NCT07794995

Brief Summary

This study aims to investigate the effectiveness of an acupressure band in improving primary dysmenorrhea among college students. Primary dysmenorrhea is characterized by cramping lower abdominal pain during menstruation and is often accompanied by symptoms such as nausea, fatigue, and headache. It is also one of the leading causes of academic and work absenteeism among women of reproductive age. Previous studies have shown that acupressure applied to the Sanyinjiao (SP6) acupoint can alleviate menstrual pain. In addition, current clinical research has mainly focused on auricular acupressure using Vaccaria seeds, while relatively few studies have explored their application on body acupoints. Therefore, this study focuses on the application of Vaccaria seeds on the Sanyinjiao (SP6) acupoint to evaluate their effects on primary dysmenorrhea. To provide continuous and stable acupoint stimulation, this study utilizes an intervention device combining Vaccaria seeds with a compression band, together with acupressure stimulation. This study adopts a single-blind randomized controlled trial design. A total of 30 participants will be randomly assigned to either the experimental group or the control group (compression band only group). The study consists of four menstrual cycles, including one baseline menstrual cycle followed by three consecutive menstrual cycles of home-based intervention. Outcome measures include the Visual Analog Scale (VAS) for pain intensity, the Menstrual Distress Questionnaire (MEDI-Q) for menstrual-related symptoms and distress, and heart rate variability (HRV), monitored using the ANS Watch as an indicator of autonomic nervous system activity. Statistical analyses will be conducted to compare differences between the experimental and control groups, as well as between pre- and post-intervention measurements, in order to evaluate the clinical potential of the acupressure band for primary dysmenorrhea management.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
11mo left

Started Sep 2026

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress9%
Sep 2026Aug 2027

First Submitted

Initial submission to the registry

August 22, 2026

Completed
9 days until next milestone

First Posted

Study publicly available on registry

August 31, 2026

Completed
1 day until next milestone

Study Start

First participant enrolled

September 1, 2026

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2027

Last Updated

August 31, 2026

Status Verified

August 1, 2026

Enrollment Period

12 months

First QC Date

August 22, 2026

Last Update Submit

August 27, 2026

Conditions

Keywords

Sanyinjiao (SP6)Acupressure

Outcome Measures

Primary Outcomes (1)

  • Change from Baseline in Average Menstrual Pain Intensity Measured by the Visual Analog Scale (VAS)

    Menstrual pain intensity will be assessed using a 10-cm Visual Analog Scale (VAS), ranging from 0 (no pain) to 10 (worst pain). During each menstrual period, participants will record their average and maximum pain intensity each evening. The average menstrual pain intensity for each menstrual cycle will be calculated from the daily VAS records and used for the primary outcome analysis.

    From baseline (Cycle 1) through the end of the third intervention menstrual cycle (Cycle 4); menstrual cycle length is 21-35 days.

Secondary Outcomes (1)

  • Change from Baseline in Menstrual Distress Questionnaire (MEDI-Q) Total Score

    At baseline (Cycle 1) and at the end of the third intervention menstrual cycle (Cycle 4); menstrual cycle length is 21-35 days.

Other Outcomes (1)

  • Change from Baseline in Heart Rate Variability (HRV) Measures

    On the third day of menstruation during the baseline menstrual cycle (Cycle 1) and during the third intervention menstrual cycle (Cycle 4); menstrual cycle length is 21-35 days.

Study Arms (2)

Compression Band Only

SHAM COMPARATOR

Participants will wear the compression band only, without Vaccaria seeds, and apply the band to the same location to serve as a control.

Device: Compression band only

Compression Band with Vaccaria Seeds

EXPERIMENTAL

Participants will wear a compression band combined with vaccaria seeds applied to the Sanyinjiao (SP6) acupoint to receive continuous acupressure stimulation during menstruation.

Device: Compression band with vaccaria seeds

Interventions

The intervention utilizes an adjustable band with three Vaccaria seeds forming a 5 mm circular stimulation area, designed to cover the Sanyinjiao (SP6) acupoint region. The seeds are fixed on the inner side of the band. In the first session, a medical student research assistant trained in acupuncture will teach the participant how to locate the SP6 acupoint (3 cun or 4 finger-widths above the tip of the medial malleolus, at the posterior border of the tibia). For subsequent home-based intervention, participants will locate and apply the band by themselves. The band consists of 60% non-elastic and 40% elastic materials with a 3 cm velcro buffer.

