Concussion, MildNCT07729761
Impact of Instability Training on Vestibular Dysfunction in Postconcussion Combat Athletes
A study testing Traditional Physical therapy and Instability training in people with Concussion, Mild, run by Riphah International University at 1 site in Pakistan.
Trial summary
We are conducting RCT study on concussion on combat sports athlete and there is high incidence of on concussion in this sports and we will find the association between concussion and vestibular impairment and then we will apply intervention (instabiliy training) to find the results Read more about this study
- Who is it for?
- Ages 18 to 36 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Concussion, Mild
- What is being tested?
- Traditional Physical therapy and Instability training
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 36 participants
- Where
- 1 sitePakistan
- Study dates
- 23 Oct 2023to 2 Jun 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 36 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Active Male Combat sports player.
- Age between 18-25 years.
- Athletes who had a hit on jaw, neck, head and had symptom of concussion discussed under heading of Introduction.
- Athlete who had history of concussion between 3-30 days.
- Mild concussion according to CANTU
Who cannot join
- Concussion other than sports.
- History of metabolic diseases.
- History of recent fractures
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Instability Training on Vestibular Impairment in Post Concussion Combat Athletes
We are conducting RCT study on concussion on combat sports athlete and there is high incidence of on concussion in this sports and we will find the association between concussion and vestibular impairment and then we will apply intervention (instabiliy training) to find the results
Read the detailed description
Combat sports athletes frequently experience concussions due to the nature of their sport, leading to potential long-term consequences such as vestibular impairment. Vestibular dysfunction, characterized by dizziness, imbalance, and other symptoms, can significantly impact an athlete's performance and overall well-being. Despite its prevalence, there's a need to better understand the association between concussion and vestibular impairment in this population.
This study aims to investigate the relationship between concussion and vestibular impairment in combat sports athletes. Additionally, we seek to assess the effectiveness of instability training as an intervention to mitigate vestibular dysfunction post-concussion.
- Conditions
- Concussion, Mild
- Being tested
- Traditional Physical therapy, Instability training
- Keywords
- Vestibular impairment, instability training, Combat athlete, Concussion
- Medical subject headings
- Brain Concussion
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Traditional Physical therapyOther
Cone exercise. b) Advanced cone exercise. c) Circle of cones. d) Cut-backs. e) Shooting from a square pass. f) One-touch shooting. g) Three goal drill. h) Lay-offs, turns, and chest control. 4 units weekly for 4 weeks
Instability trainingOther
four units weekly, Time of the one exercise 30seconds with resting interval of 30 seconds between two exercises i.e. the whole unit takes 270 seconds and takes rest 135 seconds between exercises groups, Balance on the ball for 1-2 minutes,) Ground Control Drills 3 rounds of 2-3 minutes each. Sports specific instability training: Shadowboxing
| Study group | Role | What they receive |
|---|---|---|
| Traditional Physical therapy | Active comparator | Cone exercise. b) Advanced cone exercise. c) Circle of cones. d) Cut-backs. e) Shooting from a square pass. f) One-touch shooting. g) Three goal drill. h) Lay-offs, turns, and chest control. 4 units weekly for 4 weeks Receives: Other: Traditional Physical therapy |
| Instability training | Experimental | Four units weekly, Time of the one exercise 30seconds with resting interval of 30 seconds between two exercises i.e. the whole unit takes 270 seconds and takes rest 135 seconds between exercises groups, Balance on the ball for 1-2 minutes,) Ground Control Drills 3 rounds of 2-3 minutes each. Sports specific instability training: Shadowboxing Receives: Other: Instability training |
What is being measured
The primary outcome is the main question the study is designed to answer.
Sports Concussion Office Assessment Tool
14 item scale use for diagnose , evaluate and for treatment purposes
The SCOAT6 score is derived from the athlete's performance across these domains. Each component has specific criteria for correct responses or performance, and the total score reflects the overall level of impairment: Higher scores generally indicate better cognitive and physical function and fewer symptoms. Lower scores suggest more severe concussion effects or slower recovery.
Measured: 4th week
Secondary outcomes (1)
CANTU
The Cantu Scale for Concussion is a tool used to assess the severity of a concussion and guide return-to-play decisions in athletes. It was developed by Dr. Robert Cantu, a renowned expert in sports-related head injuries. The scale takes into account various factors such as symptoms, duration of unconsciousness (if any), and post-traumatic amnesia to assign a numerical value Grade 1 ,mild Grade 2 moderate Grade3 severe
Measured: 1st week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jul 2026
- Study start23 Oct 2023
- Primary completion5 Feb 2024
- Study completion2 Jun 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Concussion, MildStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 36 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Osama Faisal, MS*SPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07729761
- Sponsor's protocol ID
- REC/MS-PT/01830
- Status last verified
- Jul 2026
- First submitted
- 17 Mar 2024
- Last updated
- 28 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Powell JW. Cerebral Concussion: Causes, Effects, and Risks in Sports. J Athl Train. 2001 Sep;36(3):307-311.
