Clinical trial NCT05688930: Effects of a Neuromuscular Training Ankle Preventive Program in Soccer Player
Official title: Effects of a Neuromuscular Training Program for the Prevention of Ankle Functional Instability in Male Soccer Players Aged 17-20: Randomized Clinical Trial With FIFA 11+
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Prevention and Control
Keywords: Ankle injuries
Physical therapy
Neuromuscular training
Functional ankle instability
Prevention
Unstable joint.
Lead sponsor: Universidad Autónoma de Manizales, Colombia
Sponsor class: OTHER
Collaborators: name: Universidad Católica del Maule
First posted: 2023-01-18
Enrollment: 40
Sex: MALE
Minimum age (years): 17
Maximum age (years): 20
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: G1: Neuromuscular training program of prevention of functional ankle instability PEMNT; G2: FIFA 11+ Program Group (control).
Primary purpose: PREVENTION

Brief summary: Objetive:To determine the effects of a functional ankle instability prevention neuromuscular training (PENMT) program compared to the conventional FIFA 11+ program on the occurrence of ankle sprains, flexibility, balance and muscle activation in 17-year-old male youth soccer players to 20 years.

Subjects and Methods: An experimental investigation, controlled, randomized and single-blind clinical trial was carried out in 40 subjects randomized to start the control or experimental group (soccer Players). The trial compared the effects of a differential intervention with a protocol focused on an ankle neuromuscular training program vs the usual FIFA 11+ program, in order to strengthen functional ankle stability in youth soccer in male players. In each subject, 2 measurements were taken: Pre-intervention and Post-intervention. For each measurement, a hypothesis test was performed.

Results: The FIFA11+ is expressed as an injury risk factor when buying it with the PENMT after their participation.

Conclusion:The neuromuscular training program for the ankle or PENMT applied in the experimental group did not generate a negative effect with respect to the FIFA 11+ program, in addition to the time of departure in the post test, the PENMT program is expressed as a protection factor of player injuries when contrasted with the FIFA 11+ program, that is, it presents effectiveness against the risk factor of functional ankle instability.


Eligibility criteria: Inclusion Criteria:

* Be between the age range of 17 to 20 years old at the time of evaluation and intervention.
* Have a minimum of 2 years of semi-professional / professional sports practice.
* Be linked to the football club for at least 1 year.
* That they practice soccer at least 5 times a week.
* That they are playing at least one competitive tournament.
* That they have an active or current health promotion entity - EPS and / or occupational risk insurer-ARL.
* Players who during the entire period of 2019-2020 have presented at least one episode of lateral ankle sprain (during the last 4 months) (in the time range of 3 to 12 months prior to the first evaluation) who have required immobilization and / or weight loss for at least 3 days; present pain, subjective perception questionnaires of ankle instability).
* Soccer players with or without sprained ankle injuries will be taken, but not in the last 3 months. However, the time elapsed since the last episode will be recorded.

Exclusion Criteria:

* Belonging to another sports club and / or regularly practicing more than one sport with muscular demand of the lower tract (lower limbs).
* Who present acute injuries such as: vestibular alterations, history of ankle fracture, acute knee and / or ankle injury during the last 3 months, history of previous surgical interventions in lower limbs or underlying systemic disease at the time of the initial evaluation (pretest).
* Who are undergoing treatment for any neuromuscular or other related pathology, in the acute phase and / or who have received a neuromuscular training program in the last 4 months, different from the one that will be applied in this study.
* That in the last 4 months they have been in treatment for any neuromuscular pathology or other related to the acute phase and / or receive a neuromuscular training program different from the one that will be applied in this study.

Primary outcomes:
measure: Preventive program (Type of)
timeFrame: 12 weeks
Secondary outcomes:
measure: Ankle instability perception
timeFrame: Two measurements: first week and twelfth week
measure: Measurement flexibility (centimeters)
timeFrame: Two measurements: first week and twelfth week
measure: Limits of stability - balance (millimeters)
timeFrame: Two measurements: first week and twelfth week
measure: Measured with conduction velocity in seconds under maximal voluntary contraction (MVC)
timeFrame: Two measurements: first week and twelfth week
Other outcomes:
Locations:
city: Manizales
country: Colombia
facility: Autonoma's University
state: Caldas
Study officials:
affiliation: U.AUTÓNOMA
name: Lina Ma Montealegre, Msc
role: PRINCIPAL_INVESTIGATOR
References:
citation: Brito J, Malina RM, Seabra A, Massada JL, Soares JM, Krustrup P, Rebelo A. Injuries in Portuguese youth soccer players during training and match play. J Athl Train. 2012 Mar-Apr;47(2):191-7. doi: 10.4085/1062-6050-47.2.191.
citation: Imai A, Imai T, Iizuka S, Kaneoka K. A Trunk Stabilization Exercise Warm-up May Reduce Ankle Injuries in Junior Soccer Players. Int J Sports Med. 2018 Apr;39(4):270-274. doi: 10.1055/s-0044-100923. Epub 2018 Feb 15.
citation: Halasi T, Kynsburg A, Tallay A, Berkes I. Changes in joint position sense after surgically treated chronic lateral ankle instability. Br J Sports Med. 2005 Nov;39(11):818-24. doi: 10.1136/bjsm.2004.016527.