Sport Injury Clinical Trial
— FIREframeworkOfficial title:
Effectiveness of a New On Field Rehabilitation Framework for Return to Sport in Injured Elite Football Players - a Prospective Randomized Controlled Trial
Background Nowadays, in elite demanding football, injuries are a delicate issue as affects player's availability for the teams to win games and attain trophies.Following an injury, the appropriate recovery is vital to return athletes quickly and safely to their sport, based on pre injury physical and psychological levels. Delay in rehabilitation can result in prolonged pain and a delayed return to sports, a finding that emphasizes the importance of proper rehabilitation procedure during injury recovery.On field functional rehabilitation, a key point in injury recovery in football , as presented in the definition of rehabilitation ,obtained the interaction of the person with the environment he lives and provide him/her the ability to optimize functionality. Especially in sports, the last one is applied via ecological theory in sports with a wealth of benefits for the player during injury recovery on filed. Ecological theory bring us closer to the sport from a realistic approach , can provide an explanation to many situations that arise in sports and understands the athlete as a part of his/her own surroundings. Ideally, through injury recovery , the focus should be more on the biological time needed for the injury to recover, while trying to maintain the skills of the athlete during the rehabilitation process. Adequate and appropriate cognitive and neuromuscular skills should be maintained in high level, in activities that normally occurred during training or games. In this Context, application of ecological theory in football on field functional rehabilitation provide to the player the ability to maintain this skills, according with the high demands of elite football players.The maximum retention of football specific skills and the adaptation of injured tissue in an injury football player take place on his/her natural environment of action , the field . What sports medicine community knows? Until today, disunity of opinions prevalent among sports medicine community about on filed functional rehabilitation during injury recovery.The majority of the clinicians apply on field functional rehabilitation, called as traditional on filed rehabilitation, as the late phase of injury recovery ,where the player comeback on filed activity when he had already restore maximum or the average strength and function based on pre injury screening or standard value.The progression of the player during the late phase of injury recovery based on load monitoring with (global position system) to control progression and risk of reinjury. On the contrary emphasized the opinion of the early return to filed activity that's can increase for the injury player the ability to maintain sports specific skills as much as he can during injury recovery. In the literature review there is a absence of evidence to refer to a specific framework for on field functional rehabilitation in regard of recovery an injured football player (elite or amateur ) on field. References ,with a lack of evidence ,exist only in some specific rehabilitation protocols such as muscle injury rehabilitation tendons injuries management or Anterior Cruciate Ligament Reconstruction rehabilitation as the late phase of injury recovery.Only one study, present on field functional rehabilitation framework of 5 stages based on traditional rehabilitation for short and long term injuries based on load monitoring through global position system ,as a work based on experience and lacking of evidence. Aim The overall objective of the proposed research is to conduct a prospective randomized controlled trial to evaluate the effectiveness of ''On FI.RE. framework'' (on filed rehabilitation framework),namely the early return to on field activities during an injury recovery. Included a specific 5 stages program-framework , and a daily session planning framework for on field functional rehabilitation. The effectiveness will evaluated with the time that the player needed to return to full participation in teams training.
Status | Recruiting |
Enrollment | 125 |
Est. completion date | September 30, 2022 |
Est. primary completion date | December 31, 2021 |
Accepts healthy volunteers | No |
Gender | Male |
Age group | 17 Years to 40 Years |
Eligibility | Inclusion Criteria: - Subject/player he will be a professional player at least 3 years - The musculoskeletal injury to be an acute injury - The player participate in the study from the initial tine that injury occurred - The injury to be moderate or severe (= 7 days ) as the initial diagnosis (1) Exclusion Criteria: - A reinjury of a previous injury - Chronic overuse syndrome or other disorders that affect the intervention and the result of the study - Do not sustained another injury the last two months |
Country | Name | City | State |
---|---|---|---|
Greece | Stadium of Agios Nikolaos | Agios Nikolaos | Crete |
Greece | Municipal Stadium of Aigion | Aigio | Peloponnisos |
Greece | Hymettus Municipal Stadium | Athens | Imittos |
Lead Sponsor | Collaborator |
---|---|
University of Patras |
Greece,
Bizzini M, Hancock D, Impellizzeri F. Suggestions from the field for return to sports participation following anterior cruciate ligament reconstruction: soccer. J Orthop Sports Phys Ther. 2012 Apr;42(4):304-12. doi: 10.2519/jospt.2012.4005. Epub 2012 Mar 30. — View Citation
Buckthorpe M, Della Villa F, Della Villa S, Roi GS. On-field Rehabilitation Part 2: A 5-Stage Program for the Soccer Player Focused on Linear Movements, Multidirectional Movements, Soccer-Specific Skills, Soccer-Specific Movements, and Modified Practice. J Orthop Sports Phys Ther. 2019 Aug;49(8):570-575. doi: 10.2519/jospt.2019.8952. Epub 2019 Jul 10. — View Citation
