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Neuromuscular and Proprioceptive Training in Football Players

Primary Purpose

Football Players, Sport Injury, Sports Physical Therapy

Status
Completed
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Neuromuscular and Proprioceptive Training
Conventional Training
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Football Players focused on measuring ACL Injury, Landing Error Score System, Neuromuscular Training, Proprioceptive Training, Soccer

Eligibility Criteria

15 Years - 25 Years (Child, Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Male football players registered with Pakistan Sports Board, Islamabad.
  • Players playing for a minimum of 20 hrs per week.
  • The participant should understand and sign the informed consent form.
  • Players should agree to take part in the training program for 35 days.

Exclusion Criteria:

  • Players with any major neuromusculoskeletal or cardiovascular pathology in last 6 months.
  • Players having any psychological issue

Sites / Locations

  • Riphah International University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Neuromuscular and Proprioceptive Training

Conventional Training

Arm Description

Myklebust's training program

Running, Sprints, Agility training, and Dynamic stretching

Outcomes

Primary Outcome Measures

Landing Error Score System (LESS)
Changes for the baseline, there are 17 items in LESS. Maximum possible score is 19 which show very poor mechanics and score of 5 and less than 5 are considered good to excellent.
Single Leg Stability
Measures were obtained from 20-sec trials during which participants were asked to maintain an upright standing position on their dominant limb on the unstable surface of the Biodex Stability and Balance System.Its reliability is R = .94

Secondary Outcome Measures

Full Information

First Posted
August 7, 2019
Last Updated
August 8, 2019
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT04051554
Brief Title
Neuromuscular and Proprioceptive Training in Football Players
Official Title
Effect of Neuromuscular and Proprioceptive Training in Reducing Landing Error Patterns in Football Players
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
March 20, 2018 (Actual)
Primary Completion Date
April 1, 2019 (Actual)
Study Completion Date
July 15, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The objective of this study was to determine the effect of proprioceptive and neuromuscular training on landing errors and balance of the football players. This was randomized controlled trial in which 40 football players were randomly allocated into experimental and control group. The control group followed conventional exercise plan while experimental group players were being trained under Myklebust's training program. Data were collected at baseline and after follow-up of five weeks Landing Error Score System (LESS) and Biodex Single Leg Stability (SLS) score. Data were analyzed using statistical package for social sciences (SPSS)-21.
Detailed Description
Anterior cruciate ligament (ACL) injuries are a severe public health issue from both an economic and general wellness view. This burden will be reduced by promoting compliance and the use of injury prevention programs. To reduce injury rates, trainers, athletes, parents, and the team of sports medicine need to know the advantages of injury prevention programs. Parents and employees in sports medicine want a program that can decrease the risk of injury. Coaches and athletes are looking for a program that will also increase athletic efficiency without taking time off exercise, time that would otherwise be spent honing sport-specific abilities. Injury prevention programs in youth athletics will promote neuromuscular enhancements and create appropriate long-term techniques while instantly preparing the athlete for competition. Various studies have been done to assess the role of proprioceptive and neuromuscular exercises on reducing incidence of ACL injury. No conclusive result has been established as yet that these type of exercises really reduce the incidence of ACL injury or not. However, it is found that by performing certain exercises there is improvement in biomechanics of jump landing as predicted by LESS score which is a reliable tool to establish risk of ACL and other lower limb injury in an athlete. Therefore the investigators have used a lower limb injury prevention program to assess its effectiveness in reducing LESS score.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Football Players, Sport Injury, Sports Physical Therapy
Keywords
ACL Injury, Landing Error Score System, Neuromuscular Training, Proprioceptive Training, Soccer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Neuromuscular and Proprioceptive Training
Arm Type
Experimental
Arm Description
Myklebust's training program
Arm Title
Conventional Training
Arm Type
Active Comparator
Arm Description
Running, Sprints, Agility training, and Dynamic stretching
Intervention Type
Other
Intervention Name(s)
Neuromuscular and Proprioceptive Training
Intervention Description
Myklebust's training program (floor exercises, mat exercises, and wobble board exercises for 5 weeks)
Intervention Type
Other
Intervention Name(s)
Conventional Training
Intervention Description
Running, Sprinting, Agility training and Dynamic stretching for five weeks
Primary Outcome Measure Information:
Title
Landing Error Score System (LESS)
Description
Changes for the baseline, there are 17 items in LESS. Maximum possible score is 19 which show very poor mechanics and score of 5 and less than 5 are considered good to excellent.
Time Frame
5th week
Title
Single Leg Stability
Description
Measures were obtained from 20-sec trials during which participants were asked to maintain an upright standing position on their dominant limb on the unstable surface of the Biodex Stability and Balance System.Its reliability is R = .94
Time Frame
5th week

