Sensorimotor Training to Enhance Performance - the STEP AHEAD Program
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 250
- 试验地点
- 1
- 主要终点
- Vestibular Ocular Motor Screen (VOMS)
研究概览
简要总结
The goal of this study is to evaluate the effects of SM/NM training in ice hockey players. The specific questions include: 1) typical performance on sensorimotor and neuromuscular (SM/NM) tests 2) evaluate SM/NM training on ice hockey skills performance and SM/NM tests, 3) evaluate SM/NM control to prevent concussions and injuries
Participants will:
Consent and complete a series of SM/NM tests. Participate in their typical training for 4 weeks. Repeat the SM/NM tests. Participate in SM/NM training for 4 weeks as part of their off season training program.
Repeat the SM/NM tests and on ice skills testing. Record any injuries and concussions that they sustain over the next season. Repeat the SM/NM tests and on ice skills tests at the start of the 2025 off season training (estimated May - July of 2025).
详细描述
Rationale:
While sensorimotor function is recognized as an important aspect of growth and development, little is known about specific changes in sensorimotor control with sport specific training. Similarly, the relationship between sensorimotor control and sport-specific performance is not yet well understood. Specific rehabilitation exercises have been shown to improve sensorimotor control, many of which are context specific and may also prevent injury and/or concussion. The effect of age on these outcomes and the relationship between training sensorimotor control and age is also not well understood. Thus, evaluation of sensorimotor control outcomes across ages, the effects of sensorimotor training on sensorimotor control and performance is needed and may inform changes to recommendations for sport-specific training.
Ultimately, understanding the effect of training specific sensorimotor systems (which is not a part of typical sport training environments) will inform multiple areas of sport including: 1) Sport-specific performance 2) typical development of SM/NM function, 3) the effect of SM/NM training on SM/NM measures and ice hockey specific physical performance and 4) injury and concussion prevention strategies.
Therefore, the objectives of this study are to:
- Describe age and sex specific typical scores on sensorimotor and neuromuscular (proprioception, movement related, balance, vision, divided attention) and ice hockey specific physical performance measures over one off season of training.
- Evaluate the effects of a sensorimotor training program on ice hockey skills performance.
- Evaluate sensorimotor control as a means to improve safety in sport:
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Other
- 盲法
- None
盲法说明
Due to the nature of the trial it is not possible to mask the participants or the outcome assessors. However, the outcome assessors and participants will be blinded to the previous scores on the outcomes.
入排标准
- 年龄范围
- 12 Years 至 40 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Ice hockey players in Calgary and area who are training with Crash Conditioning for the 2024-2026 off season -
排除标准
- 未提供
研究组 & 干预措施
Sensorimotor and neuromuscular training
Sensorimotor and neuromuscular training added in addition to typical off season ice hockey training as outlined in the typical training arm.
干预措施: sensorimotor and neuromuscular training (Other)
Sensorimotor and neuromuscular training
Sensorimotor and neuromuscular training added in addition to typical off season ice hockey training as outlined in the typical training arm.
干预措施: Typical off season ice hockey training (Other)
Typical off season training
Typical of season training includes strength and conditioning, ice hockey on ice drills as per the Crash Conditioning typical training.
干预措施: Typical off season ice hockey training (Other)
结局指标
主要结局
Vestibular Ocular Motor Screen (VOMS)
时间窗: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years
Symptom provocation on tests of vestibulo ocular and oculomotor function, rated on a scale of 0-10 where 0=no symptoms and 10= the worse imaginable, Mucha et al 2014
Advanced Functional Gait Assessment
时间窗: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years
/48, 16 tests of dynamic balance each rated on a scale of 0-3 with 0 repress unable to complete the task and 3 is able to perfectly complete the task.
Transition Agility Skate
时间窗: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years
Seconds, Outcome of the transition agility skate on the Hockey Canada skills test
Craniocervical flexion
时间窗: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years
mmHg, the ability of the participant to perform a craniovertebral flexion task in a controlled way and maintain the position for a minimum of 3 seconds.
Dynamic Visual Acuity
时间窗: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years
logMAR, Represents the ability of the patient to see clearly with head motion as per Schneider et al 2019=8
次要结局
- Cervical spine range of motion(0 weeks, 4 weeks, 8 weeks each year, up to 2 years)
- Anterolateral flexion strength(0 weeks, 4 weeks, 8 weeks each year, up to 2 years)
- cervical flexor endurance test(0 weeks, 4 weeks, 8 weeks each year, up to 2 years)
- cervical flexion rotation test(0 weeks, 4 weeks, 8 weeks each year, up to 2 years)
- head perturbation test(0 weeks, 4 weeks, 8 weeks each year, up to 2 years)
- Head thrust test(0 weeks, 4 weeks, 8 weeks each year, up to 2 years)
- Numeric Pain Rating Scale (NPRS) Headache(0 weeks, 4 weeks, 8 weeks each year, up to 2 years)
- Numeric Dizziness Rating Scale (NDRS) Dizziness(0 weeks, 4 weeks, 8 weeks each year, up to 2 years)
- Numeric Pain Rating Scale (NPRS) Neck pain(0 weeks, 4 weeks, 8 weeks each year, up to 2 years)
- Concussion(yearly, up to 2 years)
研究者
KSchneider
Associate Professor, Clinician Scientist (Physiotherapist)
Sport Injury Prevention Research Centre