Influence of Proprioceptive Reweighting Ability on Lower-limb Biomechanics During Functional Tasks

NCT04736511 | Completed

• 1 other identifier: 29BRC20.0288 NEURIBIO
• Study Type: interventional
• Target: 41
• Locations: 1 country
• Sites: 1

Brief Summary

Anterior cruciate ligament (ACL) injuries are frequent in handball especially among young players. Recent investigations highlighted the implication of the central nervous system as a potential risk factor for ACL rupture. The ability to dynamically reweight proprioceptive signals according to postural conditions is crucial for balance control. The aim of this study is therefore to investigate the influence of proprioceptive reweighting on biomechanical determinants of ACL loads during functional tasks and unplanned side cutting manoeuvers.

Conditions

Anterior Cruciate Ligament Injuries

Keywords

proprioceptive reweighting ability; sidestep cutting manoeuvre; handball

Outcome Measures

Primary Outcomes (1)

• Knee abduction moment (quantitative measure) during unplanned sidestep cutting manœuvre.

  The measurement will be the average of the maximum knee abduction moments when the lower extremity is supported on the pushing leg, over the 5 tests carried out with a sidestep cutting manœuvre.

  Inclusion

Secondary Outcomes (4)

• Knee abduction moment when landing jumps in the Single leg Drop Vertical Jump.

  Inclusion

• Star Excursion Balance Test performance.

  Inclusion

• Angles of ankles, knees, hips, orientation of the pelvis during changes of direction.

  Inclusion

• Percentage of subjects with a proprioceptive plastic profile.

  Inclusion

Study Arms (1)

Healthy volunteers

OTHER

Handball players

Other: Star Excursion Balance Test; Other: Single leg Drop Vertical Jump; Other: Unplanned sidestep cutting manoeuvre; Other: Tendon vibration

Interventions

Star Excursion Balance Test OTHER

The subject will be in unipodal support (only one foot on the ground) on the tested lower limb in the center of the platform. Three lines forming a "Y" will be arranged according to the lower limb in charge in three directions : anterior (ANT), posteromedial (PM) and posterolateral (PL). The goal is then to reach the longest distance possible in all three directions with the tip of the foot in relief before returning to the starting position. The subject will have 4 training trials per direction on each lower limb then 3 trials will be recorded in order to keep the average.

Also known as: SEBT

Healthy volunteers

Single leg Drop Vertical Jump OTHER

The subject will drop from a step and land on one leg, then jump as high as possible and stabilize again on the same leg. The height of the step is 30 cm. The subject will perform 3 consecutive jumps in the strictest respect of the instructions: drop to the level of the mark on the ground and bounce as high as possible while spending a minimum of time on the ground. The subject must stabilize for 3 seconds during the second contact with the ground so that the instructions and measurements are reproducible.

Also known as: SDVJ

Healthy volunteers

Unplanned sidestep cutting manoeuvre OTHER

The objective is to create an unanticipated playing situation, close to the daily actions of the subjects in the practice of handball. The subject will make sidestep cutting manœuvre in front of an opponent simulated by a dummy used during usual training. The subject will sprint in a straight line and then at the force platform will make a rapid change of direction on the side of his shooting arm or will continue his run in a straight line. A light signal randomly will indicate to the player the direction in which he must carry out his manoeuvre. A computer reconstruction of the kinematics and dynamics (knee moment) will be performed.

Also known as: Unplanned change of direction

Healthy volunteers

Tendon vibration OTHER

The subject will be asked to stand, motionless in bipodal (both feet on the ground) support on a stable and unstable ground (foam). A tendon vibration (80Hz) will be randomly applied to the subject in the Achilles tendons or paravertebral muscles. This vibration will cause an alteration of proprioceptive information in the vibrated area leading to a disruption of postural balance. Thus, according to the amount of displacement of the center of pressure (CoP), the proprioceptive weighting ratio (dRPW) is calculated to deduce therefrom the weight assigned by the CNS to the various proprioceptive inputs during the postural task.

