Ankle Sprain, Balance, Dynamic Neuromuscular Stabilization (DNS), Lateral Ankle Instability, Lateral Ankle Sprain, Proprioception
Conditions
Keywords
Rhythmic Auditory Stimulation
Brief summary
To examine the effects of Dynamic Neuromuscular Stability exercises with and without Rhythmic Auditory Stimulation on balance, proprioception, and functional performance in badminton players with lateral ankle sprain.
Detailed description
A randomized controlled trial compared Dynamic Neuromuscular Stabilization (DNS), balance training, and conventional rehabilitation in amateur athletes with chronic ankle sprain. The findings demonstrated that both DNS and balance training significantly improved ankle stability, balance, reaction time, and functional performance, highlighting their effectiveness in rehabilitation. A quasi-experimental study investigated the effects of ankle proprioceptive training in recreational badminton players with pronated feet. The intervention resulted in significant improvements in agility, dynamic balance, and ankle function compared with conventional training. Another study evaluated neuromuscular training with and without kinesio taping in football players following ankle sprain. Both interventions effectively reduced pain and improved range of motion, balance, and functional performance, while the addition of kinesio taping produced greater clinical benefits. A randomized study assessed the effectiveness of a six-week neuromuscular training program in individuals with lateral ankle sprain. The intervention significantly enhanced muscle strength, proprioception, balance, range of motion, and overall functional recovery compared with routine training. A pilot randomized trial examined rhythmic auditory stimulation-based gait training in older adults undergoing rehabilitation. The intervention significantly improved gait speed and demonstrated its feasibility as an effective rehabilitation strategy. A randomized controlled trial evaluated the effects of Dynamic Neuromuscular Stabilization on functional movement. The results showed that DNS training produced significant improvements in movement quality and functional performance compared with conventional physical fitness exercises.
Interventions
OTHERDynamic Neuromuscular Stabilization with Rhythmic Auditory Stimulation
The intervention was progressively advanced over six weeks. Baseline treatment included warm-up exercises, stretching, and basic balance training with rhythmic auditory cues. During Week 2, participants performed DNS breathing and core stabilization exercises, proprioceptive training, and Theraband ankle strengthening. In Week 4, advanced DNS postures, dynamic balance, and functional movement exercises were introduced with increased rhythmic cueing. By Week 6, participants progressed to advanced DNS exercises, unilateral balance and hopping drills, agility training, and badminton-specific movements synchronized with rhythmic auditory stimulation to enhance neuromuscular control and functional performance.
OTHERDynamic Neuromuscular Stabilization Alone
The intervention was progressively advanced over six weeks. Baseline treatment included warm-up exercises, stretching, and basic balance training. During Week 2, participants performed DNS breathing and core stabilization exercises, proprioceptive training, and Theraband ankle strengthening. In Week 4, advanced DNS postures, dynamic balance, and functional movement exercises were introduced. By Week 6, participants progressed to advanced DNS exercises, unilateral balance and hopping drills, agility training, and badminton-specific movements to enhance neuromuscular control, balance, and functional performance.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcome assessor will be blinded to avoid biasness.
Intervention model description
Randomized Controlled trial study
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-30 years * Both male and female genders * Diagnosed with Grade I or II lateral ankle sprain (subacute to chronic phase) * Within 2-8 weeks post-injury
Exclusion criteria
* History of ankle surgery * Vestibular, neurological, or hearing disorders * Acute pain prevents participation * Current involvement in other rehab programs * Any fracture or other injury * Any systemic illness * Any inflammatory disease (Rheumatoid arthritis, gout)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Joint Position Sense Test | 6 weeks | It evaluates proprioception by measuring a subject's ability to actively or passively reproduce a joint angle without visual input. It has shown moderate to high reliability (ICC = 0.70-0.93) and is a valid measure of sensorimotor deficits following lateral ankle injuries. Pre and post assessment will be done. |
| Star Excursion Balance Test | 6 weeks | It is a dynamic balance test that assesses neuromuscular control and postural stability during multi-directional reaching tasks while standing on one leg. It demonstrates high reliability (ICC = 0.85-0.96) and good validity in identifying lower limb deficits, especially following ankle sprains and in athletic populations. Pre and post assessment will be done. |
| Sports Ankle Rating Scale | 6 weeks | The Sports Ankle Rating Scale is a subjective questionnaire designed to assess functional limitations, pain, and instability related to ankle injuries in athletic populations. It demonstrates good reliability (Cronbach's alpha \> 0.80) and acceptable validity when compared with clinical outcomes. The scale includes sections on pain, function during sports, and instability episodes to provide a comprehensive ankle health profile. Pre and post assessment will be done. |
Countries
Pakistan
Contacts
CONTACTImran Amjad, PhD
PRINCIPAL_INVESTIGATORSidra Shafique, MS
Riphah International University
Outcome results
None listed