Clinical trial NCT03312504: Implementing a School Prevention Program to Reduce Injuries Through Neuromuscular Training
Official title: Evaluating the Effectiveness of Neuromuscular Training in Decreasing the Risk of Sport and Recreational Injuries and Improving Healthy Outcomes in Junior High School Students
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Wounds and Injuries
Adolescent
Athletic Injuries
Sport Injury
Sports Injuries in Children
Keywords: sport injury
injury prevention
fitness
neuromuscular training
implementation
Lead sponsor: Sport Injury Prevention Research Centre
Sponsor class: OTHER
Collaborators: name: Alberta Innovates Health Solutions
name: Calgary Board of Education
name: Calgary Catholic School District
name: Ever Active Schools
name: Policywise for Children and Families
First posted: 2017-10-17
Enrollment: 1067
Sex: ALL
Minimum age (years): 11
Maximum age (years): 15
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized controlled trial. Upon enrolment into the study, a school will be randomly assigned to the intervention (neuromuscular training warm-up) or control group (standard-of-practice warm-up). Schools that have been randomized to the control arm will be invited to participate in the study in the following year as an intervention school. Schools that have been randomized to the intervention arm will be invited to participate in the study in the following year as a maintenance school (will continue with the intervention).
Primary purpose: PREVENTION

Brief summary: The purpose of this study is to evaluate the effectiveness of a neuromuscular training program in decreasing sport and recreational injuries and improving healthy outcomes in junior high school students (grades 7 to 9). The neuromuscular training program is implemented as a 15-minute warm-up at the beginning of the students' physical education classes over a three-month period. This study is a randomized controlled trial design, involving twelve schools over a three-year period. Upon enrolment into the study, schools are randomly assigned to the intervention (neuromuscular training) group, or the control group. The control group includes a standard-of practice warm-up consisting of aerobic components and static stretching.

A study athletic therapist visits the schools each week to assess and record information on any injuries sustained by study participants. Baseline health and physical fitness is measured at baseline, and again at 3-month follow-up in study participants to assess changes over the course of the program.


Eligibility criteria: Inclusion Criteria:

SCHOOLS

* junior high schools with a minimum of two physical education classes per week, per class
* physical education classes that are taught or co-taught by a physical education specialist

SUBJECTS

* students aged 11-15 who are fully participating in physical education curriculum at baseline
* students who return completed assent and parental consent forms

Exclusion Criteria:

SCHOOLS

* schools that are culturally distinct
* schools that have students that are of single sex
* schools that cater to students with special needs
* schools with incomplete grades

SUBJECTS

* history of musculoskeletal disorders or medical condition that prevents participation in regular physical education curriculum
* history of musculoskeletal injury within 6 weeks prior to study commencement that restricts full participation in physical education
* at least 80% of participation in physical education classes over the course of the study

Primary outcomes:
measure: Sport or recreational injury
timeFrame: Injuries are recorded if sustained at any point over the course of the study (each school participates for 3 months).
Secondary outcomes:
measure: Changes in body mass index (BMI)
timeFrame: Changes over a 3-month period.
measure: Changes in waist circumference
timeFrame: Changes over a 3-month period.
measure: Changes in vertical jump height
timeFrame: Changes over a 3-month period
measure: Changes in VO2max
timeFrame: Changes over a 3-month period
measure: Changes in timed unipedal eyes-closed dynamic balance
timeFrame: Changes over a 3-month period
measure: Changes in Y-balance reach distance
timeFrame: Changes over a 3-month period
Other outcomes:
Locations:
Study officials:
References:
citation: Emery CA, van den Berg C, Richmond SA, Palacios-Derflingher L, McKay CD, Doyle-Baker PK, McKinlay M, Toomey CM, Nettel-Aguirre A, Verhagen E, Belton K, Macpherson A, Hagel BE. Implementing a junior high school-based programme to reduce sports injuries through neuromuscular training (iSPRINT): a cluster randomised controlled trial (RCT). Br J Sports Med. 2020 Aug;54(15):913-919. doi: 10.1136/bjsports-2019-101117. Epub 2019 Dec 10.