Clinical trial NCT05256186: Effectiveness of Basketball Pre-injury Attack Program to Reduce the Susceptibility of Injury in Youth Basketball Players
Official title: Effectiveness of Basketball Pre-injury Attack Program to Reduce the Susceptibility of Injury in Youth Basketball Players: a Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Injury;Sports
Biomechanical Lesions
Musculoskeletal Injury
Sports Physical Therapy
Keywords: Basketball
Prevention
Lead sponsor: University Rovira i Virgili
Sponsor class: OTHER
First posted: 2022-02-25
Enrollment: 212
Sex: ALL
Minimum age (years): 14
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized controlled trial
Primary purpose: TREATMENT

Brief summary: Basketball is an impact, coordination-opposition sport with continuous contact among players and it is considered a sport of medium-high injury incidence. Players are force to have a physical condition appropriate to their practice and the demand to which they must respond due to the intensity of the efforts this sport requires. In order to achieve this, it is necessary to establish an evaluation protocol that allows the detection of functional deficiencies, to guide and conduct in a specific and early way every moment of players' health and growth.

The purpose of this study is to design, apply and analyze the effectiveness of a specific and individualized therapeutic exercise program (Basketball Pre-injury Attack) based on the approach of the functional deficiencies detected by the Basketball Injury Defense, to reduce the susceptibility to injury of youth basketball players (U14 - U17).

Detailed description: The aim of this study is to design, apply and analyze the effectiveness of a specific and individualized therapeutic exercise program (Basketball Pre-injury Attack) based on the approach of functional deficiencies detected by the Basketball Injury Defense, to reduce the susceptibility to injury of training federated basketball players.

The specific objectives are:

To improve the deficiencies detected in mobility, stability, symmetry and jumping/landing technique of basketball players in training categories (U14, U16 and U17).

To structure and determine the contents of a specific and individualized therapeutic exercise program (Basketball Preinjury Attack) designed to improve the functional deficiencies of mobility, stability, symmetry and jumping/landing technique of training basketball players based on current scientific evidence.

To analyze whether adherence to the program is achieved by raising players' awareness of the importance and benefits of performing the exercises with correct technique.

To assess whether a decrease in the susceptibility to injury of training federated basketball players is achieved.

For this purpose, an experimental study was conducted as a single-blind, randomized, cluster-controlled clinical trial during the months of June 2019 to February 2020 (9 months). For the development of the methodology of this study, the guidelines of the CONSORT (Consolidated Standards of Reporting Trials) Statement were followed.

Eligibility criteria: Inclusion Criteria:

* Be between 10 and 17 years old
* Be an active player at the time of selection
* Sign the informed consent.

Exclusion Criteria:

* Being diagnosed with a psychological and/or psychiatric illness.
* Being diagnosed with an oncological disease.
* Be injured at the time of selection.

