NCT06566950

Brief Summary

This randomized clinical trial study compares high-load eccentric training (HL-Et), sham LL-BFRt, and low-load blood flow restriction (LL-BFRt) in sportsmen. The primary inquiries it seeks to address are: Is LL-BFR superior to HL-Et and sham LL-BFRt in terms of improving muscle morphology? Is LL-BFR a more effective Patellofemoral Pain Syndrome and ACL injury preventive than HL-Et and sham LL-BFRt? The three intervention groups that will be randomly assigned to participants are LL-BFRt, sham LL-BFRt, and HL-Et. Participants are expected to carry out: Participants in LL-BFRt will be required to perform LL eccentric training at 30% of their repetition maximum (RM) and 70% of their artery occlusion pressure (AOP). This training will include stairs, single leg squat, and single leg deadlift. Participants in HL-Et will be required to perform LL eccentric training at 70% of their maximum number of repetitions (RM). In order to determine whether muscular morphology and the prevention of Patellofemoral Pain Syndrome and ACL injury improve following the interventions and follow-up, researchers will compare LL-BFRt, sham LL-BFRt, and HL-Et.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
75

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Sep 2024

Geographic Reach
1 country

1 active site

Status
recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 18, 2024

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 22, 2024

Completed
29 days until next milestone

Study Start

First participant enrolled

September 20, 2024

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 20, 2024

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

November 20, 2025

Completed
Last Updated

June 29, 2025

Status Verified

June 1, 2025

Enrollment Period

2 months

First QC Date

August 18, 2024

Last Update Submit

June 27, 2025

Conditions

Outcome Measures

Primary Outcomes (3)

  • Muscle cross-sectional area

    Using a musculoskeletal ultrasonography, researchers will determine the cross-sectional area of vastus medial obliques muscle and peroneus longus muscle.

    8 weeks

  • Vastus medial obliques fiber angle

    Using a musculoskeletal ultrasonography, researchers will determine the vastus medial obliques fiber angle.

    8 weeks

  • Patella position

    Using a musculoskeletal ultrasonography, researchers will determine the patella position.

    8 weeks

Secondary Outcomes (2)

  • Incidence of patellofemoral pain syndrome

    1 year

  • Incidence of anterior cruciate ligament injury

    1 year

Study Arms (3)

Low load-BFRt

EXPERIMENTAL

70% of the arterial occlusion pressure and 30% of the maximum repetition rate

Procedure: Low load-BFRt

Sham Low load-BFRt

SHAM COMPARATOR

10% of the arterial occlusion pressure and 30% of the maximum repetition rate

Procedure: Sham Low load-BFRt

High load-Eccentric training

ACTIVE COMPARATOR

70% of the maximum repetition rate

Procedure: High load-Eccentric training

Interventions

Low load-BFRtPROCEDURE

The participants' two legs will be subjected to 70% arterial occlusion pressure when the physical therapist applies the BFR cuffs. After that, participants will be required to complete eccentric exercises with a maximum repetition count of 30%, such as stairs, single leg squat, and single leg deadlift.

Low load-BFRt

The participants' two legs will be subjected to 10% arterial occlusion pressure when the physical therapist applies the BFR cuffs. After that, participants will be required to complete eccentric exercises with a maximum repetition count of 30%, such as stairs, single leg squat, and single leg deadlift.

Sham Low load-BFRt

The physical therapist will instruct the participants to complete eccentric exercises at a maximum of 70% repetitions, such as stairs, single leg squat, and single leg deadlift.

High load-Eccentric training

Eligibility Criteria

Age15 Years - 35 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Being between the ages of 15 and 35
  • Play level 1 sports (fight martial arts, basketball, futsal, and soccer) at least twice a week
  • Never experienced an Patellofemoral Pain Syndrome or ACL injury before
  • Never experienced a grade III sprain or strain
  • Consent to participate in the study until its conclusion and provide informed consent.

You may not qualify if:

  • Having a tumor, cancer, vena thromboembolic disease, obesity, diabetes, hypertension, anemia, and renal failure
  • Disabilities or those who are disabled.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Physical therapy laboratory, College of Medicine, Universitas Udayana and ROM Physiotherapy Private Clinic Denpasar

Denpasar, Bali, 80232, Indonesia

RECRUITING

MeSH Terms

Conditions

Patellofemoral Pain SyndromeAnterior Cruciate Ligament Injuries

Condition Hierarchy (Ancestors)

Joint DiseasesMusculoskeletal DiseasesKnee InjuriesLeg InjuriesWounds and Injuries

Central Study Contacts

I Putu Gde Surya Adhitya, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

August 18, 2024

First Posted

August 22, 2024

Study Start

September 20, 2024

Primary Completion

November 20, 2024

Study Completion

November 20, 2025

Last Updated

June 29, 2025

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will not share

Locations