Effectiveness of Basketball Pre-injury Attack Program to Reduce the Susceptibility of Injury in Youth Basketball Players

Sports Physical Therapy Clinical Trial

— DPL2  

Official title:

Effectiveness of Basketball Pre-injury Attack Program to Reduce the Susceptibility of Injury in Youth Basketball Players: a Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05256186
• Other study ID #: 123/2018 (phase 2)
• Status: Completed
• Phase: N/A
• Start date: June 1, 2019
• Est. completion date: June 30, 2020

Study information

• Verified date: February 2022
• Source: University Rovira i Virgili
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Basketball is an impact, coordination-opposition sport with continuous contact among players and it is considered a sport of medium-high injury incidence. Players are force to have a physical condition appropriate to their practice and the demand to which they must respond due to the intensity of the efforts this sport requires. In order to achieve this, it is necessary to establish an evaluation protocol that allows the detection of functional deficiencies, to guide and conduct in a specific and early way every moment of players' health and growth.

The purpose of this study is to design, apply and analyze the effectiveness of a specific and individualized therapeutic exercise program (Basketball Pre-injury Attack) based on the approach of the functional deficiencies detected by the Basketball Injury Defense, to reduce the susceptibility to injury of youth basketball players (U14 - U17).

Description:

The aim of this study is to design, apply and analyze the effectiveness of a specific and individualized therapeutic exercise program (Basketball Pre-injury Attack) based on the approach of functional deficiencies detected by the Basketball Injury Defense, to reduce the susceptibility to injury of training federated basketball players.

The specific objectives are:

To improve the deficiencies detected in mobility, stability, symmetry and jumping/landing technique of basketball players in training categories (U14, U16 and U17).

To structure and determine the contents of a specific and individualized therapeutic exercise program (Basketball Preinjury Attack) designed to improve the functional deficiencies of mobility, stability, symmetry and jumping/landing technique of training basketball players based on current scientific evidence.

To analyze whether adherence to the program is achieved by raising players' awareness of the importance and benefits of performing the exercises with correct technique.

To assess whether a decrease in the susceptibility to injury of training federated basketball players is achieved.

For this purpose, an experimental study was conducted as a single-blind, randomized, cluster-controlled clinical trial during the months of June 2019 to February 2020 (9 months). For the development of the methodology of this study, the guidelines of the CONSORT (Consolidated Standards of Reporting Trials) Statement were followed.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 212
• Est. completion date: June 30, 2020
• Est. primary completion date: February 28, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 14 Years to 17 Years

Eligibility

Inclusion Criteria:

• Be between 10 and 17 years old

• Be an active player at the time of selection

• Sign the informed consent.

Exclusion Criteria:

• Being diagnosed with a psychological and/or psychiatric illness.

• Being diagnosed with an oncological disease.

• Be injured at the time of selection.

Related Conditions & MeSH terms

• Athletic Injuries
• Biomechanical Lesions
• Injury;Sports
• Musculoskeletal Injury
• Sports Physical Therapy
• Wounds and Injuries

Intervention

Other:
• Basketball Pre-injury Attack program
The intervention had a total duration of 24 weeks, with 3 sessions per week (before starting training) with a total duration of 12 to 15 minutes per session. Each session consisted of 8 exercises with a load of 2 to 3 series between 6 and 12 repetitions; and with a rest at the end of each series of <60 seconds.

Locations

Country	Name	City	State
Spain	Federación Catalana de Baloncesto	Barcelona

Sponsors (1)

Lead Sponsor	Collaborator
University Rovira i Virgili

Country where clinical trial is conducted

Spain, 

References & Publications (15)

Aerts I, Cumps E, Verhagen E, Wuyts B, Van De Gucht S, Meeusen R. The effect of a 3-month prevention program on the jump-landing technique in basketball: a randomized controlled trial. J Sport Rehabil. 2015 Feb;24(1):21-30. doi: 10.1123/jsr.2013-0099. Epub 2014 Jun 6. — View Citation

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Branta C, Haubenstricker J, Seefeldt V. Age changes in motor skills during childhood and adolescence. Exerc Sport Sci Rev. 1984;12:467-520. — View Citation

Dill KE, Begalle RL, Frank BS, Zinder SM, Padua DA. Altered knee and ankle kinematics during squatting in those with limited weight-bearing-lunge ankle-dorsiflexion range of motion. J Athl Train. 2014 Nov-Dec;49(6):723-32. doi: 10.4085/1062-6050-49.3.29. — View Citation

Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J, Bleakley C. The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med. 2014 Jan;44(1):123-40. doi: 10.1007/s40279-013-0102-5. Review. — View Citation

Fort-Vanmeerhaeghe A, Gual G, Romero-Rodriguez D, Unnitha V. Lower Limb Neuromuscular Asymmetry in Volleyball and Basketball Players. J Hum Kinet. 2016 Apr 13;50:135-143. doi: 10.1515/hukin-2015-0150. eCollection 2016 Apr 1. — View Citation

