| CTRI Number |
CTRI/2025/08/092887 [Registered on: 12/08/2025] Trial Registered Prospectively |
| Last Modified On: |
11/08/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
Brain Body Training to improve cognition ,dynamic posture control and ankle stability in karate athletes
|
|
Scientific Title of Study
|
Effect of Neurocognitive demand exercise on dynamic postural control and ankle stability in adolescent karate athletes :
A randomised 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 |
Dr Neha Baidyanath Singh |
| Designation |
Resident |
| Affiliation |
Dr. D Y PATIL COLLEGE OF PHYSIOTHERAPY |
| Address |
Dr DY Patil College Of Physiotherapy,Third Floor kinesiology Department, Sant Tukaram Nagar, Pimpri Colony, Pimpri-Chinchwad, Maharashtra 411018
Pune MAHARASHTRA 411018 India |
| Phone |
08767059988 |
| Fax |
|
| Email |
nehaoct2015@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Divya Gohil |
| Designation |
Associate Professor |
| Affiliation |
Dr. D Y PATIL COLLEGE OF PHYSIOTHERAPY |
| Address |
Dr DY Patil College Of Physiotherapy,Third Floor kinesiology Department, Sant Tukaram Nagar, Pimpri Colony, Pimpri-Chinchwad, Maharashtra 411018
Pune MAHARASHTRA 411018 India |
| Phone |
9429078220 |
| Fax |
|
| Email |
divya.gohil@dpu.edu.in |
|
Details of Contact Person Public Query
|
| Name |
Dr Divya Gohil |
| Designation |
Associate Professor |
| Affiliation |
Dr. D Y PATIL COLLEGE OF PHYSIOTHERAPY |
| Address |
Dr DY Patil College Of Physiotherapy,Third Floor kinesiology Department, Sant Tukaram Nagar, Pimpri Colony, Pimpri-Chinchwad, Maharashtra 411018
Pune MAHARASHTRA 411018 India |
| Phone |
9429078220 |
| Fax |
|
| Email |
divya.gohil@dpu.edu.in |
|
|
Source of Monetary or Material Support
|
| Dr D Y PATIL COLLEGE OF PHYSIOTHERAPY, 190, Dr DY Patil College Rd, Sant Tukaram Nagar, Pimpri Colony, Pimpri-Chinchwad, Maharashtra, India 411018 |
|
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Primary Sponsor
|
| Name |
Dr D Y PATIL COLLEGE OF PHYSIOTHERAPY |
| Address |
Dr DY Patil College Of Physiotherapy, Sant Tukaram Nagar, Pimpri Colony, Pimpri-Chinchwad, Maharashtra 411018 |
| 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 |
| Dr Divya Gohil |
Dr. D Y PATIL COLLEGE OF PHYSIOTHERAPY |
190,Third Floor kinesiology Department, Sant Tukaram Nagar, Pimpri Colony, Pimpri-Chinchwad, Maharashtra,India 411018 Pune MAHARASHTRA |
09429078220
divya.gohil@dpu.edu.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| The Institutional Ethics committee of Dr. D. Y. Patil College of Physiotherapy, Pune. |
Approved |
|
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Regulatory Clearance Status from DCGI
|
|
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Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
Healthy Individuals |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Karate Traditional Exercise |
COMPARATOR Day 1 Basics + Kicks 1.Neck Rotation 10 rep 2. Shoulder Circles 10 reps 3. Arm Cross Swings 20 sec 4.Side Sit-Up 15 reps 5.Push-Ups 15 reps 6.Jumping Jacks 30 sec 7.Leg Swings 10 each 8.Forearm Balance 30 sec 9.Gedan Barai 15 each side 10.Jodan Uke 15 each side 11.Chudan Zuki 15 reps 12. Mae Geri 10 each leg 13. Yoko Geri 10 each leg 14. Mawashi Geri 10 each leg 15. Footwork Drill 5 rounds 16. Partner Target 2 min 17.Butterfly Stretch 30 sec 18. Hamstring Stretch 30 sec 19. Hip Flexor Stretch 30 sec/leg 20.Breathing + Mokuso 2 min Day 2 Blocks, Punches & Combos 1. Neck Side-to-Side + Circles 10 reps 2.Shoulder Shrugs + Arm Rolls 10 each 3.Side Press Stretch 10 each side 4. Mya Grip Drill 20 reps 5.Squat Jumps 10 reps 6. Hand Rolling 10 reps 7.Jodan Zuki + Gyaku Zuki Combo 10 rounds 8. Shuto Uke 10 each sidw 9.Empi Uchi 10 each side10.Uraken Uchi 10 each side 11.Ura Mawashi Geri 10 each leg12. Kumite Footwork Drill 5 rounds 13. Reaction Blocking Drill 2 min rounds 14. Cat-Cow Stretch 30 sec 15.Triceps and Shoulder Stretch 30 sec each 16. Standing Toe Touch 30 sec 17. Seiza + Deep Breathing 2 min Day 3 Defensive Stances + Strikes 1. Neck Rotation 10 reps 2. Side Sit-Up 15 reps 3. Arm Crosses + Rolling 20 sec 4. Lunge with Twist 10 each side 5. Plank with Shoulder Tap 10 taps each 6. Mya Grip Tug Game 30 sec rounds 7.Defensive Stance Shifts 10 rounds 8. Sanchin Dachi walk2x 5m 9. Haito Uchi 10 each side 10. Hiza Geri (Knee Kick) 10 each leg 11. Palm Heel Strike 10 each side 12.Instep Kick 10 each leg 13. Combination Drill 5 rounds 14..Kata Practice – Taikyoku/Heian Shodan2 runs 15.Quad Stretch 30 sec/leg 16. Arm Across Shoulder Stretch 20 sec/arm 17. Forward Fold Stretch 30 sec 18. Meditation and Breath Control2 min
|
| Intervention |
Neurocognitive Exercise |
INTERVENTION - WEEK 1
Frequency: 3 sessions/week
Duration: 30 minutes/session Neuromech Drills:
1.Uni Balance Catch Flo – Ball catch and throw while on single-leg stance 2 rounds × 10 reps per side
2. Alt Tap Reach Sync – Single-leg balance cone tap with upper limb, alternating between floor and elevated cone of the same color
2 rounds × 10 reps per side
WEEK 2 –
Frequency: 3 sessions/week
Duration: 30 minutes/session
