| CTRI Number |
CTRI/2025/04/084395 [Registered on: 08/04/2025] Trial Registered Prospectively |
| Last Modified On: |
07/04/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group, Multiple Arm Trial |
|
Public Title of Study
|
Effect of Combining Plyometric and Balance Training vs. Training program Along with Regular Physiotherapy on different parameters in Badminton Players with Ankle Instability: A Randomized Controlled Trial |
|
Scientific Title of Study
|
Effect of Combined Plyometrics and Balance Training Versus Eccentric Resistance Training in Adjunct to Conventional Physiotherapy Training on Vertical Jump , Sprint and Agility in Badminton Players with Functional Ankle Instability : A Randomized Controlled Trial. |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Monika Dhage |
| Designation |
Junior Resident |
| Affiliation |
Ravi Nair Physiotherapy College |
| Address |
Ravi Nair Physiotherapy College Datta Meghe Higher Education and Research Sawangi Wardha
Ravi Nair Physiotherapy College Datta Meghe Higher Education and Research Sawangi Wardha
Wardha
MAHARASHTRA
442001
India |
| Phone |
7709454636 |
| Fax |
|
| Email |
dhagemonik1205@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Swapnil Ramteke |
| Designation |
Professor |
| Affiliation |
Ravi Nair Physiotherapy College |
| Address |
Ravi Nair Physiotherapy College Datta Meghe Higher Education and Research Sawangi Wardha
Ravi Nair Physiotherapy College Datta Meghe Higher Education and Research Sawangi Wardha
Wardha
MAHARASHTRA
442001
India |
| Phone |
7619941787 |
| Fax |
|
| Email |
swapnil.ramteke@dmiher.edu.in |
|
Details of Contact Person
Public Query
|
| Name |
Monika Dhage |
| Designation |
Junior Resident |
| Affiliation |
Ravi Nair Physiotherapy College |
| Address |
Ravi Nair Physiotherapy College Datta Meghe Higher Education and Research Sawangi Wardha
Ravi Nair Physiotherapy College Datta Meghe Higher Education and Research Sawangi Wardha
Wardha
MAHARASHTRA
442001
India |
| Phone |
7709454636 |
| Fax |
|
| Email |
dhagemonik1205@gmail.com |
|
|
Source of Monetary or Material Support
|
| Ravi Nair Physiotherapy College Datta Meghe Higher Education and Research, Sawangi Meghe Wardha 442001 Maharashtra India |
|
|
Primary Sponsor
|
| Name |
Ravi Nair Physiotherapy College |
| Address |
Ravi Nair Physiotherapy College Datta Meghe Higher Education and Research Sawangi Meghe Wardha india 442001 |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Monika Dhage |
Acharya Vinoba Bhave Rural Hospital, Sports OPD, Ravi Nair Physiotherapy College |
Department of Sports Physiotherapy, Ravi Nair Physiotherapy College DMIHER, Sawangi (Meghe) Wardha 442001 Maharashtra India
Wardha
MAHARASHTRA |
7709454636
dhagemonik1205@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| DATTA MEGHE INSTITUTE OF HIGHER EDUCATION & RESEARCH [DEEMED to be UNIVERSITY | Formerly known as Datta Meghe Institute of Medical Sciences (Deemed To Be University) |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M959||Acquired deformity of musculoskeletal system, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
combined plyometrics and, balance training And Conventional
physiotherapy for 6 weeks |
the training programs for the balance and plyometric in adjunct to conventional
physiotherapy for three groups. three groups were trained for 3 days/week over 6 weeks. The
total training time for each session was 20 minutes. To prevent injury and to prepare the
participants promptly for the exercises, both groups performed the same warm-up and cool
down. Each week contained 4 types of exercises, and the difficulty level of the exercises
progressed over the weeks. |
| Intervention |
combined plyometrics and balance training with eccentric
resistance training and conventional physiotherapy training for 6 weeks |
in group b training program for combined plyometrics with balance and eccentric
resistance training was given. The procedures were based on a 6-week resistance band protocol.