Gonzalo-Skok O, Serna J, Rhea MR, Marín PJ. AGE DIFFERENCES IN MEASURES OF FUNCTIONAL MOVEMENT AND PERFORMANCE IN HIGHLY YOUTH BASKETBALL PLAYERS. Int J Sports Phys Ther. 2017 Oct;12(5):812-821. — View Citation

Hewett TE, Myer GD, Ford KR, Heidt RS Jr, Colosimo AJ, McLean SG, van den Bogert AJ, Paterno MV, Succop P. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med. 2005 Apr;33(4):492-501. Epub 2005 Feb 8. — View Citation

McKeon PO, Hertel J. Systematic review of postural control and lateral ankle instability, part I: can deficits be detected with instrumented testing. J Athl Train. 2008 May-Jun;43(3):293-304. doi: 10.4085/1062-6050-43.3.293. Review. — View Citation

Moody JA, Naclerio F, Green P, Lloyd RS. Motor skill development in youths. En: Lloyd R, Oliver JL. Strength and Conditioning for Young Athletes: Science and Application. 1ª edición. New York:Routledge;2014

Myer GD, Ford KR, McLean SG, Hewett TE. The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics. Am J Sports Med. 2006 Mar;34(3):445-55. Epub 2005 Nov 10. — View Citation

Myklebust G, Engebretsen L, Braekken IH, Skjølberg A, Olsen OE, Bahr R. Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med. 2003 Mar;13(2):71-8. — View Citation

Perrott MA, Pizzari T, Opar M, Cook J. Development of clinical rating criteria for tests of lumbopelvic stability. Rehabil Res Pract. 2012;2012:803637. doi: 10.1155/2012/803637. Epub 2011 Dec 29. — View Citation

Romero Morales C, Calvo Lobo C, Rodríguez Sanz D, Sanz Corbalán I, Ruiz Ruiz B, López López D. The concurrent validity and reliability of the Leg Motion system for measuring ankle dorsiflexion range of motion in older adults. PeerJ. 2017 Jan 3;5:e2820. doi: 10.7717/peerj.2820. eCollection 2017. — View Citation

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* Note: There are 15 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Ankle dorsiflexion under load	The Weight-bearing Lunge Test measured with the Leg Motion® system (Check Your Motion, Albacete) was used. Ankle dorsiflexion was recorded in centimeters.	1 year
Primary	Active hip, knee and ankle dorsiflexion	The Hurdle Step Test measured with the Leg Motion® system (Check Your Motion, Albacete) was used. A frontal and sagittal view was recorded with two filming devices so that the results could be analyzed later. Impairment was considered in those cases in which the subject was not able to step the foot over the rope during the hurdle step or if he/she performed adduction, internal or external rotation of the hip, and lost alignment between the hip, knee and ankle.	1 year
Primary	Ankle stability in monopodal loading	The Single Leg Squat Test was used and the criteria established by Perrot were used: it was considered stable if the foot remained in neutral position during the movement; and unstable if excessive pronation of the foot was evident during the movement or external rotation of the leg. To analyze the results, a frontal and sagittal view was recorded with two filming devices.	1 year
Primary	Monopodal dynamic knee valgus	The Single Leg Squat Test was used. The evaluator recorded a frontal and sagittal view with two filming devices. The knee was considered to be aligned if the patella was over the second toe.	1 year
Primary	Lumbo-pelvic stability	It was evaluated qualitatively with the Single Leg Squat Test and the Hurdle Step Test. To analyze the results, a frontal and sagittal view was recorded with two filming devices and the criteria established by Perrot were used. It was considered stable if there was minimal movement in all three planes, the pelvic girdle was aligned and there was no evidence of excessive anteroposterior tilt and/or trunk rotation. It was considered unstable if these criteria were not met.	1 year
Primary	Dynamic postural stability	It was analyzed qualitatively with the Single Leg Squat Test. The test was recorded with two filming devices (frontal and sagittal) and the criteria established by Perrot and Crossley were used. For this purpose, the deviation of the trunk with respect to the center of gravity was observed. It was considered stable if there was minimal translation of the center of mass, i.e., no lateral flexion/tilt, rotation or trunk flexion/extension.	1 year
Primary	Jumping/landing technique	It was analyzed with de Single Hop for distance Test. Ankle stability at landing, dynamic knee valgus, lumbopelvic stability and dynamic postural stability were analyzed.	1 year
Primary	Symmetry between the dominant and non-dominant limb	From the distance obtained in the Single Hop for distance Test, the Symmetry Index was calculated using the formula: (Distance dominant limb/Distance non-dominant limb)*100.	1 year
Secondary	Age	Recorded in years.	1 year
Secondary	Category	According to the age of the participant could compete in 3 categories: U14, U16 or U17.	1 year
Secondary	Gender	Female or male.	1 year
Secondary	Weight	Weight was recorded in kg.	1 year
Secondary	Height	Height was recorded in cm.	1 year
Secondary	Body Mass Index (BMI)	It was calculated from the following formula [weight (kg) / height2 (m)].	1 year
Secondary	Wingspan	The horizontal wingspan was recorded in cm.	1 year