Effect of Vestibular Rehabilitation on Gait, Balance, and Coordination in Post Concussion Combat Athletes
A tanulmány áttekintése
Állapot
Körülmények
Beavatkozás / kezelés
Részletes leírás
This randomized controlled trial aims to investigate the effect of vestibular rehabilitation on gait and balance in post-concussion combat athletes. Combat sport athletes, including those participating in boxing, mixed martial arts (MMA), taekwondo, judo, and similar disciplines, are at a heightened risk of sustaining concussions due to repetitive head impacts, rapid directional changes, and falls inherent to their sports. Although most athletes recover within a few weeks, a substantial proportion continue to experience persistent vestibular symptoms such as dizziness, postural instability, impaired gait, and balance deficits, which may adversely affect athletic performance, delay return to sport, and increase the risk of recurrent injury.
Despite growing evidence supporting vestibular rehabilitation in the general post-concussion population, there remains a paucity of sport-specific research focusing on combat athletes, whose functional demands and rehabilitation requirements differ considerably from those of non-athletic populations.
This study will recruit combat athletes aged 18-25 years with at least two years of training experience who have been diagnosed with mild traumatic brain injury within the previous six months and continue to exhibit post-concussion symptoms affecting gait and balance. Eligible participants who have been medically cleared by a physician or neurologist will undergo baseline assessments using the Cantu Concussion Grading Scale and the Sport Concussion Office Assessment Tool 6 (SCOAT6), followed by standardized evaluations of gait and balance.
Participants will then be randomly allocated to either the vestibular rehabilitation group or the control group. The intervention group will receive a structured vestibular rehabilitation program designed to improve vestibulo-ocular function, gaze stabilization, postural control, and balance, while the control group will receive conventional rehabilitation. Outcome measures will be reassessed at Week 8 using the same standardized assessment procedures to determine the effectiveness of the intervention.
It is hypothesized that vestibular rehabilitation will result in significant improvements in gait performance, balance, and post-concussion symptom severity among post-concussion combat athletes.
The findings of this study are expected to provide evidence for the development of targeted, sport-specific rehabilitation protocols, facilitate safer and more efficient return-to-play decisions, reduce the risk of recurrent injury, and contribute to the advancement of concussion management strategies in sports physiotherapy and neurorehabilitation.
Tanulmány típusa
Beiratkozás (Becsült)
Fázis
- Nem alkalmazható
Kapcsolatok és helyek
Tanulmányi kapcsolat
- Név: Zobia Naseem, Phd
- Telefonszám: 03321963584
- E-mail: zobia.naeem@riphah.edu.pk
Tanulmányozza a kapcsolattartók biztonsági mentését
- Név: Imran Amjad, Phd
- Telefonszám: 03324390125
- E-mail: mailto:imran.amjad@riphah.edu.pk
Tanulmányi helyek
-
-
Kpk
-
Peshawar, Kpk, Pakisztán, 25000
- Peshawar Sports Complex
-
Kapcsolatba lépni:
- Zobia Naseem, Ms SPT
- Telefonszám: 03321963584
- E-mail: zobia.naeem@riphah.edu.pk
-
Alkutató:
- Nigah e Zahra Syed, MS SPT*
-
-
Részvételi kritériumok
Jogosultsági kritériumok
Tanulmányozható életkorok
- Felnőtt
Egészséges önkénteseket fogad
Leírás
Inclusion Criteria:
- Participants falling in this category would be recruited into the study.
- Age 18-30 years.
- Combat sport athletes (e.g, boxing, MMA, karate) with at least 2 years of training experience.
- Experiencing post-concussion symptoms affecting gait, balance, or coordination
- Willing and able to provide informed consent
Exclusion Criteria:
- Participants fall in this category would be excluded of the study.
- History of moderate to severe TBI or repeated concussions (>3 cantu scale)
- Preexisting vestibular or neurological disorders unrelated to concussion (e.g., Meniere's disease, multiple sclerosis).
- Current musculoskeletal injuries affecting gait or balance.
- Visual or auditory impairments that interfere with assessments.
- Use of medications that influence balance or coordination (e.g., sedatives, muscle relaxants).
- Unwillingness or inability to participate in the full duration of the rehabilitation protocol.
Tanulási terv
Hogyan készül a tanulmány?
Tervezési részletek
- Elsődleges cél: Kezelés
- Kiosztás: Véletlenszerűsített
- Beavatkozó modell: Párhuzamos hozzárendelés
- Maszkolás: Egyetlen
Fegyverek és beavatkozások
Résztvevő csoport / kar |
Beavatkozás / kezelés |
|---|---|
|
Kísérleti: Vestibular Rehabilitation Group
Participants assigned to this group will receive a structured vestibular rehabilitation program for 8 weeks designed to improve post-concussion vestibular dysfunction.
