Effects of Big Toe Strengthening on Agility, Jump and Speed Among Runners

Study Overview
=================
Brief Summary
-----------------
Running form and technique have a direct influence on a runner's economy, and therefore small changes in specific running mechanics could be useful to improving running performance. The thumb plays an important role in the functionality of the foot. During standing, the big toe is more loaded than the head of the five metatarsals and the heel. The study design will be a Randomized Controlled Trial. This study will be conducted in Pakistan Sports Board (PSB) Lahore. The study will be completed within the time duration of eight to ten months after the approval of the synopsis. The sample size will be 30 subjects. Non-probability convenient sampling technique will be used to recruit the individuals for the study. Then randomization will be done by lottery method to divide the individuals into 2 treatment groups. The experimental group is given big toe strengthening program for 3 weeks along with running training on the other hand control group will do only their running training and after that measure their pre-post values on spss. In this study, it will be aimed to examine the relationship of big toe strength with parameters that affect anaerobic athletic performance in runners such as vertical jump, horizontally jumping, strength, agility and speed.

Detailed Description
-----------------
The objective of my study is to explore the effects of big toe strengthening on agility, jump and speed among runners.

Official Title
-----------------
Effects of Big Toe Strengthening on Agility, Jump and Speed Among Runners

Conditions
-----------------
Sports Physical Therapy

Intervention / Treatment
-----------------
* Other: Toe strengthening exercise
* Other: Control Group


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Age; 16-28yrs Male runners Doing Running practice for 3 days in a week(40-60minutes per day) Exclusion Criteria: Participants a will be excluded if they have any neurological signs. Any lower limb trauma and history of fracture past six month Systematic illness ; diabetic ,hypertension(6)

Ages Eligible for Study
-----------------
Minimum Age: 16 Years
Maximum Age: 28 Years

Sexes Eligible for Study
-----------------
Male

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

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

Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A<br>12 participants will be in experimental group giving them Toe strengthening exercise protocol along with running training for three weeks, measure all values before giving them protocol and after protocol. | Other: Toe strengthening exercise<br>* 12 participants will be in experimental group giving them Toe strengthening exercise protocol along with running training for three weeks, measure all values before giving them protocol and after protocol.<br>|
| Experimental: Group B<br>12 participants will be in control group they will do only there running training. | Other: Control Group<br>* 12 participants will be in control group they will do only there running training.<br>|

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| HIP AND TOE DYNAMOMETER | Athletes will placed their feet on the ground prepared in accordance with the big toe and adjusted their big toes according to the location of the pinch meter. During the measurement, athletes will asked to apply maximum force with their big toe. Strength measurements were made on the athletes in the sitting position without any support(6). | 3 weeks | 
| Dynamic balance Y TEST, Star excursion test (SEBT) | Y test reliability (ICC = 0.88- 0.99 (14) The reliability of the SEBT as being moderate to good (ICC 0.67- 0.97 )(14). | 3 weeks | 
| Vertical jumping, Horizontal jumping | puts chalk on their fingertips to mark the wall at the height of their jump. Then stands away from the wall, and jumps vertically as high as possible using both arms and legs to assist in projecting the body upwards. Attempt to touch the wall at the highest point of the jump(15) | 3 weeks | 
| STRENGHT • Speed: 20m Sprint test • Agility---- T- Test | Ask the player to put the thumb on dynamometer and press it and see the strength. | 3 weeks | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Big toe, Athlete, Dynamometer, Muscle Strength, Agility