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Effects of the Singapore Youth Shoulder Overuse Injury Prevention Program Among Youth Volleyball Athletes in Singapore

Not Applicable
Not yet recruiting
Conditions
Sport Injury
Interventions
Other: Singapore Youth Shoulder Overuse Injury Prevention Program
Other: Lower body stretching program
Registration Number
NCT06271902
Lead Sponsor
Nanyang Technological University
Brief Summary

The Singapore Youth Shoulder Overuse Injury Prevention Program (YoSO-IPP) includes an exercise segment and an education segment. This study will (1) assess the effects of the exercise segment, and (2) assess the effects of the education segment among youth volleyball athletes using a randomized controlled trial over 12 weeks. Performance outcome measures of shoulder eccentric external rotation strength, shoulder internal rotation range of motion, and thoracic rotation range of motion will be used to assess the effects of the exercise segment. Knowledge scores via an online questionnaire will be used to assess the effects of the education segment.

Hypothesis: The YoSO-IPP will have an effect on shoulder eccentric external rotation strength, shoulder internal rotation range of motion, and thoracic rotation range of motion and on knowledge scores.

Detailed Description

A randomized controlled trial study design will be utilized to assess the effects of YoSO-IPP over 12 weeks. A within-team randomization will be conducted. This is to ensure a good balance between the intervention and control groups as different teams have different training regimes, training frequencies and training intensities.

Participants in the intervention group will be required to perform the exercise segment of YoSO-IPP for 12 weeks, at a recommended frequency of two times per week - (a) cross-body stretch, (b) eccentric external rotation shoulder strength exercise, (c) trunk rotation, and (d) modified cat-cow thoracic mobility exercise.

Participants in the control group will be required to perform lower body stretches for 12 weeks, at a recommended frequency of two times per week - (a) double leg calf stretch, (b) quadriceps stretch, (c) hip flexor stretch, (d) seated single leg hamstring stretch, and (e) seated single gluteal stretch. This stretching program is considered a sham program in this study as it does not target the upper extremity and the stretches are only held for 10 seconds.

Participants in both groups will each receive an instruction booklet for their respective program. Respective instructional videos will also be distributed. For the following 12 weeks, participants are to perform the exercises at a recommended frequency of two times per week. They will also be required to report the number of times they performed their respective programs that week via an online questionnaire weekly.

Participants who are randomized into the intervention group will attend an online 45-minute educational workshop in Week 1. This is the education segment of YoSO-IPP. Participants who are randomized into the control group will not attend the online 45-minute educational workshop.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
50
Inclusion Criteria
  • 12 to 18 years old youth athlete; in the sport of volleyball; trains with an aim to compete; currently NOT undergoing any shoulder or elbow overuse injury prevention program
Exclusion Criteria
  • Below 12 and above 18 years old; not in the sport of volleyball; trains without an aim to compete; currently undergoing a shoulder or elbow overuse injury prevention program

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention groupSingapore Youth Shoulder Overuse Injury Prevention ProgramParticipants will be instructed to perform YoSO-IPP at a recommended frequency of two times per week for 12 weeks and attend an online 45-minute educational workshop in Week 1
Control groupLower body stretching programParticipants will be instructed to perform the lower body stretching program at a recommended frequency of two times per week.
Primary Outcome Measures
NameTimeMethod
Thoracic rotation range of motionBaseline (Week 0), Week 6, Week 12

Thoracic rotation range of motion is a performance outcome measure of interest. It will be measured using 'Clinometer', a validated phone application for range of motion measurement. It will be presented in degrees (°).

Knowledge of overuse injuriesBaseline (Week 0), Week 12

Knowledge scores will be calculated based on a novel questionnaire concerning youth athletes and overuse injuries. The scores will range from 0 to 20, with higher scores indicating a better outcome.

Shoulder external rotation strengthBaseline (Week 0), Week 6, Week 12

Shoulder external rotation strength is a performance outcome measure of interest. It will be measured using a handheld electronic dynamometer. It will be presented in Newtons (N).

Internal rotation range of motionBaseline (Week 0), Week 6, Week 12

Shoulder internal rotation range of motion is a performance outcome measure of interest. It will be measured using 'Clinometer', a validated phone application for range of motion measurement. It will be presented in degrees (°).

Secondary Outcome Measures
NameTimeMethod
Elbow overuse injury prevalenceBaseline (Week 0), Week 12

Injury prevalence will be determined based on the Youth Overuse Injury Questionnaire (YOvIQ).

Elbow overuse injury severityBaseline (Week 0), Week 12

Injury severity will be determined based on the Youth Overuse Injury Questionnaire (YOvIQ). Severity score will range from 0 to 100, with higher scores indicating a more severe injury.

Shoulder overuse injury severityBaseline (Week 0), Week 12

Injury severity will be determined based on the Youth Overuse Injury Questionnaire (YOvIQ). Severity score will range from 0 to 100, with higher scores indicating a more severe injury.

Shoulder overuse injury prevalenceBaseline (Week 0), Week 12

Injury prevalence will be determined based on the Youth Overuse Injury Questionnaire (YOvIQ).

Trial Locations

Locations (1)

Nanyang Technological University

🇸🇬

Singapore, Singapore

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