Assessment of Effectiveness of Neuromuscular Training in Treatment of Lumbar Spine in Football Players

NCT04134741 | Completed

• 1 other identifier: PopeJohnPaulIIStateSchHigherEd
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

The project aims to assess the effectiveness of neuromuscular training according to the concept of Kinetic Control (KC) in prevention and treatment of lumbar spine and knee pain and in reduction of risk of injury in female football players. The study was designed as single-blind Randomized Controlled Trial (RCT) and conducted on a group of 18 female football players from University Club of the Academic Sports Association of Pope John Paul II State School of Higher Education in Biała Podlaska. Participants were randomly divided into two 9-person groups: A - used standard training and neuromuscular training (Kinetic Control) and B - used only standard training. Main hypothesis: The application of neuromuscular therapy (KC) reduces the risk of injuries and pain of the lumbar spine and the knee and improves the static and dynamic balance. Research questions:

1. 1.Will the application of the KC training reduce the risk and frequency of spine and knee injuries in females football players?
2. 2.Will the KC training lead to reduction of the intensity of lumbar spine and knee pain?
3. 3.Will the application of the KC training lead to increase in the torque strength of knee flexors and extensors and improved stability of the knee?
4. 4.Will the application of the neuromuscular training (KC) lead to reduction of the disability level and improved functional level?

Conditions

Injury Leg; Back Pain; Sport Injury; Training Group, Sensitivity; Prevention

Keywords

prevention; back pain; soccer; football; female; sport injury; kinetic control

Outcome Measures

Primary Outcomes (3)

• Visual analogue scale of pain (VAS)

  Visual analogue scale of pain (VAS) evaluates intensity of pain in the scale from 0 to 10. Maximum score means the highest level of pain.

  Visual analogue scale of pain (VAS) was carried out at the beginning of each season and after 6 months

• Modified Laitinen's pain questionnaire

  Laitinen's pain questionnaire took into account four indicators evaluated in the scale from 0 to 4: the intensity of pain, the frequency of its occurrence, the use of analgesic medications and limitation of the participant's motor activity. A research participant could have been granted from 0 to 16 points, the maximum score means the highest level of pain.

  Modified Laitinen's pain questionnaire was carried out at the beginning of each season and after 6 months

• Stratford's back pain functional scale (BPFS)

  In Stratford's scale (BFPS), the research participants assessed twelve actions related to everyday life activity in the scale from 0 to 5. The result fell within a range from 0 to 60 points, where the higher final result, the lower level of pain.

  Stratford's back pain functional scale (BPFS) was carried out at the beginning of each season and after 6 months

Secondary Outcomes (3)

• Single leg small knee bend test

  Single leg small knee bend test was carried out at the beginning of each season and after 6 months

• Tests on the GAMMA dynamometric platform

  Tests on the GAMMA dynamometric platform were carried out at the beginning of each season and after 6 months

• Measurement of muscle force torque on a UPR-02A chair

  Measurement of muscle force torque on a UPR-02A chair were carried out at the beginning of each season and after 6 months

Study Arms (2)

Kinetic Control Group

EXPERIMENTAL

The players participated in the classic training and for 4 weeks (3 times a week) underwent the Kinetic Control neuromuscular training with assistance of a physical therapist. The duration of one training was 20-30 minutes.

Other: Kinetic Control

Traditional Training Group

NO INTERVENTION

Players participated in the classic training.

Interventions

Kinetic Control OTHER

The Kinetic Control training included a functional examination of motor disorders and individual training. The KC training included active exercises, active exercises with torso muscle resistance and exercises involving lower limbs. The duration of one training was 20-30 minutes.

Also known as: Neuromuscular training

Kinetic Control Group

Eligibility Criteria

• Age: 19 Years - 25 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• female players not taking nonsteroidal anti-inflammatory drugs (NSAIDs) for at least a week before the start of the study,
• written consent for the participation in the study.

You may not qualify if:

• female players with acute inflammation (neuralgia) and massive intervertebral disk herniation requiring a surgery,
• female players who suffered from a lumbar spine and/or knee injury up to 6 months before the start of the study,
• female players with acute knee inflammation and after knee surgeries.

Sponsors & Collaborators

• John Paul II University in Biała Podlaska: lead

Study Sites (1)

Pope John Paul II State School Of Higher Education in Biała Podlaska

Biała Podlaska, 21-500, Poland

Location

MeSH Terms

Conditions

Leg Injuries; Back Pain; Hypersensitivity

Condition Hierarchy (Ancestors)

Wounds and Injuries; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Immune System Diseases

Study Officials

• Kamil Zaworski, PhD

  John Paul II University in Biała Podlaska

  STUDY DIRECTOR

• Anna Kręgiel, PhD

  John Paul II University in Biała Podlaska

  PRINCIPAL INVESTIGATOR

• Krystyna Gawlik, PhD

  John Paul II University in Biała Podlaska

  STUDY CHAIR

• Joanna Baj-Korpak, PhD

  John Paul II University in Biała Podlaska

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: None of the physiotherapists were personally involved in the preparation and the manner of performing the test. The random placement was performed with the use of computer software.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The players were placed at random in the studied groups, 9 participants in each group: A - group with additional Kinetic Control neuromuscular training; and B - group with standard training.

Study Record Dates

• First Submitted: September 25, 2019
• First Posted: October 22, 2019
• Study Start: January 3, 2019
• Primary Completion: June 16, 2019
• Study Completion: June 16, 2019
• Last Updated: October 22, 2019

Record last verified: 2019-09

Data Sharing

• IPD Sharing: Will not share

Locations

PL (1)