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Effects of a Therapeutic Exercise Program for Injuries Prevention in Wheelchair Basketball (WB) Players

Primary Purpose

Athletic Injuries, Shoulder Pain, Shoulder Injury

Status
Completed
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
Exercise group
Sponsored by
Universidad Politecnica de Madrid
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Athletic Injuries focused on measuring Exercise Therapy, Shoulder pain, Shoulder injuries, Shoulder function, Prevention, Wheelchair users

Eligibility Criteria

15 Years - 45 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Study Population 36 wheelchair basketball players belonging to the male and female preselection Spanish wheelchair basketball national team were recruiting during a campus. The inclusion and exclusion criteria were chosen to include a specific population.

Inclusion Criteria:

  • Players belonging to the male and female preselection Spanish wheelchair basketball national team.
  • Have the federal license at the Spanish Sport Federation for People with Physical Disabilities available at the time of the study (2015-2016 season).
  • For players using wheelchair for daily activities, to use the manual wheelchair at least for 3 hours a day and 6 hours of wheelchair basketball training per week.
  • For players not using wheelchair for daily activities, to use the manual wheelchair at least for 6 hours of wheelchair basketball training per week.
  • Use wheelchair at least one year before the study and at least one year of experience in the sport competition.
  • Acceptance of informed consent.

Exclusion Criteria:

  • History of acute injuries in the post-surgical process or dislocation along the year before the study. These conditions may affect the effective of the exercise intervention.
  • Differential diagnosis as acute injuries at cervical region and recent traumatic injury in shoulder one year before the study. The exercise program may not be appropriate for these conditions.

Sites / Locations

  • Universidad Politécnica de Madrid

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Exercise group

Control group

Arm Description

Wheelchair basketball players participating in home therapeutic exercise program that use the protocol of postural hygiene.

Wheelchair basketball players that not participate in home therapeutic exercise program and use a protocol of postural hygiene provided.

Outcomes

Primary Outcome Measures

Change from baseline shoulder pain at 10 weeks
The presence of shoulder pain will be measured at the beginning and at 10 weeks with "Shoulder Pain Index for Wheelchair Basketball (SPI-WB)" (submitting).

Secondary Outcome Measures

Neer test
Neer's Test assesses for possible rotator cuff impingement. Pain is a positive test.
Hawkins-Kennedy test
Hawkins-Kennedy's test indicative a possible impingement between the greater tuberosity of the humerus against the coraco- humeral ligament.
Jobe test
Jobe's test assesses for possible supraspinatus weakness and/or impingement.
Patte test
Patte's test measure for possible infraspinatus and teres minor weakness and/or impingement.
Shoulder range of motion
The range of motion will be evaluated in flexion, extension, internal rotation, external rotation and abduction with a goniometric at the beginning and at 10 weeks.
Players´ adherence to the exercise program
Players will complete a questionnaire rating their adherence to the exercise program.
Players´ self-efficacy to the exercise program
Players will complete a questionnaire about the self-efficacy according to the exercise program.
Players adherence to the protocol of postural hygiene.
Players will complete a follow-up questionnaire rating their adherence to the protocol of postural hygiene.
Activities performed outside of the training and exercise program.
Players will be complete a follow-up questionnaire about the activities performed outside of the training and exercise program.

Full Information

First Posted
June 6, 2016
Last Updated
November 20, 2017
Sponsor
Universidad Politecnica de Madrid
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1. Study Identification

Unique Protocol Identification Number
NCT02842008
Brief Title
Effects of a Therapeutic Exercise Program for Injuries Prevention in Wheelchair Basketball (WB) Players
Official Title
Effects of a Therapeutic Exercise Program for Injuries Prevention in Wheelchair Basketball (WB) Players
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
July 2016 (undefined)
Primary Completion Date
July 2016 (Actual)
Study Completion Date
August 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Universidad Politecnica de Madrid

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Shoulder pain is the most common symptom of physical dysfunction in wheelchair basketball players. About the 85% of this population had shoulder pain in some moment of their life. Some studies suggest that exercise is an important tool as an element to treat and prevent shoulder injuries. For that reason, an intervention program would be a useful tool for prevent shoulder injuries in this population. The purpose of this study is determine the effects of therapeutic exercise program wheelchair basketball players, in order to prevent shoulder injuries.
Detailed Description
The hypothesis of the study was that the exercise program was effective to prevent shoulder injuries in this population.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Athletic Injuries, Shoulder Pain, Shoulder Injury
Keywords
Exercise Therapy, Shoulder pain, Shoulder injuries, Shoulder function, Prevention, Wheelchair users

