Sport Specific Training Versus Neuromuscular Training on Field Rugby Players.

Study Overview
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Brief Summary
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Randomized Clinical Trial in rugby sports club in Lahore. A Sample size of 26 is calculated using epitol.Group A: Sports specific training Treatments will be provided in 30 mins per week for 3 consecutive weeks. Weight programs include closed chain exercises (squats, pushups) and open chain exercises (leg press, chest fly using dumbbell) Stretch shortening cycle (enhances performance through storage of elastic energy during eccentric phase and activation of stretch reflex). Group B: neuromuscular training Treatments will be provided in 30 mins per week for 3 consecutive weeks Proprioceptive Neuromuscular Facilitation (PNF)

Detailed Description
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Rugby require constant pace changes that generates high musculoskeletal demand in rugby one of the commonly affected area is low back pain that can affect player performance and can be accelerated by injury, health and lifestyle factors and possibly by joint pain or musculoskeletal disorders. Data will be collected from players in registered rugby clubs of district Lahore. Informed consents will be taken from all participants with the knowledge of aims and procedure. The results of this study will help to improve treatment protocols options for players how it affects the rehab process and how it affects the movement and pain how it affects the rehab process and how the pain restricts movements among rugby players. This study will be based on a randomized clinical trial used to study the different level of effectiveness of sports specific training versus neuromuscular training on dynamic balance mobility, flexibility in field rugby players. Subjects with low back pain meeting the predetermined inclusion & exclusion criteria will be divided into two groups by randomization to avoid any plagiarism. Dynamic Balance, measured with Star Excursion Balance Test; Active Range of Motion (ROM), using a manual goniometer and Lumbar Flexibility, assessed with Fingertip-to-floor test will be used for data collection. Subjects in one group will be treated with Bilateral stretches, contract-relax PNF stretching training and other will be treated with weight training, aerobic exercises. Each subject will receive a total four weeks treatment session, thirty minutes sessions will be performed once a week for three weeks. Three evaluations will be performed once before treatment One week after treatment and four week post treatment follow-ups. Sample size 26 each group contains 13 participants. All statistical analysis will be performed with spss16.0.

Official Title
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Effect of Sport Specific Training Versus Neuromuscular Training on Dynamic Balance, Mobility and Flexibility in Field Rugby Players With Non-specific Low Back Pain. A Randomized Clinical Trial

Conditions
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Athletic Injuries

Intervention / Treatment
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* Other: neuromuscular training
* Other: Sports specific training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Female rugby players Who had suffered minor musculoskeletal injuries that did not preclude their sports participation. Age ranges from 16-30 Being able to cooperate Exclusion Criteria: Players presenting injuries which implied radicular compromise (sciatic pain, etc.) Players who had suffered moderate or severe musculoskeletal injuries in the past 6 months which precluded their normal sports participation. Traumatic pain, fractures or ruptured ligaments. Inflammatory and Infectious conditions Any recent surgical intervention Tumors/malignancy of bone

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Sports specific training<br>Treatments will be provided in 30 mins per week for 3 consecutive weeks. Weight programs include closed chain exercises (squats, pushups) and open chain exercises (leg press, chest fly using dumbbell) Stretch shortening cycle (enhances performance through storage of elastic energy during eccentric phase and activation of stretch reflex). | Other: Sports specific training<br>* Treatments will be provided in 30 mins per week for 3 consecutive weeks. Weight programs include closed chain exercises (squats, pushups) and open chain exercises (leg press, chest fly using dumbbell) Stretch shortening cycle (enhances performance through storage of elastic energy during eccentric phase and activation of stretch reflex).<br>|
| Active Comparator: neuromuscular training<br>Treatments will be provided in 30 mins per week for 3 consecutive weeks Proprioceptive Neuromuscular Facilitation (PNF) | Other: neuromuscular training<br>* Treatments will be provided in 30 mins per week for 3 consecutive weeks Proprioceptive Neuromuscular Facilitation (PNF)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Goniometer | To measure ROM at hip and knee joints | 6 weeks | 
| Star exclusion test | The test originally incorporated reaching in eight directions while standing on each foot. the 8 different directions are following: anterior, anteromedial, medial, posteromedial, posterior, posterolateral, lateral and anterolateral. SEBT performance scores using the following simple equations: Average distance in each direction (cm) = Reach 1 + Reach 2 + Reach 3 / 3 Relative (normalised) distance in each direction (%) = Average distance in each direction / leg length * 100 | 6 weeks | 
| Finger tip to floor test | The patient is asked to bend forward and attempt to reach for the floor with their fingertips. The physical therapist then measures the distance between the patient's right long finger and the floor using a standard measuring tape. Mean fingertip- to-floor test was 21.5 21.7cm (range, 0-48cm) for men and 19.6 22cm (range, 0-50cm) for women | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| visual analogue scale for pain | Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between no pain and worst pain. | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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dynamic balance, Low back pain, neuromuscular training