Actively Recruiting
Effect of Adding Functional Core Stability Training or Cognitive Training on Balance and Postural Control in Rehabilitation of Chronic Ankle Instability
Led by Cairo University · Updated on 2025-12-15
45
Participants Needed
1
Research Sites
4 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are investigating how dynamic core stability training compares to cognitive training in improving balance, functional performance, postural control, ankle instability, ankle dorsiflexion range of motion, and mental workload in people with chronic ankle instability. This condition often follows a lateral ankle sprain and affects muscle coordination and balance controlled by the central nervous system. Incorporating cognitive elements into core stability training may help reduce the risk of re-injury by improving postural control, especially under dual-task conditions. Participants will be randomly assigned to one of three groups: traditional rehabilitation plus functional core stability exercises, traditional rehabilitation plus cognitive training, or a combination of both functional core stability and cognitive training. The interventions include stretching and strengthening exercises for ankle muscles, balance training with visual feedback, functional core motor control exercises, spinal motor control exercises progressing through cognitive, associative, and automatic phases, and cognitive tasks involving backward digit span tests. Treatments occur three times weekly over two months. During the study, participants will undergo assessments at the start and after two months, measuring pain, ankle instability, foot function, functional performance, postural control, balance, ankle dorsiflexion range of motion, and mental workload. Researchers will monitor progress through these evaluations to understand how each training type affects rehabilitation outcomes for chronic ankle instability. The total participation lasts two months with regular sessions and evaluations throughout.
CONDITIONS
Brief Title
Effect of Functional Core Stability Training or Cognitive Training on Balance and Postural Control in Chronic Ankle Instability
Who Can Participate
Eligibility Criteria
You may qualify if you...
- History of chronic lateral ankle sprain, recurrent sprain, or feelings of instability for at least 6 months with two or more episodes
- Age between 18 and 30 years
- Body mass index less than 30
- At least one significant ankle sprain with inflammatory symptoms and interruption of physical activity
- Unilateral chronic ankle instability
- Self-reported ankle instability confirmed by a validated questionnaire score greater than 24
You will not qualify if you...
- History of spine, pelvis, or lower extremity injury, fracture, or surgery
- Low back pain requiring medical or surgical intervention
- Acute lower extremity injury, surgery, or fracture within 3 months before the study
- Participation in formal ankle rehabilitation within 3 months before the study
- Diagnosed neurologic dysfunction such as multiple sclerosis, Parkinson's disease, or head injury
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 8 weeks
Participants receive a traditional ankle rehabilitation program combined with functional core stability exercises, cognitive training, or both, focusing on improving balance and postural control over an 8-week period.
3 sessions per week
Duration - At baseline and after 8 weeks
Assessments of pain, ankle instability, foot function, functional performance, postural control, balance, dorsiflexion range of motion, and mental workload are conducted at baseline and after the 8-week treatment period to evaluate progress.
2 assessment visits
Trial Site Locations
Total: 1 location
1
out-patient clinic, faculty of physical therapy, Cairo university
Cairo, Egypt
Actively Recruiting
Research Team
M
Manar Mahmoud Mohamed, Assistant lecturer
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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