Assessment of Effectiveness of Neuromuscular Training in Treatment of Lumbar Spine in Football Players
Condition: Injury Leg; Back Pain; Sport Injury; Training Group, Sensitivity; Prevention
MeSH terms: Back Pain; Wounds and Injuries; Athletic Injuries
Study type: Interventional

Summary: 
      The project aims to assess the effectiveness of neuromuscular training according to the
      concept of Kinetic Control (KC) in prevention and treatment of lumbar spine and knee pain and
      in reduction of risk of injury in female football players.

      The study was designed as single-blind Randomized Controlled Trial (RCT) and conducted on a
      group of 18 female football players from University Club of the Academic Sports Association
      of Pope John Paul II State School of Higher Education in Biała Podlaska. Participants were
      randomly divided into two 9-person groups: A - used standard training and neuromuscular
      training (Kinetic Control) and B - used only standard training.

      Main hypothesis:

      The application of neuromuscular therapy (KC) reduces the risk of injuries and pain of the
      lumbar spine and the knee and improves the static and dynamic balance.

      Research questions:

        1. Will the application of the KC training reduce the risk and frequency of spine and knee
           injuries in females football players?

        2. Will the KC training lead to reduction of the intensity of lumbar spine and knee pain?

        3. Will the application of the KC training lead to increase in the torque strength of knee
           flexors and extensors and improved stability of the knee?

        4. Will the application of the neuromuscular training (KC) lead to reduction of the
           disability level and improved functional level?
    

Detailed description: 
      The research was conducted upon acquiring an approval of the Bioethical Commission of Pope
      John Paul II State School of Higher Education in Biała Podlaska, no. 3/2018.

      The study was designed as single-blind Randomized Controlled Trial (RCT) and conducted on a
      group of 18 female football players from University Club of the Academic Sports Association
      of Pope John Paul II State School of Higher Education in Biała Podlaska. Participants were
      randomly divided into two 9-person groups: A - used standard training and neuromuscular
      training (Kinetic Control) and B - used only standard training.

      None of the physiotherapists were personally involved in the preparation and the manner of
      performing the test. Before commencing the tests, each participant was familiarised with
      their course, expressed their informed written consent for the participation and random
      assignment to the specified tested group.

      The random placement was performed with the use of computer software.

      The players participate in two training cycles over a year: from July to December and from
      January to June. Therefore, the above mentioned training regime will be performed twice.

      A medical interview takes place before the training cycle. Physical examination, back pain
      functional scale (BPFS) and tests on the dynamographic platform will be performed two times -
      before and after each season.
    

Intervention name(s): Kinetic Control
Intervention type(s): Other
Intervention description(s): The Kinetic Control training included a functional examination of motor disorders and individual training. The KC training included active exercises, active exercises with torso muscle resistance and exercises involving lower limbs.
The duration of one training was 20-30 minutes.
Other intervention name(s): Neuromuscular training
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: The players were placed at random in the studied groups, 9 participants in each group: A - group with additional Kinetic Control neuromuscular training; and B - group with standard training.
Masking: Single (Investigator)
Primary purpose: Treatment
Keywords: prevention; back pain; soccer; football; female; sport injury; kinetic control