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CTRI Number  CTRI/2026/03/105661 [Registered on: 09/03/2026] Trial Registered Prospectively
Last Modified On: 06/03/2026
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   Comparing Two Physiotherapy Treatments for Heel Pain and Difficulty in Moving the Ankle 
Scientific Title of Study   Effect of Tibial nerve neural mobilization versus Plantar fascia stretching on Pain, Ankle mobility and Function in individuals with Plantar fasciitis: A Randomized Controlled Trial 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Apeksha Hungund 
Designation  Assistant Professor 
Affiliation  Kle Institute of Physiotherapy 
Address  KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Orthopaedic Manual Therapy Department, Room number 13 Nehru Nagar, Belagavi, Karnataka-590010

Belgaum
KARNATAKA
590010
India 
Phone  8310725829  
Fax    
Email  apeksha_hungund@klekipt.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Apeksha Hungund 
Designation  Assistant Professor 
Affiliation  Kle Institute of Physiotherapy 
Address  KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Orthopaedic Manual Therapy Department, Room number 13 Nehru Nagar, Belagavi, Karnataka-590010

Belgaum
KARNATAKA
590010
India 
Phone  8310725829  
Fax    
Email  apeksha_hungund@klekipt.edu.in  
 
Details of Contact Person
Public Query
 
Name  Shivam Urankar 
Designation  Post graduate student 
Affiliation  Kle Institute of Physiotherapy 
Address  KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Orthopaedic Manual Therapy Department, Room number 13 Nehru Nagar, Belagavi, Karnataka-590010

Belgaum
KARNATAKA
590010
India 
Phone  7483118847  
Fax    
Email  shivamurankar2002@gmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  KLE Academy of Higher Education and Research Center 
Address  KLES Dr. Prabhakar Kore Hospital and MRC, Advanced Physiotherapy Centre Orthopaedic Manual Therapy Department, Room number 13 Nehru Nagar, Belagavi, Karnataka-590010 
Type of Sponsor  Private medical college 
 
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 
Shivam urankar   KLE Dr Prabhakar Kore Hospital and MRC  Department of OMT Physiotherapy room number 13, Sagar Floor, KLE Dr Prabhakar Kore Hospital Belagavi Karnataka - 590010 Belgaum KARNATAKA INDIA
Belgaum
KARNATAKA 
7483118847

shivamurankar2002@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Research & Ethical committe, Institute of physiotherapy, Belagavi.   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M708||Other soft tissue disorders related to use, overuse and pressure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Plantar fascia stretching technique  he control group (Group B) in the study receives plantar fascia stretching as the sole intervention, administered over a structured treatment period of three weeks, with three sessions per week, and each session lasting 15–20 minutes. The participant is positioned in a sitting posture, ensuring comfort and adequate access to the plantar aspect of the foot. The therapist applies a manual stretch to the plantar fascia by passively dorsiflexing the hallux (great toe), which tensions the plantar fascia along its length. Each stretch is maintained for 30 seconds and repeated five times per session, allowing sufficient duration to enhance tissue extensibility. This intervention is designed to reduce mechanical stress on the plantar fascia, decrease heel pain, and improve functional tolerance during weight-bearing activities such as walking and standing. Outcome measures for the control group are recorded before and after the intervention period. Pain intensity is assessed using the Visual Analogue Scale (VAS), ankle mobility is measured using a universal goniometer to assess ankle range of motion, and functional status is evaluated using the Plantar Fasciitis Pain/Disability Scale, which examines pain, disability, and activity limitation specific to plantar fasciitis. 
Intervention  Tibial nerve neural mobilization technique   The study includes two intervention groups, each receiving treatment for three weeks with three sessions per week, and each session lasting 15–20 minutes. Group A receives tibial nerve neural mobilization, performed in the supine position with the hip flexed 30–45 degrees and the knee extended. Ankle dorsiflexion with eversion is used as a sensitizing movement, and a rhythmic slider technique is applied in three sets of ten repetitions per session to improve neural mobility and reduce pain. Group B receives plantar fascia stretching in a sitting position, where the therapist applies a stretch by dorsiflexing the hallux. Each stretch is held for 30 seconds and repeated five times per session to improve plantar fascia flexibility and reduce heel pain. Outcome measures are assessed before and after the intervention period and include pain intensity using the Visual Analogue Scale, ankle range of motion measured with a universal goniometer, and functional performance evaluated using the Plantar Fasciitis Pain/Disability Scale. 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Individuals aged thirty to fifty years
Diagnosed clinically with plantar heel pain plantar fasciitis of more than equal to four weeks weeks duration.
Pain localized to the medial plantar heel region, especially during the first steps in the morning or after rest
Individuals with positive Windlass test
Willingness to participate and provide informed consent
 
 
ExclusionCriteria 
Details  Previous heel or foot surgery, or fractures involving the calcaneus or talus
Clinical diagnosis of tarsal tunnel syndrome.
History of systemic neuropathies example diabetic alcoholic neuropathy
Inflammatory arthropathies rheumatoid arthritis, ankylosing spondylitis
Severe vascular disease or peripheral neuropathy affecting the lower limb.
Pregnancy or any contraindication to manual therapy
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Visual analogue scale
Ankle range of motion using universal goniometer
Plantar fasciitis pain disability scale  
All the three outcome measures will be assessed prior to the commencement of the intervention and after completion of four weeks of intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
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)   23/03/2026 
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 Yet Recruiting 
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  

The study is a randomized controlled trial comparing two conservative physiotherapy approaches for individuals with plantar fasciitis, consisting of an intervention group and a control group. Participants aged 30–50 years with clinically diagnosed plantar heel pain of at least four weeks’ duration, pain localized to the medial plantar heel region, positive Windlass test, and willingness to participate are included. Individuals with a history of heel or foot surgery, calcaneal or talar fractures, tarsal tunnel syndrome, systemic neuropathies, inflammatory arthropathies, severe vascular disease, pregnancy, or contraindications to manual therapy are excluded.

Participants are randomly allocated into two groups. The intervention group (Group A) receives tibial nerve neural mobilization, performed in a supine position with the hip flexed 30–45 degrees and the knee extended. Ankle dorsiflexion combined with eversion is used as a sensitizing movement, and a rhythmic slider technique is applied in three sets of ten repetitions per session. The control group (Group B) receives plantar fascia stretching, administered in a sitting position by passively dorsiflexing the hallux to tension the plantar fascia. Each stretch is held for 30 seconds and repeated five times per session. Both groups receive treatment for 15–20 minutes per session, three sessions per week for three weeks.

Outcome measures are assessed before and after the intervention period and include pain intensity using the Visual Analogue Scale (VAS), ankle range of motion measured with a universal goniometer, and functional performance evaluated using the Plantar Fasciitis Pain/Disability Scale, which assesses pain, disability, and activity limitation specific to plantar fasciitis

 
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