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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 
 
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  
Name  Address 
NIL  NIL 
 
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 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
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  
 
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). 
 
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.

 
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