Clinical trial NCT04051554: Neuromuscular and Proprioceptive Training in Football Players
Official title: Effect of Neuromuscular and Proprioceptive Training in Reducing Landing Error Patterns in Football Players
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Football Players
Sport Injury
Sports Physical Therapy
Keywords: ACL Injury
Landing Error Score System
Neuromuscular Training
Proprioceptive Training
Soccer
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2019-08-09
Enrollment: 40
Sex: MALE
Minimum age (years): 15
Maximum age (years): 25
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The objective of this study was to determine the effect of proprioceptive and neuromuscular training on landing errors and balance of the football players. This was randomized controlled trial in which 40 football players were randomly allocated into experimental and control group. The control group followed conventional exercise plan while experimental group players were being trained under Myklebust's training program. Data were collected at baseline and after follow-up of five weeks Landing Error Score System (LESS) and Biodex Single Leg Stability (SLS) score. Data were analyzed using statistical package for social sciences (SPSS)-21.

Detailed description: Anterior cruciate ligament (ACL) injuries are a severe public health issue from both an economic and general wellness view. This burden will be reduced by promoting compliance and the use of injury prevention programs. To reduce injury rates, trainers, athletes, parents, and the team of sports medicine need to know the advantages of injury prevention programs. Parents and employees in sports medicine want a program that can decrease the risk of injury. Coaches and athletes are looking for a program that will also increase athletic efficiency without taking time off exercise, time that would otherwise be spent honing sport-specific abilities. Injury prevention programs in youth athletics will promote neuromuscular enhancements and create appropriate long-term techniques while instantly preparing the athlete for competition.

Various studies have been done to assess the role of proprioceptive and neuromuscular exercises on reducing incidence of ACL injury. No conclusive result has been established as yet that these type of exercises really reduce the incidence of ACL injury or not. However, it is found that by performing certain exercises there is improvement in biomechanics of jump landing as predicted by LESS score which is a reliable tool to establish risk of ACL and other lower limb injury in an athlete. Therefore the investigators have used a lower limb injury prevention program to assess its effectiveness in reducing LESS score.

Eligibility criteria: Inclusion Criteria:

* Male football players registered with Pakistan Sports Board, Islamabad.
* Players playing for a minimum of 20 hrs per week.
* The participant should understand and sign the informed consent form.
* Players should agree to take part in the training program for 35 days.

Exclusion Criteria:

* Players with any major neuromusculoskeletal or cardiovascular pathology in last 6 months.
* Players having any psychological issue

Primary outcomes:
measure: Landing Error Score System (LESS)
timeFrame: 5th week
measure: Single Leg Stability
timeFrame: 5th week
Secondary outcomes:
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: Riphah International University
state: Federal
Study officials:
affiliation: Riphah International university, Islamabad
name: Asghar Khan, DSc (PT)
role: PRINCIPAL_INVESTIGATOR
References:
citation: Franklin CC, Weiss JM. Stopping sports injuries in kids: an overview of the last year in publications. Curr Opin Pediatr. 2012 Feb;24(1):64-7. doi: 10.1097/MOP.0b013e32834ec618.
citation: Injuries in youth soccer: a subject review. American Academy of Pediatrics. Committee on Sports Medicine and Fitness. Pediatrics. 2000 Mar;105(3 Pt 1):659-61.
citation: Nettle H, Sprogis E. Pediatric exercise: truth and/or consequences. Sports Med Arthrosc Rev. 2011 Mar;19(1):75-80. doi: 10.1097/JSA.0b013e318209cf2b.
citation: Schub D, Saluan P. Anterior cruciate ligament injuries in the young athlete: evaluation and treatment. Sports Med Arthrosc Rev. 2011 Mar;19(1):34-43. doi: 10.1097/JSA.0b013e31820b960d.
citation: Hill DE, Andrews JR. Stopping sports injuries in young athletes. Clin Sports Med. 2011 Oct;30(4):841-9. doi: 10.1016/j.csm.2011.07.003. No abstract available.
citation: DiFiori JP. Evaluation of overuse injuries in children and adolescents. Curr Sports Med Rep. 2010 Nov-Dec;9(6):372-8. doi: 10.1249/JSR.0b013e3181fdba58.
citation: Leininger RE, Knox CL, Comstock RD. Epidemiology of 1.6 million pediatric soccer-related injuries presenting to US emergency departments from 1990 to 2003. Am J Sports Med. 2007 Feb;35(2):288-93. doi: 10.1177/0363546506294060. Epub 2006 Nov 7.
citation: Knowles SB, Marshall SW, Miller T, Spicer R, Bowling JM, Loomis D, Millikan RW, Yang J, Mueller FO. Cost of injuries from a prospective cohort study of North Carolina high school athletes. Inj Prev. 2007 Dec;13(6):416-21. doi: 10.1136/ip.2006.014720.
citation: Hewett TE, Ford KR, Hoogenboom BJ, Myer GD. Understanding and preventing acl injuries: current biomechanical and epidemiologic considerations - update 2010. N Am J Sports Phys Ther. 2010 Dec;5(4):234-51.
citation: Carter CW, Micheli LJ. Training the child athlete: physical fitness, health and injury. Br J Sports Med. 2011 Sep;45(11):880-5. doi: 10.1136/bjsports-2011-090201.