Impact of Instability Training on Vestibular Dysfunction in Postconcussion Combat Athletes

July 27, 2026 updated by: Riphah International University

Effects of Instability Training on Vestibular Impairment in Post Concussion Combat Athletes

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

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Combat sports athletes frequently experience concussions due to the nature of their sport, leading to potential long-term consequences such as vestibular impairment. Vestibular dysfunction, characterized by dizziness, imbalance, and other symptoms, can significantly impact an athlete's performance and overall well-being. Despite its prevalence, there's a need to better understand the association between concussion and vestibular impairment in this population.

This study aims to investigate the relationship between concussion and vestibular impairment in combat sports athletes. Additionally, we seek to assess the effectiveness of instability training as an intervention to mitigate vestibular dysfunction post-concussion.

Study Type

Interventional

Enrollment (Actual)

36

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Pakistan
    • Punjab Province
      • Rawalpindi, Punjab Province, Pakistan, 46000
        • KAK'S Fight club

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • 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

Exclusion Criteria:

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Traditional Physical therapy
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
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
Experimental: Instability training
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
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

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Sports Concussion Office Assessment Tool
Time Frame: 4th week

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 Outcome Measures

Outcome Measure
Measure Description
Time Frame
CANTU
Time Frame: 1st week
The Cantu Scale for Concussion is a tool used to assess the severity of a concussion and guide return-to-play decisions in athletes. It was developed by Dr. Robert Cantu, a renowned expert in sports-related head injuries. The scale takes into account various factors such as symptoms, duration of unconsciousness (if any), and post-traumatic amnesia to assign a numerical value Grade 1 ,mild Grade 2 moderate Grade3 severe
1st week

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Osama Faisal, MS*SPT, Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 23, 2023

Primary Completion (Actual)

February 5, 2024

Study Completion (Actual)

June 2, 2024

Study Registration Dates

First Submitted

March 17, 2024

First Submitted That Met QC Criteria

July 27, 2026

First Posted (Actual)

July 28, 2026

Study Record Updates

Last Update Posted (Actual)

July 28, 2026

Last Update Submitted That Met QC Criteria

July 27, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/MS-PT/01830

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Subscribe