NCT07255625

Brief Summary

Effect of Stroboscopic Balance Training on Chronic Ankle Instability in Volleyball Players

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
24

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Dec 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 20, 2025

Completed
11 days until next milestone

First Posted

Study publicly available on registry

December 1, 2025

Completed
19 days until next milestone

Study Start

First participant enrolled

December 20, 2025

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 20, 2026

Completed
9 days until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2026

Completed
Last Updated

March 3, 2026

Status Verified

March 1, 2026

Enrollment Period

2 months

First QC Date

November 20, 2025

Last Update Submit

March 1, 2026

Conditions

Keywords

chronic ankle instabilitystroboscopic glassesbalance trainingvolleyball athletes

Outcome Measures

Primary Outcomes (2)

  • Dynamic Balance Assessments

    Y Balance Test

    From enrollment to the end of treatment at 8 weeks

  • Dynamic Balance Assessments

    Performanze Balance System

    From enrollment to the end of treatment at 8 weeks

Secondary Outcomes (5)

  • Vertical Jump Test

    From enrollment to the end of treatment at 8 weeks

  • Single Leg Hop Test

    From enrollment to the end of treatment at 8 weeks

  • Active Joint Position Sense

    From enrollment to the end of treatment at 8 weeks

  • Functional Assessments - Foot and Ankle Ability Measure-Sports Subscale (FAAM-Sport)

    From enrollment to the end of treatment at 8 weeks

  • Functional Assessments - Cumberland Ankle Instability Tool

    From enrollment to the end of treatment at 8 weeks

Study Arms (2)

Stroboscopic Glassess Group

EXPERIMENTAL

The athletes assigned to Group A underwent an eight-week balance training program using stroboscopic glasses, conducted twice a week under the supervision of a physiotherapist.

Device: Balance training with stroboscopic glasses

Control Group

ACTIVE COMPARATOR

The athletes assigned to Group B underwent an eight-week traditional balance training program, conducted twice a week under the supervision of a physiotherapist.

Other: Traditional Balance Training

Interventions

The intervention consisted of a supervised, multi-modal balance training program targeting differentaspects of static and dynamic balance for participants with chronic ankle instability. The program included six progressively challenging exercises, administered under the supervision of a physiotherapist. Each session lasted approximately 20 minutes, and participants completed two sessions per week for eight weeks. The training was conducted indoors, barefoot, in small groups, with exercises performed in two sets, including 30-second rests between exercises and 2-minute rests between sets. Progression was implemented according to participants' performance throughout the program.

Control Group

Participants in Group A completed a supervised, multi-modal balance training program while wearing Senaptec stroboscopic glasses (Beaverton, Oregon), set to a duty cycle of 100 ms transparent followed by 150 ms opaque. The glasses use liquid crystal lenses that alternate between clear and nearly opaque states when electrically activated and can operate in both binocular and monocular modes, with settings adjustable via a Bluetooth application. The program, targeting static and dynamic balance in individuals with chronic ankle instability, consisted of six progressively challenging exercises performed indoors, barefoot, in small groups, lasting approximately 20 minutes per session, twice weekly for eight weeks. Exercises were completed in two sets with 30-second rests between exercises and 2-minute rests between sets, and progression was adjusted based on participant performance.

Stroboscopic Glassess Group

Eligibility Criteria

Age16 Years - 26 Years
Sexfemale
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Were professional female volleyball players.
  • Had a history of at least two episodes of pain and swelling in the same ankle.
  • Experienced at least one ankle sprain within the last six months.
  • Exhibited persistent symptoms during functional activities and were free from symptoms related to any previous lower-extremity injuries.
  • Reported a feeling of instability in the ankle joint.
  • Had no other lower-extremity musculoskeletal injuries in the past six months.

You may not qualify if:

  • Reported any vestibular or balance-related dysfunction.
  • Had any systemic disease.
  • Experienced an acute ankle sprain within the past six weeks.
  • Had a history of fractures in the lower extremities.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Biruni University

Fatih, İ̇stanbul, Turkey (Türkiye)

Location

Related Publications (19)

  • Anaforoglu Kulunkoglu B, Celik D. Reliability and Validity of the Turkish Version of Foot and Ankle Ability Measure for Patients With Chronic Ankle Disability. J Foot Ankle Surg. 2019 Jan;58(1):38-41. doi: 10.1053/j.jfas.2018.07.007. Epub 2018 Nov 15.

  • Goble DJ. Proprioceptive acuity assessment via joint position matching: from basic science to general practice. Phys Ther. 2010 Aug;90(8):1176-84. doi: 10.2522/ptj.20090399. Epub 2010 Jun 3.

  • Carcia CR, Martin RL, Drouin JM. Validity of the Foot and Ankle Ability Measure in athletes with chronic ankle instability. J Athl Train. 2008 Apr-Jun;43(2):179-83. doi: 10.4085/1062-6050-43.2.179.