Compression Band with Vaccaria Seeds

The control group utilizes the same adjustable band design but without any Vaccaria seeds on the inner side. In the first session, a medical student research assistant will guide the participant to locate the Sanyinjiao (SP6) region on the calf for standardization. Participants will wear and apply the band by themselves at home following the same instructions. The band consists of 60% non-elastic and 40% elastic materials, with a 3-cm Velcro buffer.

Compression Band Only

Eligibility Criteria

Age20 Years - 24 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Female university students aged 20 to 24 years.
  • Diagnosed with primary dysmenorrhea and having a Visual Analog Scale (VAS) pain score of 3 or higher.
  • Regular menstrual cycles ranging from 21 to 35 days.
  • Menstrual duration ranging from 4 to 10 days.

You may not qualify if:

  • Known history of secondary dysmenorrhea, including endometriosis or uterine fibroids.
  • Chronic medical disease or psychiatric disease.
  • Current smoking.
  • Pregnancy.
  • Long-term use of oral contraceptives or presence of an intrauterine device.
  • Significant lower-extremity pitting edema, abnormal lower-extremity circulation, marked swelling, skin damage, infection, sensory abnormalities, or other conditions considered unsuitable for wearing the acupressure band by the research staff.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

China Medical University Hospital

Taichung, Taichung City, 404327, Taiwan

RECRUITING

Related Publications (29)

  • Wu, C. Y., Wu, J. H. C., Lin, Y. C., & Chen, C. H. (2020). The Efficacy of Auriculotherapy for Dysmenorrhea: Systematic Review and Meta-Analysis. Journal of Chinese Medicine, 31(1), 4-19. https://doi.org/10.6940/JCM.202006_31(1).02

    BACKGROUND
  • Chien, T. J., Huang, Y. S., Kuo, C. Y., Cho, Y. C., Chen, H. Y., & Chu, C. C. (2024). Effects of the Number of Acupoint Stimulation on Autonomic Nervous Activity and Symptom Improvements in Dysmenorrhea-A Randomized Clinical Trial. Taipei City Medical Journal, 21(1), 45-64. https://doi.org/10.6200/TCMJ.202403_21(1).0005

    BACKGROUND
  • Anggraini, Y., Islamiyati, Sumiyati, & Ekawati, I. W. (2020). Acupressure therapy as a pain reliever for dysmenorrhea. EnfermerĂ­a ClĂ­nica, 30(Suppl. 5), 84-87. https://doi.org/10.1016/j.enfcli.2019.11.027

    BACKGROUND
  • Gao, J. X., & Xia, Y. (1997). Body acupoint sticking therapy in the treatment of anorexia in children. Abstracts of World Integrated Medicine Congress, October 1997, p. 331.

    BACKGROUND
  • Chen, J. (2009). Application of magnetic bead acupoint pressing in patients with postoperative intestinal flatulence after surgery. Journal of Emergency in Traditional Chinese Medicine, 18(5), 835-836.

    BACKGROUND
  • Liu W, Towell-Barnard A, Lee KH, Kang TL. Attitudes and expectations towards acupuncture for primary dysmenorrhoea: Findings from a cross-sectional survey in Australia. Acupunct Med. 2026 Jul 4:9645284261458839. doi: 10.1177/09645284261458839. Online ahead of print.

    PMID: 42400452BACKGROUND
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    PMID: 29364948BACKGROUND
  • Krijnen RM, de Boer EM, Ader HJ, Bruynzeel DP. Diurnal volume changes of the lower legs in healthy males with a profession that requires standing. Skin Res Technol. 1998 Feb;4(1):18-23. doi: 10.1111/j.1600-0846.1998.tb00080.x.

