelvic floor muscle contractions into functional movements such as squats, bridges, and walking. These exercises aim to improve voluntary muscle activation, spinal-pelvic alignment, and core stability,(34) and significant improvements in pelvic floor dysfunction with functionally integrated physiotherapy. In addition, hypopressive exercises will be included to reduce intra-abdominal pressure and stimulate involuntary activation of pelvic floor and deep core muscles through apnea-based breathing techniques. Participants will perform HE in various postures (supine, seated, and standing).",[9],null,{"type":6,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Pelvic Floor Functional Movement Retraining","Group B will receive pelvic floor functional movement retraining (PF-FMR) alone, following the same frequency and duration as Group A. This group will focus on active pelvic floor muscle training embedded within dynamic postures and everyday functional tasks. Exercises will include bridges, squats, postural corrections, and diaphragmatic breathing combined with pelvic floor contraction to facilitate core-pelvic coordination. The objective is to retrain muscle control, improve pelvic alignment, and enhance pelvic floor endurance and PFMT to be effective in reducing symptoms of pelvic organ prolapse and improving quality of life. Like Group A, participants in Group B will also be instructed to follow a home program of prescribed exercises, with progress tracked through self-maintained adherence logs.",[15],[31],{"name":32,"affiliation":5,"role":33},"Zunaira Bilal","PRINCIPAL_INVESTIGATOR",[35,40],{"name":36,"role":37,"phone":38,"phoneExt":25,"email":39},"Imran Amjad, PHD*","CONTACT","03324390125","imran.amjad@riphah.edu.pk",{"name":36,"role":37,"phone":41,"phoneExt":25,"email":39},"0515481826",[43],{"facility":44,"status":45,"city":46,"state":47,"zip":48,"country":49,"countryCode":50,"cosmosGeoPoint":51,"geoPoint":56,"contacts":57},"Ganga Ram Hospital","RECRUITING","Lahore","Punjab Province","54000","Pakistan","PK",{"type":52,"coordinates":53},"Point",[54,55],74.35071,31.558,{"lat":55,"lon":54},[58],{"name":59,"role":37,"phone":60,"phoneExt":25,"email":61},"Ghulam Fatima, PhD*","03034073057","ghulam.fatima@riphah.edu.pk",{"type":63,"investigatorFullName":25,"investigatorTitle":25,"investigatorAffiliation":25,"oldNameTitle":25,"oldOrganization":25},"SPONSOR","100642734","combined-effects-of-pelvic-floor-retraining-and-hypopressive-exercises-in-uterine-prolapse-outcomes-100642734",false,"NCT07642180","Combined Effects of Pelvic Floor Retraining and Hypopressive Exercises in Uterine Prolapse Outcomes","Combined Effects of Pelvic Floor Functional Movement Retraining and Hypopressive Exercises on Pain, Urogynecological Symptoms, and Quality of Life in Uterine Prolapse","Inclusion Criteria:\n\n* Females aged 30-60 years.\n* Diagnosed with stage I and II uterine prolapse.\n* women with ≥1 parity\n* women who have had a vaginal delivery\n\nExclusion Criteria:\n\n* Recent pelvic surgery (\\\u003C6 months).\n* Pregnancy or postpartum within 6 months.\n* Neurological conditions affecting muscle control.\n* Participation in pelvic floor rehab in the past 6 months.","FEMALE","30 Years","60 Years",{"count":75,"type":76},32,"ESTIMATED","INTERVENTIONAL",[79],"NA","One common pelvic floor condition, particularly in postpartum or later life, is uterine prolapse. It is caused by weak pelvic floor muscles and connective tissues and often presents with pain, urinary incontinence, and reduced quality of life. Although pelvic floor muscle training (PFMT) is commonly used, newer methods such as Hypopressive Exercises (HE) and Pelvic Floor Functional Movement Retraining (PFFMR) offer promising approaches. HE focuses on posture and breathing strategies to reduce intra-abdominal pressure, while PFFMR retrains pelvic stability and function through integrated movement patterns. This study aims to evaluate the combined effects of HE and PFFMR on pain, urogynecological symptoms, and quality of life in women with uterine prolapse, compared to single interventions.\n\nThis randomized clinical trial will include 32 women aged 30-60 years with stage I-II uterine prolapse at Ganga Ram Hospital, Lahore. Participants will undergo an 8-week program with supervised sessions three times per week. Outcomes will be assessed using the Pelvic Floor Bother Questionnaire (PFBQ), Numeric Pain Rating Scale (NPRS), and Prolapse Quality of Life Questionnaire (P-QoL), and analyzed using SPSS version 25.0.",[82],"Uterine Prolapse",[84,85,86],"Exercise Therapy","Quality of Life","urogynecological symptoms","2026-06-08",{"date":89,"type":90},"2026-06-11","ACTUAL",{"date":92,"type":90},"2025-04-02",{"date":94,"type":76},"2026-08-15",{"name":5,"class":6},1]