Auditory biofeedback gait training for chronic ankle instability
Official title: Optimizing Retention on Duty in Patients With Chronic Ankle Instability Using Auditory Biofeedback Gait Training: A Multisite Randomized Controlled Trial
Run by University of Kentucky · NCT06868316 · Data updated 2026-11-12
This test will try using sound feedback during walking, rucking, and running to improve gait mechanics and reduce giving-way episodes in physically active adults with chronic ankle instability.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 45 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | University of Kentucky Academic / other |
| Locations | 2 sites (Lexington, Kentucky and 1 other locations) |
| Status | Recruiting |
| Started | May 27, 2025 |
| Main results expected | June 2028 |
| Study ends | September 2028 |
| Registry record updated | July 21, 2026 |
| Trial ID | NCT06868316 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Physically active adults who can run at least 20 consecutive minutes, have a history of ankle sprain, at least two giving-way episodes in the past six months, and meet AII and IdFAI thresholds are ideal candidates.
✕Probably not a fit
People with an ankle sprain within the past four weeks, recent lower-extremity injury other than the ankle, prior lower-extremity surgery or recent serious fracture, neurological/vestibular/visual disorders, or current formal ankle rehabilitation are unlikely to be eligible or benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized controlled trial will assign physically active adults with chronic ankle instability to a six-week gait training program using auditory biofeedback or to a control condition. Participants will complete 12 supervised sessions over six weeks involving walking, ruck marching, and running, with biomechanical and clinical testing before and after the intervention. Primary outcomes include lower-extremity biomechanics, talar cartilage deformation, frequency of giving-way episodes, and patient-reported symptom severity. The protocol is designed to detect short- and longer-term changes in movement patterns and ankle joint health.
Why it matters
Potential benefit: If successful, the program could improve gait mechanics, reduce giving-way episodes and symptom severity, and potentially protect talar cartilage to lower future ankle degeneration risk.
How similar studies have gone: Gait biofeedback has produced biomechanical improvements in other lower-extremity conditions, but auditory biofeedback specifically applied to chronic ankle instability is relatively novel and not yet well-established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Physically active adults (defined as participants reporting a score of =4 on the National Aeronautics and Space Administration (NASA) Activity Instrument and indicating they can run for at least 20 consecutive minutes) * History of ankle sprain * 2 episodes of "giving way" in the past 6-months * must answer "yes" to =5 questions on the Ankle Instability Instrument (AII) and =11 on the Identification of Functional Ankle Instability (IdFAI) Exclusion Criteria: * an ankle sprain in the previous four weeks or lower extremity neuromusculoskeletal injury other than to the ankle in the last 12 months * history of surgery in the lower extremity * fracture to the lower extremity in the past 12 months or a fracture that required open-reduction internal fixation * history of neurological disease, vestibular or visual disturbance or any other pathology that would impair sensorimotor performance or gait * current participation in a formal ankle joint rehabilitation program * a concussion in the last 12 months * report a cardiovascular, metabolic, or renal disease, or signs and symptoms that suggest such condition or have been told by a medical provider not to engage in vigorous physical activity (such as running).
Where it's running
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University of Kentucky
Lexington, Kentucky, United States Recruiting -
University of North Carolina at Charlotte
Charlotte, North Carolina, United States Not yet recruiting
Study contacts
- Study coordinator: Danielle M Torp, PhD, ATC
- Email: danielle.torp@uky.edu
- Phone: 18593239835
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.