PubMed 12937501Meaney DF, Smith DH. Biomechanics of concussion. Clin Sports Med. 2011 Jan;30(1):19-31, vii. doi: 10.1016/j.csm.2010.08.009.
PubMed 21074079Pertab JL, Merkley TL, Cramond AJ, Cramond K, Paxton H, Wu T. Concussion and the autonomic nervous system: An introduction to the field and the results of a systematic review. NeuroRehabilitation. 2018;42(4):397-427. doi: 10.3233/NRE-172298.
PubMed 29660949Christy JB, Cochrane GD, Almutairi A, Busettini C, Swanson MW, Weise KK. Peripheral Vestibular and Balance Function in Athletes With and Without Concussion. J Neurol Phys Ther. 2019 Jul;43(3):153-159. doi: 10.1097/NPT.0000000000000280.
PubMed 31205229Schneider KJ, Leddy JJ, Guskiewicz KM, Seifert T, McCrea M, Silverberg ND, Feddermann-Demont N, Iverson GL, Hayden A, Makdissi M. Rest and treatment/rehabilitation following sport-related concussion: a systematic review. Br J Sports Med. 2017 Jun;51(12):930-934. doi: 10.1136/bjsports-2016-097475. Epub 2017 Mar 24.
PubMed 28341726Sekendiz B, Cug M, Korkusuz F. Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. J Strength Cond Res. 2010 Nov;24(11):3032-40. doi: 10.1519/JSC.0b013e3181d82e70.
PubMed 20940644Norozi Z, Eskandari Z, Miri HJIJoSE, Research H. The effect of swiss ball training on core stability and balance functions in students with congenital deafness. 2021;5(1):6-9.
Patricios JS, Davis GA, Ahmed OH, Blauwet C, Schneider GM, Purcell LK, Echemendia RJ, Fremont P, Fuller GW, Herring SA, Harmon KG, Loosemore M, Makdissi M, O'Halloran P, Putukian M, Turner M, Webborn N, Yeates KO, van Ierssel J, Schneider KJ. Introducing the Sport Concussion Office Assessment Tool 6 (SCOAT6). Br J Sports Med. 2023 Jun;57(11):648-650. doi: 10.1136/bjsports-2023-106860. No abstract available.
PubMed 37316211Galetta KM, Barrett J, Allen M, Madda F, Delicata D, Tennant AT, Branas CC, Maguire MG, Messner LV, Devick S, Galetta SL, Balcer LJ. The King-Devick test as a determinant of head trauma and concussion in boxers and MMA fighters. Neurology. 2011 Apr 26;76(17):1456-62. doi: 10.1212/WNL.0b013e31821184c9. Epub 2011 Feb 2.
PubMed 21288984Viano DC, Casson IR, Pellman EJ, Bir CA, Zhang L, Sherman DC, Boitano MA. Concussion in professional football: comparison with boxing head impacts--part 10. Neurosurgery. 2005 Dec;57(6):1154-72; discussion 1154-72. doi: 10.1227/01.neu.0000187541.87937.d9.
PubMed 16331164
Study at a glance
From the registry record, last updated by the sponsor on 28 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Instability Training on Vestibular Impairment in Post Concussion Combat Athletes
- ClinicalTrials.gov ID
- NCT07729761
- Acronym / sponsor ID
- REC/MS-PT/01830
- Conditions
- Concussion, Mild
- Keywords
- Vestibular impairment, instability training, Combat athlete, Concussion
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 36 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 23 Oct 2023 (actual)
- Primary completion
- 5 Feb 2024 (actual)
- Study completion
- 2 Jun 2024 (actual)
- First posted
- 28 Jul 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
We are conducting RCT study on concussion on combat sports athlete and there is high incidence of on concussion in this sports and we will find the association between concussion and vestibular impairment and then we will apply intervention (instabiliy training) to find the results
Detailed description
Combat sports athletes frequently experience concussions due to the nature of their sport, leading to potential long-term consequences such as vestibular impairment. Vestibular dysfunction, characterized by dizziness, imbalance, and other symptoms, can significantly impact an athlete's performance and overall well-being. Despite its prevalence, there's a need to better understand the association between concussion and vestibular impairment in this population.
This study aims to investigate the relationship between concussion and vestibular impairment in combat sports athletes. Additionally, we seek to assess the effectiveness of instability training as an intervention to mitigate vestibular dysfunction post-concussion.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Traditional Physical therapy | Active comparator | Other: Traditional Physical therapyCone exercise. b) Advanced cone exercise. c) Circle of cones. d) Cut-backs. e) Shooting from a square pass. f) One-touch shooting. g) Three goal drill. h) Lay-offs, turns, and chest control. 4 units weekly for 4 weeks |
| Instability training | Experimental | Other: Instability trainingFour units weekly, Time of the one exercise 30seconds with resting interval of 30 seconds between two exercises i.e. the whole unit takes 270 seconds and takes rest 135 seconds between exercises groups, Balance on the ball for 1-2 minutes,) Ground Control Drills 3 rounds of 2-3 minutes each. Sports specific instability training: Shadowboxing |
Who may qualify
- Ages
- 18 to 36 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Active Male Combat sports player.
- Age between 18-25 years.
