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NCT Number: NCT07590674

Effect of Reactive Balance Training Versus Conventional Balance Training on Dynamic Stability and Change-of-Direction Performance in Competitive Tennis Players

This randomized controlled trial aims to compare the effectiveness of reactive balance training versus conventional balance training on dynamic stability and change of direction performance. Participants will be randomly allocated into two groups. Each group will receive its respective intervention over a 6-week period. Outcome measures, including dynamic stability assessed by the Y-Balance Test and change-of-direction performance measured using the 505 Agility Test, will be evaluated at baseline and after the intervention. The study is designed to determine which training approach is more effective in improving balance and functional performance.

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Key information

Age range

18 year–25 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

About this study

This study is a randomized controlled trial comparing two balance training interventions in competitive tennis players. Participants will be randomly assigned to either a reactive balance training group or a conventional balance training group. Both groups will undergo a supervised training program for 6 weeks, with three sessions per week. Each session will include a warm-up, a structured balance training program, and a cool-down phase. The reactive balance training group will perform exercises involving external perturbations, unpredictable stimuli, and sport-specific reactive movements such as sudden directional changes, partner-induced disturbances, and dual-task activities. The conventional balance training group will perform static and controlled balance exercises, including single-leg stance, balance board activities, and slow, predictable movements without external perturbations. Training intensity and duration will be standardized across both groups. Pre- and post-intervention assessments will be conducted to evaluate changes in dynamic stability and change-of-direction performance.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Male and female competitive tennis players aged 18-25 years.
  • Minimum 2 years of regular tennis training experience.
  • Currently training at least 3 sessions per week (minimum 60 minutes per session).

Exclusion criteria

  • Recent injury (last 3 months)
  • Neurological, balance or vestibular disorders
  • Previous surgery
  • Participation in any structured balance, neuromuscular, plyometric, or agility training program outside regular tennis practice during the study period.
  • Use of ankle/knee braces or orthotic devices that may influence balance performance.

Treatment and study plan

Experimental group : Reactive Balance Training

Other

Participants will receive a structured reactive balance training program based on unpredictable perturbation-based exercises requiring rapid postural correction. The intervention will be conducted for 6 weeks (3 sessions/week) and will follow a progressive protocol.

Active comparator ( Conventional Balance Training)

Other

Participants will receive a structured conventional balance training program based on static and controlled exercises without external perturbation, conducted for 6 weeks (3 sessions/week).

Primary outcomes

  1. Dynamic Stability

    Time frame: Baseline (Pre-intervention) and after 6 weeks (Post-intervention)

    Dynamic stability will be assessed using the Y-Balance Test (Lower Quarter), which measures reach distance in anterior, posteromedial, and posterolateral directions. The composite score (normalized to limb length) will be used to evaluate postural control and balance performance.

  2. Change of Direction Performance

    Time frame: Baseline (Pre-intervention) and after 6 weeks (Post-intervention)

    Change-of-direction ability will be assessed using the 505 Agility Test, which measures the time (in seconds) required to accelerate, change direction (180° turn), and return over a set distance. Lower time indicates better performance.

Study contacts

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

Hafsah Gul Khattak, DPT, MS-NMPT

CONTACT

[email protected]

+923125299816

Laiba Zia Laiba Zia, DPT, MSPT (SPORTS)

CONTACT

[email protected]

+92923125299816

Sponsors and collaborators

Lead sponsor

Ibadat International University, Islamabad

Other

Registry information

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
May 15, 2026
Registry last updated
Jun 26, 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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