Primary outcomes:
measure: Ankle dorsiflexion under load
timeFrame: 1 year
measure: Active hip, knee and ankle dorsiflexion
timeFrame: 1 year
measure: Ankle stability in monopodal loading
timeFrame: 1 year
measure: Monopodal dynamic knee valgus
timeFrame: 1 year
measure: Lumbo-pelvic stability
timeFrame: 1 year
measure: Dynamic postural stability
timeFrame: 1 year
measure: Jumping/landing technique
timeFrame: 1 year
measure: Symmetry between the dominant and non-dominant limb
timeFrame: 1 year
Secondary outcomes:
measure: Age
timeFrame: 1 year
measure: Category
timeFrame: 1 year
measure: Gender
timeFrame: 1 year
measure: Weight
timeFrame: 1 year
measure: Height
timeFrame: 1 year
measure: Body Mass Index (BMI)
timeFrame: 1 year
measure: Wingspan
timeFrame: 1 year
Other outcomes:
Locations:
city: Barcelona
country: Spain
facility: Federación Catalana de Baloncesto
Study officials:
affiliation: University Rovira i Virgili
name: Cristina Adillón, MsC
role: PRINCIPAL_INVESTIGATOR
References:
citation: Romero Morales C, Calvo Lobo C, Rodriguez Sanz D, Sanz Corbalan I, Ruiz Ruiz B, Lopez Lopez D. The concurrent validity and reliability of the Leg Motion system for measuring ankle dorsiflexion range of motion in older adults. PeerJ. 2017 Jan 3;5:e2820. doi: 10.7717/peerj.2820. eCollection 2017.
citation: Aerts I, Cumps E, Verhagen E, Wuyts B, Van De Gucht S, Meeusen R. The effect of a 3-month prevention program on the jump-landing technique in basketball: a randomized controlled trial. J Sport Rehabil. 2015 Feb;24(1):21-30. doi: 10.1123/jsr.2013-0099. Epub 2014 Jun 6.
citation: Myer GD, Ford KR, McLean SG, Hewett TE. The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics. Am J Sports Med. 2006 Mar;34(3):445-55. doi: 10.1177/0363546505281241. Epub 2005 Nov 10.
citation: Myklebust G, Engebretsen L, Braekken IH, Skjolberg A, Olsen OE, Bahr R. Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med. 2003 Mar;13(2):71-8. doi: 10.1097/00042752-200303000-00002.
citation: Moody JA, Naclerio F, Green P, Lloyd RS. Motor skill development in youths. En: Lloyd R, Oliver JL. Strength and Conditioning for Young Athletes: Science and Application. 1ª edición. New York:Routledge;2014
citation: Dill KE, Begalle RL, Frank BS, Zinder SM, Padua DA. Altered knee and ankle kinematics during squatting in those with limited weight-bearing-lunge ankle-dorsiflexion range of motion. J Athl Train. 2014 Nov-Dec;49(6):723-32. doi: 10.4085/1062-6050-49.3.29.
citation: Baumbach SF, Braunstein M, Seeliger F, Borgmann L, Bocker W, Polzer H. Ankle dorsiflexion: what is normal? Development of a decision pathway for diagnosing impaired ankle dorsiflexion and M. gastrocnemius tightness. Arch Orthop Trauma Surg. 2016 Sep;136(9):1203-1211. doi: 10.1007/s00402-016-2513-x. Epub 2016 Jul 14.
citation: Gonzalo-Skok O, Serna J, Rhea MR, Marin PJ. AGE DIFFERENCES IN MEASURES OF FUNCTIONAL MOVEMENT AND PERFORMANCE IN HIGHLY YOUTH BASKETBALL PLAYERS. Int J Sports Phys Ther. 2017 Oct;12(5):812-821.
citation: Branta C, Haubenstricker J, Seefeldt V. Age changes in motor skills during childhood and adolescence. Exerc Sport Sci Rev. 1984;12:467-520.
citation: Fort-Vanmeerhaeghe A, Gual G, Romero-Rodriguez D, Unnitha V. Lower Limb Neuromuscular Asymmetry in Volleyball and Basketball Players. J Hum Kinet. 2016 Apr 13;50:135-143. doi: 10.1515/hukin-2015-0150. eCollection 2016 Apr 1.
citation: Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J, Bleakley C. The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med. 2014 Jan;44(1):123-40. doi: 10.1007/s40279-013-0102-5.
citation: McKeon PO, Hertel J. Systematic review of postural control and lateral ankle instability, part I: can deficits be detected with instrumented testing. J Athl Train. 2008 May-Jun;43(3):293-304. doi: 10.4085/1062-6050-43.3.293.
citation: Perrott MA, Pizzari T, Opar M, Cook J. Development of clinical rating criteria for tests of lumbopelvic stability. Rehabil Res Pract. 2012;2012:803637. doi: 10.1155/2012/803637. Epub 2011 Dec 29.
citation: Teyhen D, Bergeron MF, Deuster P, Baumgartner N, Beutler AI, de la Motte SJ, Jones BH, Lisman P, Padua DA, Pendergrass TL, Pyne SW, Schoomaker E, Sell TC, O'Connor F. Consortium for health and military performance and American College of Sports Medicine Summit: utility of functional movement assessment in identifying musculoskeletal injury risk. Curr Sports Med Rep. 2014 Jan-Feb;13(1):52-63. doi: 10.1249/JSR.0000000000000023.
citation: Hewett TE, Myer GD, Ford KR, Heidt RS Jr, Colosimo AJ, McLean SG, van den Bogert AJ, Paterno MV, Succop P. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med. 2005 Apr;33(4):492-501. doi: 10.1177/0363546504269591. Epub 2005 Feb 8.