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临床试验/NCT04849923
NCT04849923已完成不适用

Validation of a Digital Twin to Predict the Adaptation of Muscle Strength and Muscle Size Due to Strength Training

Silvio Lorenzetti2 个研究点 分布在 1 个国家目标入组 23 人开始时间: 2022年1月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
23
试验地点
2
主要终点
Changes in muscle strength in the lower limbs

研究概览

简要总结

Background: Muscular strength training interventions have long been a cornerstone in the prevention, non-surgical management and rehabilitation of the entire spectrum of musculoskeletal injuries and diseases. The key goal of strength training, especially during rehabilitation, is to regain healthy musculoskeletal function. Yet, there remains a fundamental lack of understanding with regards to the relationship between subject-specific musculoskeletal biomechanics (i.e. multi-body dynamics function) and different types of strength training interventions because of limitations in assessing these parameters outside the research setting. Thus, clinicians, physiotherapists and coaches continue making training recommendations based on subjective and generalised guidelines, with ineffective or possibly harmful consequences for individual patients and athletes.

Goal: This project aims to advance strength training guidelines and monitoring of training safety and efficiency by means of subject-specific anatomically-based modelling, biomechanical analysis of musculoskeletal function and mobile monitoring of training volume and muscular fatigue in the athletic and recreational setting.

Method: For validation purposes, the investigators will conduct an 8-week intervention study in healthy volunteers with strength training of the key muscle-tendon groups associated with knee joint stability and relate the changes in musculoskeletal and biomechanical parameters to the training-specific parameters and muscular fatigue from mobile monitoring through correlation analysis.

Relevance: In Switzerland, more than 1.3 Mio people are members of a fitness center. Strength training is not only a cornerstone in the maintenance of fitness and rehabilitation from musculoskeletal injuries and diseases as the most frequently reported health issues.

详细描述

Hypothesis: It is hypothesized that advanced subject-specific musculoskeletal modelling in combination with mobile monitoring technology as embedded in the iPhone and Apple Watch allow for accurate prediction of changes in muscle strength and muscle size in the lower limbs following an 8-week strength training intervention of key muscle-tendon groups associated with knee joint stability.

Primary Objective: Prediction of changes in muscle strength in the lower limbs by means of the advanced computational modelling, biomechanical analysis and mobile monitoring technology. Of particular interest is the prediction of 1RM, sprint time, CMJ and SJ. Research has clearly shown that the quantification of 1RM is fundamentally important when it comes to the design of safe and efficient resistance training programs.

Project design This project in sports science is designed as a confirmatory qualitative study in applied research involving healthy participants. The rationale of this project is to predict changes in muscle strength and muscle size due to strength training using computational modelling and mobile monitoring technology. In particular, the investigators will advance novel approaches in subject-specific anatomically-based modelling and mobile monitoring, which have previously tested in the research setting, and are now being applied to an intervention study in healthy volunteers to predict adaptations in muscle strength and function.

Study design: The specifics of the strength training intervention are carefully designed based on the current state of research in the field, and in line with strength training recommendations in musculoskeletal health, fitness and rehabilitation. In particular, the investigators will conduct an 8-week strength training intervention program of the key muscle-tendon groups associated with knee joint stability (hamstrings, quadriceps and triceps surae), with the study group (n=36, with 18F and 18M). Each participant will perform the strength training self-directedly in their chosen training-specific setting. Clear guidelines for warm-up, type and conduct of exercises will be given to all participants. The strength exercises are standard exercises for strengthening knee extension and flexion: squats, leg press, back extensions, heel raises, and single joint exercises.

Study parameters: Anthropometric parameters include body height, body weight. Strength- and training-specific parameters include repetition count, mean concentric velocity, 1RM, 5m and 20 sprint time, counter movement and squat jump and 1 RM.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Other
盲法
None

入排标准

年龄范围
20 Years 至 40 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Healthy participants; and
  • Age 20-40 years old; and
  • No acute or chronic musculoskeletal symptoms or pain; and
  • Experience with strength training (at least 1-year strength training experience with one training session per week or more); and
  • Familiar with strength exercises of key muscles associated with knee joint stability.

排除标准

  • Acute or chronic musculoskeletal pain; and/or
  • Musculoskeletal surgery within the last 12 months; and/or
  • Ongoing rehabilitation or treatment of musculoskeletal complaints or injury; and/or
  • Neuromusculoskeletal disease (e.g. cerebral palsy); and/or
  • Pregnancy.

研究组 & 干预措施

2 trainings per week

Experimental

This group performs two strength training sessions per week

干预措施: Strength training session (Other)

结局指标

主要结局

Changes in muscle strength in the lower limbs

时间窗: 8 weeks

Ratio hamstring to quadriceps force (H:Q ratio)

Stop-and-go (SAG) Ability

时间窗: 8 weeks

Change of the time for the stop and go task. Calculation: Post time minus pre time.

20 m Sprint Performance

时间窗: 8 weeks

Change of the Sprint time, s

次要结局

  • Changes in muscle size of the lower limbs(8 weeks)
  • Change in Jump Performance CMJ(8 weeks)
  • Changes in Jump Performance SJ(8 weeks)

研究者

发起方
Silvio Lorenzetti
申办方类型
Other Gov
责任方
Sponsor Investigator
主要研究者

Silvio Lorenzetti

PI

Swiss Federal Institute of Sport Magglingen

研究点 (2)

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