NCT05658978

Brief Summary

The neuromuscular training improves nerve-muscle control while increasing the stability of functioning joints. Furthermore, Neuromuscular training has been proven to influence the sensitivity and reactivity of the central nervous system and improves the power of athletes by targeting motor units and coordinating motor units and increasing muscle activation. These enhancements resulted in skillful movements and significantly improved agility, balance, muscular strength and muscular power among individuals. The neuromuscular training also focuses on promoting functional joint stability by improving athletes' neuromuscular control and has been proven to significantly enhance athletes' performance. Finally, to evaluate that neuromuscular training can improve elite male handball players' physical fitness components, handball skills and functional movement.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
46

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 19, 2022

Completed
1 month until next milestone

First Posted

Study publicly available on registry

December 21, 2022

Completed
12 days until next milestone

Study Start

First participant enrolled

January 2, 2023

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 12, 2023

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

March 28, 2023

Completed
Last Updated

July 1, 2024

Status Verified

June 1, 2024

Enrollment Period

1 month

First QC Date

November 19, 2022

Last Update Submit

June 27, 2024

Conditions

Keywords

Physical Fitness ComponentsHandball SkillsFunctional movementMale Handball Players

Outcome Measures

Primary Outcomes (9)

  • Speed performance of handball players

    Speed will be measured by a 30-meter sprint test. To monitor the development of the athlete's maximum sprint speed, the 20m sprint test measurement also has a high reliability value (r=0.94 to 0.98).

    2 weeks

  • Agility performance of handball players

    Agility will be measured by Illinois agility test running agility using various turns and movements. Participants should lie on their front (head to the start line) and hands by their shoulders. On the 'Go' command the stopwatch is started, and the athlete gets up as quickly as possible and runs forwards 10 meters to run around a cone, then back 10 meters, then runs up and back through a slalom course of four cones. Finally, the athlete runs another 10 meters up and back past the finishing cone.

    3 weeks

  • Balance performance of handball players

    Balance will be measured by the Star excursion balance test (SEBT). Balance ability of athletes on an activity to keep their balance equilibrium. It is a type of dynamic stability testing. The SEBT involves having a participant maintain a base of support with one leg while maximally reaching in different directions with the opposite leg without compromising base of support of stance leg.

    4 weeks

  • Explosive power of handball players

    To measure the explosive power of the leg in vertical jump height jumped. The player chalks the end of his fingertips, stands side onto the wall, keeping both feet remaining on the ground, reaches up as high as possible with one hand and marks the wall with the tips of the fingers. From a static position jump as high as possible and marks the wall with the chalk on his fingertips.

    5 weeks

  • Flexibility of handball players

    The test will be conducted indoors using a static sit and reach box, supplied with a tape measure. The participant will give the instruction to sit with legs together and extended in front of him, so that the feet (shoes off) touch the first step. Both knees will be held together and flat on the floor. The purpose of this test is to assess the flexibility of the lower back and hamstring. The intra-class correlation coefficient for test-retest reliability for the sit and reach test was 0.93.

    6 weeks

  • Muscular Strength of handball players

    Muscular strength will be measured by the 1RM test. Test-retest ICCs ranged from 0.64 to 0.99 (median ICC = 0.97), where 92% of ICCs were ≥ 0.90, and 97% of ICCs were ≥ 0.80. Based on the previous studies, it can be concluded that the 1RM test generally has good to excellent test-retest reliability, part of the body assessed (upper vs. lower body).

    8 weeks

  • Functional Movement of handball players

    The FMS will be used to assess the study participants using the standard 0-3 ordinal scale. A score of 3 will be awarded for performing the specific movement perfectly, a score of 2 for completing the movement with some compensatory movements observed, a score of 1 for the subject failing to complete the movement, and a score of 0 for the movement being painful. Functional movement assesses through the FMS Kit.

    9 weeks

  • Dribbling skill performance of handball players

    Slalom sprint and dribble test will measure dribbling performance. Twelve cones will be placed in a zigzag pattern, and the participant is to slalom the 30-m course as fast as possible. Sprints will be timed using a stopwatch. Slalom sprint and dribble test the indication of a good reliability (without ball: Intraclass Correlation Coefficient \[ICC\] = 0.91; with ball: ICC = 0.79) and validity (i.e., discriminative between level of performances).

