Assessment of Effectiveness of Neuromuscular Training According to the Concept of Kinetic Control in Treatment of Lumbar Spine and Knee Pain and in Reduction of Risk of Injury in Female Football Players
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Injury Leg
- Sponsor
- John Paul II University in Biała Podlaska
- Enrollment
- 18
- Locations
- 1
- Primary Endpoint
- Modified Laitinen's pain questionnaire
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The project aims to assess the effectiveness of neuromuscular training according to the concept of Kinetic Control (KC) in prevention and treatment of lumbar spine and knee pain and in reduction of risk of injury in female football players.
The study was designed as single-blind Randomized Controlled Trial (RCT) and conducted on a group of 18 female football players from University Club of the Academic Sports Association of Pope John Paul II State School of Higher Education in Biała Podlaska. Participants were randomly divided into two 9-person groups: A - used standard training and neuromuscular training (Kinetic Control) and B - used only standard training.
Main hypothesis:
The application of neuromuscular therapy (KC) reduces the risk of injuries and pain of the lumbar spine and the knee and improves the static and dynamic balance.
Research questions:
- Will the application of the KC training reduce the risk and frequency of spine and knee injuries in females football players?
- Will the KC training lead to reduction of the intensity of lumbar spine and knee pain?
- Will the application of the KC training lead to increase in the torque strength of knee flexors and extensors and improved stability of the knee?
- Will the application of the neuromuscular training (KC) lead to reduction of the disability level and improved functional level?
Detailed Description
The research was conducted upon acquiring an approval of the Bioethical Commission of Pope John Paul II State School of Higher Education in Biała Podlaska, no. 3/2018. The study was designed as single-blind Randomized Controlled Trial (RCT) and conducted on a group of 18 female football players from University Club of the Academic Sports Association of Pope John Paul II State School of Higher Education in Biała Podlaska. Participants were randomly divided into two 9-person groups: A - used standard training and neuromuscular training (Kinetic Control) and B - used only standard training. None of the physiotherapists were personally involved in the preparation and the manner of performing the test. Before commencing the tests, each participant was familiarised with their course, expressed their informed written consent for the participation and random assignment to the specified tested group. The random placement was performed with the use of computer software. The players participate in two training cycles over a year: from July to December and from January to June. Therefore, the above mentioned training regime will be performed twice. A medical interview takes place before the training cycle. Physical examination, back pain functional scale (BPFS) and tests on the dynamographic platform will be performed two times - before and after each season.
Investigators
Eligibility Criteria
Inclusion Criteria
- •female players not taking nonsteroidal anti-inflammatory drugs (NSAIDs) for at least a week before the start of the study,
- •written consent for the participation in the study.
- •Exclusion criteria:
- •female players with acute inflammation (neuralgia) and massive intervertebral disk herniation requiring a surgery,
- •female players who suffered from a lumbar spine and/or knee injury up to 6 months before the start of the study,
- •female players with acute knee inflammation and after knee surgeries.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Modified Laitinen's pain questionnaire
Time Frame: Modified Laitinen's pain questionnaire was carried out at the beginning of each season and after 6 months
Laitinen's pain questionnaire took into account four indicators evaluated in the scale from 0 to 4: the intensity of pain, the frequency of its occurrence, the use of analgesic medications and limitation of the participant's motor activity. A research participant could have been granted from 0 to 16 points, the maximum score means the highest level of pain.
Visual analogue scale of pain (VAS)
Time Frame: Visual analogue scale of pain (VAS) was carried out at the beginning of each season and after 6 months
Visual analogue scale of pain (VAS) evaluates intensity of pain in the scale from 0 to 10. Maximum score means the highest level of pain.
Stratford's back pain functional scale (BPFS)
Time Frame: Stratford's back pain functional scale (BPFS) was carried out at the beginning of each season and after 6 months
In Stratford's scale (BFPS), the research participants assessed twelve actions related to everyday life activity in the scale from 0 to 5. The result fell within a range from 0 to 60 points, where the higher final result, the lower level of pain.
Secondary Outcomes
- Measurement of muscle force torque on a UPR-02A chair(Measurement of muscle force torque on a UPR-02A chair were carried out at the beginning of each season and after 6 months)
- Single leg small knee bend test(Single leg small knee bend test was carried out at the beginning of each season and after 6 months)
- Tests on the GAMMA dynamometric platform(Tests on the GAMMA dynamometric platform were carried out at the beginning of each season and after 6 months)