| CTRI Number |
CTRI/2025/07/091778 [Registered on: 25/07/2025] Trial Registered Prospectively |
| Last Modified On: |
25/07/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Other |
|
Public Title of Study
|
Which Works Better for Heel Pain? Myofascial Release or Stretching with Glute Strengthening |
|
Scientific Title of Study
|
Effectiveness of Myofascial Release Technique Versus Active Stretching Along With Gluteal Medius Muscle Strengthening on Pain and ADL in Unilateral Plantar Fasciitis |
| Trial Acronym |
Nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Sanika praveen |
| Designation |
PG Student |
| Affiliation |
Sriramakrishna institute of paramedical science |
| Address |
44 Dhanalakshmi nagar new siddhapudur near naveen
car shop coimbatore , gandhipuram Tamil Nadu, Near
naveen car shop,
Sriramakrishna institute of paramedical science siddhapudur Coimbatore
Coimbatore
TAMIL NADU
641044
India |
| Phone |
6238284065 |
| Fax |
|
| Email |
Sanikapraveen.15@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
VS Seetharaman |
| Designation |
Professor |
| Affiliation |
Sriramakrishna institute of paramedical science |
| Address |
Sriramakrishna institute of paramedical science siddhapudur Coimbatore
Coimbatore
TAMIL NADU
641044
India |
| Phone |
9842744406 |
| Fax |
|
| Email |
principal@sripimsphysio.ac.in |
|
Details of Contact Person
Public Query
|
| Name |
Sanika praveen |
| Designation |
PG Student |
| Affiliation |
Sriramakrishna institute of paramedical science |
| Address |
44 Dhanalakshmi nagar new siddhapudur near naveen
car shop coimbatore , gandhipuram Tamil Nadu, Near
naveen car shop,
Sriramakrishna institute of paramedical science siddhapudur Coimbatore
Coimbatore
TAMIL NADU
641044
India |
| Phone |
6238284065 |
| Fax |
|
| Email |
Sanikapraveen.15@gmail.com |
|
|
Source of Monetary or Material Support
|
| Sri ramakrishna institute of paramedical sciences new siddhapudhur coimbatore -641044 |
|
|
Primary Sponsor
|
| Name |
Sri Ramakrishna Multispeciality hospital |
| Address |
No:
395, Sarojini Naidu Rd, Siddhapudur, New Siddhapudur, Coimbatore, Tamil Nadu 641044 |
| Type of Sponsor |
Private hospital/clinic |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| ProfVS SEETHARAMAN |
Sri ramakrishna Multispeciality hospital |
395, Sarojini Naidu Rd, Siddhapudur, New Siddhapudur, Coimbatore, Tamil Nadu 641044
Coimbatore
TAMIL NADU |
9842744406
principal@sripimsphysio.ac.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Sri ramakrishna ethics commitee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M368||Systemic disorders of connective tissue in other diseases classified elsewhere, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Active stretching and gluteal medius strengthening |
Active Stretching:
Active stretching involves using your own muscle strength to hold a stretch position without external assistance. It improves flexibility, muscle control, and joint mobility by engaging the opposing muscles during the stretch.
Gluteus Medius Strengthening:
Gluteus medius strengthening targets the key hip stabilizer muscle responsible for pelvic alignment and lateral movement. Strengthening this muscle enhances balance, reduces lower limb injuries, and supports proper posture and gait.
|
| Intervention |
Myofascial release and gluteal medius strengthening |
Myofascial Release (MFR):
Myofascial Release is a manual therapy technique that involves applying gentle, sustained pressure to the myofascial connective tissue to relieve pain and improve mobility. It targets tight areas in muscles and fascia to reduce restrictions and enhance flexibility.
Gluteus Medius Strengthening:
Gluteus medius strengthening exercises focus on activating and building strength in the gluteus medius muscle, which is essential for hip stability, balance, and proper gait. Common exercises include clamshells, side-lying leg raises, and resistance band walks. |
|
|
Inclusion Criteria
|
| Age From |
45.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
Gender- Both Male and Female• Age group between 45-60 years• Unilateral plantar fasciitis• positive windlass test• Pain in heel on first step in morning but decrease after walking• Heel pain more than 1 months• Pain to increase upon prolonged standing• Body mass index (BMI) was more than 25 Kg/m2 |
|
| ExclusionCriteria |
| Details |
Pain medication• History of lower limb surgery• Implants in ankle joint• Peripheral neuropathies (eg. Diabetic neuropathy)• Contracture any deformity on hip, back, knee, ankle• Any unknown radiating pain in lower limb |
|
|
Method of Generating Random Sequence
|
Other |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
Foot function index
Numerical pain rating scale
Hand held dynamometer |
4 WEEKS AND 8 WEEKS |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Nil |
Nil |
|
|
Target Sample Size
|
Total Sample Size="30"
Sample Size from India="30"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 3 |
|
Date of First Enrollment (India)
|
11/08/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
11/08/2025 |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0"
Months="8"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Plantar fasciitis is a common foot condition causing heel pain, especially in adults aged 25–65 with BMI above 25 kg/m². It results from inflammation and microtears in the plantar fascia—a connective tissue supporting the foot arch. Pain is typically worse during the first steps in the morning or after rest• Tight fascia around the lower leg and foot can pull stress on the plantar fascia, causing microtears and pain. Myofascial release (MFR) reduces this tension by applying gentle pressure, improving mobility and relieving heel pain• Active stretching, which involves engaging muscles during stretching, is effective in improving flexibility and reducing stiffness, especially in the plantar fascia and calf muscles.• Alongside myofascial tightness, muscle imbalances and altered biomechanics—particularly due to weak hip abductors like the gluteus medius—can disrupt gait patterns and load distribution. Reduced pelvic stability from proximal muscle weakness leads to increased stress on the lower limbs and plantar fascia, potentially aggravating plantar fasciitis symptoms over time• Effective management of plantar fasciitis targets both local tissue issues and proximal muscle weaknesses. Combining myofascial release, active stretching ( plantar fascia, gastrocnemius, and soleus muscles), and gluteus medius strengthening helps reduce pain, enhance flexibility, and improve biomechanics. This comprehensive approach offers better and longer-lasting relief for patients |