    11 weeks

  • Shooting skill performance of handball players

    Shooting skill performance will be measure by shooting accuracy test. To measure the shooting ability of accuracy for team handball players can make throws at the target in team handball. Each player had eight shots executed from five different positions, previously established, in the direction of the goal.

    12 weeks

Study Arms (2)

Neuromuscular training of male handball players

EXPERIMENTAL

Neuromuscular training exercises focus on improving physical fitness and skills performance. Neuromuscular training targets the neuromuscular system through engagements of muscle groups as well as nerve function to optimize movements. This training has been considered an effective treatment method to enhance the neurophysiological entity of the joints for coordinated functioning. However, the present study applied neuromuscular training to elite male handball players to assess fitness level as well as skill performance. Post-test 1 will be after 6 weeks, and post-test 2 after 12 weeks to measure performance.

Other: Neuromuscular training

Male handball players continue previous regular exercises

ACTIVE COMPARATOR

Handball players as a control group will be continuing their previous regular exercises for 12 weeks.

Other: Control group

Interventions

Neuromuscular training Length: 12 weeks; Training duration: 90 minutes; Intensity: 70-95%; 3 days per week. The intensity of the training is increasing in the first 20 minutes, and the intensity is gradually decreasing in the next 5 minutes; Rest: 30 seconds rest between exercises and 1-minute rest between sets.

Neuromuscular training of male handball players

The Control group continues previous regular exercises for 12 weeks with a duration of 90 minutes and three days per week.

Male handball players continue previous regular exercises

Eligibility Criteria

Age18 Years - 22 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • The population must be elite male handball players between the ages of 18 to 22
  • Able to perform all tests and be Physically active (no previous experience performing neuromuscular training)
  • Only players who understand the study purposes and procedures and can complete this training requirement can be included in the research data.

You may not qualify if:

  • Female handball players should be excluded from this study
  • On medication that may affect body composition and muscles activity
  • Presently engaged in regular neuromuscular training programs
  • Players who are consistently late or absent from training sessions will eventually be excluded

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Agriculture, Hub of Handball in Pakistan

Faisalābad, Punjab Province, 38000, Pakistan

Location

Related Publications (5)

  • Barber-Westin SD, Hermeto AA, Noyes FR. A six-week neuromuscular training program for competitive junior tennis players. J Strength Cond Res. 2010 Sep;24(9):2372-82. doi: 10.1519/JSC.0b013e3181e8a47f.

    PMID: 20703159BACKGROUND
  • Barber-Westin, S., Hermeto, A., and Noyes, M.D.F. (2015). A six-week neuromuscular and performance training program improves speed, agility, dynamic balance, and core endurance in junior tennis players. J Athl Enhancement 4.

    BACKGROUND
  • Borghuis, A. J., Lemmink, K. A., Hof, A. L., & Visscher, C. 5. The Effect of a Soccer-Specific Neuromuscular Training Program on Stability, Agility and Injury in Elite Youth Soccer. Core Stability in Soccer: it's a Matter of Control! 83.

    BACKGROUND
  • McLeod TC, Armstrong T, Miller M, Sauers JL. Balance improvements in female high school basketball players after a 6-week neuromuscular-training program. J Sport Rehabil. 2009 Nov;18(4):465-81. doi: 10.1123/jsr.18.4.465.

    PMID: 20108849BACKGROUND
  • Trajkovic N, Bogataj S. Effects of Neuromuscular Training on Motor Competence and Physical Performance in Young Female Volleyball Players. Int J Environ Res Public Health. 2020 Mar 8;17(5):1755. doi: 10.3390/ijerph17051755.

    PMID: 32182680BACKGROUND

MeSH Terms

Conditions

Sedentary Behavior

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Epidemiologic Research DesignEpidemiologic MethodsInvestigative TechniquesResearch DesignMethods

Study Officials

  • Saddam Akbar, PhD

    Universiti Putra Malaysia

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: In this experiment, the experimental group will continue neuromuscular training exercises and the control group will continue previous regular exercises with coaches' guidelines. Each group has equally male players.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

November 19, 2022

First Posted

December 21, 2022

Study Start

January 2, 2023

Primary Completion

February 12, 2023

Study Completion

March 28, 2023

Last Updated

July 1, 2024

Record last verified: 2024-06

Data Sharing

IPD Sharing
Will not share

Since this is my doctoral thesis experiment, I won't share it until I graduate.

Locations