Do Young Triathletes Have a Greater Predisposition to Suffer Running Injuries

Kinematics Clinical Trial

Official title:

Do Young Triathletes Have a Greater Predisposition to Suffer Running Injuries

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04221698
• Other study ID #: CEI18/137
• Status: Completed
• Phase: N/A
• Start date: October 1, 2018
• Est. completion date: June 30, 2019

Study information

• Verified date: January 2020
• Source: Cardenal Herrera University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In running 70% of the lower limb, injuries are produced in the running segment. The vast majority of sports-related musculoskeletal injuries in young athletes are caused by overuse. Previous research has shown a clear association between running-related injuries and kinematic patterns, showing the existence of a causal relationship between biomechanical alterations and injures.

According to the evidence, that real-time visual and auditory feedback based on gait retraining should be considered to treat injured runners or prevent injuries. However, no previous studies have been carried out on whether gait retraining decreases running-related injuries incidence in young triathletes.

The investigators propose a study to determine the effect of gait retraining on the decrease in the number of running-related injuries and improve the running efficiency in young triathletes.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 19
• Est. completion date: June 30, 2019
• Est. primary completion date: June 30, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 11 Years to 18 Years

Eligibility

Inclusion Criteria:

• Triathletes included in the Triathlon Plan in High Performance of the Valencian Community in Spain.

• Reported running a minimum of 2 days per week for the last 3 months with no reported injury.

• Worst pain rated a minimum of 3 out 10 on a numerical rating scale (NRS) for pain (0=no pain, 10=worst possible pain)

Exclusion Criteria:

• Previous musculoskeletal surgery.

• Neurological impairment

• Structural deformity in the knee.

• Pain suffered by trauma or sports activity, having stopped running or receiving additional treatment outside the study.

Related Conditions & MeSH terms

• Disease Susceptibility
• Gait Retraining
• Kinematics

Intervention

Other:
• Gait retraining
5 gait retraining sessions of continuous feedback in real time during running sessions; using videotape feedback, a digital metronome to increase step rate, and verbal feedback to reduce the tendency to heel strike upon ground contact. Verbal feedback is offered during the 25- to 30-minute running sessions following a series of drills aimed at improving running mechanics.

Locations

Country	Name	City	State
Spain	Juan J. Amer-Cuenca	Alfara Del Patriarca	Valencia

Sponsors (1)

Lead Sponsor	Collaborator
J.J. Amer-Cuenca

Country where clinical trial is conducted

Spain, 

References & Publications (2)

Bramah C, Preece SJ, Gill N, Herrington L. A 10% Increase in Step Rate Improves Running Kinematics and Clinical Outcomes in Runners With Patellofemoral Pain at 4 Weeks and 3 Months. Am J Sports Med. 2019 Dec;47(14):3406-3413. doi: 10.1177/0363546519879693 — View Citation

Bramah C, Preece SJ, Gill N, Herrington L. Is There a Pathological Gait Associated With Common Soft Tissue Running Injuries? Am J Sports Med. 2018 Oct;46(12):3023-3031. doi: 10.1177/0363546518793657. Epub 2018 Sep 7. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Self-report Questionnaire about Running-related injuries	By means of a self-report questionnaire according to previous research in triathletes to document the incidence of overuse injuries previous and post gait retraining protocol season. Higher scores (number of injuries) mean a worse outcome.	Baseline - 7 months
Primary	Surface Electromyography	Mean activation amplitude of gluteus medius.	Baseline - 7 months
Secondary	3D Kinematic Analysis	Peak angle at midstance defined as of the maximum pelvis joint angle between initial contact and toe-off. The tool to assess this variable would be an Inertial measurement unit (IMU) located at sacral vertebra S1	Baseline - 7 months
Secondary	Maximal Oxygen Consumption (VO2max)	Oxygen Consumption during running	Baseline - 7 months