Improved Training Happens With Integrated Neuromuscular and Cognitive Challenge
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 10
- Locations
- 2
- Primary Endpoint
- Change in dynamic postural control
Study Overview
Brief Summary
This project will utilize a quasi-experimental, multiple baseline pretest-posttest design where participants will complete postural stability assessments, physical performance assessments, and questionnaires to evaluate perceptions toward injury prevention before and after completing a 6-week neuromuscular-cognitive prevention program.
Detailed Description
The I-THINC program will address aspects of cognition (i.e., reaction time/processing speed, working memory, cognitive flexibility, inhibitory control, attention, and dual-tasking) while completing common movement patterns utilized in tennis (i.e., lateral shuffle, rapid acceleration/deceleration, and postural stability). The proposed program will take place in the participants training facility. The program will be implemented twice per week for six weeks (12 sessions) with each session lasting 20 minutes. To add variety, there will be two complementary programs (A and B) comprising of four exercises increasing in complexity every two weeks. Each week participants will complete Program A during the first session and Program B during the second session.Exercises will progressively challenge cognitive and physical demand. Exercises were designed to address the most common injuries in tennis.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 30 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •healthy adults from the University of Kentucky varsity tennis programs
Exclusion Criteria
- •not medically cleared for participation
Outcomes
Primary Outcomes
Change in dynamic postural control
Time Frame: 6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Dynamic postural control will be assessed with the single leg hop.
Change in dual task dynamic postural control
Time Frame: 6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Dynamic postural control will be assessed with the single leg hop. An additional cognitive task - responding to LED color cues - will be added.
Change in reactive agility
Time Frame: 6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Reactive agility will be assessed with the 4x4 box drill.
Compliance
Time Frame: 6 weeks
Compliance will be based on the percentage of sessions attended by participants.
Change in HBMS
Time Frame: 6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Health Belief Model Scale (HBMS) is used to assess behavioral determinants of exercise related injury prevention programs and is comprised of six subscales: susceptibility, severity, benefits, barriers, cues to action, and self-efficacy. Participants rate how strongly they agree or disagree with the statements on a Likert scale ranging from 3 to -3, with a 3 indicating strongly agree and -3 indicating strongly disagree. Positive responses indicate a positive perception towards injury prevention programs, except the barrier subscale where positive responses indicate a negative perception towards injury prevention programs.
Change in single task static postural stability
Time Frame: 6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Single task static postural stability will be assessed with an Accusway Plus force plate.
Change in dual task postural stability
Time Frame: 6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Dual task static postural stability will be assessed with an Accusway Plus force plate while completeing an upper extremity reaction time on the Dynavision D2.
Change in speed, power and agility (single measure)
Time Frame: 6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Speed, power and agility will be measured using the Run Decide Test.
Change in lower extremity reaction time
Time Frame: 6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)
Lower extremity reaction time will be assessed with the lower extremity reaction test, deactivating sensors as quickly as possible with their foot.
Participant engagement
Time Frame: at 6 weeks
The participant engagement survey will contain Likert Scale (1-5) questions to provide a quantitative analysis of satisfaction with the program. A 1 indicates strongly disagree and a 5 indicates strongly agree. The range is 7-35, and higher scores indicate increased engagement.
Secondary Outcomes
No secondary outcomes reported
Investigators
Ke'La H Porter
Research Assistant
University of Kentucky