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Injury;SportsDPLNCT04796753

Detection of Neuromuscular Deficits in Uninjured Youth Basketball Players

An observational study of Injury;Sports and Biomechanical Lesions, run by University Rovira i Virgili at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial 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… Read more about this study

Who is it for?
Ages 12 to 17 yearsHealthy volunteers can take part
What is being tested?
Basketball Injury Defense
How many people
575 participants
Where
1 siteSpain
Study dates
1 Oct 2018to 31 May 2019
Phase
Observational
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 12 to 17 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Study population: The participants were recruited through the Catalan Basketball Federation, and the study was carried out in the sports facilities of each club.

Who may be able to join

  • Age ≥ 12 years and <18 years at testing.
  • To be actively competing during the study.

Who cannot join

  • Had suffered any injury in lower limbs before the screening.
  • Presented any injury (overuse or acute) at the time of testing.
  • Psychological or psychiatric diseases diagnosed.
  • Oncological diseases diagnosed.
  • Did not attend on the day of the assessment.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Federación Catalana de Baloncesto

    Barcelona, 08018

Other trials in Spain

About this study

Official title: Detection of Neuromuscular Deficits in Movement Pattern in Uninjured Federated Youth Basketball Players: a Cross-sectional Study

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 evaluate and detect federated youth basketball players' (U12 - U17) neuromuscular deficiencies in mobility, stability and landing technique in static and dynamic situations to simulate all the most important actions of basketball demands.

Read the detailed description

It is intended that the specific detection and individualized approach to neuromuscular deficiencies will decrease the prevalence of injuries and accidents and therefore, the performance of training basketball players will be improved. The purpose of this study was to evaluate and detect federated youth basketball players' (under 12 years until under 17 years) neuromuscular deficits in mobility, stability and landing technique in static and dynamic situations similar to simulate the most important actions of basketball demands.

This cross-sectional study was conducted from October 2018 to May 2019. A total of 778 basketball players were selected for the present study. In order to evaluate this specific tests and trials will be carried out on different teams from various clubs in the categories from under 12 years (U12) to under 17 (U17), both male and female. The evaluations will consist of a static physical measures and a dynamic one. These will be conducted throughout the season. Inclusion criteria were: age > 12 years and <18 years at testing, and to be actively competing during the study. Subjects were excluded if they had suffered any injury in lower limbs before the screening; presented any injury (overuse or acute) at the time of testing or if they suffered any oncological, psychological and/or psychiatric illnesses, or if they did not attend on the day of the assessment. The main outcomes were ankle joint dorsiflexion was analyzed with Weight-bearing Dorsiflexion Test; monopodial ankle stability was analyzed with Single Leg Balance Test. Dynamic lower extremity valgus was analyzed with Single Leg Squat Test, Modified Tuck Jump Test, Single Leg Squat Test and Hurdle Step Test were used to evaluate also Lumbopelvic stability and dynamic postural control. Neuromuscular deficits during continuous tuck jumps, landing technique flaws and Plyometric Technique were analyzed with Modified Tuck Jump Test. All these tests are scientifically validated for this purpose. All players were familiar with the procedures of all test before. Testing was performed in the same day, in the same order, at the same time of the day (18:00-20:00).

Being tested
Basketball Injury Defense
Keywords
Basketball, Physical Therapy, Youth athletes
Medical subject headings
Athletic Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Basketball Injury DefenseOther

    To establish a specific evaluation protocol for youth basketball players.

Study groups in NCT04796753
Study groupRoleWhat they receive
Youth basketball players who belonged to basketball developmental teams (U12, U14,U16,U17).All participants completed the same ten-minute neuromuscular warm-up consisting of the following exercises: joint mobility exercises, dynamic stretching exercises, jumps, multidirectional displacements and changes of direction. Following, subjects were allowed three practice trials for each test. Consistent feedback was provided throughout to ensure proper technique. The performance of each test was recorded using two cameras (Iphone XS, Apple). To allow visible tracking of the different joints, participants were required to wear shorts with the hem at approximately mid-thigh. When scoring performance, each test was viewed in both planes (sagittal and frontal views).
Receives: Other: Basketball Injury Defense

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Ankle joint dorsiflexion

    Weight-bearing dorsiflexion test. Ankle dorsiflexion was evaluated through the LegMotion system (LegMotion, your Motion®, Albacete, Spain). Each player started with their hands on their hips, and put the assigned foot on the middle of the longitudinal line just behind the transversal line on the platform. The alternate foot was positioned off the platform with toes at the edge of the platform. Each trial consisted of flexing the ankle as much as possible without raising the heel of the assessed ankle trying to touch a marker, situated just behind the patella, with their knee. The distance achieved was recorded in centimeters. Three trials were allowed with each ankle (i.e., left and right) with 10 seconds of passive recovery between trials. The third value in each ankle was used in subsequent analysis of weight-bearing dorsiflexion.

