| CTRI Number |
CTRI/2025/09/094612 [Registered on: 11/09/2025] Trial Registered Prospectively |
| Last Modified On: |
10/09/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
A study comparing two types of foot exercises with stretching for reducing heel pain. |
|
Scientific Title of Study
|
Effectiveness of Maitland Grade 2 Mobilization vs Mobilization with
Movement (MWM) combined with Stretching on Subtalar Joint Function
and Pain in Patients with Plantar Fasciitis: A Comparative Study |
| Trial Acronym |
RELIEF-PF |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| Nil |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Satyam Saini |
| Designation |
Student |
| Affiliation |
Galgotias University |
| Address |
ROOM NO-B314 Galgotias University, Department of physiotherapy, Plot No. 2, Yamuna
Expy, opposite Buddha International Circuit, Sector 17A, Greater Noida
Gautam Buddha Nagar UTTAR PRADESH 203201 India |
| Phone |
8383020383 |
| Fax |
|
| Email |
satyamsoldier02@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Pragnya Jyoti Dash |
| Designation |
Assistant Professor |
| Affiliation |
Galgotias University |
| Address |
ROOM NO-B312 Galgotias University, Department of physiotherapy, Plot No. 2, Yamuna
Expy, opposite Buddha International Circuit, Sector 17A, Greater Noida
Gautam Buddha Nagar UTTAR PRADESH 203201 India |
| Phone |
9475427313 |
| Fax |
|
| Email |
pragnya.dash@galgotiasuniversity.edu.in |
|
Details of Contact Person Public Query
|
| Name |
Pragnya Jyoti Dash |
| Designation |
Assistant Professor |
| Affiliation |
Galgotias University |
| Address |
ROOM NO-B312 Galgotias University, Department of physiotherapy, Plot No. 2, Yamuna
Expy, opposite Buddha International Circuit, Sector 17A, Greater Noida
Gautam Buddha Nagar UTTAR PRADESH 203201 India |
| Phone |
9475427313 |
| Fax |
|
| Email |
pragnya.dash@galgotiasuniversity.edu.in |
|
|
Source of Monetary or Material Support
|
| Research and Devlopment cell Galgotias university,ROOM NO-B314 Galgotias University, Department of
physiotherapy, Plot No. 2, Yamuna Expy, opposite Buddha International Circuit, Sector 17A, Greater
Noida, UP, India PIN: 203201 |
|
|
Primary Sponsor
|
| Name |
Galgotias University |
| Address |
Room No B-312 department of physiotherapy school of allied health sciences galgotias
university Plot No. 2, Yamuna Expy, opposite Buddha International Circuit, Sector 17A,
Greater Noida, Uttar Pradesh 203201
|
| Type of Sponsor |
Research institution |
|
|
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 |
| Dr Pragnya Jyoti Dash |
Joint Physio Care |
62/9, Panchvati, 62, near govt.Aruna Asaf Ali school &Shive Mandir, Tughlakabad Extension, Tughlakabad, New Delhi, Delhi 110019 South DELHI |
9475427313
pragnya.dash@galgotiasunivesity.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Departmental Research Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M958||Other specified acquired deformities of musculoskeletal system, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Maitland Grade 2 Mobilization + Stretching Exercises |
Subtalar joint Maitland Grade 2 mobilization (3 sessions/week × 4weeks, 3×60s) with plantar fascia, gastrocnemius, and soleus stretching (3×/day, 30s each). |
| Comparator Agent |
Mobilization with Movement (MWM) + Stretching |
Subtalar joint MWM (3 sessions/week × 4weeks, 3 sets/session) with plantar fascia, gastrocnemius, and soleus stretching (3×/day, 30s each). |
|
|
Inclusion Criteria
|
| Age From |
25.00 Year(s) |
| Age To |
45.00 Year(s) |
| Gender |
Both |
| Details |
Clinical diagnosis of Plantar Fasciitis more or equal to 3 months
Subtalar joint dysfunction (limited mobility or stiffness)
No prior foot and ankle surgery
Able to follow treatment protocol
Gave written informed consent |
|
| ExclusionCriteria |
| Details |
Systemic diseases (RA, diabetes, etc.)
Corticosteroid injection in last 6 months
Pregnancy
Severe neurological or musculoskeletal disorders affecting gait
Current use of orthoses or other foot interventions
Prior foot/ankle surgery |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Change in Plantar Fasciitis Pain and Disability Scale (PFPS) score from baseline to 4 weeks (post-intervention), with follow-up at 6 weeks. |
0, 4, and 6 weeks |
|
|
Secondary Outcome
|
|
|
Target Sample Size
|
Total Sample Size="50" Sample Size from India="50"
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
|
N/A |
|
Date of First Enrollment (India)
|
21/09/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0" Months="1" Days="15" |
|
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 one of the most common causes of heel pain, affecting nearly 10% of individuals during their lifetime, particularly athletes and those in occupations requiring prolonged standing (Allen & Winter, 2017). Conservative management such as stretching of the plantar fascia and calf muscles has shown significant benefits in reducing pain and improving function (DiGiovanni et al., 2003; DiGiovanni et al., 2006). However, many patients continue to experience persistent symptoms, highlighting the need for additional interventions.
Recent studies suggest that manual therapy techniques, particularly joint mobilization, may enhance recovery. Mobilization with Movement (MWM) has been reported to reduce pain and improve outcomes in plantar fasciitis (McPoil et al., 2015; Hossain et al., 2022), while subtalar joint mobilization using Maitland techniques has demonstrated improvements in joint mobility and reduced plantar fascia strain (Karabay et al., 2018). Despite this, comparative evidence between Maitland mobilization and MWM in plantar fasciitis is limited.
This randomized controlled trial will therefore compare Maitland Grade 2 mobilization with stretching versus MWM with stretching in patients aged 25–55 years diagnosed with plantar fasciitis and subtalar joint dysfunction. Fifty participants will be randomly allocated into two groups of 25 each, receiving 6 weeks of supervised therapy followed by a 2-week follow-up. Outcomes will be measured using the Plantar Fasciitis Pain and Disability Scale (PFPS), a validated tool for assessing pain and functional limitation (Görgü et al., 2025).
By addressing this gap, the trial aims to provide evidence on whether Maitland or MWM, when combined with stretching, offers superior results for pain relief, subtalar joint mobility, and functional recovery in patients with plantar fasciitis. |