Effect of Neuromuscular Warm-up on Injuries in Female Athletes

Study Overview
=================
Brief Summary
-----------------
The goal of the study is to determine effect of coach-led neuromuscular warm-up on non-contact, lower extremity (LE) injury rates among female athletes in a predominantly non-white public high school system. The investigators hypothesized the warm-up would reduce non-contact LE injuries.

Detailed Description
-----------------
We will recruit basketball and soccer coaches and their athletes from Chicago public high schools. We will randomize teams to intervention and control groups. We will train intervention coaches to implement a 20-minute neuromuscular warm-up and tracked training costs. Control coaches will use their usual warm-up. All coaches will report weekly athlete exposures (AEs) and injuries resulting in a missed practice/game. Research assistants will interview injured athletes. We will compare injury rates between control and intervention groups.

Official Title
-----------------
Effect of Neuromuscular Warm-up on Injuries in Female Athletes in Urban Public High Schools: A Cluster-randomized Controlled Trial

Conditions
-----------------
Knee Injuries, Anterior Cruciate Ligament Injuries, Ankle Injuries, Lower Extremity Injuries

Intervention / Treatment
-----------------
* Other: neuromuscular warm-up


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria for High School Students (initial part of study - completed) plays basketball or soccer for a Chicago public high school team coaches basketball or soccer for a Chicago public high school team female, age 14-20 Inclusion Criteria for coaches (current part of study): Willing to implement a new warm-up before their team's practices and games Willing to complete a pre- and post-season survey before and after using the warm-up program for one season (surveys are attached). Willing to complete a pre- and post-workshop test before and after the workshop (tests are attached). Willing to allow study personnel to observe their implementation of the warm-up at up to three team practices or games. Exclusion Criteria for coaches (current part of study) There are no separate exclusion criteria for coaches.

Ages Eligible for Study
-----------------
Minimum Age: 14 Years
Maximum Age: 80 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: neuromuscular warm-up<br>coaches in this arm use the prescribed warm-up before team practices | Other: neuromuscular warm-up<br>* neuromuscular warm-up exercises that take 20 minutes to perform<br>* Other names: Knee Injury Prevention Program (KIPP);|
| No Intervention: no warm-up<br>coaches use their usual warm-up before team practices | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| lower extremity injury rates |  | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| coach compliance with warm-up |  | one year | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Knee injury, ankle sprain, anterior cruciate ligament, adolescent, soccer, basketball, prevention