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CTRI Number  CTRI/2025/09/093975 [Registered on: 01/09/2025] Trial Registered Prospectively
Last Modified On: 29/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Emg biofeedback in Gluteus Medius training 
Scientific Title of Study   Effectiveness of Emg biofeedback in Gluteus Medius training in reducing pain, improving muscle strength and functional activities 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  DEEPIKA S 
Designation  Pg resident 
Affiliation  College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences 
Address  3rd floor, 2nd room, College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences, 395, Sarojini Naidu Road, Sidhapudur, Coimbatore

Coimbatore
TAMIL NADU
641044
India 
Phone  9585517684  
Fax    
Email  deepikasundar2809@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  V S SEETHARAMAN 
Designation  Principal 
Affiliation  College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences 
Address  3rd floor, 2nd room, College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences, 395, Sarojini Naidu Road, Sidhapudur, Coimbatore

Coimbatore
TAMIL NADU
641044
India 
Phone  9842744406  
Fax    
Email  principal@sripmsphysio.ac.in  
 
Details of Contact Person
Public Query
 
Name  V S SEETHARAMAN 
Designation  Principal 
Affiliation  College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences 
Address  3rd floor, 2nd room, College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences, 395, Sarojini Naidu Road, Sidhapudur, Coimbatore

Coimbatore
TAMIL NADU
641044
India 
Phone  9842744406  
Fax    
Email  principal@sripmsphysio.ac.in  
 
Source of Monetary or Material Support  
3rd floor, 2nd room, College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences, 395, Sarojini Naidu Road, Sidhapudur, Coimbatore- 641044 
 
Primary Sponsor  
Name  DEEPIKA S 
Address  3rd floor, 2nd room, College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences, 395, Sarojini Naidu Road, Sidhapudur, Coimbatore- 641044 
Type of Sponsor  Other [Self] 
 
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 
V S SEETHARAMAN  Sri Ramakrishna Hospital (Multi- Speciality)  Department of Physiotherapy, 395, Sarojini Naidu Road, Sidhapudur, Coimbatore, 641044
Coimbatore
TAMIL NADU 
9842744406

principal@sripmsphysio.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Ramakrishna Hospital Ethical 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  Gluteus Medius training  35 Minutes Of Treatment Duration, 5 Days Per Week For 3 Weeks Single Session Per Day (15 Sessions) For Each Subject. 
Comparator Agent  Gluteus Medius training with Emg biofeedback  35 Minutes Of Treatment Duration, 5 Days Per Week For 3 Weeks Single Session Per Day (15 Sessions) For Each Subject. 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Patient diagnosed with plantar fasciitis, NPRS of 5 on 10, pain on medial calcaneal tuberosity, flat foot, bmi- 18-24, discomfort with activity after rest, continuous standing for 4 hours 
 
ExclusionCriteria 
Details  Past history of localized corticosteroid injection, Acute ankle sprain, Metatarsalgia, Ta tendinitis, Hallux valgus, Hammer toe, Excessive lumbar lordosis, Lscs, Post operative surgeries in lower limb, Any pathologies which elicit heel pain, Painful condition affecting hip and knee joint, Psychological problems  
 
Method of Generating Random Sequence   Other 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Numerical Pain Rating Scale
2.Foot Function Index
3. Hand Held Dyanamometer 
6 months 
 
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   N/A 
Date of First Enrollment (India)   10/09/2025 
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="6"
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 one of the most common causes of heel pain, often resulting from biomechanical dysfunction, particularly poor hip and pelvic stability due to Gluteus Medius weakness. Recent rehabilitation approaches have explored proximal muscle strengthening to alleviate stress on the plantar fascia. EMG biofeedback provides real-time monitoring and guidance for muscle activation, potentially enhancing neuromuscular control and functional outcomes.
Objective:
To evaluate the effectiveness of EMG biofeedback-assisted Gluteus
Medius training in reducing pain, improving muscle strength, and enhancing functional activity in patients with unilateral plantar fasciitis.
Methods:
A total of 30 participants clinically diagnosed with unilateral plantar fasciitis were randomly assigned to two groups. Group A received Gluteus Medius strengthening exercises combined with conventional therapy and laser treatment, while Group B received EMG biofeedback-guided Gluteus Medius training alongside the same conventional and laser therapy. The intervention lasted three weeks (five sessions per week, 35 minutes per session). Pain, strength, and functional performance were assessed using the Numerical Pain Rating Scale (NPRS), Foot Function Index (FFI), and a hand-held dynamometer. Plantar fasciitis is one of the most common causes of heel pain, often resulting from biomechanical dysfunction, particularly poor hip and pelvic stability due to Gluteus Medius weakness. Recent rehabilitation approaches have explored proximal muscle strengthening to alleviate stress on the plantar fascia. EMG biofeedback provides real-time monitoring and guidance for muscle activation, potentially enhancing neuromuscular control and functional outcomes.
Objective:
To evaluate the effectiveness of EMG biofeedback-assisted Gluteus
Medius training in reducing pain, improving muscle strength, and enhancing functional activity in patients with unilateral plantar fasciitis.
Methods:
A total of 30 participants clinically diagnosed with unilateral plantar fasciitis were randomly assigned to two groups. Group A received Gluteus
Medius strengthening exercises combined with conventional therapy and laser treatment, while Group B received EMG biofeedback-guided Gluteus Medius training alongside the same conventional and laser therapy. The intervention lasted three weeks (five sessions per week, 35 minutes per session). Pain, strength, and functional performance were assessed using the Numerical Pain Rating Scale (NPRS), Foot Function Index (FFI), and a hand-held dynamometer.
 
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