Football PlayersNCT04051554
Neuromuscular and Proprioceptive Training in Football Players
A study testing Neuromuscular and Proprioceptive Training and Conventional Training in people with Football Players and Sport Injury, run by Riphah International University at 1 site in Pakistan.
Trial 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. Read more about this study
- Who is it for?
- Ages 15 to 25 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Football Players, Sport Injury, Sports Physical Therapy
- What is being tested?
- Neuromuscular and Proprioceptive Training and Conventional Training
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 sitePakistan
- Study dates
- 20 Mar 2018to 15 Jul 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 15 to 25 years
- Men only
- Healthy volunteers accepted
- Child, Adult
Who may be able to join
- 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.
Who cannot join
- Players with any major neuromusculoskeletal or cardiovascular pathology in last 6 months.
- Players having any psychological issue
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effect of Neuromuscular and Proprioceptive Training in Reducing Landing Error Patterns in Football Players
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.
Read the 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.
- Conditions
- Football Players, Sport Injury, Sports Physical Therapy
- Being tested
- Neuromuscular and Proprioceptive Training, Conventional Training
- Keywords
- ACL Injury, Landing Error Score System, Neuromuscular Training, Proprioceptive Training, Soccer
- Medical subject headings
- Anterior Cruciate Ligament Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Neuromuscular and Proprioceptive TrainingOther
Myklebust's training program (floor exercises, mat exercises, and wobble board exercises for 5 weeks)
Conventional TrainingOther
Running, Sprinting, Agility training and Dynamic stretching for five weeks
| Study group | Role | What they receive |
|---|---|---|
| Neuromuscular and Proprioceptive Training | Experimental | Myklebust's training program Receives: Other: Neuromuscular and Proprioceptive Training |
| Conventional Training | Active comparator | Running, Sprints, Agility training, and Dynamic stretching Receives: Other: Conventional Training |
What is being measured
The primary outcome is the main question the study is designed to answer.
Landing Error Score System (LESS)
Changes for the baseline, there are 17 items in LESS. Maximum possible score is 19 which show very poor mechanics and score of 5 and less than 5 are considered good to excellent.
Measured: 5th week
Single Leg Stability
Measures were obtained from 20-sec trials during which participants were asked to maintain an upright standing position on their dominant limb on the unstable surface of the Biodex Stability and Balance System.Its reliability is R = .94
Measured: 5th week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Aug 2019
- Study start20 Mar 2018
- Primary completion1 Apr 2019
- Study completion15 Jul 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Football PlayersStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Asghar Khan, DSc (PT), Principal investigator, Riphah International university, Islamabad
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04051554
- Sponsor's protocol ID
- RiphahIU Hafiz Ali Bin Asim
- Status last verified
- Aug 2019
- First submitted
- 7 Aug 2019
- Last updated
- 12 Aug 2019
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
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.
PubMed 22227777Injuries 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.
PubMed 10699129Nettle H, Sprogis E. Pediatric exercise: truth and/or consequences. Sports Med Arthrosc Rev. 2011 Mar;19(1):75-80. doi: 10.1097/JSA.0b013e318209cf2b.
PubMed 21293241Schub 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.
PubMed 21293236Hill 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.
PubMed 22018324DiFiori 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.
PubMed 21068572Leininger 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.
PubMed 17092927Knowles 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.
PubMed 18056320Hewett 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.
PubMed 21655382Carter 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.
PubMed 21836172
Study at a glance
From the registry record, last updated by the sponsor on 12 Aug 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Neuromuscular and Proprioceptive Training in Reducing Landing Error Patterns in Football Players
- ClinicalTrials.gov ID
- NCT04051554
- Acronym / sponsor ID
- RiphahIU Hafiz Ali Bin Asim
- Conditions
- Football Players, Sport Injury, Sports Physical Therapy
- Keywords
- ACL Injury, Landing Error Score System, Neuromuscular Training, Proprioceptive Training, Soccer
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 20 Mar 2018 (actual)
- Primary completion
- 1 Apr 2019 (actual)
- Study completion
- 15 Jul 2019 (actual)
- First posted
- 9 Aug 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Neuromuscular and Proprioceptive Training | Experimental | Other: Neuromuscular and Proprioceptive TrainingMyklebust's training program |
| Conventional Training | Active comparator | Other: Conventional TrainingRunning, Sprints, Agility training, and Dynamic stretching |
Who may qualify
- Ages
- 15 to 25 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (4 listed)
- 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.
Key exclusion criteria (2 listed)
- Players with any major neuromusculoskeletal or cardiovascular pathology in last 6 months.
- Players having any psychological issue
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Neuromuscular and Proprioceptive TrainingMyklebust's training program (floor exercises, mat exercises, and wobble board exercises for 5 weeks) | Other | Neuromuscular and Proprioceptive Training |
| Conventional TrainingRunning, Sprinting, Agility training and Dynamic stretching for five weeks | Other | Conventional Training |
Primary outcome
Landing Error Score System (LESS)
Time frame: 5th week
Changes for the baseline, there are 17 items in LESS. Maximum possible score is 19 which show very poor mechanics and score of 5 and less than 5 are considered good to excellent.
Single Leg Stability
Time frame: 5th week
Measures were obtained from 20-sec trials during which participants were asked to maintain an upright standing position on their dominant limb on the unstable surface of the Biodex Stability and Balance System.Its reliability is R = .94
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Aug 2019.
- Background: PubMed 22227777Franklin 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.
- Background: PubMed 10699129Injuries 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.
- Background: PubMed 21293241Nettle H, Sprogis E. Pediatric exercise: truth and/or consequences. Sports Med Arthrosc Rev. 2011 Mar;19(1):75-80. doi: 10.1097/JSA.0b013e318209cf2b.
- Background: PubMed 21293236Schub 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.
- Background: PubMed 22018324Hill 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.
- Background: PubMed 21068572DiFiori 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.
- Background: PubMed 17092927Leininger 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.
- Background: PubMed 18056320Knowles 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.
- Background: PubMed 21655382Hewett 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.
- Background: PubMed 21836172Carter 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.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Asghar Khan, DSc (PT) principal investigator
Riphah International university, Islamabad
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Neuromuscular and Proprioceptive Training and Conventional Training in people with Football Players and Sport Injury, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Landing Error Score System (LESS) (time frame: 5th week). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04051554, which also lists 10 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Aug 2019.