Sensorimotor Training for Injury Prevention in Collegiate Soccer Players II

NCT04036916 | Completed

• 1 other identifier: 2019-0157
• Study Type: interventional
• Target: 130
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this project is to evaluate the effectiveness of an injury prevention intervention delivered primarily using headset virtual reality for collegiate soccer players. The hypothesis is that measures of sensorimotor control will improve, injury incidence rate will decrease and on-field soccer performance will improve.

Conditions

Concussion, Mild; Sport Injury

Keywords

Concussion; Injury prevention

Outcome Measures

Primary Outcomes (9)

• Injury incidence rate

  Traumatic injuries (concussion and leg injuries) across the 2019 soccer season/ number of countable athletic exposures

  approximately 16 weeks

• Game Performance

  Game performance will be analyzed through video recording of the 2019 season's games and analysis of performance metrics (performed by InStat). Key performance indices (with higher scores reflecting better performance during game play) will be used as the metric of game performance.

  approximately 16 weeks

• Standing Balance

  Standing balance (as measured on the Sway balance app 0 - 100 scale)

  Pre to post-intervention (approximately 6 weeks)

• Reaction Time

  Reaction time (as measured on the Sway balance app) including impulse control; inspection time; and simple reaction time

  Pre to post-intervention (approximately 6 weeks)

• Oculomotor Control

  Accuracy and latency of saccadic eye movements and smooth pursuit eye movements in response to an object presented to the participant on a computer screen (as measured by the Tobii eye tracker)

  Pre to post-intervention (approximately 6 weeks)

• Near-Point Convergence

  Distance of point of near-binocular convergence (as measured in centimeters)

  Pre to post-intervention (approximately 6 weeks)

• Cranial Cervical Flexion Test

  Cranial-cervical flexion neuromotor control (as measured by performance on the Cranial Cervical Flexion Test, mmHg level of control with a 3 second hold on a biofeedback pressure cuff)

  Pre to post-intervention (approximately 6 weeks)

• Deep Neck Flexor Endurance Test

  Cranial Cervical flexion endurance (measured in seconds)

  Pre to post-intervention (approximately 6 weeks)

• Isometric Neck Strength

  Measured by a dynamometer in flexion, extension, rotation and side-bending, recorded as force produced in each direction

  Pre to post-intervention (approximately 6 weeks)

Secondary Outcomes (9)

• Score on Smooth Pursuit VR Game

  Pre to post-intervention (approximately 6 weeks)

• Score on Saccades VR Game

  Pre to post-intervention (approximately 6 weeks)

• Score on Near Point Convergence VR Game

  Pre to post-intervention (approximately 6 weeks)

• Score on Joint Position Error VR Game

  Pre to post-intervention (approximately 6 weeks)

• Score on Cervical Neuromotor Control VR Game

  Pre to post-intervention (approximately 6 weeks)

Study Arms (2)

Virtual Reality Training (Experimental)

EXPERIMENTAL

Participants will receive multi-modal sensorimotor training interventions, including activities training the vestibular system, oculomotor control and visual perception, neuromotor control and strengthening of the cervical spine, postural control/ balance exercises, and exercises integrating the use of multiple types of sensory information for controlled motor output, including speed and accuracy. Novel headset virtual reality (VR) games/activities; compliant balance surfaces; resistance bands/weight; and biofeedback devices will be utilized to deliver the training intervention. The exercises delivered at each intervention will be delivered in a group format, using a circuit of exercises that each athlete will complete in a session. Subsequent sessions will build upon previous sessions to work the sensorimotor control system in progressively more challenging and sport-specific scenarios. This present study will complete 12 sessions over 6 weeks.

Other: Virtual Reality Sensorimotor Training

No Virtual Reality Training (Control)

NO INTERVENTION

True control.

Interventions

Virtual Reality Sensorimotor Training OTHER

Games/activities specifically developed to train the sensorimotor system in headset virtual reality + strengthening of the neck

Also known as: Cervical strength training

Virtual Reality Training (Experimental)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Male and female athletes
• years of age or older
• on the soccer roster who are eligible to play in the fall 2019 season at the participating institutions.

You may not qualify if:

• Current diagnosis of concussion (i.e. a non-medically cleared concussion)
• Current lower-extremity musculoskeletal injury,
• Seizure disorder with photo sensitivity
• Other medical diagnosis that will prevent participation in the intervention.

Sponsors & Collaborators

• University of Mississippi Medical Center: lead
• University of West Alabama: collaborator
• Mississippi College: collaborator

Study Sites (1)

University of Mississippi Medical Center

Jackson, Mississippi, 39216, United States

Location

MeSH Terms

Conditions

Brain Concussion

Condition Hierarchy (Ancestors)

Brain Injuries, Traumatic; Brain Injuries; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Craniocerebral Trauma; Trauma, Nervous System; Head Injuries, Closed; Wounds and Injuries; Wounds, Nonpenetrating

Study Officials

• Jennifer C Reneker, PT, PhD

  University of Mississippi Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: July 23, 2019
• First Posted: July 30, 2019
• Study Start: August 12, 2019
• Primary Completion: December 10, 2019
• Study Completion: December 10, 2019
• Last Updated: March 24, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)