Clinical trial NCT06556082: Effect of PNF-Based Upper Extremity Strengthening With Core Stabilization on Fitness in Amputee Football Players
Official title: The Effect of Proprioceptive Neuromuscular Facilitation Based Upper Extremity Strengthening Exercises Combined With Core Stabilization Training on Physical Fitness Parameters in Amputee Football Players
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Amputation
Lower Limb Amputation
Keywords: Amputee Football
Physical Fitness
Balance
Lead sponsor: Uskudar University
Sponsor class: OTHER
First posted: 2024-08-15
Enrollment: 14
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Training and Control Group
Primary purpose: TREATMENT

Brief summary: Amputee football (AF) is a disability-specific football in which amputees can participate. This study aims to determine the effect of PNF-based upper extremity strengthening exercises combined with core stabilization exercises on physical fitness parameters in amputee football players. In the study, amputee soccer players will be randomly divided into two groups training and control groups. In addition to the standard training programs in the off-season, the amputee athletes in the training group will receive PNF-based upper extremity strengthening training combined with core stabilization training by the same physiotherapist 3 days a week for 8 weeks. The amputee football players in the control group will be given upper extremity strengthening training with free weights in addition to core stabilization training 3 days a week for 8 weeks. The physical and demographic characteristics of the cases who signed the consent form will be recorded. Initial evaluations will be made before the start of the exercise training program and secondary evaluations will be made at the end of 8 weeks. Detailed information about the participants will be obtained with the Descriptive Characteristics Information Form. Single Leg Balance Test, Berg Balance Scale and Activity Specific Balance Confidence Scale will be used to obtain information about postural control and balance strategies of the participants. Pressure Feedback Unit will be used to measure the stabilization capacity of deep spinal muscles. Trunk muscle endurance tests developed by McGill will be used to assess the level of core stability. Isokinetic muscle strength of the upper extremity muscles will be measured with the ISOMED 2000 (2017-Germany) device. Hand grip strength will be measured with Jamar Hand Dynanometer. Closed Kinetic Ring Upper Extremity Test will be used to measure the strength, anaerobic power, and closed kinetic chain stability of the upper extremity. The Distance Triple Hop Test will be used to assess the strength, speed, balance, and control ability of a lower extremity with special emphasis on the distance traveled by the lower extremity. Sprint Test will be used to measure the running performance of amputee soccer players. The data will then be analyzed and interpreted with appropriate statistical methods.

Detailed description: Amputee football (AF) is a disability-specific football in which amputees can participate. Optimum flexibility, strength, endurance, speed, and agility are required to perform adequately in amputee football. However, amputee soccer requires intense strength and stability requirements on the upper extremities and trunk, especially due to the use of crutches. The aim of this study is to determine the effect of PNF-based upper extremity strengthening exercises combined with core stabilization exercises on physical fitness parameters in amputee football players. In the study, amputee soccer players will be randomly divided into two groups training and control groups. In addition to the standard training programs in the off-season, the amputee athletes in the training group will receive PNF-based upper extremity strengthening training combined with core stabilization training by the same physiotherapist 3 days a week for 8 weeks. The amputee football players in the control group will be given upper extremity strengthening training with free weights in addition to core stabilization training 3 days a week for 8 weeks. The physical and demographic characteristics of the cases who signed the consent form will be recorded. Initial evaluations will be made before the start of the exercise training program and secondary evaluations will be made at the end of 8 weeks. Detailed information about the participants will be obtained with the Descriptive Characteristics Information Form. Single Leg Balance Test, Berg Balance Scale, and Activity Specific Balance Confidence Scale will be used to obtain information about postural control and balance strategies of the participants. Pressure Feedback Unit will be used to measure the stabilization capacity of deep spinal muscles. Trunk muscle endurance tests developed by McGill will be used to assess the level of core stability. Isokinetic muscle strength of the upper extremity muscles will be measured with the ISOMED 2000 (2017-Germany) device. Hand grip strength will be measured with Jamar Hand Dynanometer. Closed Kinetic Ring Upper Extremity Test will be used to measure the strength, anaerobic power, and closed kinetic chain stability of the upper extremity. The Distance Triple Hop Test will be used to assess the strength, speed, balance, and control ability of a lower extremity with special emphasis on the distance traveled by the lower extremity. Sprint Test will be used to measure the running performance of amputee soccer players. The data will then be analyzed and interpreted with appropriate statistical methods.

Eligibility criteria: Inclusion Criteria:

* At least one year of experience in playing amputee soccer.
* Transtibial, knee disarticulation, or transfemoral level amputation.

Exclusion Criteria:

* Presence of upper extremity amputation.
* Bilateral lower extremity amputation.
* Underwent upper or lower extremity surgery within the last 6 months.
* Neurological disease, vestibular or visual problems.
* Use of medication affecting the central nervous system.
* Any pathology that may affect motor performance.

Primary outcomes:
measure: Isokinetic Upper Extremity Muscle Strength
timeFrame: Baseline (pre-intervention) and at 8 weeks (post-intervention).
measure: Core Muscle Strength
timeFrame: Baseline (pre-intervention) and at 8 weeks (post-intervention).
measure: Sprint Performance
timeFrame: Baseline (pre-intervention) and at 8 weeks (post-intervention).
Secondary outcomes:
measure: Postural Stability
timeFrame: Baseline (pre-intervention) and at 8 weeks (post-intervention).
measure: Balance Confidence
timeFrame: Baseline (pre-intervention) and at 8 weeks (post-intervention).
measure: Static Balance Assessment
timeFrame: Baseline (pre-intervention) and at 8 weeks (post-intervention).
measure: Upper Extremity Endurance and Stability
timeFrame: Baseline (pre-intervention) and at 8 weeks (post-intervention).
measure: Grip Strength Assessment
timeFrame: Baseline (pre-intervention) and at 8 weeks (post-intervention).
measure: Athletic Performance (Triple Hop Distance Test)
timeFrame: Baseline (pre-intervention) and at 8 weeks (post-intervention).
measure: Core Stability Level
timeFrame: Baseline (pre-intervention) and at 8 weeks (post-intervention).
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Uskudar University Physiotherapy and Rehabilitation Application and Research Center
Study officials:
affiliation: Hacettepe University
name: Fatih Erbahçeci, PhD.
role: STUDY_DIRECTOR
References: