Neuromuscular and Proprioceptive Training in Football Players

Sports Physical Therapy Clinical Trial

Official title:

Effect of Neuromuscular and Proprioceptive Training in Reducing Landing Error Patterns in Football Players

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04051554
• Other study ID #: RiphahIU Hafiz Ali Bin Asim
• Status: Completed
• Phase: N/A
• Start date: March 20, 2018
• Est. completion date: July 15, 2019

Study information

• Verified date: August 2019
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: July 15, 2019
• Est. primary completion date: April 1, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Male
• Age group: 15 Years to 25 Years

Eligibility

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

Related Conditions & MeSH terms

• Athletic Injuries
• Football Players
• Sport Injury
• Sports Physical Therapy

Intervention

Other:
• Neuromuscular and Proprioceptive Training
Myklebust's training program (floor exercises, mat exercises, and wobble board exercises for 5 weeks)
• Conventional Training
Running, Sprinting, Agility training and Dynamic stretching for five weeks

Locations

Country	Name	City	State
Pakistan	Riphah International University	Islamabad	Federal

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (10)

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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. Review. — View 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. — View 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. — View 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. Review. — View 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. — View 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. Epub 2006 Nov 7. — View 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. Review. — View 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. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.	5th week
Primary	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	5th week