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N/A N=19 Randomized Double-blind Supportive Care

Balance Training With tDCS for CAI

Ankle Injuries and Disorders

Enrolled (actual)
19
Serious AEs
0.0%
Results posted
Feb 2025
Primary outcome: Primary: Static Postural Balance — 57.0; 55.9 CM/S

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Anodal tDCS (Device); Sham tDCS (Device)
Age
Adult · 18+ yrs
Sex
All
Sponsor
University of Miami
Primary completion
Dec 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Static Postural Balance
3.4; 3.4
PRIMARY
Static Postural Balance
3.4; 3.4
PRIMARY
Active Motor Threshold (AMT)
43.9; 39.4
PRIMARY
Active Motor Threshold (AMT)
43.9; 39.4
SECONDARY
Self-reported Functional Scores
90.3; 98.4
SECONDARY
Self-reported Functional Scores
90.3; 98.4
SECONDARY
Spinal Reflex Excitability
0.40; 0.40
SECONDARY
Spinal Reflex Excitability
0.40; 0.40
SECONDARY
Corticospinal Excitability as Evaluated by the Peak-to-peak Amplitude of Motor Evoked Potential (MEP)
0.46; 0.46
SECONDARY
Corticospinal Excitability as Evaluated by the Peak-to-peak Amplitude of Motor Evoked Potential (MEP)
0.46; 0.46
SECONDARY
Dynamic Postural Control as Measured by the Reach Distance
61.7; 62.2
SECONDARY
Dynamic Postural Control as Measured by the Reach Distance
61.7; 62.2
SECONDARY
Dynamic Postural Balance as Measured by the Time to Complete the Lateral Hop
5.3; 6.7
SECONDARY
Dynamic Postural Balance as Measured by the Time to Complete the Lateral Hop
5.3; 6.7

Summary

The purpose of this research study is to examine the efficacy of non-invasive brain stimulation in addition to balance exercise for chronic ankle instability (CAI), a condition that develops following an initial ankle sprain, usually because of loose or unstable ankle joints.

Eligibility Criteria

Inclusion Criteria

  • Subjects should be neurologically sound
  • Subjects should have abilities to maintain a single-leg stance at least for 10 seconds.
  • A history of ankle sprain
  • A history of ankle joint giving ways
  • Current feelings of ankle joint instability

Exclusion Criteria

  • Individuals with a clinically defined neurological disorder, with an increased risk of seizure for any reason, with a history of treatment with Transcranial Magnetic Stimulation (TMS), deep brain stimulation for any disorder will be excluded.
  • Patients with cardiac pacemakers, implanted medication pumps, intracardiac lines, or acute, unstable cardiac disease, with intracranial implants (e.g. aneurysm clips, shunts, stimulators, cochlear implants, or electrodes) or any other metal object within or near the head, excluding the mouth, that cannot be safely removed will be excluded.
  • A history of balance or vestibular disorder
  • A history of previous surgeries to the musculoskeletal structures in either limb of the lower extremity
  • A history of a fracture in either limb of the lower extremity requiring realignment
  • A history of acute injuries to the lower extremity joints in the previous 3 months, which impacted joint integrity and function (i.e., sprains, fractures) resulting in at least 1 interrupted day of desired physical activity
  • A history of herniated disc
  • Poorly controlled headache
  • Hypersensitivity to electrical or magnetic stimulation
  • Adults unable to consent
  • Individuals who are not yet adults (infants, children, teenagers)
  • Pregnant women
  • Prisoner
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04390048). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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