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Prevention of Hamstring Injuries in Football Players.

Primary Purpose

Hamstring Injuries

Status
Completed
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
Passive Neurodynamics and Passive axial hip mobilisation/distraction
Active therapy
2.5.3. Combined therapy
Sponsored by
Universidad Católica de Ávila
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Hamstring Injuries focused on measuring physiotherapies techniques, Range of Motion, Hamstring Muscles, Prevention and Control, Muscuoeskeletal Manipulations.

Eligibility Criteria

18 Years - 40 Years (Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria: Professional football athletes. Between 18-40 years of age. Male gender. Active in competitive season. Exclusion Criteria: Neurological signs. Inability to follow the evaluator's instructions. Physical activity of less than 2 hours per week. Serious lower limb injury during the study period.

Sites / Locations

  • Universidad Católica de Ávila

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

passive manual therapy

active therapy (exercise)

combined therapy

Arm Description

The physiotherapist performs passive techniques on the hamstring muscles of the footballers.

The physiotherapist does not perform passive techniques and it is the player who performs active techniques on the hamstring muscles.

The physiotherapist performs passive techniques and in addition the player performs active techniques on the hamstring muscles.

Outcomes

Primary Outcome Measures

range of movements measurements
Observe the degrees of mobility of the lower limb joints.

Secondary Outcome Measures

Full Information

First Posted
March 6, 2023
Last Updated
March 16, 2023
Sponsor
Universidad Católica de Ávila
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1. Study Identification

Unique Protocol Identification Number
NCT05773404
Brief Title
Prevention of Hamstring Injuries in Football Players.
Official Title
Efficacy of Passive Manual Therapy, Active Therapy and Combined Therapy in Relation to the Prevention of Hamstring Injuries in Football Players. Randomised Clinical Trial.
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
October 1, 2020 (Actual)
Primary Completion Date
December 21, 2020 (Actual)
Study Completion Date
April 28, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Universidad Católica de Ávila

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
Introduction: The prevalence of hamstring injuries in football is high, causing an increase in the number of casualties and a high socio-economic cost. Currently there are different treatment protocols for this muscle group, but there are often no comparisons of different types of passive, active and combined therapies, and their potential efficacy, in professional football players. Objectives: To compare the efficacy of three different interventions; passive manual therapy, active therapy based on therapeutic exercise and combined therapy, in relation to hamstring injuries in professional football players. Methodology: A simple Randomised Clinical Trial (RCT) was conducted (NCT04935398). After applying the selection criteria, a sample of 66 professional football players was obtained. They were divided into 3 intervention groups (A, B and C) with 22 participants in each group and were given passive manual therapy, active therapy (exercise) and combined therapy (sum of the above). The corresponding tests and questionnaires were evaluated to obtain data on hamstring flexibility and hip range of movement at three time periods: pre, post and post2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hamstring Injuries
Keywords
physiotherapies techniques, Range of Motion, Hamstring Muscles, Prevention and Control, Muscuoeskeletal Manipulations.

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
66 (Actual)

8. Arms, Groups, and Interventions

Arm Title
passive manual therapy
Arm Type
Experimental
Arm Description
The physiotherapist performs passive techniques on the hamstring muscles of the footballers.
Arm Title
active therapy (exercise)
Arm Type
Experimental
Arm Description
The physiotherapist does not perform passive techniques and it is the player who performs active techniques on the hamstring muscles.
Arm Title
combined therapy
Arm Type
Active Comparator
Arm Description
The physiotherapist performs passive techniques and in addition the player performs active techniques on the hamstring muscles.
Intervention Type
Other
Intervention Name(s)
Passive Neurodynamics and Passive axial hip mobilisation/distraction
Intervention Description
The physiotherapist performs passive techniques on the hamstring muscles and the nerve that innervates the hamstring muscles.
Intervention Type
Other
Intervention Name(s)
Active therapy
Other Intervention Name(s)
Active Neurodynamics and Therapeutic exercise
Intervention Description
Active lumbopelvic CORE control exercises and active stretching of the ischiopelvic nerves
Intervention Type
Other
Intervention Name(s)
2.5.3. Combined therapy
Other Intervention Name(s)
Passive and Active therapy
Intervention Description
The physiotherapist performs passive techniques on the hamstring muscles and the nerve that innervates the hamstring muscles and active lumbopelvic CORE control exercises and active stretching of the ischiopelvic nerves.
Primary Outcome Measure Information:
Title
range of movements measurements
Description
Observe the degrees of mobility of the lower limb joints.
Time Frame
1 month

