UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059860
Receipt number R000068450
Scientific Title Effects of Six Weeks of Balance Training With or Without Proximal-Shank Blood Flow Restriction on Pain, Ankle Muscle Strength, Perceived Instability, Dynamic Balance, Proprioception, and Functional Performance in Athletes With Chronic Ankle Instability: A Randomized Controlled Trial
Date of disclosure of the study information 2025/11/30
Last modified on 2025/11/22 16:26:34

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Basic information

Public title

Effect of 6 Weeks of Balance Training With or Without Blood Flow Restriction on Pain, Muscle Strength, and Functional Performance in Athletes With Chronic Ankle Instability

Acronym

BFR-BT-CAI

Scientific Title

Effects of Six Weeks of Balance Training With or Without Proximal-Shank Blood Flow Restriction on Pain, Ankle Muscle Strength, Perceived Instability, Dynamic Balance, Proprioception, and Functional Performance in Athletes With Chronic Ankle Instability: A Randomized Controlled Trial

Scientific Title:Acronym

Effects of Six Weeks of Balance Training With or Without Proximal-Shank Blood Flow Restriction on Pain, Ankle Muscle Strength, Perceived Instability, Dynamic Balance, Proprioception, and Functional Performance in Athletes With Chronic Ankle Instability: A Randomized Controlled Trial (BFR-BT-CAI)

Region

Asia(except Japan)


Condition

Condition

Functional Ankle Instability

Classification by specialty

Not applicable

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To determine whether adding proximal-shabk blood flow restriction (BFR) to a 6-week progressive balance training program results in greater reductions in pain and perceived ankle instability, as well as larger improvements in dynamic postural control, compared to the same balance training program performed without BFR in athletes with chronic ankle instability (CAI).

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

To determine whether adding proximal-shabk blood flow restriction (BFR) to a 6-week progressive balance training program results in greater reductions in pain and perceived ankle instability, as well as larger improvements in dynamic postural control, compared to the same balance training program performed without BFR in athletes with chronic ankle instability (CAI).

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

6 weeks, 3 sessions/week, 30-45 min per session. Identical progressive unilateral balance exercises (single-leg stance, squats, hops, tuck jumps, ball tasks, unstable surfaces, eyes closed progressions) performed on the involved limb with a 10-cm wide pneumatic cuff applied to the proximal shank at 70-80% limb occlusion pressure (LOP). Cuff inflated continuously during the exercise block (15-20 min) and deflated during warm-up and cool-down.

Interventions/Control_2

Exactly the same 6-week, 3 sessions/week progressive unilateral balance training program as the experimental group (identical exercises, volume, intensity, and progression), but performed without any cuff application.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

50 years-old >=

Gender

Male

Key inclusion criteria

Male recreational or competitive athlete
At least two episodes of giving way at the ankle in the past 6 months
Unilateral chronic functional ankle instability

Key exclusion criteria

Key Exclusion Criteria

Bilateral chronic ankle instability
Mechanical ankle instability (positive anterior drawer or talar tilt test >1+ on clinical examination)
Acute ankle sprain or lower-extremity injury within the previous 3 months
History of fracture or surgery in the lower extremity
Neurological, vestibular, or severe visual impairment that affects balance
Diagnosed deep vein thrombosis, peripheral vascular disease, or any absolute contraindication to blood flow restriction
Hypertension (resting blood pressure >140/90 mmHg)
Current participation in a formal ankle rehabilitation or strength-training program
Inability or unwillingness to adhere to the 6-week supervised training protocol (3 sessions/week)
Any medical condition that, in the opinion of the investigator, would make BFR or intensive balance training unsafe
Female sex (study limited to male participants only)

Target sample size

45


Research contact person

Name of lead principal investigator

1st name Aynollah
Middle name
Last name Naderi

Organization

Shahrood University of Technology

Division name

Sport Scince

Zip code

3619995161

Address

Shahrood, Iran

TEL

02332392204

Email

ay.naderi@shahroodut.ac.ir


Public contact

Name of contact person

1st name Aynollah
Middle name
Last name Naderi

Organization

Shahrood University of Technology

Division name

Sport science

Zip code

3619995161

Address

Shahrood, Iran

TEL

02332392204

Homepage URL


Email

ay.naderi@shahodut.ac.ir


Sponsor or person

Institute

Shahrood University of Technology

Institute

Department

Personal name



Funding Source

Organization

Shahrood University of Technology

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Faculty of Physical Education

Address

Shahrood University of Technology

Tel

087 3366 4600

Email

ay.naderi@shahroodut.ac.ir


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 11 Month 30 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Suspended

Date of protocol fixation

2025 Year 03 Month 12 Day

Date of IRB

2025 Year 10 Month 10 Day

Anticipated trial start date

2025 Year 11 Month 03 Day

Last follow-up date

2025 Year 12 Month 07 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 11 Month 23 Day

Last modified on

2025 Year 11 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068450