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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  
Name  Address 
Nil  Nil 
 
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  
Status 
Not Applicable 
 
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  
Outcome  TimePoints 
NA  NA 
 
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.
 
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