Core stability versus cognitive training to improve balance and postural control in chronic ankle instability
Effect of Adding Functional Core Stability Training or Cognitive Training on Balance and Postural Control in Rehabilitation of Chronic Ankle Instability
This project will test whether dynamic core stability exercises or cognitive (dual-task) training help adults with chronic ankle instability improve balance, postural control, and reduce feelings of giving way.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 45 (estimated) |
| Ages | 18 Years to 30 Years |
| Sex | All |
| Sponsor | Cairo University Academic / other |
| Locations | 1 site (Cairo) |
| Trial ID | NCT07283276 on ClinicalTrials.gov |
What this trial studies
Adults with unilateral chronic ankle instability will be assigned to receive dynamic functional core stability exercises, cognitive (dual-task) training, or a combined program delivered in outpatient sessions. The program includes strengthening, balance, spinal motor control (stabilization) exercises, and cognitive tasks tailored to dual-task conditions. Outcomes measured before and after the intervention include balance and postural control tests, functional performance, ankle dorsiflexion range of motion, self-reported ankle instability scores, and mental workload. The study compares changes in single- and dual-task performance to determine which approach best improves stability and reduces re-injury risk.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18–30 with unilateral chronic lateral ankle sprain/instability for at least 6 months (≥2 episodes), a validated ankle instability score above the threshold, and BMI under 30.
Not a fit: Patients with recent or prior spine/pelvis/lower-extremity fracture, surgery, acute lower-extremity injury, or current low back pain requiring medical or surgical care, as well as those outside the specified age/BMI criteria, are unlikely to qualify or benefit from these interventions.
Why it matters
Potential benefit: If successful, the intervention could improve balance and postural control and reduce episodes of instability for people with chronic ankle instability.
How similar studies have performed: Previous studies of core stability and dual-task (cognitive) training have shown improvements in postural control and joint position sense in chronic ankle instability, though combining dynamic core and cognitive training is a more recent approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: Inclusion criteria will be based on the standard criteria outlined by the International Ankle Consortium 1. History of chronic lateral ankle sprain and/or recurrent sprain and/or "feelings of instability or giving way" for 6 months or more before the study, with at least 2 episodes. 2. Patients are between 18 and 30 years old. 3- Body mass index less than 30 4\. The patient has a history of at least one significant ankle sprain with associated inflammatory symptoms and at least one day of interrupted physical activity. 5\. Patients who have unilateral chronic ankle instability. 6. Self-reported ankle instability should be confirmed using a validated ankle instability questionnaire (greater than 24). Exclusion Criteria: Those with a history of spine, pelvis, and lower extremity injury, fracture, or surgery 2- Those with low back pain that require medical or surgical intervention. 3- Having a history of an acute lower extremity injury or lower extremity surgery or fracture in the 3 months before the Study 4. Participation in formal ankle rehabilitation in the 3 months before the study. 5\. Being diagnosed with neurologic dysfunction, such as multiple sclerosis, Parkinson's disease, or head injury
Where this trial is running
Cairo
- out-patient clinic, faculty of physical therapy, Cairo university — Cairo, Egypt (Recruiting)
Study contacts
- Study coordinator: Manar Mahmoud Mohamed, Assistant lecturer
- Email: manarmahmoud690@gmail.com
- Phone: +20 100 758 7316
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.