effects of a neuromuscular training ankle preventive program in soccer player

Conditions: Prevention and Control

Summary: objetive:to determine the effects of a functional ankle instability prevention neuromuscular training (penmt) program compared to the conventional fifa 11+ program on the occurrence of ankle sprains, flexibility, balance and muscle activation in 17-year-old male youth soccer players to 20 years. subjects and methods: an experimental investigation, controlled, randomized and single-blind clinical trial was carried out in 40 subjects randomized to start the control or experimental group (soccer players). the trial compared the effects of a differential intervention with a protocol focused on an ankle neuromuscular training program vs the usual fifa 11+ program, in order to strengthen functional ankle stability in youth soccer in male players. in each subject, 2 measurements were taken: pre-intervention and post-intervention. for each measurement, a hypothesis test was performed. results: the fifa11+ is expressed as an injury risk factor when buying it with the penmt after their participation. conclusion:the neuromuscular training program for the ankle or penmt applied in the experimental group did not generate a negative effect with respect to the fifa 11+ program, in addition to the time of departure in the post test, the penmt program is expressed as a protection factor of player injuries when contrasted with the fifa 11+ program, that is, it presents effectiveness against the risk factor of functional ankle instability.


Eligibility criteria:
inclusion criteria: * be between the age range of 17 to 20 years old at the time of evaluation and intervention. * have a minimum of 2 years of semi-professional / professional sports practice. * be linked to the football club for at least 1 year. * that they practice soccer at least 5 times a week. * that they are playing at least one competitive tournament. * that they have an active or current health promotion entity - eps and / or occupational risk insurer-arl. * players who during the entire period of 2019-2020 have presented at least one episode of lateral ankle sprain (during the last 4 months) (in the time range of 3 to 12 months prior to the first evaluation) who have required immobilization and / or weight loss for at least 3 days; present pain, subjective perception questionnaires of ankle instability). * soccer players with or without sprained ankle injuries will be taken, but not in the last 3 months. however, the time elapsed since the last episode will be recorded. exclusion criteria: * belonging to another sports club and / or regularly practicing more than one sport with muscular demand of the lower tract (lower limbs). * who present acute injuries such as: vestibular alterations, history of ankle fracture, acute knee and / or ankle injury during the last 3 months, history of previous surgical interventions in lower limbs or underlying systemic disease at the time of the initial evaluation (pretest). * who are undergoing treatment for any neuromuscular or other related pathology, in the acute phase and / or who have received a neuromuscular training program in the last 4 months, different from the one that will be applied in this study. * that in the last 4 months they have been in treatment for any neuromuscular pathology or other related to the acute phase and / or receive a neuromuscular training program different from the one that will be applied in this study.

Keywords: ankle injuries physical therapy neuromuscular training functional ankle instability prevention unstable joint.