Biomechanics Responses to Power and Strength Combined Training

NCT04139187 | Unknown

• 1 other identifier: 96793518.3.0000.5323
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Anterior cruciate ligament (ACL) is the most frequently injured knee ligament during performance of recreational activities and sports. In the United States, the annual incidence is 68.6 per 100,000 people per year and in Brazil, the estimation of ACL reconstruction increases 64%. There are different biomechanical profiles of risk factors for an ACL injury variable, the ligament dominance, the quadriceps dominance, the trunk dominance, and the leg dominance. Thus, the purpose of this study is to investigate the biomechanics adaptations after power and strength combined training protocol in healthy individuals. A second aim is to determine the effect of the training on knee injury risk factors.

Conditions

Healthy

Keywords

Adult; Anterior Cruciate Ligament Injuries; Lower Extremity

Outcome Measures

Primary Outcomes (14)

• Change from baseline peak sagittal plane angle of ankle, knee and hip from both legs

  Peak angle of sagittal plane during landing task

  Baseline and up to 10 weeks

• Change from baseline value of sagittal plane angles for ankle, knee, hip, pelvis from both legs, and trunk

  Value at initial contact instant and maximal knee flexion instant of landing task

  Baseline and up to 10 weeks

• Change from baseline value of frontal plane angles for ankle, knee, hip, pelvis from both legs, and trunk

  Value at initial contact instant and maximal knee flexion instant of landing task

  Baseline and up to 10 weeks

• Change from baseline value of transverse plane angles for hip, pelvis from both legs, and trunk

  Value at initial contact instant and maximal knee flexion instant of landing task

  Baseline and up to 10 weeks

• Change from baseline peak frontal plane angle of knee and hip from both legs

  Peak angle of frontal plane during landing task

  Baseline and up to 10 weeks

• Change from baseline range of knee frontal plane angle from both legs

  Range of frontal plane angle between initial contact instant and maximal knee flexion instant of landing task

  Baseline and up to 10 weeks

• Change from baseline range of knee sagittal plane angle from both legs

  Range of sagittal plane angle between initial contact instant and maximal knee flexion instant of landing task

  Baseline and up to 10 weeks

• Change from baseline value of sagittal plane joint moment knee and hip from both legs

  Value at initial contact instant and maximal knee flexion instant of landing task

  Baseline and up to 10 weeks

• Change from baseline value of frontal plane joint moment knee and hip from both legs

  Value at initial contact instant and maximal knee flexion instant of landing task

  Baseline and up to 10 weeks

• Change from baseline peak of knee frontal plane joint moment from both legs

  Peak of joint moment during landing task

  Baseline and up to 10 weeks

• Change from baseline value of ground reaction force vertical component from both legs

  Value at maximal knee flexion instant of landing task

  Baseline and up to 10 weeks

• Change from baseline value of loading rate from both legs

  Value calculated by relation between peak of ground reaction force vertical component and time to peak from initial contact during landing task

  Baseline and up to 10 weeks

• Change from baseline peak of ground reaction force vertical component from both legs

  Peak of ground reaction force during landing task

  Baseline and up to 10 weeks

• Change from baseline value of muscle maximal isometric strength for knee extensors and flexors, and hip aductors and abductors from both legs

  Value of maximal isometric strength

  Baseline and up to 10 weeks

Secondary Outcomes (12)

• Change from baseline pennation angle of muscle fibers of knee extensors and flexors from both legs

  Baseline and up to 10 weeks

• Change from baseline muscle fascicle length of knee extensors and flexors from both legs

  Baseline and up to 10 weeks

• Change from baseline muscle thickness of knee extensors and flexors from both legs

  Baseline and up to 10 weeks

• Change from baseline power value of ankle, knee and hip joints from both legs

  Baseline and up to 10 weeks

• Change from baseline dynamic strength of lower extremities muscles

  Baseline and up to 10 weeks

Other Outcomes (2)

• Training load of each training session

  At the end of each training session throughout 10 weeks

• Muscle Soreness after each training session

  24 and 48 hours after each training session throughout 10 weeks

Study Arms (2)

Experimental

EXPERIMENTAL

Individuals randomized to experimental group.

Other: Combined training with power and strength exercises

No Intervention Control

NO INTERVENTION

Individuals without quadriceps dominance randomized to no intervention group.

Interventions

Combined training with power and strength exercises OTHER

The training will be compose by power and strength exercises and divided in two days. One day with the exercises: vertical jumps, box jumps, sit-ups, back-extension and guided squat. The second with half squat jumps, high straight jumps, bounding jumps, drop jumps and sprint. Both days will be started with warm up on treadmill running lasting 5 minutes at 6.5-7.5 km/h. The training protocol includes 20 sessions with 2 sessions per week during 10 weeks (2 weeks to adaptation and others 8 to training with progression of load after 4 weeks).

Experimental

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: male
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Male sex;
• Age between 18 and 30 years old;
• Who practice physical activity (except: strength and jump training) between 80 and 150 minute per week;
• No previous muscle lower extremity injury at least 6 months prior to recruitment;
• No previous ligament and tendon lower extremity injury or surgery;
• No auditory, vestibular, visual or musculoskeletal injuries or disease that impairment the execution of assessments or training protocol;
• No hypertension, cardiovascular or respiratory disease.

You may not qualify if:

• Body mass index greater than 35 kg/m².

Sponsors & Collaborators

• Universidade Federal de Santa Maria: lead
• Universidade Federal do Pampa: collaborator
• Conselho Nacional de Desenvolvimento Científico e Tecnológico: collaborator

Study Sites (1)

Karine Josibel Velasques Stoelben

Uruguaiana, Rio Grande do Sul, 97502-772, Brazil

Location

MeSH Terms

Conditions

Anterior Cruciate Ligament Injuries

Condition Hierarchy (Ancestors)

Knee Injuries; Leg Injuries; Wounds and Injuries

Study Officials

• Felipe P Carpes, PhD

  Federal University of Pampa

  STUDY DIRECTOR

• Karine JV Stoelben, Ms

  Federal University of Pampa

  PRINCIPAL INVESTIGATOR

• Eliane C Guadagnin, PhD

  Federal University of Pampa

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Statistical analyzer will be masking.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Two groups design where one randomized group receive treatment and the other not in the same period of time.

Study Record Dates

• First Submitted: September 4, 2019
• First Posted: October 25, 2019
• Study Start: September 15, 2019
• Primary Completion: December 1, 2020
• Study Completion: December 1, 2020
• Last Updated: June 4, 2020

Record last verified: 2020-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, CSR
• Time Frame: The individual participant dataset will become available at a public repository up to six months after the first study publication
• Access Criteria: A simple registration will grant access to study datasets. The website for these files is not defined at the time of registration.

Locations

BR (1)