{
  "abstract": "Primary dysmenorrhea impairs physical and emotional functioning. This prospective randomized controlled trial equally assigned 72 women aged 18–30 years to four groups: the structured multimodal mobilization group, the Pilates-based motor imagery-focused pelvic floor exercise group, the conventional treatment group, or the no-treatment control group. Active interventions comprised 24 twice-weekly sessions over 12 weeks. The primary outcome was the Short-Form McGill Pain Questionnaire (SF-MPQ) total pain score; secondary outcomes included SF-MPQ sensory and affective scores, the Visual Analog Scale (VAS), Menstrual Symptom Questionnaire, and Functional and Emotional Measure of Dysmenorrhea scores. Groups were comparable at baseline. Post-intervention pain differed significantly among groups. Structured multimodal mobilization produced the largest reduction in total pain score (15.44 ± 9.95 to 8.78 ± 6.78; mean change, -6.67 [95% confidence interval, -8.60 to -4.73]), although its post-intervention score did not significantly differ from the Pilates-based exercise group. Post hoc comparisons favored structured mobilization over Pilates-based exercise for VAS pain intensity, menstrual pain symptoms, and emotional dysmenorrhea. No adverse events occurred; all participants completed the trial. Pain scores decreased significantly within all active intervention groups, while structured multimodal mobilization showed outcome-specific advantages that require confirmation in larger multicenter trials with long-term follow-up.\n\nTrial registration: ClinicalTrials.gov NCT07314021. Registration date: December 4, 2025.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "name": "Zeynep Betül Bilgi"
    },
    {
      "name": "Gizem Boztaş Elverişli"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0yekcpsmjmx77.bib",
  "cited_by": 0,
  "doi": "10.1038/s41598-026-73307-y",
  "fulltext_url": null,
  "id": "0yekcpsmjmx77",
  "issns": [
    "2045-2322"
  ],
  "landing_url": "https://www.nature.com/articles/s41598-026-73307-y",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2739|Menstrual Health and Disorders"
    ]
  ],
  "openalex": "W7218670793",
  "pdf_url": "https://www.nature.com/articles/s41598-026-73307-y.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-03",
  "publisher": "Springer Science and Business Media LLC",
  "ris": "https://research.draconitic.com/paper/0yekcpsmjmx77.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:22Z",
      "native_id": "10.1038/s41598-026-73307-y",
      "source": "crossref",
      "url": "https://www.nature.com/articles/s41598-026-73307-y"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Menstrual Health and Disorders",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Structured multimodal mobilization versus pilates-based motor imagery-focused pelvic floor exercises for primary dysmenorrhea: a randomized controlled trial",
  "title_text": "Structured multimodal mobilization versus pilates-based motor imagery-focused pelvic floor exercises for primary dysmenorrhea: a randomized controlled trial",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:22Z",
  "url": "https://research.draconitic.com/paper/0yekcpsmjmx77",
  "venue": "Scientific Reports",
  "versions": []
}