10. Eligibility

Sex
Male
Gender Based
Yes
Gender Eligibility Description
Male footballers
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Professional football athletes. Between 18-40 years of age. Male gender. Active in competitive season. Exclusion Criteria: Neurological signs. Inability to follow the evaluator's instructions. Physical activity of less than 2 hours per week. Serious lower limb injury during the study period.
Facility Information:
Facility Name
Universidad Católica de Ávila
City
Ávila
ZIP/Postal Code
05005
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
15911599
Citation
Petersen J, Holmich P. Evidence based prevention of hamstring injuries in sport. Br J Sports Med. 2005 Jun;39(6):319-23. doi: 10.1136/bjsm.2005.018549.
Results Reference
background
PubMed Identifier
15911608
Citation
Verrall GM, Slavotinek JP, Barnes PG. The effect of sports specific training on reducing the incidence of hamstring injuries in professional Australian Rules football players. Br J Sports Med. 2005 Jun;39(6):363-8. doi: 10.1136/bjsm.2005.018697.
Results Reference
background
PubMed Identifier
27015858
Citation
Hagglund M, Walden M, Ekstrand J. Injury recurrence is lower at the highest professional football level than at national and amateur levels: does sports medicine and sports physiotherapy deliver? Br J Sports Med. 2016 Jun;50(12):751-8. doi: 10.1136/bjsports-2015-095951. Epub 2016 Mar 25.
Results Reference
result
PubMed Identifier
21335353
Citation
Ekstrand J, Hagglund M, Walden M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med. 2011 Jun;39(6):1226-32. doi: 10.1177/0363546510395879. Epub 2011 Feb 18.
Results Reference
result
PubMed Identifier
23263293
Citation
Hagglund M, Walden M, Ekstrand J. Risk factors for lower extremity muscle injury in professional soccer: the UEFA Injury Study. Am J Sports Med. 2013 Feb;41(2):327-35. doi: 10.1177/0363546512470634. Epub 2012 Dec 21.
Results Reference
result
PubMed Identifier
36726776
Citation
Ekstrand J, Ueblacker P, Van Zoest W, Verheijen R, Vanhecke B, van Wijk M, Bengtsson H. Risk factors for hamstring muscle injury in male elite football: medical expert experience and conclusions from 15 European Champions League clubs. BMJ Open Sport Exerc Med. 2023 Jan 24;9(1):e001461. doi: 10.1136/bmjsem-2022-001461. eCollection 2023.
Results Reference
result
PubMed Identifier
14751943
Citation
Woods C, Hawkins RD, Maltby S, Hulse M, Thomas A, Hodson A; Football Association Medical Research Programme. The Football Association Medical Research Programme: an audit of injuries in professional football--analysis of hamstring injuries. Br J Sports Med. 2004 Feb;38(1):36-41. doi: 10.1136/bjsm.2002.002352.
Results Reference
result
PubMed Identifier
17355322
Citation
Arnason A, Andersen TE, Holme I, Engebretsen L, Bahr R. Prevention of hamstring strains in elite soccer: an intervention study. Scand J Med Sci Sports. 2008 Feb;18(1):40-8. doi: 10.1111/j.1600-0838.2006.00634.x. Epub 2007 Mar 12.
Results Reference
result

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Prevention of Hamstring Injuries in Football Players.

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