Clinical trial NCT04221698: Do Young Triathletes Have a Greater Predisposition to Suffer Running Injuries
Official title: Do Young Triathletes Have a Greater Predisposition to Suffer Running Injuries
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Gait Retraining
Kinematics
Keywords: Gait Analysis
Triathlon
Running
Gait Retraining
Lead sponsor: Cardenal Herrera University
Sponsor class: OTHER
First posted: 2020-01-09
Enrollment: 19
Sex: ALL
Minimum age (years): 11
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: In running 70% of the lower limb, injuries are produced in the running segment. The vast majority of sports-related musculoskeletal injuries in young athletes are caused by overuse. Previous research has shown a clear association between running-related injuries and kinematic patterns, showing the existence of a causal relationship between biomechanical alterations and injures.

According to the evidence, that real-time visual and auditory feedback based on gait retraining should be considered to treat injured runners or prevent injuries. However, no previous studies have been carried out on whether gait retraining decreases running-related injuries incidence in young triathletes.

The investigators propose a study to determine the effect of gait retraining on the decrease in the number of running-related injuries and improve the running efficiency in young triathletes.


Eligibility criteria: Inclusion Criteria:

* Triathletes included in the Triathlon Plan in High Performance of the Valencian Community in Spain.
* Reported running a minimum of 2 days per week for the last 3 months with no reported injury.
* Worst pain rated a minimum of 3 out 10 on a numerical rating scale (NRS) for pain (0=no pain, 10=worst possible pain)

Exclusion Criteria:

* Previous musculoskeletal surgery.
* Neurological impairment
* Structural deformity in the knee.
* Pain suffered by trauma or sports activity, having stopped running or receiving additional treatment outside the study.

Primary outcomes:
measure: Surface Electromyography
timeFrame: Baseline - 7 months
Secondary outcomes:
measure: 3D Kinematic Analysis
timeFrame: Baseline - 7 months
measure: Maximal Oxygen Consumption (VO2max)
timeFrame: Baseline - 7 months
Other outcomes:
measure: Self-report Questionnaire about Running-related injuries
timeFrame: Baseline - 7 months
Locations:
city: Alfara Del Patriarca
country: Spain
facility: Juan J. Amer-Cuenca
state: Valencia
Study officials:
affiliation: CEU Cardenal Herrera University
name: Javier Martínez-Gramage, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Bramah C, Preece SJ, Gill N, Herrington L. A 10% Increase in Step Rate Improves Running Kinematics and Clinical Outcomes in Runners With Patellofemoral Pain at 4 Weeks and 3 Months. Am J Sports Med. 2019 Dec;47(14):3406-3413. doi: 10.1177/0363546519879693. Epub 2019 Oct 28.
citation: Bramah C, Preece SJ, Gill N, Herrington L. Is There a Pathological Gait Associated With Common Soft Tissue Running Injuries? Am J Sports Med. 2018 Oct;46(12):3023-3031. doi: 10.1177/0363546518793657. Epub 2018 Sep 7.