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NCT Number: NCT07726810

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

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.

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Key information

Conditions

Ankle Sprain Ankle Injuries Balance Dynamic Neuromuscular Stabilization (DNS) Lateral Ankle Instability Lateral Ankle Sprain Leg Injuries Proprioception Wounds and Injuries

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sports Board of Punjab

Lahore, Punjab Province, 54000, Pakistan

Location status: Recruiting

Location contact

Sidra Shafique, MS

CONTACT

[email protected]

03053783183

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

Exclusion criteria

  • 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)

Treatment and study plan

Dynamic Neuromuscular Stabilization with Rhythmic Auditory Stimulation

Other

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 DNS exercises, unilateral balance and hopping drills, agility training, and badminton-specific movements synchronized with rhythmic auditory stimulation to enhance neuromuscular control and functional performance.

Other names: DNS, RAS

Dynamic Neuromuscular Stabilization Alone

Other

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, agility training, and badminton-specific movements to enhance neuromuscular control, balance, and functional performance.

Other names: DNS

Primary outcomes

  1. Joint Position Sense Test

    Time frame: 6 weeks

    JPS evaluates proprioception by measuring a subject's ability to actively or passively reproduce a joint angle without visual input. It has shown moderate to high reliability (ICC = 0.70-0.93) and is a valid measure of sensorimotor deficits following lateral ankle injuries. Pre and post assessment will be done.

  2. Star Excursion Balance Test

    Time frame: 6 weeks

    The SEBT is a dynamic balance test that assesses neuromuscular control and postural stability during multi-directional reaching tasks while standing on one leg. It demonstrates high reliability (ICC = 0.85-0.96) and good validity in identifying lower limb deficits, especially following ankle sprains and in athletic populations. Pre and post assessment will be done.

  3. Sports Ankle Rating Scale (SARS)

    Time frame: 6 weeks

    The SARS is a subjective questionnaire designed to assess functional limitations, pain, and instability related to ankle injuries in athletic populations. It demonstrates good reliability (Cronbach's alpha > 0.80) and acceptable validity when compared with clinical outcomes. The scale includes sections on pain, function during sports, and instability episodes to provide a comprehensive ankle health profile. Pre and post assessment will be done.

Study contacts

Contact information is provided by the study sponsor or research team.

Imran Amjad, PhD

CONTACT

[email protected]

03324390125

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

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

Acronym: DNS

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Jul 24, 2026
Registry last updated
Jul 24, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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