The Effect of Movement Education on Jumping/Landing Quality in High School Athletes

The Effect of Movement Education on Jumping/Landing Quality in High School Athletes: A Randomized Controlled Trial

While much evidence exists to support the association between physical training and improved motor skill performance, there is little evidence that supports the association between movement education and improved motor skill performance. In short, the investigators would like to study the effect of movement education (as provided by the Sports Safety athlete education program) on immediate and sustained changes in motor skill performance (jumping and landing technique) using the Dynamic Athletic Research Institute (DARI) motion capture system.

This study will evaluate the change in motor performance for high school athletes who did and did not attend the Sport Safety athlete Education Program.

Study Overview

• Status: Withdrawn
• Conditions: ACL Injury
• Intervention / Treatment: Other: Movement education workshop; Other: Sham Education Workshop

Detailed Description

Successful models of injury prevention in occupational health settings focus largely on motor skill education for employees. Sports-related injury prevention programs lack this critical component. This research question is being asked to help inform the development of a comprehensive implementation strategy for a high school sports injury prevention program.

The Hospital for Special Surgery (HSS) Sports Safety ACL Program is a unique, public health approach to ACL injury risk management. The program offers pioneering education to those directly responsible for the safety of young athletes. The program offers diverse educational opportunities and innovative risk management resources directly to coaches, parents, administrators, and young athletes. The program has already held over 200 live workshops, teaching coaches, parents and young athletes how to identify injury risk factors and how the relationship between movement quality and sports performance impacts injury rates. Though several research studies have been conducted with the HSS Sport Safety Program, this study is the first to evaluate the association between athlete motor learning and movement quality.

Currently anterior cruciate ligament (ACL) injury prevention programs focus on clinicians and coaches leading a series of neuromuscular training exercises repeatedly throughout a sports season to improve athlete strength, balance, flexibility, and agility. While this has shown been shown to be effective in controlled research settings, there have been many problems with implementation, including low compliance. Hartigan et al recently conducted a study showing that athletes had improved jumping and landing technique after viewing video feedback. This is evidence that movement education/feedback has the ability to affect motor skills. Demonstrating an association between motor skill education and improved movement quality would allow the responsibility of ACL injury prevention to be more readily shared by both sports medicine clinicians and athletes.

This evidence would provide support for the public health approach to ACL injury risk management on which the HSS Sport Safety Program was based. In addition, providing solid evidence of the program's success will make the program more marketable to schools, clubs, and other sports groups nationally and internationally.

• Study Type: Interventional
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • New York
    • New York, New York, United States, 10021
      • Hospital for Special Surgery

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 14 years to 18 years (Child, Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Age 14-18
• Participates in a high-risk sport for ACL injury (e.g. basketball, soccer, lacrosse)

Exclusion Criteria:

• Current injuries that would interfere with ability to perform vertical, box, broad jumps
• History of knee injuries or surgeries

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention Group; Movement Education Workshop	Other: Movement education workshop; 30 minutes total: 10 minutes sedentary activity (LE injury risk factor and anatomy instruction); 10 minutes moderate activity (guided discovery of body segment alignment and stability with squat, lunge, plank, jump, and hop technique assessment and corrective feedback); 10 minutes vigorous activity (practical application of body segment alignment and stability including hopping, jumping, and running activities with technique assessment and corrective feedback) For the month following the athlete workshop, prior to the final assessment, subjects will receive periodic text message instructions. These messages will include key facts and takeaways from the workshop, and reminders about correct form.
Sham Comparator: Control Group; Sham Education Workshop	Other: Sham Education Workshop; 30 minutes total: 10 minute sedentary activity (sleep, nutrition, and hydration instruction); 10 minutes moderate activity (performance of squat, lunge, plank, jump, and hop activities - no technique assessment or corrective feedback); 10 minutes vigorous activity (hopping, jumping, and running activities - no technique assessment and corrective feedback)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Dynamic Valgus Degrees	dynamic valgus degrees in vertical jump as measured by DARI	Change from baseline to immediately following intervention (average of 30 minutes after baseline),1 month after baseline
Dynamic Valgus Depth	dynamic valgus depth in cm in vertical jump as measured by DARI	Change from baseline to immediately following intervention (average of 30 minutes after baseline),1 month after baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Athlete education outcomes	as measured by pre- and post-education surveys	Change from baseline to immediately following intervention (average of 30 minutes after baseline),1 month after baseline

Collaborators and Investigators

• Sponsor: Hospital for Special Surgery, New York
• Investigators: Principal Investigator: Robert G Marx, MD, Hospital for Special Surgery, New York

Study record dates

Study Major Dates

• Study Start (Actual): October 28, 2019
• Primary Completion (Actual): August 15, 2023
• Study Completion (Actual): August 15, 2023

Study Registration Dates

• First Submitted: March 24, 2020
• First Submitted That Met QC Criteria: April 9, 2020
• First Posted (Actual): April 10, 2020

Study Record Updates

• Last Update Posted (Estimated): December 21, 2023
• Last Update Submitted That Met QC Criteria: December 14, 2023
• Last Verified: August 1, 2023

More Information

Terms related to this study

• Keywords: prevention; injury; education; movement
• Additional Relevant MeSH Terms: Wounds and Injuries; Leg Injuries; Knee Injuries; Anterior Cruciate Ligament Injuries
• Other Study ID Numbers: 2019-1095

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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