Neuromech Drills:
1.Trunk Twist Solo Hold – Single-leg stance with trunk rotational movement
2 rounds × 10 reps per side
2.Neuro Grid Sweep Drill – Star directional reach (SEBT-inspired) on each leg
2 rounds × 10 reps per side
3.Hop Script Drills – Hop in the shape of three different letters forward and backward on one leg
2 rounds × 10 reps per side
WEEK 3 –
Frequency: 3 sessions/week
Duration: 30 minutes/session
Neuromech Drills:
1.Core Chop Balance Motion – Single-leg stance with diagonal chopping motion using a ball
2 rounds × 10 reps per side
2.Tri Tap Locomove – Single-leg three-direction foot tap: forward, lateral, and backward
2 rounds × 10 reps per side
3.Pass Link Stability Toss – Partner-based ball pass while maintaining single-leg stance
2 rounds × 10 reps per side
WEEK 4 –
Frequency: 3 sessions/week
Duration: 30 minutes/session
Neuromech Drills:
1.Neuro Grid Sweep Drill – Multidirectional SEBT-style reach on both legs
2 rounds × 10 reps per side
2.Hurd Leap Solo Vault – Hurdle jumps on one leg over 4 mini hurdles
5 leaps × per side
3.Alt Tap Reach Sync – Repeat Week 1’s drill with added challenge
2 rounds × 10 reps per side
|
|
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Inclusion Criteria
|
| Age From |
10.00 Year(s) |
| Age To |
16.00 Year(s) |
| Gender |
Both |
| Details |
Participants aged 10 to 16 years.
Must be actively participating in karate training. (Atleast 6. months of training)
Include participatns of all level in karate.
Parental or guardian consent for minors to participate in the study.
|
|
| ExclusionCriteria |
| Details |
History of ankle injuries, surgeries, or balance disorders in the past 3 months.
Neurological conditions affecting cognition or balance (screened via Stroop Word-Color Test).
Not actively training in karate or not meeting minimum class participation frequency.
Current orthopedic injuries affecting balance or lower limb function (screened via Single Leg Stand Test). |
|
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Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Centralized |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
Dynamic Postural Control
Neurocognitive Assessment Ankle Stability and Functional Performance Assesment. |
Baseline
After 4 week of Intervention |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| nil |
nil |
|
|
Target Sample Size
|
Total Sample Size="60" Sample Size from India="60"
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
|
Phase 1 |
|
Date of First Enrollment (India)
|
25/08/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| 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
|
INTRODUCTION Karate is a dynamic martial art that demands high physical and mental performance, especially in adolescent athletes who are still developing motor skills and cognitive functions like attention, decision-making, and memory. These neurocognitive processes are essential for controlling balance and preventing injuries, particularly in the ankle joint, which experiences significant strain during rapid movements and strikes. Research shows that ankle injuries are common in karate, with 86% of professional Iranian athletes reporting ankle injuries (Naserpour & Mirjani, 2019). Globally, ankle injuries account for up to 20% of injuries in Olympic-style karate competitions, highlighting the need for targeted prevention strategies. Ankle stability plays a crucial role in dynamic postural control—the ability to maintain balance during movement—which is essential for preventing sprains and ligament injuries in karate. Neurocognitive training, which combines cognitive tasks (e.g., decision-making and attention) with physical exercises (e.g., balancing or catching while moving), has shown dual benefits for cognitive and physical performance. For adolescent karate athletes, this dual-task training improves reaction times, enhances dynamic postural control, and strengthens ankle stability, reducing the risk of chronic ankle instability (CAI). Rehabilitation programs incorporating proprioception, strength, and balance exercises, such as the Star Excursion Balance Test (SEBT), are vital for restoring ankle function and optimizing athletic performance in karate.
NEED OF STUDY Current karate training focuses mainly on traditional kata movements, with little emphasis on joint and muscle strengthening or injury prevention. Previous studies often lacked adequate duration, primarily relying on one-day assessments or short protocols that included basic tests such as single-leg stands and sway assessments. Additionally, these investigations typically concentrated solely on cognitive and postural control, neglecting the incorporation of more comprehensive and dynamic intervention. There is need of neurocognitive exercise as karate is a reflex sport and both defensive and opponent player have to take sudden action without a pause. Neurocognitive exercise help athletes to challenge brain and train themselve like in a real life situation . In contrast, our study is designed to implement interventions which are both enjoyable and effective. |