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Exercise group
Arm Type
Experimental
Arm Description
Wheelchair basketball players participating in home therapeutic exercise program that use the protocol of postural hygiene.
Arm Title
Control group
Arm Type
No Intervention
Arm Description
Wheelchair basketball players that not participate in home therapeutic exercise program and use a protocol of postural hygiene provided.
Intervention Type
Behavioral
Intervention Name(s)
Exercise group
Intervention Description
This group will receive a home exercise program of shoulder based on mobility, strength and strengthening exercises, lasting 10 weeks, 3 times per weeks. The target dose use for mobility consisted in 8 repetitions for each 4 movements, for strengthening using resistive bands, 3 sets (including 5 exercises) of 10 repetitions with a 45 second rest between sets and 5 repetitions for each 5 strength with a 30 second rest and general protocol of postural hygiene. The instructional of the program is 30 minutes each day during the time of the study (10 weeks) with a screening about the exercise program and the daily activities performed every 4 weeks. Physiotherapist provided support to subjects through email along 10 weeks.
Primary Outcome Measure Information:
Title
Change from baseline shoulder pain at 10 weeks
Description
The presence of shoulder pain will be measured at the beginning and at 10 weeks with "Shoulder Pain Index for Wheelchair Basketball (SPI-WB)" (submitting).
Time Frame
Baseline and at 10 weeks
Secondary Outcome Measure Information:
Title
Neer test
Description
Neer's Test assesses for possible rotator cuff impingement. Pain is a positive test.
Time Frame
Baseline and at 10 weeks
Title
Hawkins-Kennedy test
Description
Hawkins-Kennedy's test indicative a possible impingement between the greater tuberosity of the humerus against the coraco- humeral ligament.
Time Frame
Baseline and at 10 weeks
Title
Jobe test
Description
Jobe's test assesses for possible supraspinatus weakness and/or impingement.
Time Frame
Baseline and at 10 weeks
Title
Patte test
Description
Patte's test measure for possible infraspinatus and teres minor weakness and/or impingement.
Time Frame
Baseline and at 10 weeks
Title
Shoulder range of motion
Description
The range of motion will be evaluated in flexion, extension, internal rotation, external rotation and abduction with a goniometric at the beginning and at 10 weeks.
Time Frame
Baseline and at 10 weeks
Title
Players´ adherence to the exercise program
Description
Players will complete a questionnaire rating their adherence to the exercise program.
Time Frame
At 4 and 8 weeks
Title
Players´ self-efficacy to the exercise program
Description
Players will complete a questionnaire about the self-efficacy according to the exercise program.
Time Frame
Baseline
Title
Players adherence to the protocol of postural hygiene.
Description
Players will complete a follow-up questionnaire rating their adherence to the protocol of postural hygiene.
Time Frame
At 4 and 8 weeks
Title
Activities performed outside of the training and exercise program.
Description
Players will be complete a follow-up questionnaire about the activities performed outside of the training and exercise program.
Time Frame
At 4 and 8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
15 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Study Population 36 wheelchair basketball players belonging to the male and female preselection Spanish wheelchair basketball national team were recruiting during a campus. The inclusion and exclusion criteria were chosen to include a specific population. Inclusion Criteria: Players belonging to the male and female preselection Spanish wheelchair basketball national team. Have the federal license at the Spanish Sport Federation for People with Physical Disabilities available at the time of the study (2015-2016 season). For players using wheelchair for daily activities, to use the manual wheelchair at least for 3 hours a day and 6 hours of wheelchair basketball training per week. For players not using wheelchair for daily activities, to use the manual wheelchair at least for 6 hours of wheelchair basketball training per week. Use wheelchair at least one year before the study and at least one year of experience in the sport competition. Acceptance of informed consent. Exclusion Criteria: History of acute injuries in the post-surgical process or dislocation along the year before the study. These conditions may affect the effective of the exercise intervention. Differential diagnosis as acute injuries at cervical region and recent traumatic injury in shoulder one year before the study. The exercise program may not be appropriate for these conditions.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Javier Pérez Tejero, PhD
Organizational Affiliation
Universidad Politécnica de Madrid.
Official's Role
Study Director
Facility Information:
Facility Name
Universidad Politécnica de Madrid
City
Madrid
ZIP/Postal Code
28040
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Effects of a Therapeutic Exercise Program for Injuries Prevention in Wheelchair Basketball (WB) Players

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