Neuromuscular Cognitive Training

Not Applicable

Completed

• Conditions: Injury;Sports

• Registration Number: NCT05459363
• Lead Sponsor: Ke'La H Porter

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 Timeline

• Study First Submitted: 2022-07-12
• Study First Submitted QC: 2022-07-12
• Study First Posted: 2022-07-15
• Study Start: 2022-08-23
• Primary Completion: 2022-10-15
• Study Completion: 2022-10-15
• Status Verified: 2024-06
• Last Update Submitted: 2024-06-03
• Last Update Posted: 2024-06-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 10

Inclusion Criteria

• healthy adults from the University of Kentucky varsity tennis programs

Exclusion Criteria

• not medically cleared for participation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Compliance	6 weeks	Compliance will be based on the percentage of sessions attended by participants.
Change in HBMS	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	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	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)	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	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	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.
Change in dynamic postural control	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	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	6 weeks (baseline, one week after baseline, and immediately following the 6 week intervention)	Reactive agility will be assessed with the 4x4 box drill.

Trial Locations

Locations (1)

Sports Medicine Research Institute; 🇺🇸 Lexington, Kentucky, United States