Impact of Instability Training on Vestibular Dysfunction in Postconcussion Combat Athletes

NCT07729761 | Completed

• 1 other identifier: REC/MS-PT/01830
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

We are conducting RCT study on concussion on combat sports athlete and there is high incidence of on concussion in this sports and we will find the association between concussion and vestibular impairment and then we will apply intervention (instabiliy training) to find the results

Conditions

Concussion, Mild

Keywords

Vestibular impairment; instability training; Combat athlete; Concussion

Outcome Measures

Primary Outcomes (1)

• Sports Concussion Office Assessment Tool

  14 item scale use for diagnose , evaluate and for treatment purposes The SCOAT6 score is derived from the athlete's performance across these domains. Each component has specific criteria for correct responses or performance, and the total score reflects the overall level of impairment: Higher scores generally indicate better cognitive and physical function and fewer symptoms. Lower scores suggest more severe concussion effects or slower recovery.

  4th week

Secondary Outcomes (1)

• CANTU

  1st week

Study Arms (2)

Traditional Physical therapy

ACTIVE COMPARATOR

Cone exercise. b) Advanced cone exercise. c) Circle of cones. d) Cut-backs. e) Shooting from a square pass. f) One-touch shooting. g) Three goal drill. h) Lay-offs, turns, and chest control. 4 units weekly for 4 weeks

Other: Traditional Physical therapy

Instability training

EXPERIMENTAL

Four units weekly, Time of the one exercise 30seconds with resting interval of 30 seconds between two exercises i.e. the whole unit takes 270 seconds and takes rest 135 seconds between exercises groups, Balance on the ball for 1-2 minutes,) Ground Control Drills 3 rounds of 2-3 minutes each. Sports specific instability training: Shadowboxing

Other: Instability training

Interventions

Traditional Physical therapy OTHER

Cone exercise. b) Advanced cone exercise. c) Circle of cones. d) Cut-backs. e) Shooting from a square pass. f) One-touch shooting. g) Three goal drill. h) Lay-offs, turns, and chest control. 4 units weekly for 4 weeks

Traditional Physical therapy

Instability training OTHER

four units weekly, Time of the one exercise 30seconds with resting interval of 30 seconds between two exercises i.e. the whole unit takes 270 seconds and takes rest 135 seconds between exercises groups, Balance on the ball for 1-2 minutes,) Ground Control Drills 3 rounds of 2-3 minutes each. Sports specific instability training: Shadowboxing

Instability training

Eligibility Criteria

• Age: 18 Years - 36 Years
• Gender Eligibility Details: There was less population of females in combat sports in my area
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Active Male Combat sports player.
• Age between 18-25 years.
• Athletes who had a hit on jaw, neck, head and had symptom of concussion discussed under heading of Introduction.
• Athlete who had history of concussion between 3-30 days.
• Mild concussion according to CANTU

You may not qualify if:

• Concussion other than sports.
• History of metabolic diseases.
• History of recent fractures

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

KAK'S Fight club

Rawalpindi, Punjab Province, 46000, Pakistan

Location

Related Publications (10)

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  PMID: 12937501 BACKGROUND

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  PMID: 21074079 BACKGROUND

• Pertab JL, Merkley TL, Cramond AJ, Cramond K, Paxton H, Wu T. Concussion and the autonomic nervous system: An introduction to the field and the results of a systematic review. NeuroRehabilitation. 2018;42(4):397-427. doi: 10.3233/NRE-172298.

  PMID: 29660949 BACKGROUND

• Christy JB, Cochrane GD, Almutairi A, Busettini C, Swanson MW, Weise KK. Peripheral Vestibular and Balance Function in Athletes With and Without Concussion. J Neurol Phys Ther. 2019 Jul;43(3):153-159. doi: 10.1097/NPT.0000000000000280.

  PMID: 31205229 BACKGROUND

• Schneider KJ, Leddy JJ, Guskiewicz KM, Seifert T, McCrea M, Silverberg ND, Feddermann-Demont N, Iverson GL, Hayden A, Makdissi M. Rest and treatment/rehabilitation following sport-related concussion: a systematic review. Br J Sports Med. 2017 Jun;51(12):930-934. doi: 10.1136/bjsports-2016-097475. Epub 2017 Mar 24.

  PMID: 28341726 BACKGROUND

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  PMID: 20940644 BACKGROUND

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  BACKGROUND

• Patricios JS, Davis GA, Ahmed OH, Blauwet C, Schneider GM, Purcell LK, Echemendia RJ, Fremont P, Fuller GW, Herring SA, Harmon KG, Loosemore M, Makdissi M, O'Halloran P, Putukian M, Turner M, Webborn N, Yeates KO, van Ierssel J, Schneider KJ. Introducing the Sport Concussion Office Assessment Tool 6 (SCOAT6). Br J Sports Med. 2023 Jun;57(11):648-650. doi: 10.1136/bjsports-2023-106860. No abstract available.

  PMID: 37316211 BACKGROUND

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  PMID: 21288984 BACKGROUND

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  PMID: 16331164 BACKGROUND

MeSH Terms

Conditions

Brain Concussion

Condition Hierarchy (Ancestors)

Brain Injuries, Traumatic; Brain Injuries; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Craniocerebral Trauma; Trauma, Nervous System; Head Injuries, Closed; Wounds and Injuries; Wounds, Nonpenetrating

Study Officials

• Osama Faisal, MS*SPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 17, 2024
• First Posted: July 28, 2026
• Study Start: October 23, 2023
• Primary Completion: February 5, 2024
• Study Completion: June 2, 2024
• Last Updated: July 28, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)