- Athletes who had a hit on jaw, neck, head and had symptom of concussion discussed under heading of Introduction.
- Athlete who had history of concussion between 3-30 days.
- Mild concussion according to CANTU
Key exclusion criteria (3 listed)
- Concussion other than sports.
- History of metabolic diseases.
- History of recent fractures
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Traditional Physical therapyCone exercise. b) Advanced cone exercise. c) Circle of cones. d) Cut-backs. e) Shooting from a square pass. f) One-touch shooting. g) Three goal drill. h) Lay-offs, turns, and chest control. 4 units weekly for 4 weeks | Other | Traditional Physical therapy |
| Instability trainingfour units weekly, Time of the one exercise 30seconds with resting interval of 30 seconds between two exercises i.e. the whole unit takes 270 seconds and takes rest 135 seconds between exercises groups, Balance on the ball for 1-2 minutes,) Ground Control Drills 3 rounds of 2-3 minutes each. Sports specific instability training: Shadowboxing | Other | Instability training |
Primary outcome
Sports Concussion Office Assessment Tool
Time frame: 4th week
14 item scale use for diagnose , evaluate and for treatment purposes The SCOAT6 score is derived from the athlete's performance across these domains. Each component has specific criteria for correct responses or performance, and the total score reflects the overall level of impairment: Higher scores generally indicate better cognitive and physical function and fewer symptoms. Lower scores suggest more severe concussion effects or slower recovery.
1 secondary outcome
CANTU
Time frame: 1st week
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jul 2026.
- Background: PubMed 12937501Powell JW. Cerebral Concussion: Causes, Effects, and Risks in Sports. J Athl Train. 2001 Sep;36(3):307-311.
- Background: PubMed 21074079Meaney DF, Smith DH. Biomechanics of concussion. Clin Sports Med. 2011 Jan;30(1):19-31, vii. doi: 10.1016/j.csm.2010.08.009.
- Background: PubMed 29660949Pertab JL, Merkley TL, Cramond AJ, Cramond K, Paxton H, Wu T. Concussion and the autonomic nervous system: An introduction to the field and the results of a systematic review. NeuroRehabilitation. 2018;42(4):397-427. doi: 10.3233/NRE-172298.
- Background: PubMed 31205229Christy JB, Cochrane GD, Almutairi A, Busettini C, Swanson MW, Weise KK. Peripheral Vestibular and Balance Function in Athletes With and Without Concussion. J Neurol Phys Ther. 2019 Jul;43(3):153-159. doi: 10.1097/NPT.0000000000000280.
- Background: PubMed 28341726Schneider KJ, Leddy JJ, Guskiewicz KM, Seifert T, McCrea M, Silverberg ND, Feddermann-Demont N, Iverson GL, Hayden A, Makdissi M. Rest and treatment/rehabilitation following sport-related concussion: a systematic review. Br J Sports Med. 2017 Jun;51(12):930-934. doi: 10.1136/bjsports-2016-097475. Epub 2017 Mar 24.
- Background: PubMed 20940644Sekendiz B, Cug M, Korkusuz F. Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. J Strength Cond Res. 2010 Nov;24(11):3032-40. doi: 10.1519/JSC.0b013e3181d82e70.
- BackgroundNorozi Z, Eskandari Z, Miri HJIJoSE, Research H. The effect of swiss ball training on core stability and balance functions in students with congenital deafness. 2021;5(1):6-9.
- Background: PubMed 37316211Patricios JS, Davis GA, Ahmed OH, Blauwet C, Schneider GM, Purcell LK, Echemendia RJ, Fremont P, Fuller GW, Herring SA, Harmon KG, Loosemore M, Makdissi M, O'Halloran P, Putukian M, Turner M, Webborn N, Yeates KO, van Ierssel J, Schneider KJ. Introducing the Sport Concussion Office Assessment Tool 6 (SCOAT6). Br J Sports Med. 2023 Jun;57(11):648-650. doi: 10.1136/bjsports-2023-106860. No abstract available.
- Background: PubMed 21288984Galetta KM, Barrett J, Allen M, Madda F, Delicata D, Tennant AT, Branas CC, Maguire MG, Messner LV, Devick S, Galetta SL, Balcer LJ. The King-Devick test as a determinant of head trauma and concussion in boxers and MMA fighters. Neurology. 2011 Apr 26;76(17):1456-62. doi: 10.1212/WNL.0b013e31821184c9. Epub 2011 Feb 2.
- Background: PubMed 16331164Viano DC, Casson IR, Pellman EJ, Bir CA, Zhang L, Sherman DC, Boitano MA. Concussion in professional football: comparison with boxing head impacts--part 10. Neurosurgery. 2005 Dec;57(6):1154-72; discussion 1154-72. doi: 10.1227/01.neu.0000187541.87937.d9.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Osama Faisal, MS*SPT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Traditional Physical therapy and Instability training in people with Concussion, Mild, 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 5 inclusion and 3 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: finished, as of the sponsor's last update on 28 Jul 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Sports Concussion Office Assessment Tool (time frame: 4th week). 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 NCT07729761, 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 28 Jul 2026.