Neuromuscular Cognitive Training (I-THINC)
Primary Purpose
Injury;Sports
Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
I-THINC
Sponsored by
About this trial
This is an interventional prevention trial for Injury;Sports focused on measuring injury prevention, cognition, physical performance, postural stability, neuromuscular
Eligibility Criteria
Inclusion Criteria:
- healthy adults from the University of Kentucky varsity tennis programs
Exclusion Criteria:
- not medically cleared for participation
Sites / Locations
- Sports Medicine Research InstituteRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Varsity Athletes
Arm Description
Healthy adults recruited from the University of Kentucky varsity tennis programs.
Outcomes
Primary Outcome Measures
Change in single task static postural stability
Single task static postural stability will be assessed with an Accusway Plus force plate.
Change in dual task postural stability
Dual task static postural stability will be assessed with an Accusway Plus force plate while completeing an upper extremity reaction time on the Dynavision D2.
Change in dynamic postural control
Dynamic postural control will be assessed with the single leg hop.
Change in dual task dynamic postural control
Dynamic postural control will be assessed with the single leg hop. An additional cognitive task - responding to LED color cues - will be added.
Change in speed, power and agility (single measure)
Speed, power and agility will be measured using the Run Decide Test.
Change in reactive agility
Reactive agility will be assessed with the 4x4 box drill.
Change in lower extremity reaction time
Lower extremity reaction time will be assessed with the lower extremity reaction test, deactivating sensors as quickly as possible with their foot.
Change in HBMS
Health Belief Model Scale (HBMS) is used to assess behavioral determinants of exercise related injury prevention programs and is comprised of six subscales: susceptibility, severity, benefits, barriers, cues to action, and self-efficacy. Participants rate how strongly they agree or disagree with the statements on a Likert scale ranging from 3 to -3, with a 3 indicating strongly agree and -3 indicating strongly disagree. Positive responses indicate a positive perception towards injury prevention programs, except the barrier subscale where positive responses indicate a negative perception towards injury prevention programs.
Participant engagement
The participant engagement survey will contain Likert Scale (1-5) questions to provide a quantitative analysis of satisfaction with the program. A 1 indicates strongly disagree and a 5 indicates strongly agree. The range is 7-35, and higher scores indicate increased engagement.
Compliance
Compliance will be based on the percentage of sessions attended by participants.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05459363
Brief Title
Neuromuscular Cognitive Training
Acronym
I-THINC
Official Title
Improved Training Happens With Integrated Neuromuscular and Cognitive Challenge
Study Type
Interventional
2. Study Status
Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 23, 2022 (Actual)
Primary Completion Date
May 15, 2024 (Anticipated)
Study Completion Date
May 15, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Ke'La H Porter
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This project will utilize a quasi-experimental, multiple baseline pretest-posttest design where participants will complete postural stability assessments, physical performance assessments, and questionnaires to evaluate perceptions toward injury prevention before and after completing a 6-week neuromuscular-cognitive prevention program.
Detailed Description
The I-THINC program will address aspects of cognition (i.e., reaction time/processing speed, working memory, cognitive flexibility, inhibitory control, attention, and dual-tasking) while completing common movement patterns utilized in tennis (i.e., lateral shuffle, rapid acceleration/deceleration, and postural stability). The proposed program will take place in the participants training facility. The program will be implemented twice per week for six weeks (12 sessions) with each session lasting 20 minutes. To add variety, there will be two complementary programs (A and B) comprising of four exercises increasing in complexity every two weeks. Each week participants will complete Program A during the first session and Program B during the second session.Exercises will progressively challenge cognitive and physical demand. Exercises were designed to address the most common injuries in tennis.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Injury;Sports
Keywords
injury prevention, cognition, physical performance, postural stability, neuromuscular
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
25 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Varsity Athletes
Arm Type
Experimental
Arm Description
Healthy adults recruited from the University of Kentucky varsity tennis programs.
Intervention Type
Other
Intervention Name(s)
I-THINC
Intervention Description
Improved Training Happens with Integrated Neuromuscular and Cognitive Challenge (I-THINC) is an injury prevention program. It will be used to integrate cognitive tasks with traditional sports injury prevention approaches that focus on balance, agility, and neuromuscular control.
Primary Outcome Measure Information:
Title
Change in single task static postural stability
Description
Single task static postural stability will be assessed with an Accusway Plus force plate.
Time Frame
6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Title
Change in dual task postural stability
Description
Dual task static postural stability will be assessed with an Accusway Plus force plate while completeing an upper extremity reaction time on the Dynavision D2.
Time Frame
6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Title
Change in dynamic postural control
Description
Dynamic postural control will be assessed with the single leg hop.
Time Frame
6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Title
Change in dual task dynamic postural control
Description
Dynamic postural control will be assessed with the single leg hop. An additional cognitive task - responding to LED color cues - will be added.
Time Frame
6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Title
Change in speed, power and agility (single measure)
Description
Speed, power and agility will be measured using the Run Decide Test.
Time Frame
6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Title
Change in reactive agility
Description
Reactive agility will be assessed with the 4x4 box drill.
Time Frame
6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Title
Change in lower extremity reaction time
Description
Lower extremity reaction time will be assessed with the lower extremity reaction test, deactivating sensors as quickly as possible with their foot.
Time Frame
6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Title
Change in HBMS
Description
Health Belief Model Scale (HBMS) is used to assess behavioral determinants of exercise related injury prevention programs and is comprised of six subscales: susceptibility, severity, benefits, barriers, cues to action, and self-efficacy. Participants rate how strongly they agree or disagree with the statements on a Likert scale ranging from 3 to -3, with a 3 indicating strongly agree and -3 indicating strongly disagree. Positive responses indicate a positive perception towards injury prevention programs, except the barrier subscale where positive responses indicate a negative perception towards injury prevention programs.
Time Frame
6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Title
Participant engagement
Description
The participant engagement survey will contain Likert Scale (1-5) questions to provide a quantitative analysis of satisfaction with the program. A 1 indicates strongly disagree and a 5 indicates strongly agree. The range is 7-35, and higher scores indicate increased engagement.
Time Frame
at 6 weeks
Title
Compliance
Description
Compliance will be based on the percentage of sessions attended by participants.
Time Frame
6 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
healthy adults from the University of Kentucky varsity tennis programs
Exclusion Criteria:
not medically cleared for participation
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ke'La Porter, MS, ATC,CSCS
Phone
8593239850
Email
kela.porter@uky.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ke'La Porter, MS, ATC,CSCS
Organizational Affiliation
University of Kentucky
Official's Role
Principal Investigator
Facility Information:
Facility Name
Sports Medicine Research Institute
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40506
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ke'La H Porter, MS, ATC,CSCS
Email
kela.porter@uky.edu
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Neuromuscular Cognitive Training
We'll reach out to this number within 24 hrs