Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT06424886 |
| Other study ID # |
BT-FocusT |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
January 15, 2024 |
| Est. completion date |
June 12, 2024 |
Study information
| Verified date |
June 2024 |
| Source |
Bahçesehir University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Feedback is implanted into workouts to prevent lower extremity injuries. There are different
studies where external focus and internal focus feedback were found to be superior. The main
purpose of this study is to investigate the effects of training on vertical jump landing
technique by comparing a verbal training group that receives instructions with an external
focus of attention and an internal focus of attention combined, a visual training group with
video instructions, and a control group in female athletes with knee valgus. It is also to
examine whether possible beneficial results are still present in the retention test performed
one week after the test session. The secondary aim of our study is to examine the effect of
the training provided on knee joint position sense.
Description:
Approximately 70% of lower extremity injuries occur during non-contact, single-leg landings,
and jumping to the ground is a common injury mechanism in both genders. Additionally, female
athletes have higher injury rates compared to men, potentially due to anatomical differences
of the lower kinematic chain. Events in which athletes experience non-contact ACL injuries
generally show many common biomechanical features such as increased ground reaction forces
during single-leg landing, decreased joint flexion in the sagittal plane of the ankle, knee,
hip and trunk, as well as increased knee internal rotation angles. Another critical ACL
injury risk factor is performing a secondary task during sharp deceleration movements.
Current rehabilitation programs focus on neuromuscular training programs to prevent adverse
movement patterns and increase proper movement control. However, there is still a need to
increase the effectiveness of these neuromuscular training programs to have a more
significant impact on ACL injury rates. Therefore, the use of motor learning strategies and
neuromuscular training programs with adequate and correct techniques in the rehabilitation of
athletes should still be investigated.
There are various approaches to motor learning. One of the best-known approaches is the
cognitive approach, where the athlete reaches the automation stage by receiving feedback and
repeating the model technique as often as possible. The common denominator of motor learning
strategies is the use of explicit instructions and feedback regarding desired landing
positions. Instructions for the implementation of movements in rehabilitation programs aim to
improve performance and motor learning. These instructions may address the action outcome or
the course of action. There are many studies showing that feedback training changes jump
landing biomechanics. In line with the results of these studies, using feedback techniques,
especially to reduce the vertical ground reaction force and increase the knee flexion angle
during landing from a jump, can reduce the stress and risk of injury in the lower extremity.
Motor skills can be learned with an internal focus of attention or with an external focus of
attention. Although the difference in these instructions may seem insignificant, externally
focused education; has been shown to result in better performance, retention, transfer, and
greater movement automaticity. The main purpose of this study is to investigate the effects
of training on vertical jump landing technique by comparing a verbal training group that
receives instructions with an external focus of attention and an internal focus of attention
combined, a visual training group with video instructions, and a control group in female
athletes with knee valgus. It is also to examine whether possible beneficial results are
still present in the retention test performed one week after the test session. The secondary
aim of our study is to examine the effect of the training provided on knee joint position
sense.