Healthy volunteers

Eligibility Criteria

• Age: 15 Years - 25 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Aged from 15 to 25 years
• Intensive training handball practice for at least two years, mastering the technical gesture of unplanned sidestep cutting manoeuvre
• Training volume of 5 hours minimum per week
• Signature of the consent (participants and parents for minors)

You may not qualify if:

• Recent osteoarticular pathology (i.e. less than three months) of the lower limbs, whether traumatic or not
• Unfit to consent or refusal to participate in the study
• Obvious standing balance disorder or disabling neurological pathology
• Pain of the musculoskeletal system (joint, tendon or muscle) permanent or during exercise
• Fatigue (evaluation using the Borg scale) during the clinical examination (\> 6) prior to performing the sporting gesture
• Known skin allergy to any adhesive product

Sponsors & Collaborators

• University Hospital, Brest: lead

Study Sites (1)

CHRU Brest

Brest, France, 29200, France

Location

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• Claeys K, Dankaerts W, Janssens L, Pijnenburg M, Goossens N, Brumagne S. Young individuals with a more ankle-steered proprioceptive control strategy may develop mild non-specific low back pain. J Electromyogr Kinesiol. 2015 Apr;25(2):329-38. doi: 10.1016/j.jelekin.2014.10.013. Epub 2014 Oct 31.

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• Bonnet CT, Lepeut M. Proximal postural control mechanisms may be exaggeratedly adopted by individuals with peripheral deficiencies: a review. J Mot Behav. 2011;43(4):319-28. doi: 10.1080/00222895.2011.589415. Epub 2011 Jul 6.

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• van den Hoorn W, Kerr GK, van Dieen JH, Hodges PW. Center of Pressure Motion After Calf Vibration Is More Random in Fallers Than Non-fallers: Prospective Study of Older Individuals. Front Physiol. 2018 Mar 26;9:273. doi: 10.3389/fphys.2018.00273. eCollection 2018.

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• Peterka RJ. Sensorimotor integration in human postural control. J Neurophysiol. 2002 Sep;88(3):1097-118. doi: 10.1152/jn.2002.88.3.1097.

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• Picot B, Lempereur M, Morel B, Forestier N, Remy-Neris O. Lack of Proprioceptive Strategy Modulation Leads to At-Risk Biomechanics for Anterior Cruciate Ligament in Healthy Athletes. Med Sci Sports Exerc. 2024 May 1;56(5):942-952. doi: 10.1249/MSS.0000000000003378. Epub 2024 Jan 8.

  PMID: 38190373 RESULT

Related Links

• Laver L, Landreau P, Seil R, Popovic N, éditeurs. Handball Sports Medicine \[Internet\]. Berlin, Heidelberg: Springer Berlin Heidelberg; 2018
• Laver L, Myklebust G. Handball Injuries: Epidemiology and Injury Characterization. In: Doral MN, Karlsson J, éditeurs. Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation

MeSH Terms

Conditions

Anterior Cruciate Ligament Injuries

Condition Hierarchy (Ancestors)

Knee Injuries; Leg Injuries; Wounds and Injuries

Study Officials

• Olivier REMY-NERIS

  CHRU BREST

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: BASIC SCIENCE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Mono-centric comparative cross-sectional observational study with minimal risks and constraints.

Study Record Dates

• First Submitted: January 29, 2021
• First Posted: February 3, 2021
• Study Start: February 15, 2021
• Primary Completion: April 16, 2021
• Study Completion: April 16, 2021
• Last Updated: December 3, 2025

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Data will be available after the publication of result and ending fifteen years following the last visit of the last patient
• Access Criteria: Data access requests will be reviewed by the internal committee of Brest UH. Requestors will be required to sign and complete a data access agreement.

Locations

FR (1)