Effects of Eccentric Hamstring Training in Prevention of Hamstring Injuries in Sprinters

NCT05789277 | Completed DMC

• 1 other identifier: REC/01407 MOHAIB JONATHAN
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trail is to determine the effects of eccentric hamstring training, in prevention of hamstring injuries in sports involving sprinting among club level athletes. The main question it aims to answer is : \- Will eccentric exercises have an effect in the recovery of hamstring injuries and injury prevention in sprint performance sports among club-level athletes. Participants will be divided into two groups. Control group will perform conventional training program and interventional group will perform eccentric exercises.

Conditions

Sport Injury

Keywords

athletic injuries; hamstring; eccentric training; prevention; sprinters

Outcome Measures

Primary Outcomes (6)

• Change in Functional Assessment Scale for acute hamstring injury

  FASH (Functional Assessment Scale for Acute Hamstring Injuries) questionnaire has recently been developed as a disease-specific and self-administered questionnaire to grade the severity of symptoms (pain and function) in patients with hamstring injuries. The FASH consists of six items, each of which is scored on a scale of 0 to 10, with 0 indicating the worst possible function and 10 indicating the normal function. The total score on the FASH ranges from 0 to 60, with higher scores indicating better function.

  The participants will be assessed at Baseline, 4th week, 12th week and 24th week

• Change in Nordic Hamstring Exercise test:

  The nordic hamstring exercise test is used to determine the effectiveness of the Nordic hamstring exercise program on Nordic hamstring exercise performance. From a kneeling position on the device, with the ankles secured under a heavy lifting sling, participants leaned forward in a controlled manner as far as possible (eccentric phase) and then returned to the starting position (concentric phase). A tape measure documented the forward distance achieved by the participants in cm.

  The participants will be assessed at Baseline, 4th week, 12th week and 24th week

• Change in Single Leg Hamstring Bridge test

  A single-leg hamstring bridge to assess the functional strength of the hamstring muscle group. This activity is performed with the injured limb propped on a 60 cm surface at 20oknee flexion, (plyo box, chair, exercise ball) while the unaffected limb is held in the air. The pelvis is then lifted off the ground in the motion of a bridge. This places demand directly on the hamstring to contract to support the body during the bridge.

  The participants will be assessed at Baseline, 4th week, 12th week and 24th week

• Change in Lasegue (Straight leg raise test):

  The straight leg raise test measures hamstring tightness. Restricted flexibility in the hamstrings will contribute to lower back, pelvis, hip, and knee mal-alignment. The straight leg raise test focuses on proximal hamstring tightness. The test is performed passively.

  The participants will be assessed at Baseline, 4th week, 12th week and 24th week

• Change in Slump test with cervical flexion & extension:

  Addressing the lumbar spine and pelvic joints may be important as the presence of pain referred into the leg can change hamstring strength, muscle contraction timing, and willingness to bend. Manual pain provocation tests may be used to clear the lumbopelvic region in the hamstring-injured patient, and the slump test may be used to differentiate hamstrings and sciatic nerve symptoms as the source of posterior thigh pain.The slump test is positive where the patient's posterior thigh pain is reproduced in the final slump position, and reduced with cervical extension.

  The participants will be assessed at Baseline, 4th week, 12th week and 24th week

• Change in 20m Multistage Fitness Test (Beep Test)

  The 20m multistage fitness test (MSFT) also known as 20 meter shuttle run test or beep test is a commonly used maximal running aerobic fitness test. The equipment required for this test are flat, non-slip surface, marking cones, 20m measuring tape,beep test audio, audio player, recording sheets.This test involves continuous running between two lines 20m apart in time to recorded beeps. The participants start running when the recording tells them to,standing behind one line and facing the other. The first speed is really slow. The subject keeps moving between the two lines while turning when the beeps are captured. The beeps will get more frequent and louder after about a minute, and a sound will signal an increase in speed.The level and number of shuttles (20m) the athlete completed before they were unable to keep up with the recording determines their score.

  The participants will be assessed at Baseline, 4th week, 12th week and 24th week

Study Arms (2)

Conventional training program group

ACTIVE COMPARATOR

The control group will perform conventional training program

Other: Conventional training program

Eccentric hamstring training group

EXPERIMENTAL

The interventional group will perform eccentric hamstring training

Other: Eccentric hamstring training

Interventions

Conventional training program OTHER

Conventional training program: 5-10 Repetitions ( 0.5-to 1-min rest); 1. Vertical jumps 2. Multiple forward jumps 3. Running exercises 4. Sprints alternating with slow jogging

Conventional training program group

Eccentric hamstring training OTHER

Functional training along with specific eccentric hamstrings exercises i.e., prone hamstring curl, exercise ball (or glider) bridge with curl, Nordic hamstring curl, single leg deadlift. The exercise program comprises 3 sets of 15 repetitions once to twice per day for at least 12 weeks.

Eccentric hamstring training group

Eligibility Criteria

• Age: 18 Years - 28 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age 18 to 28 years.
• Rugby players
• Male
• Athletes who have suffered a hamstring injury in the past 6 months.

You may not qualify if:

• Those athletes who have undergone any surgery in the lower extremity and athletes with any other lower limb pathology are excluded.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Rugby Ground, Sector F-10/1

Islamabad, Pakistan

Location

MeSH Terms

Conditions

Athletic Injuries

Condition Hierarchy (Ancestors)

Wounds and Injuries

Study Officials

• Aadil Omer, PhD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 28, 2023
• First Posted: March 29, 2023
• Study Start: April 1, 2023
• Primary Completion: May 1, 2023
• Study Completion: June 1, 2023
• Last Updated: July 10, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)