Sport Without Injury ProgrammE Floorball (SWIPE)

This study evaluates the preventive effect of a neuromuscular training program on injuries in youth floorball players. Half of participants will receive the training program, and half act as control and perform their usual training practices.

Study Overview

• Status: Completed
• Conditions: Athletic Injuries
• Intervention / Treatment: Other: Knee Control training program

Detailed Description

The study is a cluster-randomized controlled trial including male and female youth (12-17 years) floorball players. Club is used as cluster unit.

Coaches in the intervention group receive education of the preventive neuromuscular training program Knee Control (Knäkontroll) before the start of the season. Knee Control consists of 6 different exercises, with 4 different variations and 1 pair-exercise, and takes about 10 minutes to complete. In addition, coaches are instructed to perform a 5-minute running warm-up before the Knee Control exercises. Teams are to carry out the intervention at all training sessions, and the 5-minute warm-up also before all matches.

Coaches in the control group carry on their normal training and warm-up routines with their clubs.

Teams are followed for one full season: October 2017 - March 2018. Data registered for the study include exposure to floorball training and matches, and injuries that occur as a result of participation in floorball.

• Study Type: Interventional
• Enrollment (Actual): 910
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Sweden
  • Linköping, Sweden, 58183
    • Linköping University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 12 years to 17 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Teams with players 12-17 years of age (born 2000-2005)
• Teams who have not used a structured training program aiming to prevent injuries (the Knee Control or similar program) on a regular basis the last year
• Teams who have training at least twice per week

Exclusion Criteria:

-

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Knee Control training program; The Knee Control program is a neuromuscular training program that consists of 6 different exercises, with 4 levels of progression and one pair-exercise, for each exercise. The Knee Control program takes about 10 minute to complete after familiarization. In addition, a 5-minute running warm-up is instructed to coaches. Coaches are to perform the Knee Control program + the 5 minute warm-up at all training sessions during the season, and the 5 minute warm-up before all matches.	Other: Knee Control training program; 10-minute training program to be performed at all team training sessions during the season.
No Intervention: Control group - usual training; The control group teams receive no intervention, and coaches are instructed to carry out their normal training and warm-up practice throughout the season.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
All physical complaints injury	Any floorball related injury regardless of need of care or absence from floorball training or matches ("all physical complaints" injury definition)	Study start up to end of season (6 months)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Time-loss injury	Floorball related injury causing absence from the next training or match with the team ("time-loss injury")	Study start up to end of season (6 months)
Medical attention injury	Floorball related injury requiring the player to seek care ("medical attention injury")	Study start up to end of season (6 months)
Adverse events	Adverse events of using the program (intervention group only)	Study start up to end of season (6 months)
Intervention compliance and fidelity	Coach reported compliance and fidelity with the program protocol (intervention group only)	Study start up to end of season (6 months)
Coach experience of injuries and intervention program	Coach baseline and follow-up experiences of injuries (control group and intervention group) and of the Knee Control program (intervention group only)	Baseline and 6 months
Player experience of injuries and intervention program	Player baseline and follow-up experiences of injuries (control group and intervention group) and of the Knee Control program (intervention group only)	Baseline and 6 months
Exercise fidelity	Exercise fidelity (observation of the technique when using the intervention in select intervention group teams)	At approximately 2 months and 5 months
Health care need	Number of health care visits due to floorball related injuries during the season, type of diagnostic examinations and treatments	After study end at 6 months
Costs	Estimated costs of floorball related injuries and costs of the intervention	After study end at 6 months

Collaborators and Investigators

• Sponsor: Linkoeping University
• Investigators: Principal Investigator: Martin Hägglund, PhD, Linkoeping University

Publications and helpful links

General Publications

• Perera NKP, Walden M, Lindblom H, Akerlund I, Sonesson S, Hagglund M. Illness prevalence and symptoms in youth floorball players: a one-season prospective cohort study involving 471 players. BMJ Open. 2021 Dec 14;11(12):e051902. doi: 10.1136/bmjopen-2021-051902.
• Akerlund I, Walden M, Sonesson S, Hagglund M. Forty-five per cent lower acute injury incidence but no effect on overuse injury prevalence in youth floorball players (aged 12-17 years) who used an injury prevention exercise programme: two-armed parallel-group cluster randomised controlled trial. Br J Sports Med. 2020 Sep;54(17):1028-1035. doi: 10.1136/bjsports-2019-101295. Epub 2020 Jan 28.

Study record dates

Study Major Dates

• Study Start (Actual): September 15, 2017
• Primary Completion (Actual): April 15, 2018
• Study Completion (Actual): May 31, 2018

Study Registration Dates

• First Submitted: October 10, 2017
• First Submitted That Met QC Criteria: October 10, 2017
• First Posted (Actual): October 16, 2017

Study Record Updates

• Last Update Posted (Actual): August 21, 2018
• Last Update Submitted That Met QC Criteria: August 20, 2018
• Last Verified: August 1, 2018

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries; Athletic Injuries
• Other Study ID Numbers: MHägglund SWIPE Floorball

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided
• IPD Plan Description: Undecided, possibly share deidentified exposure and injury outcome data

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No