NCT06424886

Brief Summary

Feedback is implanted into workouts to prevent lower extremity injuries. There are different studies where external focus and internal focus feedback were found to be superior. The main purpose of this study is to investigate the effects of training on vertical jump landing technique by comparing a verbal training group that receives instructions with an external focus of attention and an internal focus of attention combined, a visual training group with video instructions, and a control group in female athletes with knee valgus. It is also to examine whether possible beneficial results are still present in the retention test performed one week after the test session. The secondary aim of our study is to examine the effect of the training provided on knee joint position sense.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jan 2024

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

Study Start

First participant enrolled

January 15, 2024

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

May 17, 2024

Completed
5 days until next milestone

First Posted

Study publicly available on registry

May 22, 2024

Completed
15 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 6, 2024

Completed
6 days until next milestone

Study Completion

Last participant's last visit for all outcomes

June 12, 2024

Completed
Last Updated

June 13, 2024

Status Verified

June 1, 2024

Enrollment Period

5 months

First QC Date

May 17, 2024

Last Update Submit

June 12, 2024

Conditions

Keywords

motor learningknee valguslanding biomechanicsproprioception

Outcome Measures

Primary Outcomes (1)

  • Landing Error Scoring System (LESS) Measurement

    Two standard video cameras capture the frontal plane and sagittal plane view of each subject as they perform the test procedures (jumping from 30 cm height box). The participant's LESS score represents excellent (LESS score \<4), good (LESS score \>4 to 5), fair (LESS score \>5 to 6) and poor (LESS score \>6) jumping technique.

    baseline, immediately after the intervention, one week after the baseline

Secondary Outcomes (2)

  • Frontal Plan Projection Angle (FPPA) Measurement

    baseline, immediately after the intervention, one week after the baseline

  • Knee Joint Position Sense (KJPS) Measurement

    baseline, immediately after the intervention, one week after the baseline

Study Arms (3)

Video Instructed Training Group

EXPERIMENTAL

Before the study is conducted, the expert video that will be used for the VI group instructions will be created. The expert video will be created with an athlete with a LESS score of less than 4 and an FPPA of less than 100 who performs a DVJ task in accordance with the instructions. A video recording will be taken of the person designated as an expert performing the DVJ task. The video recording will be used only for the VI group instructions.

Other: Landing error scoring system (LESS)

Verbal Combined Focus Instructed Training Group

EXPERIMENTAL

It was emphasized that the participants should jump from the 30 cm high box and immediately after landing, jump as high and forward as possible and maintain the final landing stance for 5 seconds. Participants were asked to perform 5 drop vertical jumps and the jumps performed were evaluated. After pretest evaluations were recorded, verbal training group participants performed two training blocks, receiving instructions specific to their group. Participants were given a combined verbal instruction such as "Focus on how hard you push yourself off the ground after the jump and how quickly you straighten your knees during this push", in which internal and external focus directions were given simultaneously. After receiving the instructions, the participants performed 2 drop vertical jumps, 10 times each.

Other: Landing error scoring system (LESS)

Control Group

EXPERIMENTAL

Participants will be explained how to do the DVJ task in the same way as other groups. Then, after the participants' measurements will be taken, they will start the training blocks without any instructions. Participants will not receive any feedback during training blocks.

Other: Landing error scoring system (LESS)

Interventions

Each group will perform two training blocks of 10 drop vertical jumping (DVJ) tasks. Knee joint position sense (KJPS), frontal plane projection angle (FPPA), and Landing Error Scoring System (LESS) assessments will be performed before and after the training blocks, and follow-up assessments will be performed 1 week later. The dominant limb of the participants (the side limb they use when kicking the ball) will be taken into account during the measurement.

Also known as: drop vertical jump landing task, frontal plane projection angle (FPPA), knee joint position sense (KJPS)
Control GroupVerbal Combined Focus Instructed Training GroupVideo Instructed Training Group

Eligibility Criteria

Age18 Years - 24 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Being female
  • Being between the ages of 18-24
  • Body mass index being between 18.5 kg/m2 and 25 kg/m2
  • Becoming a minor league basketball or volleyball player
  • Volunteers must not have suffered any trunk or lower extremity injuries in the last 6 months before participation in the study.
  • Having a frontal plane projection angle greater than 100 during the single-leg squat test

You may not qualify if:

  • Having experienced a trunk or lower extremity injury in the last 6 months before the date of study
  • Having a history of fracture or dislocation in the lower extremity
  • Having suffered from back pain in the past years
  • Having a musculoskeletal system abnormality
  • Being unable to perform functional tasks (visual, auditory, vestibular or neurological impairment)
  • Being pregnant
  • Having malignancy and metabolic diseases

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Istanbul Panterler Sports Club

Kağıthane, Istanbul, 34406, Turkey (Türkiye)

Location

Related Publications (1)

  • Tamguc B, Pisirici P. The Effect of Verbal Combined Focus of Attention and Video Instruction Training on Knee Valgus and Landing Technique in Semiprofessional Female Athletes. Orthop J Sports Med. 2025 Apr 4;13(4):23259671251326454. doi: 10.1177/23259671251326454. eCollection 2025 Apr.

MeSH Terms

Conditions

Athletic Injuries

Condition Hierarchy (Ancestors)

Wounds and Injuries

Study Officials

  • Pelin Pişirici, PT, PhD

    Bahcesehir University, Faculty of Health Sciences, Department of Physiotherapy

    STUDY DIRECTOR
  • Büşra Tamgüç, PT

    Bahcesehir University, Graduate Education Institute

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Randomization will be done by sealed envelope method.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: a randomized, controlled, single-blind, prospective study
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor, PT, PhD

Study Record Dates

First Submitted

May 17, 2024

First Posted

May 22, 2024

Study Start

January 15, 2024

Primary Completion

June 6, 2024

Study Completion

June 12, 2024

Last Updated

June 13, 2024

Record last verified: 2024-06

Locations