    Measured: Through study completion, an average of 1 year

  2. Ankle stability

    Single Leg Balance Test. It was considered stable if the foot remained in neutral position during movement. However, if excessive pronation of the foot was evident during movement or external rotation of the leg/foot it was scored as unstable.

    Measured: Through study completion, an average of 1 year

  3. Dynamic lower extremity valgus

    Single Leg Squat Test. An aligned knee-ankle position was considered when the patella was aligned with the second toe. Five consecutive attempts were performed with each limb, and the correct alignment between the knee and the second toe in loading was assessed to analyze an excess of knee valgus.

    Measured: Through study completion, an average of 1 year

  4. Lumbopelvic stability

    Single Leg Squat Test. It was considered stable if there was minimal movement in all three planes and the sacroiliac joints were aligned. On the other hand, it was considered unstable if the sacroiliac joints were not aligned in the frontal plane or if there was evidence of anteroposterior tilt or rotation in the sagittal plane as well as anterior trunk flexion or increased lumbar lordosis.

    Measured: Through study completion, an average of 1 year

  5. Dynamic postural control

    Hurdle Step Test. For this purpose, the deviation of the trunk with respect to the center of gravity was observed. A smaller displacement or deviation implied a better postural stability.

    Measured: Through study completion, an average of 1 year

  6. Neuromuscular deficits during continuous tuck jumps

    Modified Tuck Jump Test. Lower extremity valgus at landing, Thighs do not reach parallel (peak of jump), Thighs not equal side-to-side during flight

    Measured: Through study completion, an average of 1 year

  7. Landing technique flaws

    Modified Tuck Jump Test. Foot placement not shoulder width apart, Foot placement not parallel (front to back), Foot contact timing not equal (Asymmetrical landing), Excessive landing contact noise.

    Measured: Through study completion, an average of 1 year

  8. Plyometric Technique

    Modified Tuck Jump Test. Pause between jumps, Technique declines prior 10 seconds, Does not land in same foot print (Consistent point of landing)

    Measured: Through study completion, an average of 1 year

Secondary outcomes (9)
  1. Age

    Years

    Measured: Through study completion, an average of 1 year

  2. Age categories

    Under 12, Under 14, Under 16 or Under 17

    Measured: Through study completion, an average of 1 year

  3. Body Mass Index (BMI)

    kg/m2

    Measured: Through study completion, an average of 1 year

  4. Generalized hipermobility

    The presence of hypermobile confirmed by Beighton's criteria. Considering hypermobile as those who obtained a score of > 7 points out of a total of 9 points

    Measured: Through study completion, an average of 1 year

  5. Gender

    Female or male

    Measured: Through study completion, an average of 1 year

  6. Weight

    Kilograms

    Measured: Through study completion, an average of 1 year

  7. Height

    Centimeters

    Measured: Through study completion, an average of 1 year

  8. Wingspan

    Centimeters

    Measured: Through study completion, an average of 1 year

  9. Lower limb dominance

    Dominant leg / non dominant leg

    Measured: Through study completion, an average of 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Mar 2021
  2. Study start1 Oct 2018
  3. Primary completion31 May 2019
  4. Study completion31 May 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Cross-sectional
Enrolment
575 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04796753
Sponsor's protocol ID
123/2018
Acronym
DPL
Status last verified
Mar 2021
First submitted
3 Mar 2021
Last updated
15 Mar 2021
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Drakos MC, Domb B, Starkey C, Callahan L, Allen AA. Injury in the national basketball association: a 17-year overview. Sports Health. 2010 Jul;2(4):284-90. doi: 10.1177/1941738109357303.

    PubMed 23015949
  • Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007 Apr-Jun;42(2):311-9.

    PubMed 17710181
  • Rodas G, Bove T, Caparros T, Langohr K, Medina D, Hamilton B, Sugimoto D, Casals M. Ankle Sprain Versus Muscle Strain Injury in Professional Men's Basketball: A 9-Year Prospective Follow-up Study. Orthop J Sports Med. 2019 Jun 21;7(6):2325967119849035. doi: 10.1177/2325967119849035. eCollection 2019 Jun.

