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CTRI Number  CTRI/2026/01/101292 [Registered on: 15/01/2026] Trial Registered Prospectively
Last Modified On: 21/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of two physiotherapy techniques for pain relief and functional improvement in patients with Achilles tendon problems 
Scientific Title of Study   Comparison of deep friction massage and post isometric relaxation technique in combination with long wave diathermy for the management of Achilles tendinopathy 
Trial Acronym  DFM at 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Himani Aggarwal 
Designation  Post graduate student 
Affiliation  Prakash institute of physiotherapy rehabilitation and allied medical sciences 
Address  Third floor room number 302 department of physiotherapy plot number 9A pocket builders area P2 sector omega 1 omega 6 Greater Noida Uttar Pradesh

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  8527760858  
Fax    
Email  himani0809aggarwal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Puja Sharma PT 
Designation  Associate professor 
Affiliation  Prakash institute of physiotherapy rehabilitation and allied medical sciences 
Address  Third floor room number 302 department of physiotherapy plot number 9A pocket builders area P2 sector omega 1 omega 6 Greater Noida Uttar Pradesh

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  9873252361  
Fax    
Email  s.puja47@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shubham Jha PT 
Designation  Assistant professor 
Affiliation  Prakash institute of physiotherapy rehabilitation and allied medical sciences 
Address  Third floor room number 302 department of physiotherapy plot number 9A pocket builders area P2 sector omega 1 omega 6 Greater Noida Uttar Pradesh

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  8527701813  
Fax    
Email  shubhamjha14141@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Himani Aggarwal 
Address  Third Floor Room Number 302 Department of Physiotherapy Plot Number 9A Pocket Builders Area P2 Sector Omega 1 Omega 6 Greater Noida Uttar Pradesh 
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 
Dr Zarleen Chongtham  National Heart Institute  A wing basement 1 49-50 community centre D block east of kailash
New Delhi
DELHI 
9871116334

zareleen.ch@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Prakash Institute of Physiotherapy Rehabilitation and allied Medical Sciences  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 
Intervention  Group A Experimental group Long Wave Diathermy followed by Deep Friction Massage applied to Achilles Tendon  Long Wave Diathermy Duration: 15-20 minutes Frequency: 6 sessions/week for 4 weeks Deep Friction Massage Transverse friction applied over Achilles tendon Duration: 5-10 minutes per session  
Comparator Agent  Group B Comparator group Long Wave Diathermy followed by Post Isometric Relaxation technique applied to Achilles Tendon  Group B: Long Wave Diathermy: Duration: 15-20 minutes Frequency: 6 sessions/week for 4 weeks Post-Isometric Relaxation Submaximal isometric contraction (5-10 seconds) Followed by relaxation and stretch Repetitions: 3-5Long Wave Diathermy followed by Post Isometric Relaxation technique applied to Achilles Tendon 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients willing to take participation in the study
Patients should only be diagnosed with achilles tendinopathy
 
 
ExclusionCriteria 
Details  Patients with cognitive impairment and not able to follow commands
Age below 18 years
Post surgical and post traumatic cases of knee and foot
Patients taking other interventions like yoga 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Numeric Pain Rating Scale
(NPRS) 
Baseline pre and post intervention assessment 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Functional status assessed using Victorian Institute of Sports Assessment- Achilles (VISA-A) Questionnaire  Baseline pre and post intervention assessment 
Goniometer for Range of Motion Assessment   Baseline pre & post intervention assessment 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   28/01/2026 
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="8"
Days="10" 
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  
Achilles tendinopathy is a prevalent musculoskeletal disorder characterized by pain, stiffness, and functional limitation of the Achilles tendon. Conservative physiotherapy interventions, including manual therapy techniques and deep heating modalities, are commonly employed to alleviate symptoms and enhance functional recovery. However, comparative evidence regarding the effectiveness of different manual therapy approaches combined with long-wave diathermy in the management of Achilles tendinopathy remains limited.
This randomized controlled trial aims to compare the effectiveness of Deep Friction Massage and Post-Isometric Relaxation technique, each administered in combination with Long Wave Diathermy, in individuals diagnosed with Achilles tendinopathy. A total of 40 participants aged 18 to 60 years will be randomly allocated into two intervention groups. Group A will receive Long Wave Diathermy combined with Deep Friction Massage, while Group B will receive Long Wave Diathermy combined with Post-Isometric Relaxation technique.
Both groups will undergo the respective interventions for a duration of four weeks. Outcome measures will include pain intensity assessed using the Numeric Pain Rating Scale (NPRS), functional status evaluated using the Victorian Institute of Sports Assessment–Achilles (VISA-A) questionnaire, and ankle joint range of motion. Assessments will be performed at baseline and at the end of the intervention period. The results of this study are expected to contribute to evidence-based clinical decision-making by identifying a more effective physiotherapy intervention for pain reduction and functional improvement in patients with Achilles tendinopathy.

 
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