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Biomechanical PhenomenaNCT05439122

Kinematics and Muscle Performance of the Trunk and Shoulder in Volleyball Players With Subacromial Impingement Syndrome

An observational study of Biomechanical Phenomena, run by Yi-Fen Shih at 1 site in Taiwan.

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

Volleyball players repetitively place the arm into extreme positions, and thus expose the athletes' shoulders to a large load and increase the risk of injuries. The shoulder complex is identified as one of the most injured joints in volleyball sports. Read more about this study

Who is it for?
Ages 18 to 40 yearsHealthy volunteers can take part
Conditions the study is for
Biomechanical Phenomena
How many people
40 participants
Where
1 siteTaiwan
Study dates
1 Jan 2023to 20 Nov 2023
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 18 to 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Study population: * Volleyball players with more than 2 years' experience on a collegiate team. * Volleyball players have been trained by professional coach over half a year. * Playing or training for volleyball over 8 hours per week.

Who may be able to join

  • Asymptomatic group:
  • The asymptomatic group has to present no history of pain or dysfunction on the shoulder and/or neck in past 6 months.
  • Subacromial impingement syndrome group:
  • Occurrence of shoulder pain that lasted more than 3 months and was related to a spiking movement.
  • Present impingement symptoms as a combination of three or more positive signs: Neer test, Hawkins Kennedy test, Jobe test, Painful arc test, Resisted shoulder ER test

Who cannot join

  • Cannot perform spiking movement due to shoulder pain.
  • Acute shoulder injury at the time of recruitment or shoulder structural lesion, including hypo/hypermobility, or abnormality.
  • History of surgery and fracture in the upper and lower limbs or trunk.
  • History of pain in the lower limbs and trunk in the last 3 months.
  • Neurological or cardio respiratory disorders.
  • Receiving any intervention for the shoulder pain including medication, injection, or general physical therapy during the previous 3 months.

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • National Yang Ming University

    Taipei, 11221

Other trials in Taiwan

About this study

Volleyball players repetitively place the arm into extreme positions, and thus expose the athletes' shoulders to a large load and increase the risk of injuries. The shoulder complex is identified as one of the most injured joints in volleyball sports. Although many studies have revealed alterations in the function, morphology and biomechanics of the shoulder complex in volleyball players with shoulder pain, some researchers suggested that a smooth energy transfer from the axial skeleton, through the shoulder complex, to the arm and hand is crucial for overhead sports performance and injury prevention, with little evidence showing the link between trunk muscle performance and shoulder pain in volleyball players.

Therefore, the main purposes of present study are (1) to compare the trunk muscle performance (muscle strength, power and endurance) in volleyball players with and without subacromial impingement syndrome (SIS); (2) to compare trunk and shoulder muscles activity during spiking in volleyball players with and without SIS.

Read the detailed description

Volleyball players repetitively place the arm into extreme positions, and thus expose the athletes' shoulders to a large load and increase the risk of injuries. The shoulder complex is identified as one of the most injured joints in volleyball sports. Although many studies have revealed alterations in the function, morphology and biomechanics of the shoulder complex in volleyball players with shoulder pain, some researchers suggested that a smooth energy transfer from the axial skeleton, through the shoulder complex, to the arm and hand is crucial for overhead sports performance and injury prevention, with little evidence showing the link between trunk muscle performance and shoulder pain in volleyball players.

Therefore, the main purposes of present study are (1) to compare the trunk muscle performance (muscle strength, power and endurance) in volleyball players with and without subacromial impingement syndrome (SIS); (2) to compare trunk and shoulder muscles activity during spiking in volleyball players with and without SIS.

We hypothesize that volleyball players with SIS will change in trunk muscle performance and in trunk and shoulder muscles activity during spiking.

This is a cross-sectional case-control exploratory study.The investigators plan to recruit 35 volleyball players with SIS and 35 age, gender, experience matched healthy players in each group, totally 70 volleyball players in this study. Surface electromyography (sEMG) (Noraxon, USA) will be used to collect trunk and shoulder muscles activity during spiking. The kinematics were recorded using the electromagnetic motion tracking system (LIBERTY™). Isokinetic dynamometer (Biodex Multi-Joint System 4 Pro) and (BTE Primus RS) will be used to measure trunk and shoulder muscles torque and power at 60°/s and 180°/s in trunk and 90°/s, 180°/s and 240°/s in shoulder. Flexor, extensor and lateral flexor endurance tests will be used to assess trunk muscles endurance.

SPSS software (version 24.0) will be used to analyze data. The Independent t test or Chi square test will be used to compare demographic data. The Independent two-sample t test will be used to examine group differences in all outcome measures with the significance level setting at 0.05.

Keywords
Subacromial impingement, muscle performance, volleyball players
Medical subject headings
Shoulder Impingement Syndrome

What is being measured

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

  1. Muscle strength and power of trunk and shoulder

    The investigator will use isokinetic dynamometer (Biodex Multi-Joint System 4 Pro) and (BTE Primus RS) to measure trunk and shoulder muscles torque and power. Trunk flexion, extension and bilateral rotations will be measured at 60°/s and 180°/s. Shoulder external, internal, horizontal adduction and horizontal abduction will be measured at 90°/s, 180°/s and 240°/s.

    Measured: Immediately during the experiment

  2. Trunk and shoulder muscle activities and kinematics during volleyball spiking

    The investigator will place surface electromyography (sEMG) (Noraxon, USA) on subjects' bilateral external oblique abdominis, erector spinaes and dominated side of lower trapezius, upper trapezius, serretus anterior and infraspinatus to record muscle activities during spiking. The investigator will also use the electromagnetic motion tracking system (LIBERTY™) to record the kinematics of trunk and shoulder during spiking.

    Measured: Immediately during the experiment

  3. Muscle endurance of trunk and shoulder

    The subjects will perform trunk flexor, extensor and lateral flexor endurance tests with fixation of lower extremities. The subjects will be asked to hold in a specific position as longer as possible until they quit or fall into wrong position. The holding time will be their score.

    Measured: Immediately during the experiment

Timeline

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

  1. First posted30 Jun 2022
  2. Study start1 Jan 2023
  3. Primary completion1 Aug 2023
  4. Study completion20 Nov 2023

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
Case-control
Time perspective
Cross-sectional
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05439122
Sponsor's protocol ID
YM111061E
Status last verified
Nov 2023
First submitted
23 Jun 2022
Last updated
21 Nov 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Biomechanical Phenomena, run by Yi-Fen Shih at 1 site in Taiwan.

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 5 inclusion and 6 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 21 Nov 2023. 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 Taiwan. 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?

Muscle strength and power of trunk and shoulder (time frame: Immediately during the experiment). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Nov 2023.

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