Neuromuscular Cognitive Training

Injury;Sports Clinical Trial

— I-THINC  

Official title:

Improved Training Happens With Integrated Neuromuscular and Cognitive Challenge

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05459363
• Other study ID #: 76666
• Status: Completed
• Phase: N/A
• Start date: August 23, 2022
• Est. completion date: October 15, 2022

Study information

• Verified date: June 2024
• Source: University of Kentucky
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This project will utilize a quasi-experimental, multiple baseline pretest-posttest design where participants will complete postural stability assessments, physical performance assessments, and questionnaires to evaluate perceptions toward injury prevention before and after completing a 6-week neuromuscular-cognitive prevention program.

Description:

The I-THINC program will address aspects of cognition (i.e., reaction time/processing speed, working memory, cognitive flexibility, inhibitory control, attention, and dual-tasking) while completing common movement patterns utilized in tennis (i.e., lateral shuffle, rapid acceleration/deceleration, and postural stability). The proposed program will take place in the participants training facility. The program will be implemented twice per week for six weeks (12 sessions) with each session lasting 20 minutes. To add variety, there will be two complementary programs (A and B) comprising of four exercises increasing in complexity every two weeks. Each week participants will complete Program A during the first session and Program B during the second session.Exercises will progressively challenge cognitive and physical demand. Exercises were designed to address the most common injuries in tennis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 10
• Est. completion date: October 15, 2022
• Est. primary completion date: October 15, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

• healthy adults from the University of Kentucky varsity tennis programs

Exclusion Criteria:

• not medically cleared for participation

Related Conditions & MeSH terms

• Athletic Injuries
• Injury;Sports

Intervention

Other:
• I-THINC
Improved Training Happens with Integrated Neuromuscular and Cognitive Challenge (I-THINC) is an injury prevention program. It will be used to integrate cognitive tasks with traditional sports injury prevention approaches that focus on balance, agility, and neuromuscular control.

Locations

Country	Name	City	State
United States	Sports Medicine Research Institute	Lexington	Kentucky

Sponsors (1)

Lead Sponsor	Collaborator
Ke'La H Porter

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in single task static postural stability	Single task static postural stability will be assessed with an Accusway Plus force plate.	6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Primary	Change in dual task postural stability	Dual task static postural stability will be assessed with an Accusway Plus force plate while completeing an upper extremity reaction time on the Dynavision D2.	6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Primary	Change in dynamic postural control	Dynamic postural control will be assessed with the single leg hop.	6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Primary	Change in dual task dynamic postural control	Dynamic postural control will be assessed with the single leg hop. An additional cognitive task - responding to LED color cues - will be added.	6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Primary	Change in speed, power and agility (single measure)	Speed, power and agility will be measured using the Run Decide Test.	6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Primary	Change in reactive agility	Reactive agility will be assessed with the 4x4 box drill.	6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Primary	Change in lower extremity reaction time	Lower extremity reaction time will be assessed with the lower extremity reaction test, deactivating sensors as quickly as possible with their foot.	6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Primary	Change in HBMS	Health Belief Model Scale (HBMS) is used to assess behavioral determinants of exercise related injury prevention programs and is comprised of six subscales: susceptibility, severity, benefits, barriers, cues to action, and self-efficacy. Participants rate how strongly they agree or disagree with the statements on a Likert scale ranging from 3 to -3, with a 3 indicating strongly agree and -3 indicating strongly disagree. Positive responses indicate a positive perception towards injury prevention programs, except the barrier subscale where positive responses indicate a negative perception towards injury prevention programs.	6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Primary	Participant engagement	The participant engagement survey will contain Likert Scale (1-5) questions to provide a quantitative analysis of satisfaction with the program. A 1 indicates strongly disagree and a 5 indicates strongly agree. The range is 7-35, and higher scores indicate increased engagement.	at 6 weeks
Primary	Compliance	Compliance will be based on the percentage of sessions attended by participants.	6 weeks