Functional Movement Screen Differences in Male and Female Footballers as an Injury Prevention Tool.

Football is definitely a sport commonly held across the world. It is played mostly at the professional level and as a leisure sport as well. Many countries organize football matches at different levels, and these matches include various age groups ranging from adolescents to young adults. As the participation in football is increasing it is also increasing the risk of developing injuries. It exposes the athlete to contact injuries and non-contact injuries. The intensity of the body's biomechanical and physiological reactions when playing football is enhanced because it has sporadic and irregular activity. This increased workload can increase the risk of injury. Many sport specialists perform movements which are related to that specific sport but the paradigm has been shifted to a more integrated functional approach which includes principles of proprioceptive neuromuscular facilitation, muscle synergy and motor learning and it is important to inspect the basic fundamental movements as these occur throughout many athletic activities. Before participating in the sporting event, athletes undergo a comprehensive pre-participation examination which includes examination of health status, underlying medical problems and musculoskeletal system, it is a standard approach to injury screening. However, this does not evaluate the intrinsic risk factors which might be associated with the injury during field.

Study Overview

• Status: Completed
• Conditions: Sports Physical Therapy
• Intervention / Treatment: Other: Experimental group(Male); Other: Experimental group(Female)

Detailed Description

Functional movement screening (FMS) was developed by Cook et al. It evaluates range of motion, muscular imbalances and core strength by means of seven different movement. It is used to analyze the pattern of various fundamental movements and then highlights the limitations in that pattern and recognizes asymmetries in relation to that pattern of movement and eventually compares these inadequacies with outcomes that will improve a pragmatic approach to injury prevention. Prior studies reported that during pre-participation FMS can predict injuries in various athletes.

Several research studies carried out by researchers in this area have been involved in the exploring the strategies that can enhance the efficiency and performance of footballers in the field and investigate the effects of injuries on performance. Studies including FMS as an injury and evaluation tool have subjects which includes athletes playing multiple sports and generally involved male footballers, but the studies comparing scores of FMS among female footballers with male footballers are scarce. With advances in society and knowledge of participation in sports, more women participate in sports events, and the pre-participation and injury of this particular population should be explored. This research will discover this particular issue and bring to light the needs of female footballers and contributes to recognizing FMS as a predictive method for injury.

• Study Type: Interventional
• Enrollment (Actual): 264
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab
    • Rawalpindi, Punjab, Pakistan, 46000
      • Ra'ad Arena

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 12 years to 22 years (Child, Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Male and Female Footballers
• Athletes training at least 3 times per week (>1.5h/week)

Exclusion Criteria:

• Recent injury of lower extremity within past 6 months
• History of traumatic brain injury
• History of concussion
• History of cervical spine injury within the last year
• History of shoulder surgery
• History of anterior cruciate ligament repair
• History of meniscal repair
• History of Achilles tendon repair
• History of ankle fracture
• Recent eye and ear disorders within past 6 months
• Receiving physical therapy for musculoskeletal injuries

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Experimental group(Male); Participants will be included in the study after screening from inclusion criteria. Each participant will perform FMS during a single session before competition as pre testing. It consists of 7 movement tasks and 3 clearance screens. Movement task will include deep squat, hurdle step, inline lunge, shoulder mobility, active straight-leg raise, trunk stability push-up and rotary stability. Five of the 7 tasks (hurdle step, inline lunge, shoulder mobility, active straight-leg raise and rotary stability) will be performed on both right and left sides. In addition to these, 3 clearance screen will assess the presence of pain with shoulder internal rotation/flexion, end range spinal flexion and end range spinal extension. Participants will be instructed for each task performance and will perform 3 attempts for each task.	Other: Experimental group(Male); Hurdle steps Deep squats Inline lunges Shoulder Clearing Active straight leg raise Trunk stability pushup Rotary stability Spinal extension exam Spinal flexion exam
Experimental: Experimental group(Female); Participants will be included in the study after screening from inclusion criteria. Each participant will perform FMS during a single session before competition as pre testing. It consists of 7 movement tasks and 3 clearance screens. Movement task will include deep squat, hurdle step, inline lunge, shoulder mobility, active straight-leg raise, trunk stability push-up and rotary stability. Five of the 7 tasks (hurdle step, inline lunge, shoulder mobility, active straight-leg raise and rotary stability) will be performed on both right and left sides. In addition to these, 3 clearance screen will assess the presence of pain with shoulder internal rotation/flexion, end range spinal flexion and end range spinal extension. Participants will be instructed for each task performance and will perform 3 attempts for each task.	Other: Experimental group(Female); Hurdle steps Deep squats Inline lunges Shoulder Clearing Active straight leg raise Trunk stability pushup Rotary stability Spinal extension exam Spinal flexion exam

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Functional Movement Screen	Functional Movement Screen (FMS) will be used as a 'Pre' and 'Post' assessment tool to evaluate the risk of injury/dysfunctional performance among male and female footballers. Minimum and Maximum score interpretation required	6th week

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Danish Latif, MSPT-SPT, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): May 10, 2021
• Primary Completion (Actual): August 10, 2021
• Study Completion (Actual): August 31, 2021

Study Registration Dates

• First Submitted: August 5, 2021
• First Submitted That Met QC Criteria: August 5, 2021
• First Posted (Actual): August 13, 2021

Study Record Updates

• Last Update Posted (Actual): September 23, 2021
• Last Update Submitted That Met QC Criteria: September 17, 2021
• Last Verified: September 1, 2021

More Information

Terms related to this study

• Keywords: Speed; Functional Movement Screen,; Footballers,
• Other Study ID Numbers: REC/0867 Fatima Amjad

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