Perturbation Based Neuromuscular Training Effects on Peroneal Strength, Fatigue and Functional Performance Parameters

NCT05594628 | Completed

• 1 other identifier: 1108799
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 2

Brief Summary

In the literature neuromuscular exercise programs are often used for prevention in sport players. Literature lacks of perturbation exercises and its effects on peroneal's muscle strength, fatigue and individual's performance parameters. This study will investigate if it is possible to achieve improvements on peroneal eccentric strength, fatigue, dynamic balance and individual's performance with the exercises mainly based on side perturbations.

Conditions

Healthy Young Women; Basketball Players

Outcome Measures

Primary Outcomes (2)

• Changes in Peroneal eccentric strength

  Force will be evaluated with Cybex Humac NORM, as Nm/kg(Newton-meters/kg). At 30° /s speed, 3 trials will be made with submaximal force for participants to understand the movement. After trials 4 maximal strength repetition will be made. Highest repetition, and average of 4 repetition will be used for analysis. Before and after the intervention evaluation will be made.

  10 weeks

• Changes in Peroneal endurance parameters

  Endurance will be evaluated with Cybex Humac NORM, as Nm/kg(Newton-meters/kg). At 180° /s speed, 5 trials will be made with submaximal force for participants to understand the movement. After trials 20 maximal strength repetition will be made. Endurance is described as containing strength for a duration of time, it can be evaluted with Fatigue index/Endurance parameters will be evaluated with comparing last 10 repetion to first 10 repetion to assess the difference. Before and after the intervention evaluation will be made.

  10 weeks

Secondary Outcomes (4)

• Changes in Dynamic Balance

  10 weeks

• Changes in Cross Hop Test

  10 weeks

• Changes in Vertical Jump Test

  10 weeks

• Changes in Side Hop Test

  10 weeks

Study Arms (2)

Neuromuscular Training+Basketball training

EXPERIMENTAL

After all participiants are evaluated, they will be divided randomly to two groups, which one group will be taking neuromuscular training+usual basketball training

Other: Neuromuscular training

Control group(Basketball training)

NO INTERVENTION

After all participiants are evaluated, they will be divided randomly to two groups, which one group will be taking just the usual basketball training and not any extra interventions.

Interventions

Neuromuscular training OTHER

Neuromuscular training is designed as 8 weeks and 2 times a week, and approximately 20 minutes per session for Neuromuscular training+usual basketball training group. Other group is only going to keep attending usual basketball training. Neuromuscular training consisted 3 exercises: First exercise is passing the ball to side to side on bosu with standing on one leg. 60-90 seconds on time, 30-60 seconds off time. 2 sets for both passing sides and bilaterally. Second exercise is standing on bosu unilaterally and while standing stabilized, switching basketball hand to hand as dribbling on the floor. Exercise will be on for 60-90 seconds and off for 30-60 seconds, 2 sets for each side Third exercise is jumping with one stance/leg, and landing with double stance while a therabant is attached to the belly and pulling with a minimum/medium force from one side. Changing legs after one jump, 6 times for both side is equal to 1 set of the exercise. It will be done 2 sets for both sides.

Neuromuscular Training+Basketball training

Eligibility Criteria

• Age: 13 Years - 18 Years
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Healthy, non-injured within the 6 months female basketball players that are willing to join the research

You may not qualify if:

• That has a injury within 6 months with missing trainings at least 2 times in a row or having vestibuler dysfunction

Sponsors & Collaborators

• Acibadem University: lead
• Istanbul University: collaborator

Study Sites (2)

Acıbadem University

Istanbul, Turkey (Türkiye)

Location

Istanbul University

Istanbul, Turkey (Türkiye)

Location

Related Publications (8)

• Gribble PA, Robinson RH. Alterations in knee kinematics and dynamic stability associated with chronic ankle instability. J Athl Train. 2009 Jul-Aug;44(4):350-5. doi: 10.4085/1062-6050-44.4.350.

  PMID: 19593416 BACKGROUND

• Taylor JB, Ford KR, Nguyen AD, Terry LN, Hegedus EJ. Prevention of Lower Extremity Injuries in Basketball: A Systematic Review and Meta-Analysis. Sports Health. 2015 Sep-Oct;7(5):392-8. doi: 10.1177/1941738115593441. Epub 2015 Jun 26.

  PMID: 26502412 BACKGROUND

• Mendez-Rebolledo G, Guzman-Munoz E, Gatica-Rojas V, Zbinden-Foncea H. Longer reaction time of the fibularis longus muscle and reduced postural control in basketball players with functional ankle instability: A pilot study. Phys Ther Sport. 2015 Aug;16(3):242-7. doi: 10.1016/j.ptsp.2014.10.008. Epub 2014 Nov 7.

  PMID: 25869423 BACKGROUND

• Kim KM, Hart JM, Saliba SA, Hertel J. Modulation of the Fibularis Longus Hoffmann Reflex and Postural Instability Associated With Chronic Ankle Instability. J Athl Train. 2016 Aug;51(8):637-643. doi: 10.4085/1062-6050-51.10.05. Epub 2016 Sep 1.

  PMID: 27583692 BACKGROUND

• Asadi A, Saez de Villarreal E, Arazi H. The Effects of Plyometric Type Neuromuscular Training on Postural Control Performance of Male Team Basketball Players. J Strength Cond Res. 2015 Jul;29(7):1870-5. doi: 10.1519/JSC.0000000000000832.

  PMID: 25563677 BACKGROUND

• Benis R, Bonato M, La Torre A. Elite Female Basketball Players' Body-Weight Neuromuscular Training and Performance on the Y-Balance Test. J Athl Train. 2016 Sep;51(9):688-695. doi: 10.4085/1062-6050-51.12.03. Epub 2016 Nov 8.

  PMID: 27824252 BACKGROUND

• Eils E, Schroter R, Schroder M, Gerss J, Rosenbaum D. Multistation proprioceptive exercise program prevents ankle injuries in basketball. Med Sci Sports Exerc. 2010 Nov;42(11):2098-105. doi: 10.1249/MSS.0b013e3181e03667.

  PMID: 20386339 BACKGROUND

• Hurd WJ, Chmielewski TL, Snyder-Mackler L. Perturbation-enhanced neuromuscular training alters muscle activity in female athletes. Knee Surg Sports Traumatol Arthrosc. 2006 Jan;14(1):60-9. doi: 10.1007/s00167-005-0624-y. Epub 2005 Jun 4.

  PMID: 15937713 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Adolescent female basketball players that is not currently doing any prevention programme and not currently injured in last 6 months that will make them not to attend any training that happened
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant/Physiotherapist

Model Details: After first evaluation groups are randomly assigned to 2 groups. Both groups keep attending basketball trainings. One group is just going to keep attending basketball trainings, one group is going to keep attending usual basketball trainings and going to receive neuromuscular training that will be added in warming up exercises

Study Record Dates

• First Submitted: October 11, 2022
• First Posted: October 26, 2022
• Study Start: August 31, 2022
• Primary Completion: June 15, 2023
• Study Completion: August 4, 2023
• Last Updated: September 1, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)