Sport Without Injury ProgrammE Floorball

Study Overview
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Brief Summary
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This study evaluates the preventive effect of a neuromuscular training program on injuries in youth floorball players. Half of participants will receive the training program, and half act as control and perform their usual training practices.

Detailed Description
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The study is a cluster-randomized controlled trial including male and female youth (12-17 years) floorball players. Club is used as cluster unit. Coaches in the intervention group receive education of the preventive neuromuscular training program Knee Control (Knäkontroll) before the start of the season. Knee Control consists of 6 different exercises, with 4 different variations and 1 pair-exercise, and takes about 10 minutes to complete. In addition, coaches are instructed to perform a 5-minute running warm-up before the Knee Control exercises. Teams are to carry out the intervention at all training sessions, and the 5-minute warm-up also before all matches. Coaches in the control group carry on their normal training and warm-up routines with their clubs. Teams are followed for one full season: October 2017 - March 2018. Data registered for the study include exposure to floorball training and matches, and injuries that occur as a result of participation in floorball.

Official Title
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Sport Without Injury ProgrammE Floorball

Conditions
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Athletic Injuries

Intervention / Treatment
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* Other: Knee Control training program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Teams with players 12-17 years of age (born 2000-2005) Teams who have not used a structured training program aiming to prevent injuries (the Knee Control or similar program) on a regular basis the last year Teams who have training at least twice per week Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Parallell group cluster-randomized trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Knee Control training program<br>The Knee Control program is a neuromuscular training program that consists of 6 different exercises, with 4 levels of progression and one pair-exercise, for each exercise. The Knee Control program takes about 10 minute to complete after familiarization. In addition, a 5-minute running warm-up is instructed to coaches. Coaches are to perform the Knee Control program + the 5 minute warm-up at all training sessions during the season, and the 5 minute warm-up before all matches. | Other: Knee Control training program<br>* 10-minute training program to be performed at all team training sessions during the season.<br>|
| No Intervention: Control group - usual training<br>The control group teams receive no intervention, and coaches are instructed to carry out their normal training and warm-up practice throughout the season. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| All physical complaints injury | Any floorball related injury regardless of need of care or absence from floorball training or matches (all physical complaints injury definition) | Study start up to end of season (6 months) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time-loss injury | Floorball related injury causing absence from the next training or match with the team (time-loss injury) | Study start up to end of season (6 months) | 
| Medical attention injury | Floorball related injury requiring the player to seek care (medical attention injury) | Study start up to end of season (6 months) | 
| Adverse events | Adverse events of using the program (intervention group only) | Study start up to end of season (6 months) | 
| Intervention compliance and fidelity | Coach reported compliance and fidelity with the program protocol (intervention group only) | Study start up to end of season (6 months) | 
| Coach experience of injuries and intervention program | Coach baseline and follow-up experiences of injuries (control group and intervention group) and of the Knee Control program (intervention group only) | Baseline and 6 months | 
| Player experience of injuries and intervention program | Player baseline and follow-up experiences of injuries (control group and intervention group) and of the Knee Control program (intervention group only) | Baseline and 6 months | 
| Exercise fidelity | Exercise fidelity (observation of the technique when using the intervention in select intervention group teams) | At approximately 2 months and 5 months | 
| Health care need | Number of health care visits due to floorball related injuries during the season, type of diagnostic examinations and treatments | After study end at 6 months | 
| Costs | Estimated costs of floorball related injuries and costs of the intervention | After study end at 6 months |