Dynamic Neuromuscular Stability Exercises With and Without Rhythmic Auditory Stimulation in Lateral Ankle Sprain

Официальное название

Effect of Dynamic Neuromuscular Stability Exercises With and Without Rhythmic Auditory Stimulation on Balance, Proprioception, and Performance Among Badminton Players With Lateral Ankle Sprain

Обзор

To examine the effects of Dynamic Neuromuscular Stability exercises with and without Rhythmic Auditory Stimulation on balance, proprioception, and functional performance in badminton players with lateral ankle sprain.

Подробное описание

A randomized controlled trial compared Dynamic Neuromuscular Stabilization (DNS), balance training, and conventional rehabilitation in amateur athletes with chronic ankle sprain. The findings demonstrated that both DNS and balance training significantly improved ankle stability, balance, reaction time, and functional performance, highlighting their effectiveness in rehabilitation.

A quasi-experimental study investigated the effects of ankle proprioceptive training in recreational badminton players with pronated feet. The intervention resulted in significant improvements in agility, dynamic balance, and ankle function compared with conventional training.

Another study evaluated neuromuscular training with and without kinesio taping in football players following ankle sprain. Both interventions effectively reduced pain and improved range of motion, balance, and functional performance, while the addition of kinesio taping produced greater clinical benefits.

A randomized study assessed the effectiveness of a six-week neuromuscular training program in individuals with lateral ankle sprain. The intervention significantly enhanced muscle strength, proprioception, balance, range of motion, and overall functional recovery compared with routine training.

A pilot randomized trial examined rhythmic auditory stimulation-based gait training in older adults undergoing rehabilitation. The intervention significantly improved gait speed and demonstrated its feasibility as an effective rehabilitation strategy.

A randomized controlled trial evaluated the effects of Dynamic Neuromuscular Stabilization on functional movement. The results showed that DNS training produced significant improvements in movement quality and functional performance compared with conventional physical fitness exercises.

Вмешательства

• Другое Dynamic Neuromuscular Stabilization with Rhythmic Auditory Stimulation
  The intervention was progressively advanced over six weeks. Baseline treatment included warm-up exercises, stretching, and basic balance training with rhythmic auditory cues. During Week 2, participants performed DNS breathing and core stabilization exercises, proprioceptive training, and Theraband ankle strengthening. In Week 4, advanced DNS postures, dynamic balance, and functional movement exercises were introduced with increased rhythmic cueing. By Week 6, participants progressed to advanced
• Другое Dynamic Neuromuscular Stabilization Alone
  The intervention was progressively advanced over six weeks. Baseline treatment included warm-up exercises, stretching, and basic balance training. During Week 2, participants performed DNS breathing and core stabilization exercises, proprioceptive training, and Theraband ankle strengthening. In Week 4, advanced DNS postures, dynamic balance, and functional movement exercises were introduced. By Week 6, participants progressed to advanced DNS exercises, unilateral balance and hopping drills, agil

Первичные конечные точки

• Joint Position Sense Test [Срок оценки: 6 weeks]
• Star Excursion Balance Test [Срок оценки: 6 weeks]
• Sports Ankle Rating Scale (SARS) [Срок оценки: 6 weeks]

Критерии участия

Критерии включения

• Age 18-30 years
• Both male and female genders
• Diagnosed with Grade I or II lateral ankle sprain (subacute to chronic phase)
• Within 2-8 weeks post-injury

Критерии исключения

• History of ankle surgery
• Vestibular, neurological, or hearing disorders
• Acute pain prevents participation
• Current involvement in other rehab programs
• Any fracture or other injury
• Any systemic illness
• Any inflammatory disease (Rheumatoid arthritis, gout)

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Sports Board of Punjab — Lahore

Публикации

• Igusa T, Kobayashi T, Uchida H, Tsuchiya K, Akiba T, Sema S, Kaneko S, Yoshita T, Nagai S, Tanaka Y, Kikuchi S, Hirao K. Effect of gait training using rhythmic auditory stimulation on gait speed in older adults admitted to convalescent rehabilitation wards: A study protocol for a pilot randomized controlled clinical trial. Contemp Clin Trials Commun. 2023 Apr 1;33:101125. doi: 10.1016/j.conctc.202 PMID 37091510
• Karami M, Jamehbozorgi A, Salemi P, Rezaei M. The Effect of 6 Weeks Neuromuscular Training On Muscle Strength, Balance, Range of Motion & Proprioception In Males With Lateral Ankle Sprain. Journal of Modern Rehabilitation. 2025.
• Yesilkir S, Sahin GE. Dynamic neuromuscular stabilization training for chronic ankle instability: A randomized controlled trial in amateur athletes. J Back Musculoskelet Rehabil. 2026 Jul;39(4):1157-1169. doi: 10.1177/10538127251338170. Epub 2025 May 11. PMID 40350619
• Meng L, Wang Y, Wang Z, Liu Y, Tan Y, Zhang Y, Wei X, Mao X, Zhang Q. Effects of auditory rhythmic adaptation on lower limb joint mechanics during single-leg drop landings in individuals with functional ankle instability. Front Hum Neurosci. 2025 Jul 2;19:1579260. doi: 10.3389/fnhum.2025.1579260. eCollection 2025. PMID 40672743
• Mansouri M, Saki F. The Effectiveness of Neuromuscular Training With and Without Cognitive Intervention on Dynamic Balance and Proprioception of Female Athletes Prone to Ankle Sprain Injury: A Randomized Control Trial.
• Kim KM, Kim JS, Needle AR. Soleus arthrogenic muscle inhibition following acute lateral ankle sprain correlates with symptoms and ankle disability but not with postural control. J Sport Health Sci. 2024 Jul;13(4):559-568. doi: 10.1016/j.jshs.2024.02.005. Epub 2024 Feb 28. PMID 38428732
• Mansur H, Durigan JLQ, Contessoto S, Maranho DA, Nogueira-Barbosa MH. Evaluation of the Healing Status of Lateral Ankle Ligaments 6 Weeks After an Acute Ankle Sprain. J Foot Ankle Surg. 2024 Nov-Dec;63(6):637-645. doi: 10.1053/j.jfas.2024.07.004. Epub 2024 Jul 25. PMID 39067610
• Taketomi S, Kawaguchi K, Mizutani Y, Takei S, Yamagami R, Kono K, Murakami R, Kage T, Arakawa T, Fujiwara S, Tanaka S, Ogata T. Factors Associated With a Lateral Ankle Sprain in Young Female Soccer Players: A Prospective Cohort Study. Orthop J Sports Med. 2024 Feb 26;12(2):23259671231221481. doi: 10.1177/23259671231221481. eCollection 2024 Feb. PMID 38410169

Идентификаторы

NCT: NCT07726810 · REC/RCR & AHS/25/0441

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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