    PMID: 27331844BACKGROUND
  • Cassioli E, Rossi E, Melani G, Faldi M, Rellini AH, Wyatt RB, Oester C, Vannuccini S, Petraglia F, Ricca V, Castellini G. The menstrual distress questionnaire (MEDI-Q): reliability and validity of the English version. Gynecol Endocrinol. 2023 Jun 19;39(1):2227275. doi: 10.1080/09513590.2023.2227275.

    PMID: 37356456BACKGROUND
  • Rimaud D, Convert R, Calmels P. In vivo measurement of compression bandage interface pressures: the first study. Ann Phys Rehabil Med. 2014 Aug-Sep;57(6-7):394-408. doi: 10.1016/j.rehab.2014.06.005. Epub 2014 Jun 26.

    PMID: 25193773BACKGROUND
  • Wang YJ, Hsu CC, Yeh ML, Lin JG. Auricular acupressure to improve menstrual pain and menstrual distress and heart rate variability for primary dysmenorrhea in youth with stress. Evid Based Complement Alternat Med. 2013;2013:138537. doi: 10.1155/2013/138537. Epub 2013 Dec 12.

    PMID: 24416063BACKGROUND
  • Chien TJ, Huang YS, Liao LL, Chu CC, Pai JH. Head-to-Head Comparison of Electroacupuncture and Laser Acupuncture Effects on Autonomic Regulation and Clinical Effects in Dysmenorrhea: A Randomized Crossover Clinical Trial. J Integr Complement Med. 2024 Jun;30(6):560-575. doi: 10.1089/jicm.2023.0183. Epub 2024 Feb 16.

    PMID: 38364185BACKGROUND
  • Zhai S, Wang C, Ruan Y, Liu Y, Ma R, Fang F, Zhou Q. Wrist-ankle acupuncture for primary dysmenorrhea: a randomized controlled trial evaluating the efficacy of an analgesic strap. Front Neurol. 2024 May 30;15:1362586. doi: 10.3389/fneur.2024.1362586. eCollection 2024.

    PMID: 38872824BACKGROUND
  • Allais G, Rolando S, Castagnoli Gabellari I, Burzio C, Airola G, Borgogno P, Schiapparelli P, Allais R, Benedetto C. Acupressure in the control of migraine-associated nausea. Neurol Sci. 2012 May;33 Suppl 1(Suppl 1):S207-10. doi: 10.1007/s10072-012-1069-y.

    PMID: 22644205BACKGROUND
  • Bumgarner JR, McCray EW, Nelson RJ. The disruptive relationship among circadian rhythms, pain, and opioids. Front Neurosci. 2023 Feb 15;17:1109480. doi: 10.3389/fnins.2023.1109480. eCollection 2023.

    PMID: 36875657BACKGROUND
  • Mun CJ, Raiewski E, Elliott JA, Woldeamanuel YW, Patel SI, Youngstedt SD. Exploring endogenous circadian rhythm of mechanical pain sensitivity in healthy adults. J Pain. 2026 Feb;39:105592. doi: 10.1016/j.jpain.2025.105592. Epub 2025 Nov 7.

    PMID: 41207406BACKGROUND
  • Hu S, Gilron I, Singh M, Bhatia A. A Scoping Review of the Diurnal Variation in the Intensity of Neuropathic Pain. Pain Med. 2022 May 4;23(5):991-1005. doi: 10.1093/pm/pnab336.

    PMID: 34850188BACKGROUND
  • Gharloghi S, Torkzahrani S, Akbarzadeh AR, Heshmat R. The effects of acupressure on severity of primary dysmenorrhea. Patient Prefer Adherence. 2012;6:137-42. doi: 10.2147/PPA.S27127. Epub 2012 Feb 13.

    PMID: 22379364BACKGROUND
  • Mirbagher-Ajorpaz N, Adib-Hajbaghery M, Mosaebi F. The effects of acupressure on primary dysmenorrhea: a randomized controlled trial. Complement Ther Clin Pract. 2011 Feb;17(1):33-6. doi: 10.1016/j.ctcp.2010.06.005. Epub 2010 Jul 10.