Participants were instructed to use only the involved ankle joint and to maintain a consistent
pace of approximately 3 to 5 seconds per repetition throughout the full range of motion. Each
week, participants progressed by increasing the number of sets, band resistance. |
| Comparator Agent |
conventional physiotherapy training for 6 weeks |
The routine rehabilitation training consisted of warm-up activities, resistance training
exercises, and muscle stretching and relaxation. Training was performed once a day, and each
training session was performed on alternate days. The warm-up activities lasted five minutes
each and consisted of active joint movements. Resistance training was assisted by elastic bands,
and under the guidance of the therapist, resistance training was performed in each direction of
ankle plantarflexion, ankle dorsiflexion, ankle inversion, ankle eversion, etc., with 10 times in
each direction as one group, making a total of three groups. Muscle stretching and relaxation
was performed after each training session, in the form of passive stretching of ankle
plantarflexion, ankle dorsiflexion, ankle inversion and ankle eversion muscle groups for 30 s
each time, a total of three groups. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
30.00 Year(s) |
| Gender |
Both |
| Details |
(1) Between the ages of 18 to 30
(2) history of at least 1 ankle sprain (excluding sprains within 3 months)
(3) Regular participation in badminton.
(4) Badminton players with clinically diagnosed ankle instability.
(5) on functional ankle instability questionnaire (Total score of 11 or higher
=participant is likely to have FAI) |
|
| ExclusionCriteria |
| Details |
1)History of significant lower limb injury, other conditions like fracture or surgeries
other than ankle instability.
2. Presence of neurological conditions affecting balance.
3. Any medical or musculoskeletal condition that may interfere with the study
outcomes.
4. Patients who is not willing to take rehabilitation.
5. patients with acute ankle sprain. |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| The identification of Functional ankle instability questionnaire (IdFAI) |
baseline and 6th week |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Sarjent jump test |
baseline and at 6th week |
| 15m sprint test |
baseline and 6th week |
| Y agility test |
baseline and 6th week |
|
|
Target Sample Size
|
Total Sample Size="30"
Sample Size from India="30"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
30/04/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
30/04/2025 |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1"
Months="0"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
1. Prevalence and Impact: Acute lateral ankle sprains are a commonly incurred injury by individuals who partake in field, court, sports. 10-61% of badminton injuries were ankle sprains. In the longer term, lateral ankle sprains lead to chronic ankle instability. The persistent recurrence highlights the need for more effective interventions, especially in populations of high-demand athletes.
2.Available solution plyometric training was an effective program for enhancing static and dynamic balance and increasing ankle joint stability among individuals with Functional ankle instability FAI. Restoring dynamic balance is also crucial for returning to regular activities after an ankle instability. Balance training could improve the dynamics of balance as demonstrated by the improved reach distances in the anterior, posteromedial, and posterolateral directions after 6 weeks of training. Dynamic support through eccentric muscle actions provided from both the peroneal and tibialis anterior muscles is one of the key components in the prevention of a lateral ankle sprain when the ankle is forced into plantar flexion/inversion. Therefore, eccentric strengthening exercises of the ankle evertors and even the dorsiflexors seem to be important to be able to resist an inversion sprain.
3 Limitations: The researchers identified as knowledge gap In study about, combination between plyometric and balance training programs and other types of training such as power, strength, or endurance exercise were not included so it is a need to be explored. Another limitation in study was Strength-training and multicomponent rehabilitation studies should continue to use clinically applicable dependent variables to improve rehabilitation protocols and better serve the patient and clinician. The study aims to address a critical need in understanding the impact of plyometric training and balance training versus eccentric exercise training in adjunct to conventional physiotherapy for ankle instability in badminton athletes. The research is crucial for enhancing rehabilitation strategies, training protocols and ultimately improving performance and injury prevention strategies for badminton players who faces challenges related to ankle instability. |