- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04938570
Wearables in Rugby Union: A Protocol for Multimodal Digital Sports-related Concussion Assessment
Study Overview
Status
Conditions
Detailed Description
Background:
Pragmatic challenges remain in the monitoring and return to play (RTP) decisions following suspected Sports Related Concussion (SRC). Reliance on traditional approaches (pen and paper) means players readiness for RTP is often based on self-reported symptom recognition as a marker for full physiological recovery. Non-digital approaches also limit opportunity for robust data analysis which may hinder understanding of the interconnected nature and relationships in deficit recovery. Digital approaches may provide more objectivity to measure and monitor impairments in SRC. Crucially, there is dearth of protocols for SRC assessment and digital devices have yet to be tested concurrently (multimodal) in SRC rugby union assessment. Here the investigators propose a multimodal protocol for digital assessment in SRC, which could be used to enhance traditional sports concussion assessment approach.
Methods:
The investigators aim to use a repeated measures observational study utilising a battery of multimodal assessment tools (symptom, cognitive, visual, motor). The investigators aim to recruit 200 rugby players (male and female) from University Rugby Union teams and local amateur rugby clubs in the North East of England. The multimodal battery assessment used in this study will compare metrics between digital methods and against traditional assessment.
Conclusion: This paper outlines a protocol for a multimodal approach for the use of digital technologies to augment traditional approaches to SRC, which may better inform RTP in rugby union. Findings may shed light on the new ways of working with digital tools in SRC. Multimodal approaches may enhance understanding of the interconnected nature of impairments and provide scalable, more objective assessment and RTP in SRC.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Sam Stuart, PhD
- Phone Number: 01912273343
- Email: sam.stuart@northumbria.ac.uk
Study Contact Backup
- Name: Dylan Powell, MSc
- Phone Number: 01912273343
- Email: d.powell@northumbria.ac.uk
Study Locations
-
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Tyne And Wear
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Newcastle upon Tyne, Tyne And Wear, United Kingdom, NE7 7XA
- Recruiting
- Northumbria University
-
Principal Investigator:
- Sam Stuart, PhD
-
Contact:
- Alan Godfrey, PhD
- Phone Number: 01912273343
- Email: alan.godfrey@northumbria.ac.uk
-
Principal Investigator:
- Alan Godfrey, PhD
-
Sub-Investigator:
- Dylan Powell, MSc
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
18 years;
- Have minimal cognitive impairment, defined as a score between 0 and 8 on the Short Blessed test for cognitive function;
- English as a first language or fluency.
- Those that have an mTBI/Concussion during the season must have a diagnosis of mTBI from a healthcare professional (physiotherapist or medic) based upon standard criteria or identified head injury from contact sport.
Exclusion Criteria:
- Medical history of a neurological illness that could grossly affect balance or coordination (such as. stroke, greater than mild TBI, lower-extremity amputation, recent lower extremity or spine orthopaedic injury requiring a profile).
- Be a pregnant female
- Have past history of peripheral vestibular pathology or eye movement deficits.
- Be unable to abstain from medication/alcohol 24 hours in advance of testing
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
---|
University-level and amateur rugby players
University-level and amateur rugby players will be recruited and assessed (motor, visual and symptom assessment) over one season ( June 2021 to August 2022). Participants will be stratified according to gender (males n≈100, and females n≈100). Although the number of SRC that will be observed during the season is not known, the investigators will compare a number of head injuries/SRC to the results from cohort baseline testing. Participants that do not sustain a concussion will also have follow up testing at the end of the season. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Step time (mean ± standard deviation)
Time Frame: Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Altered free-living, quality-based gait/walking patterns measured by digital intertial wearable
|
Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Stance time (seconds, mean ± standard deviation)
Time Frame: Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Altered free-living, quality-based gait/walking patterns measured by digital intertial wearable
|
Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Stride time (seconds, mean ± standard deviation)
Time Frame: Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Altered free-living, quality-based gait/walking patterns measured by digital intertial wearable
|
Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Swing time (seconds, mean ± standard deviation)
Time Frame: Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Altered free-living, quality-based gait/walking patterns measured by digital intertial wearable
|
Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Stride length (cm, mean ± standard deviation)
Time Frame: Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Altered free-living, quality-based gait/walking patterns measured by digital intertial wearable
|
Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Stride velocity (cms-1), mean ± standard deviation)
Time Frame: Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Altered free-living, quality-based gait/walking patterns measured by digital intertial wearable
|
Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of turns per hour (n, mean ± standard deviation)
Time Frame: Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Altered free-living, quality-based turning patterns measured by digital intertial wearable
|
Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Turn angle (°, mean ± standard deviation)
Time Frame: Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Altered free-living, quality-based turning patterns measured by digital intertial wearable
|
Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Turn duration (seconds, mean ± standard deviation))
Time Frame: Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Altered free-living, quality-based turning patterns measured by digital intertial wearable
|
Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Turn velocity (°/seconds, mean ± standard deviation))
Time Frame: Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Altered free-living, quality-based turning patterns measured by digital intertial wearable
|
Participants diagnosed with SRC will be asked to attend a laboratory session/free living assessment at the following subsequent time frames post injury; within 72 hours post, 7-14 days post, within 30 days and 3-6 months
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- RBHS_01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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