  • Haynes T, Bishop C, Antrobus M, Brazier J. The validity and reliability of the My Jump 2 app for measuring the reactive strength index and drop jump performance. J Sports Med Phys Fitness. 2019 Feb;59(2):253-258. doi: 10.23736/S0022-4707.18.08195-1. Epub 2018 Mar 27.

  • Shaffer SW, Teyhen DS, Lorenson CL, Warren RL, Koreerat CM, Straseske CA, Childs JD. Y-balance test: a reliability study involving multiple raters. Mil Med. 2013 Nov;178(11):1264-70. doi: 10.7205/MILMED-D-13-00222.

  • Powden CJ, Hoch JM, Jamali BE, Hoch MC. A 4-Week Multimodal Intervention for Individuals With Chronic Ankle Instability: Examination of Disease-Oriented and Patient-Oriented Outcomes. J Athl Train. 2019 Apr;54(4):384-396. doi: 10.4085/1062-6050-344-17. Epub 2018 Dec 27.

  • Gribble PA, Delahunt E, Bleakley CM, Caulfield B, Docherty CL, Fong DT, Fourchet F, Hertel J, Hiller CE, Kaminski TW, McKeon PO, Refshauge KM, van der Wees P, Vicenzino W, Wikstrom EA. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. J Athl Train. 2014 Jan-Feb;49(1):121-7. doi: 10.4085/1062-6050-49.1.14. Epub 2013 Dec 30.

  • Lee H, Han S, Hopkins JT. Altered Visual Reliance Induced by Stroboscopic Glasses during Postural Control. Int J Environ Res Public Health. 2022 Feb 12;19(4):2076. doi: 10.3390/ijerph19042076.

  • Kim KM, Estudillo-Martinez MD, Castellote-Caballero Y, Estepa-Gallego A, Cruz-Diaz D. Short-Term Effects of Balance Training with Stroboscopic Vision for Patients with Chronic Ankle Instability: A Single-Blinded Randomized Controlled Trial. Int J Environ Res Public Health. 2021 May 18;18(10):5364. doi: 10.3390/ijerph18105364.

  • Clark JF, Ellis JK, Bench J, Khoury J, Graman P. High-performance vision training improves batting statistics for University of Cincinnati baseball players. PLoS One. 2012;7(1):e29109. doi: 10.1371/journal.pone.0029109. Epub 2012 Jan 19.

  • Kim KM, Kim JS, Grooms DR. Stroboscopic Vision to Induce Sensory Reweighting During Postural Control. J Sport Rehabil. 2017 Sep 1;26(5). doi: 10.1123/jsr.2017-0035. Epub 2017 Jun 12.

  • Hertel J. Sensorimotor deficits with ankle sprains and chronic ankle instability. Clin Sports Med. 2008 Jul;27(3):353-70, vii. doi: 10.1016/j.csm.2008.03.006.

  • Song K, Rhodes E, Wikstrom EA. Balance Training Does Not Alter Reliance on Visual Information during Static Stance in Those with Chronic Ankle Instability: A Systematic Review with Meta-Analysis. Sports Med. 2018 Apr;48(4):893-905. doi: 10.1007/s40279-017-0850-8.

  • Song K, Burcal CJ, Hertel J, Wikstrom EA. Increased Visual Use in Chronic Ankle Instability: A Meta-analysis. Med Sci Sports Exerc. 2016 Oct;48(10):2046-56. doi: 10.1249/MSS.0000000000000992.

  • Molla-Casanova S, Ingles M, Serra-Ano P. Effects of balance training on functionality, ankle instability, and dynamic balance outcomes in people with chronic ankle instability: Systematic review and meta-analysis. Clin Rehabil. 2021 Dec;35(12):1694-1709. doi: 10.1177/02692155211022009. Epub 2021 May 31.

  • Hertel J. Functional instability following lateral ankle sprain. Sports Med. 2000 May;29(5):361-71. doi: 10.2165/00007256-200029050-00005.

  • Verhagen EA, Van der Beek AJ, Bouter LM, Bahr RM, Van Mechelen W. A one season prospective cohort study of volleyball injuries. Br J Sports Med. 2004 Aug;38(4):477-81. doi: 10.1136/bjsm.2003.005785.

  • Fong DT, Hong Y, Chan LK, Yung PS, Chan KM. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007;37(1):73-94. doi: 10.2165/00007256-200737010-00006.

  • Chinn L, Hertel J. Rehabilitation of ankle and foot injuries in athletes. Clin Sports Med. 2010 Jan;29(1):157-67, table of contents. doi: 10.1016/j.csm.2009.09.006.

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Asistant professor

Study Record Dates

First Submitted

November 20, 2025

First Posted

December 1, 2025

Study Start

December 20, 2025

Primary Completion

February 20, 2026

Study Completion

March 1, 2026

Last Updated

March 3, 2026

Record last verified: 2026-03

Locations