The program includes vestibulo-ocular reflex (VOR) exercises, gaze stabilization exercises, habituation exercises, balance retraining, postural control exercises, and gait training delivered under the supervision of a physiotherapist in accordance with the study protocol.
|
Participants will receive a structured vestibular rehabilitation program consisting of vestibulo-ocular reflex (VOR) exercises, gaze stabilization exercises, habituation exercises, balance retraining, postural control exercises, and gait training.
The intervention will be supervised by a physiotherapist and delivered over 8 weeks according to the study protocol.
|
|
Aktív összehasonlító: Conventional Rehabilitation Group
Participants assigned to this group will receive conventional post-concussion rehabilitation for 8 weeks, consisting of standard clinical management, education regarding symptom management, symptom-limited activity, graded aerobic exercise, strengthening and conditioning exercises, sport-specific training, and a staged return-to-play progression.
Targeted vestibular rehabilitation exercises will not be provided.
|
Participants will receive conventional post-concussion rehabilitation consisting of education regarding symptom management, symptom-limited activity, graded aerobic exercise, strengthening and conditioning exercises, sport-specific training, and a staged return-to-play progression over 8 weeks.
Targeted vestibular rehabilitation exercises will not be included.
|
Mit mér a tanulmány?
Elsődleges eredményintézkedések
Eredménymérő |
Intézkedés leírása |
Időkeret |
|---|---|---|
|
Gait Performance Assessed Using the Timed Tandem Gait (TTG) Test
Időkeret: Baseline (Week 0) and Week 8 (post-intervention)
|
Change in gait performance measured by the Timed Tandem Gait (TTG) Test.
The outcome will be reported as the average time (seconds) required to complete the test.
Lower completion time indicates better gait performance.
|
Baseline (Week 0) and Week 8 (post-intervention)
|
|
Balance Performance Assessed Using the Balance Error Scoring System (BESS)
Időkeret: Baseline (Week 0) and Week 8 (post-intervention)
|
Change in balance performance measured using the Balance Error Scoring System (BESS).
The outcome will be reported as the total number of balance errors during standardized balance tasks.
Lower scores indicate better balance performance.
|
Baseline (Week 0) and Week 8 (post-intervention)
|
Másodlagos eredményintézkedések
Eredménymérő |
Intézkedés leírása |
Időkeret |
|---|---|---|
|
Post-Concussion Symptom Severity Assessed Using the Sport Concussion Office Assessment Tool 6 (SCOAT6) Symptom Scale
Időkeret: Baseline (Week 0) and Week 8 (post-intervention)
|
Change in post-concussion symptom severity measured using the symptom scale component of the Sport Concussion Office Assessment Tool 6 (SCOAT6).
The symptom scale includes 22 symptoms, each rated from 0 (none) to 6 (severe), resulting in a total score ranging from 0 to 132.
Higher scores indicate greater post-concussion symptom severity.
|
Baseline (Week 0) and Week 8 (post-intervention)
|
|
Concussion Severity Classification Assessed Using the Cantu Concussion Grading Scale
Időkeret: Baseline (Week 0)
|
Concussion severity will be assessed using the Cantu Concussion Grading Scale, which classifies concussion into Grade 1 (mild), Grade 2 (moderate), and Grade 3 (severe).
The scale ranges from Grade 1 to Grade 3, with higher grades indicating greater concussion severity.
Participants will be assessed at baseline for study characterization and eligibility.
|
Baseline (Week 0)
|
Együttműködők és nyomozók
Szponzor
Nyomozók
- Tanulmányi szék: Zobia Naseem, PhD, Riphah International University
Tanulmányi rekorddátumok
Tanulmány főbb dátumok
Tanulmány kezdete (Becsült)
Elsődleges befejezés (Becsült)
A tanulmány befejezése (Becsült)
Tanulmányi regisztráció dátumai
Először benyújtva
Először nyújtották be, amely megfelel a minőségbiztosítási kritériumoknak
Első közzététel (Tényleges)
Tanulmányi rekordok frissítései
Utolsó frissítés közzétéve (Tényleges)
Az utolsó frissítés elküldve, amely megfelel a minőségbiztosítási kritériumoknak
Utolsó ellenőrzés
Több információ
A tanulmányhoz kapcsolódó kifejezések
Kulcsszavak
További vonatkozó MeSH feltételek
Egyéb vizsgálati azonosító számok
- Nigah e Zahra Syed
Terv az egyéni résztvevői adatokhoz (IPD)
Tervezi megosztani az egyéni résztvevői adatokat (IPD)?
Gyógyszer- és eszközinformációk, tanulmányi dokumentumok
Egy amerikai FDA által szabályozott gyógyszerkészítményt tanulmányoz
Egy amerikai FDA által szabályozott eszközterméket tanulmányoz
Ezt az információt közvetlenül a clinicaltrials.gov webhelyről szereztük be, változtatás nélkül. Ha bármilyen kérése van vizsgálati adatainak módosítására, eltávolítására vagy frissítésére, kérjük, írjon a következő címre: register@clinicaltrials.gov. Amint a változás bevezetésre kerül a clinicaltrials.gov oldalon, ez a webhelyünkön is automatikusan frissül. .