    PubMed 31259184
  • Cherni Y, Jlid MC, Mehrez H, Shephard RJ, Paillard T, Chelly MS, Hermassi S. Eight Weeks of Plyometric Training Improves Ability to Change Direction and Dynamic Postural Control in Female Basketball Players. Front Physiol. 2019 Jun 13;10:726. doi: 10.3389/fphys.2019.00726. eCollection 2019.

    PubMed 31263427
  • Taylor JB, Wright AA, Dischiavi SL, Townsend MA, Marmon AR. Activity Demands During Multi-Directional Team Sports: A Systematic Review. Sports Med. 2017 Dec;47(12):2533-2551. doi: 10.1007/s40279-017-0772-5.

    PubMed 28801751
  • Zuckerman SL, Wegner AM, Roos KG, Djoko A, Dompier TP, Kerr ZY. Injuries sustained in National Collegiate Athletic Association men's and women's basketball, 2009/2010-2014/2015. Br J Sports Med. 2018 Feb;52(4):261-268. doi: 10.1136/bjsports-2016-096005. Epub 2016 Jun 30.

    PubMed 27364907
  • Andreoli CV, Chiaramonti BC, Buriel E, Pochini AC, Ejnisman B, Cohen M. Epidemiology of sports injuries in basketball: integrative systematic review. BMJ Open Sport Exerc Med. 2018 Dec 27;4(1):e000468. doi: 10.1136/bmjsem-2018-000468. eCollection 2018.

    PubMed 30687514
  • Pasanen K, Ekola T, Vasankari T, Kannus P, Heinonen A, Kujala UM, Parkkari J. High ankle injury rate in adolescent basketball: A 3-year prospective follow-up study. Scand J Med Sci Sports. 2017 Jun;27(6):643-649. doi: 10.1111/sms.12818. Epub 2016 Dec 29.

    PubMed 28033652
  • Leppanen M, Pasanen K, Kannus P, Vasankari T, Kujala UM, Heinonen A, Parkkari J. Epidemiology of Overuse Injuries in Youth Team Sports: A 3-year Prospective Study. Int J Sports Med. 2017 Oct;38(11):847-856. doi: 10.1055/s-0043-114864. Epub 2017 Sep 11.

    PubMed 28895620
  • Emery CA. Risk factors for injury in child and adolescent sport: a systematic review of the literature. Clin J Sport Med. 2003 Jul;13(4):256-68. doi: 10.1097/00042752-200307000-00011.

    PubMed 12855930
  • Agresta C, Church C, Henley J, Duer T, O'Brien K. Single-Leg Squat Performance in Active Adolescents Aged 8-17 Years. J Strength Cond Res. 2017 May;31(5):1187-1191. doi: 10.1519/JSC.0000000000001617.

    PubMed 27575249
  • Moseid CH, Myklebust G, Slaastuen MK, Bar-Yaacov JB, Kristiansen AH, Fagerland MW, Bahr R. The association between physical fitness level and number and severity of injury and illness in youth elite athletes. Scand J Med Sci Sports. 2019 Nov;29(11):1736-1748. doi: 10.1111/sms.13498. Epub 2019 Jul 1.

    PubMed 31206837
  • Monfort SM, Comstock RD, Collins CL, Onate JA, Best TM, Chaudhari AM. Association between ball-handling versus defending actions and acute noncontact lower extremity injuries in high school basketball and soccer. Am J Sports Med. 2015 Apr;43(4):802-7. doi: 10.1177/0363546514564541. Epub 2015 Jan 16.

    PubMed 25596616
  • Bahr R, Krosshaug T. Understanding injury mechanisms: a key component of preventing injuries in sport. Br J Sports Med. 2005 Jun;39(6):324-9. doi: 10.1136/bjsm.2005.018341.

    PubMed 15911600
  • Clifton DR, Hertel J, Onate JA, Currie DW, Pierpoint LA, Wasserman EB, Knowles SB, Dompier TP, Comstock RD, Marshall SW, Kerr ZY. The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Basketball (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Women's Basketball (2004-2005 Through 2013-2014). J Athl Train. 2018 Nov;53(11):1037-1048. doi: 10.4085/1062-6050-150-17.

    PubMed 30715913

Questions about this trial

What is this clinical trial studying?

An observational study of Injury;Sports and Biomechanical Lesions, run by University Rovira i Virgili at 1 site in Spain.

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 2 inclusion and 5 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 15 Mar 2021. 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 Spain. 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?

Ankle joint dorsiflexion (time frame: Through study completion, an average of 1 year). The study lists 8 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 NCT04796753, which also lists 48 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 15 Mar 2021.

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