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CTRI Number  CTRI/2022/02/040016 [Registered on: 04/02/2022] Trial Registered Prospectively
Last Modified On: 31/01/2022
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   Comparing the effects of actively releasing versus comfortably releasing plantar fasciitis 
Scientific Title of Study   comparing the effects of active release technique versus positional release technique in patients with plantar fasciitis 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rachana Prathamesh Punekar 
Designation  Master of Physiotherapy student 
Affiliation  Sunandan Divatia School Of Science, NMIMS University. 
Address  Department of Physiotherapy, Ground floor Nanavati Super Speciality Hospital SV Road, Vile Parle(W)

Mumbai (Suburban)
MAHARASHTRA
400051
India 
Phone  8108645349  
Fax    
Email  rachanapunekar50@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mansi Bhartiya 
Designation  Professor 
Affiliation  Sunandan divatia school of science, NMIMS University 
Address  Department of Physiotherapy, Ground floor Nanavati Super Speciality Hospital SV Road, Vile Parle(W)

Mumbai (Suburban)
MAHARASHTRA
400056
India 
Phone  9867512415  
Fax    
Email  mansi.bhartiya@nmims.edu  
 
Details of Contact Person
Public Query
 
Name  Rachana Prathamesh Punekar 
Designation  Master of Physiotherapy student 
Affiliation  Sunandan Divatia School Of Science, NMIMS University. 
Address  Department of Physiotherapy, Ground floor Nanavati Super Speciality Hospital SV Road, Vile Parle(W)

Mumbai (Suburban)
MAHARASHTRA
400051
India 
Phone  8108645349  
Fax    
Email  rachanapunekar50@gmail.com  
 
Source of Monetary or Material Support  
Department of Physiotherapy & Sports Medicine, Nanavati Super Speciality Hospital 
 
Primary Sponsor  
Name  None  
Address  NA 
Type of Sponsor  Other [NIl] 
 
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 Ali Irani  Department of Physiotherapy & Sports Medicine, Nanavati Super Specialty Hospital  Department of Physiotherapy, Ground floor Nanavati Super Speciality Hospital SV Road, Vile Parle(W)
Mumbai (Suburban)
MAHARASHTRA 
02226172329

physiodept.nanavati@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee, Dr Balabhai Nanavati Hospital.  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  Active release technique versus Positional release technique  One group will be given active release technique with conventional treatment and the other group will be given positional release technique with conventional treatment. Both the groups will be compared and results will analysed  
Intervention  Comparing the effects of Active release technique versus Positional release technique in subjects with Plantar Fasciitis  Subjects with plantar fasciitis will be randomly grouped in 2 groups. Group A- Active release technique with conventional therapy Group B- Positional release technique with conventional therapy Treatment will be given for 30-40 minutes for 10 sessions Outcome measures will be assessed pre treatment on the first day and post treatment on the last day Pre and post intervention findings will be calculated and data will be statistically analyzed.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  Acute plantar fasciitis,
Age above 18 years,
Windlass test- positive.  
 
ExclusionCriteria 
Details  Dermatitis,
History of fracture or any trauma around the foot complex. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Numerical Pain Rating Scale- first step pain, at rest, on activity
Pressure algometer
Foot and ankle ability measure
Ankle ROM- Dorsiflexion (goniometer)
 
Baseline and after 10 sessions 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="56"
Sample Size from India="56" 
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)   12/02/2022 
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   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Title: Comparing the effects of Active release technique versus Positional release technique in subjects with Plantar Fasciitis.

Introduction:

            Plantar fasciitis is one of the most common causes of foot pain. Over the years plantar fasciitis is been treated with rest, stretching, myofascial release, etc. Also electrotherapeutic modalities in the form of ultrasound, phonophoresis, laser, microwave diathermy, iontophoresis, cryotherapy, contrast bath have been given in the past.

             Active Release Techniques (ART) is a soft-tissue technique that locates and breaks down the scar tissue and adhesions which cause pain, stiffness, weakness, abnormal sensations, including mechanical dysfunction in the muscles, fascia, and soft tissue. ART is used for the treatment of Repetitive strain injuries, as well as for the improvement of athletic performance. 

             Positional release therapy (PRT) includes placing the involved tissue in an ideal position of comfort. The purpose of position of comfort is to reduce the irritability of tender point and to normalize the tissues associated with dysfunction. This technique is proposed to increase muscle flexibility by placing the muscle in a shortened position to promote muscle relaxation. 

             Active release technique and Positional release technique has been proved separately to be effective for the treatment of plantar fasciitis in previous studies. But there is limited study done comparing these two techniques i.e ART and PRT for plantar fasciitis. Hence, the aim of our study is to compare the effectiveness of Active release technique and Positional release technique in subjects with plantar fasciitis.

Aim:  To compare the effects of active release technique versus positional release technique in subjects with plantar fasciitis.

Objectives:

1. To assess the effects of active release technique versus positional release technique on numerical pain rating scale, pressure algometer, foot and ankle ability measure and ankle dorsiflexion range of motion in patients with plantar fasciitis.

2. Comparison of both groups.

Inclusion criteria:

Acute Plantar Fasciitis,

Age above 18 years,

Windlass test- positive.

Exclusion criteria:

Dermatitis,

History of surgery or any trauma around the foot complex.

Outcome measures:

1. Numerical Pain Rating Scale- first step pain, at rest, on activity

2. Pressure algometer

3. Foot and ankle ability measure

4. Ankle ROM- Dorsiflexion (goniometer)

 
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