Status:

NOT_YET_RECRUITING

Neurocognitive Ankle Training for Instability to Optimize Neuromusculoskeletal Outcomes (NATION)

Lead Sponsor:

Womack Army Medical Center

Collaborating Sponsors:

University of Kentucky

Conditions:

Chronic Ankle Instability

Eligibility:

All Genders

18-44 years

Phase:

NA

Brief Summary

The purpose of this study is to examine the effectiveness of a novel ankle rehabilitation protocol on improving clinical and health outcomes in physically active individuals with chronic ankle instabi...

Detailed Description

Military personnel and physically active civilians are particularly vulnerable to ankle sprains and subsequent chronic ankle instability (CAI). CAI is a complex neuromusculoskeletal condition characte...

Eligibility Criteria

Inclusion

  • Physically active and engage in regular exercise/training
  • 18-44 years old (accounts for 86% of the individuals deployed in recent military conflicts)
  • Answer "yes" to Question 1 (i.e., have you ever sprained an ankle?) on the Ankle Instability Instrument
  • Answer "yes" to any four of the remaining Ankle Instability Instrument questions
  • Score \<24 on the Cumberland Ankle Instability Tool
  • Report at least two episodes of the ankle "giving way" in the last six months
  • Access to a functional email address and internet for completion of health and Service member outcomes
  • Ability to provide informed consent

Exclusion

  • Unable to read or comprehend the English language.
  • An ankle sprain within the last six (≤6) weeks that resulted in altered or missed physical activity for one or more (≥1) consecutive days.
  • History of ankle surgery.
  • History of lower extremity fracture in the last year or history of fracture that required fixation.
  • Any peripheral neuropathies or other health conditions/current musculoskeletal injuries that may influence balance.
  • Pregnant females (will be eligible for participation in the study after delivery of the baby and medical clearance by a qualified and licensed healthcare provider).

Key Trial Info

Start Date :

September 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 14 2027

Estimated Enrollment :

180 Patients enrolled

Trial Details

Trial ID

NCT06527287

Start Date

September 1 2025

End Date

June 14 2027

Last Update

April 4 2025

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