    PMID: 21168112BACKGROUND
  • Kashefi F, Ziyadlou S, Khajehei M, Ashraf AR, Fadaee AR, Jafari P. Effect of acupressure at the Sanyinjiao point on primary dysmenorrhea: a randomized controlled trial. Complement Ther Clin Pract. 2010 Nov;16(4):198-202. doi: 10.1016/j.ctcp.2010.04.003. Epub 2010 May 20.

    PMID: 20920802BACKGROUND
  • Selcuk AK, Yanikkerem E. Effect of Acupressure on Primary Dysmenorrhea: Review of Experimental Studies. J Acupunct Meridian Stud. 2021 Apr 30;14(2):33-49. doi: 10.51507/j.jams.2021.14.2.33.

    PMID: 35770538BACKGROUND
  • Bazarganipour F, Taghavi SA, Allan H, Hosseini N, Khosravi A, Asadi R, Salari S, Dehghani R, Jamshidi Z, Rezaei M, Saberian M, Javedan F, Salari Z, Miri F. A randomized controlled clinical trial evaluating quality of life when using a simple acupressure protocol in women with primary dysmenorrhea. Complement Ther Med. 2017 Oct;34:10-15. doi: 10.1016/j.ctim.2017.07.004. Epub 2017 Jul 14.

    PMID: 28917360BACKGROUND
  • Aksoy-Can A, Buldum A, Abic A, Vefikulucay-Yilmaz D. The effect of acupressure on pain, menstrual symptoms, and comfort in adolescents with primary dysmenorrhea: a single-blind randomized controlled trial. BMC Complement Med Ther. 2025 Jul 2;25(1):221. doi: 10.1186/s12906-025-04965-0.

    PMID: 40605053BACKGROUND
  • Guimaraes I, Povoa AM. Primary Dysmenorrhea: Assessment and Treatment. Rev Bras Ginecol Obstet. 2020 Aug;42(8):501-507. doi: 10.1055/s-0040-1712131. Epub 2020 Jun 19.

    PMID: 32559803BACKGROUND
  • Iacovides S, Baker FC, Avidon I. The 24-h progression of menstrual pain in women with primary dysmenorrhea when given diclofenac potassium: a randomized, double-blinded, placebo-controlled crossover study. Arch Gynecol Obstet. 2014 May;289(5):993-1002. doi: 10.1007/s00404-013-3073-8. Epub 2013 Nov 5.

    PMID: 24190696BACKGROUND
  • McKenna KA, Fogleman CD. Dysmenorrhea. Am Fam Physician. 2021 Aug 1;104(2):164-170.

    PMID: 34383437BACKGROUND
  • Vannuccini S, Rossi E, Cassioli E, Cirone D, Castellini G, Ricca V, Petraglia F. Menstrual Distress Questionnaire (MEDI-Q): a new tool to assess menstruation-related distress. Reprod Biomed Online. 2021 Dec;43(6):1107-1116. doi: 10.1016/j.rbmo.2021.08.029. Epub 2021 Oct 26.

    PMID: 34753680BACKGROUND
  • Yu X, Liu B, Li J, Gao Y, Chen J, Qi R, Yuan Y, Liu Y. Efficacy and safety of acupressure for primary dysmenorrhea: A systematic review and meta-analysis of randomized controlled trials. Complement Ther Med. 2025 Dec;95:103272. doi: 10.1016/j.ctim.2025.103272. Epub 2025 Oct 24.

    PMID: 41138782BACKGROUND
  • Wong CL, Lai KY, Tse HM. Effects of SP6 acupressure on pain and menstrual distress in young women with dysmenorrhea. Complement Ther Clin Pract. 2010 May;16(2):64-9. doi: 10.1016/j.ctcp.2009.10.002. Epub 2009 Nov 14.

    PMID: 20347835BACKGROUND

Related Links

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director, Department of Acupuncture

Study Record Dates

First Submitted

August 22, 2026

First Posted

August 31, 2026

Study Start

September 1, 2026

Primary Completion (Estimated)

August 31, 2027

Study Completion (Estimated)

August 31, 2027

Last Updated

August 31, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will not share

Individual participant data will not be shared with other researchers because the study protocol does not include a plan for sharing individual participant data. Study data will be coded and stored in an offline, non-networked folder for five years and will be destroyed after the retention period.

Locations