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Ankle SprainDNSNCT07726810

Dynamic Neuromuscular Stability Exercises With and Without Rhythmic Auditory Stimulation in Lateral Ankle Sprain

A study testing Dynamic Neuromuscular Stabilization with Rhythmic Auditory Stimulation and Dynamic Neuromuscular Stabilization Alone in people with Ankle Sprain and Lateral Ankle Sprain, run by Riphah International University at 1 site in Pakistan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial 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. Read more about this study

Who is it for?
Ages 18 to 30 years
What is being tested?
Dynamic Neuromuscular Stabilization with Rhythmic Auditory Stimulation and Dynamic Neuromuscular Stabilization Alone
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
1 sitePakistan
Study dates
14 Jul 2026to 1 Sep 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 30 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • 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

Who cannot join

  • 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)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Imran Amjad, PhD contact

03324390125

imran.amjad@riphah.edu.pk

Pakistan1 site, 1 recruiting
  • Sports Board of Punjab

    Lahore, Punjab Province, 54000

    Sidra Shafique, MS, 03053783183, sidra.shafique@riphah.edu.pk

    Recruiting

Other trials in Pakistan

About this study

Official title: Effect of Dynamic Neuromuscular Stability Exercises With and Without Rhythmic Auditory Stimulation on Balance, Proprioception, and Performance Among Badminton Players With Lateral Ankle Sprain

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.

Read the 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.

Being tested
Dynamic Neuromuscular Stabilization with Rhythmic Auditory Stimulation, Dynamic Neuromuscular Stabilization Alone
Keywords
Rhythmic Auditory Stimulation
Medical subject headings
Ankle Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dynamic Neuromuscular Stabilization with Rhythmic Auditory StimulationOther

    Also called DNS, RAS

    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.

  • Dynamic Neuromuscular Stabilization AloneOther

    Also called DNS

    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.

Study groups in NCT07726810
Study groupRoleWhat they receive
Dynamic Neuromuscular Stabilization with Rhythmic Auditory StimulationExperimentalThe 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.
Receives: Other: Dynamic Neuromuscular Stabilization with Rhythmic Auditory Stimulation
Dynamic Neuromuscular Stabilization AloneActive comparatorThe 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.
Receives: Other: Dynamic Neuromuscular Stabilization Alone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Joint Position Sense Test

    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.

    Measured: 6 weeks

  2. Star Excursion Balance Test

    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.

    Measured: 6 weeks

  3. Sports Ankle Rating Scale

    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.

    Measured: 6 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jul 2026
  2. Study start14 Jul 2026
  3. Primary completion14 Aug 2026 (estimated)
  4. Study completion1 Sep 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized Controlled trial study
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
44 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07726810
Sponsor's protocol ID
REC/RCR & AHS/25/0441
Acronym
DNS
Status last verified
Aug 2026
First submitted
21 Jul 2026
Last updated
12 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Igusa T, Kobayashi T, Uchida H, Tsuchiya K, Akiba T, Sema S, Kaneko S, Yoshita T, Nagai S, Tanaka Y, Kikuchi S, Hirao K. Effect of gait training using rhythmic auditory stimulation on gait speed in older adults admitted to convalescent rehabilitation wards: A study protocol for a pilot randomized controlled clinical trial. Contemp Clin Trials Commun. 2023 Apr 1;33:101125. doi: 10.1016/j.conctc.2023.101125. eCollection 2023 Jun.

    PubMed 37091510
  • Karami M, Jamehbozorgi A, Salemi P, Rezaei M. The Effect of 6 Weeks Neuromuscular Training On Muscle Strength, Balance, Range of Motion & Proprioception In Males With Lateral Ankle Sprain. Journal of Modern Rehabilitation. 2025.

  • Yesilkir S, Sahin GE. Dynamic neuromuscular stabilization training for chronic ankle instability: A randomized controlled trial in amateur athletes. J Back Musculoskelet Rehabil. 2026 Jul;39(4):1157-1169. doi: 10.1177/10538127251338170. Epub 2025 May 11.

    PubMed 40350619
  • Meng L, Wang Y, Wang Z, Liu Y, Tan Y, Zhang Y, Wei X, Mao X, Zhang Q. Effects of auditory rhythmic adaptation on lower limb joint mechanics during single-leg drop landings in individuals with functional ankle instability. Front Hum Neurosci. 2025 Jul 2;19:1579260. doi: 10.3389/fnhum.2025.1579260. eCollection 2025.

    PubMed 40672743
  • Mansouri M, Saki F. The Effectiveness of Neuromuscular Training With and Without Cognitive Intervention on Dynamic Balance and Proprioception of Female Athletes Prone to Ankle Sprain Injury: A Randomized Control Trial.

  • Kim KM, Kim JS, Needle AR. Soleus arthrogenic muscle inhibition following acute lateral ankle sprain correlates with symptoms and ankle disability but not with postural control. J Sport Health Sci. 2024 Jul;13(4):559-568. doi: 10.1016/j.jshs.2024.02.005. Epub 2024 Feb 28.

    PubMed 38428732
  • Mansur H, Durigan JLQ, Contessoto S, Maranho DA, Nogueira-Barbosa MH. Evaluation of the Healing Status of Lateral Ankle Ligaments 6 Weeks After an Acute Ankle Sprain. J Foot Ankle Surg. 2024 Nov-Dec;63(6):637-645. doi: 10.1053/j.jfas.2024.07.004. Epub 2024 Jul 25.

    PubMed 39067610
  • Taketomi S, Kawaguchi K, Mizutani Y, Takei S, Yamagami R, Kono K, Murakami R, Kage T, Arakawa T, Fujiwara S, Tanaka S, Ogata T. Factors Associated With a Lateral Ankle Sprain in Young Female Soccer Players: A Prospective Cohort Study. Orthop J Sports Med. 2024 Feb 26;12(2):23259671231221481. doi: 10.1177/23259671231221481. eCollection 2024 Feb.

    PubMed 38410169
  • Liu Z, Yamaguchi R, Fu S, Zhao H, Li Y, Kobayashi Y, Gong Y, Kumai T. Epidemiology of ankle sprain and chronic ankle instability in elite adolescent dancesport athletes. Phys Sportsmed. 2025 Apr;53(2):119-128. doi: 10.1080/00913847.2024.2418283. Epub 2024 Oct 20.

    PubMed 39412831
  • Wagemans J, Dingenen B, Clockaerts S, Bleakley C. Physiotherapists Approach in Lateral Ankle Sprain Rehabilitation: A Survey Study. J Sport Rehabil. 2025 Apr 4;35(1):31-38. doi: 10.1123/jsr.2024-0442. Print 2026 Jan 1.

    PubMed 40174890

Questions about this trial

What is this clinical trial studying?

A study testing Dynamic Neuromuscular Stabilization with Rhythmic Auditory Stimulation and Dynamic Neuromuscular Stabilization Alone in people with Ankle Sprain and Lateral Ankle Sprain, run by Riphah International University at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 12 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Imran Amjad, PhD (03324390125, imran.amjad@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Joint Position Sense Test (time frame: 6 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07726810, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Aug 2026.

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