10. Eligibility

Sex
Male
Gender Based
Yes
Gender Eligibility Description
Unavailability of the female athletes in our setting
Minimum Age & Unit of Time
15 Years
Maximum Age & Unit of Time
25 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male football players registered with Pakistan Sports Board, Islamabad. Players playing for a minimum of 20 hrs per week. The participant should understand and sign the informed consent form. Players should agree to take part in the training program for 35 days. Exclusion Criteria: Players with any major neuromusculoskeletal or cardiovascular pathology in last 6 months. Players having any psychological issue
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Asghar Khan, DSc (PT)
Organizational Affiliation
Riphah International university, Islamabad
Official's Role
Principal Investigator
Facility Information:
Facility Name
Riphah International University
City
Islamabad
State/Province
Federal
ZIP/Postal Code
44000
Country
Pakistan

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
22227777
Citation
Franklin CC, Weiss JM. Stopping sports injuries in kids: an overview of the last year in publications. Curr Opin Pediatr. 2012 Feb;24(1):64-7. doi: 10.1097/MOP.0b013e32834ec618.
Results Reference
background
PubMed Identifier
10699129
Citation
Injuries in youth soccer: a subject review. American Academy of Pediatrics. Committee on Sports Medicine and Fitness. Pediatrics. 2000 Mar;105(3 Pt 1):659-61.
Results Reference
background
PubMed Identifier
21293241
Citation
Nettle H, Sprogis E. Pediatric exercise: truth and/or consequences. Sports Med Arthrosc Rev. 2011 Mar;19(1):75-80. doi: 10.1097/JSA.0b013e318209cf2b.
Results Reference
background
PubMed Identifier
21293236
Citation
Schub D, Saluan P. Anterior cruciate ligament injuries in the young athlete: evaluation and treatment. Sports Med Arthrosc Rev. 2011 Mar;19(1):34-43. doi: 10.1097/JSA.0b013e31820b960d.
Results Reference
background
PubMed Identifier
22018324
Citation
Hill DE, Andrews JR. Stopping sports injuries in young athletes. Clin Sports Med. 2011 Oct;30(4):841-9. doi: 10.1016/j.csm.2011.07.003. No abstract available.
Results Reference
background
PubMed Identifier
21068572
Citation
DiFiori JP. Evaluation of overuse injuries in children and adolescents. Curr Sports Med Rep. 2010 Nov-Dec;9(6):372-8. doi: 10.1249/JSR.0b013e3181fdba58.
Results Reference
background
PubMed Identifier
17092927
Citation
Leininger RE, Knox CL, Comstock RD. Epidemiology of 1.6 million pediatric soccer-related injuries presenting to US emergency departments from 1990 to 2003. Am J Sports Med. 2007 Feb;35(2):288-93. doi: 10.1177/0363546506294060. Epub 2006 Nov 7.
Results Reference
background
PubMed Identifier
18056320
Citation
Knowles SB, Marshall SW, Miller T, Spicer R, Bowling JM, Loomis D, Millikan RW, Yang J, Mueller FO. Cost of injuries from a prospective cohort study of North Carolina high school athletes. Inj Prev. 2007 Dec;13(6):416-21. doi: 10.1136/ip.2006.014720.
Results Reference
background
PubMed Identifier
21655382
Citation
Hewett TE, Ford KR, Hoogenboom BJ, Myer GD. Understanding and preventing acl injuries: current biomechanical and epidemiologic considerations - update 2010. N Am J Sports Phys Ther. 2010 Dec;5(4):234-51.
Results Reference
background
PubMed Identifier
21836172
Citation
Carter CW, Micheli LJ. Training the child athlete: physical fitness, health and injury. Br J Sports Med. 2011 Sep;45(11):880-5. doi: 10.1136/bjsports-2011-090201.
Results Reference
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Neuromuscular and Proprioceptive Training in Football Players

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