Buckthorpe M, Frizziero A, Roi GS. Update on functional recovery process for the injured athlete: return to sport continuum redefined. Br J Sports Med. 2019 Mar;53(5):265-267. doi: 10.1136/bjsports-2018-099341. Epub 2018 Sep 29. — View Citation
Della Villa S, Boldrini L, Ricci M, Danelon F, Snyder-Mackler L, Nanni G, Roi GS. Clinical Outcomes and Return-to-Sports Participation of 50 Soccer Players After Anterior Cruciate Ligament Reconstruction Through a Sport-Specific Rehabilitation Protocol. Sports Health. 2012 Jan;4(1):17-24. — View Citation
Ekstrand J, Krutsch W, Spreco A, van Zoest W, Roberts C, Meyer T, Bengtsson H. Time before return to play for the most common injuries in professional football: a 16-year follow-up of the UEFA Elite Club Injury Study. Br J Sports Med. 2020 Apr;54(7):421-426. doi: 10.1136/bjsports-2019-100666. Epub 2019 Jun 10. — View Citation
Ekstrand J, Spreco A, Bengtsson H, Bahr R. Injury rates decreased in men's professional football: an 18-year prospective cohort study of almost 12 000 injuries sustained during 1.8 million hours of play. Br J Sports Med. 2021 Oct;55(19):1084-1091. doi: 10.1136/bjsports-2020-103159. Epub 2021 Feb 5. — View Citation
Fuller CW, Ekstrand J, Junge A, Andersen TE, Bahr R, Dvorak J, Hägglund M, McCrory P, Meeuwisse WH. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med. 2006 Mar;40(3):193-201. Review. — View Citation
Taberner M, Allen T, Cohen DD. Progressing rehabilitation after injury: consider the 'control-chaos continuum'. Br J Sports Med. 2019 Sep;53(18):1132-1136. doi: 10.1136/bjsports-2018-100157. Epub 2019 Feb 8. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Primary outcome measure is time to return, that is, time that the player needed from injury to full participation in the team training process based on pre injury physical level. | Time to return ,namely loss days ,is defined as the period of absence for a player following an injury constituted the full period (number of days) between the date when the player was forced to discontinue his football participation due to an injury until the date when the medical team allowed the player to return to full participation in team training.After the completion of the measurement , means of the total number of days that players of each group needed to return to full participation in team training will be compared between groups to evaluate which of the two interventions is more effective. | Direct after rehabilitation completion | |
Primary | Time to return-subgroups | After the completion of the measurement , means of the total number of days that players of each subgroup (based on th nature of injury) needed to return to full participation in team training will be compared between subgroups of two arms to evaluate which of the two interventions is more effective. | Direct after rehabilitation completion | |
Secondary | Occurrence of reinjuries, injury of the same type and at the same site as an index injury, was registered during a 2 month period after the player return to performance. | ''Early recurrence'' ,a recurrent injury occurring within 2 months of a player's return to full participation and ''late recurrence'' a recurrent injury occurring 2 to 12 months after a player's return to full participation,with the team in games will be documented. The result it will be compared between groups . | For nine months after Return to sports |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT05243134 -
The Influence of Anatomic Deformities on the Clinical Efficacy in the Patients With Patellar Dislocation
|
||
Terminated |
NCT04586179 -
A Comparison Between Cardiovascular Exercise Modes Following Sport Related Concussion
|
N/A | |
Not yet recruiting |
NCT04418063 -
Glenohumeral Internal Rotation Deficit in Non-pitcher Overhead Athletic Athletes: Case Series Analysis of Athletes
|
||
Not yet recruiting |
NCT05317130 -
A Complex Health Promotion Intervention in Parasport - The Safe & Healthy Parasport Project
|
||
Completed |
NCT05861882 -
ASSESSMENT OF THE HANDBALL PLAYERS
|
||
Completed |
NCT05254470 -
Real-World Experience of Patients Treated for Musculoskeletal Injuries With SAM in Routine Care
|
||
Completed |
NCT04780906 -
Influence of Wrist Taping on Handgrip Strength in Crossfit Athletes
|
N/A | |
Completed |
NCT05247359 -
Neuromuscular Deficits in Jump-Landing Technique in Young Basketball
|
||
Completed |
NCT04641520 -
Shoulder Profile Among Swimmers and Badminton Players
|
||
Enrolling by invitation |
NCT03312504 -
Implementing a School Prevention Program to Reduce Injuries Through Neuromuscular Training
|
N/A | |
Recruiting |
NCT04121780 -
Growth Hormone Replacement Therapy for Retried Professional Football Players
|
Phase 2 | |
Completed |
NCT04730167 -
The Monaco Initiative for Concussion in Motorsport Pilots
|
||
Completed |
NCT03310450 -
Tour de Borobudur Troponin Study on Predictors and Synergistic Role of MDA and Hs-CRP Levels
|
||
Completed |
NCT04637607 -
Immediate Effect of Non-invasive Auricular Acupoint Stimulation for the Performance and the Meridian Activities of Archery Athletes
|
N/A | |
Completed |
NCT04284358 -
Does Peer to Peer Learning Facilitated by an iPad Application Help Coaches Learn a Neuromuscular Training Warmup?
|
N/A | |
Completed |
NCT04589780 -
Is There a Relationship Between the Risk of Injury and Posture in Wrestlers?
|
||
Completed |
NCT05827484 -
The Effect of Combined Use of Anti-fibrotic Agent With Platelet Rich Plasma on Skeletal Muscle Healing After Acute Injuries
|
Phase 4 | |
Recruiting |
NCT05326555 -
Dynamic Vision Testing and Concussion Management Dream Team 65
|
||
Completed |
NCT04504929 -
The Effectiveness of Dynamic Taping in Preventing Muscle Fatigue
|
N/A | |
Completed |
NCT04181242 -
Epidemiology of Injuries in Elite Badminton Players: a Prospective Study
|