Clinical trial NCT05798988: Physiotherapy Program Effect on Musculoskeletal Dysfunctions in Young Football Players
Official title: Neurophysiology-based Physiotherapy Program Effect on Selected Musculoskeletal Dysfunctions in Young Football Players
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Flatfoot, Flexible
Pes Valgus
Pes Varus
Balance; Distorted
Diastasis
Weak; Muscle
Keywords: Dynamic neuromuscular stabilisation
pronated foot
postural stability
neuromuscular control
exercise
sportive children
functional stabilisation
foot function
soccer
Lead sponsor: Charles University, Czech Republic
Sponsor class: OTHER
First posted: 2023-04-05
Enrollment: 60
Sex: MALE
Minimum age (years): 11
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The goal of this clinical study is to test the proposed physiotherapy exercise program in young football players. The main question it aims to answer is:

- Does the proposed physiotherapy program work well in improving young football players movement apparatus functions?

Participants will be asked to fill out questionaires about their musculoskeletal health, physical activity and foot wear and follow the 8 weeks of the group exercise program of 16 sessions in total (2 sessions per week, 30 minutes each session).

Researcher will compare exercising participants with no exercising participants of the same age and football category to see if the exercise program works well in young football players.

Detailed description: The clinical trial aims to evaluate the short and long term effect of proposed neurophysiology-based physiotherapy program (NPP) on selected functional variables of the lower body in young football players, using clinical and laboratory diagnostic methods. Participants will be randomly assigned into one of the two groups: experimental (following 8 weeks of the intervention program) and control group (not changing the movement habits). Proposed NPP combines techniques and concepts based on neurophysiology principles and developmental kinesiology: sensorimotor stimulation and foot exercises, balance training, trunk stabilisation exercise in developmental kinesiology positions. Participants will exercise in small group twice a week in total of 16 sessions, 30 minutes each of session, under the guidance of an experienced physiotherapist. NPP is designed as a step by step progressive exercise program with focus on quality of neuromuscular control. Whole program is implemented into the standard football training process. Data will be obtained pre- (at baseline) and post-intervention (in 2 months and in 5 months) and compared to control group.

Eligibility criteria: Inclusion Criteria:

* participants playing football at sub- to elite level

Exclusion Criteria:

* acute infectious disease or fever
* any serious cardiological, neurological, or orthopedic diseases
* acute pain
* injury in the last 3 months
* currently undergoing any other kind of physiotherapy or treatment
* missing two or more sessions of the intervention program

Primary outcomes:
measure: Change from Baseline Clinical foot type at 2 and 5 months
timeFrame: at baseline, in 2 months and in 5 months
measure: Change from baseline Calcaneal position in frontal plane at 2 and 5 months
timeFrame: at baseline, in 2 months and in 5 months
measure: Change from baseline Medial longitudinal arch (MLA) height at 2 and 5 months
timeFrame: at baseline, in 2 months and in 5 months
measure: Change from baseline Foot morphology at 2 and 5 months
timeFrame: at baseline, in 2 months and in 5 months
measure: Change from baseline Arch height index at 2 and 5 months
timeFrame: at baseline, in 2 months and in 5 months
measure: Change from baseline Foot flexibility at 2 and 5 months
timeFrame: at baseline, in 2 months and in 5 months
measure: Change from baseline Postural stability at 2 and 5 months
timeFrame: at baseline, in 2 months and in 5 months
measure: Change from baseline Trunk stabilization function at 2 and 5 months
timeFrame: at baseline, in 2 months and in 5 months
Secondary outcomes:
Other outcomes:
Locations:
city: Prague
country: Czechia
facility: Faculty of Physical Education and Sport, Charles University
Study officials:
affiliation: Faculty of Physical Education and Sport, Charles University
name: František Zahálka, prof., Ph.D.
role: STUDY_DIRECTOR
affiliation: Faculty of Physical Eduction and Sport, Charles University
name: Jitka Marenčáková, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References: