- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05256186
Effectiveness of Basketball Pre-injury Attack Program to Reduce the Susceptibility of Injury in Youth Basketball Players (DPL2)
Effectiveness of Basketball Pre-injury Attack Program to Reduce the Susceptibility of Injury in Youth Basketball Players: a Randomized Controlled Trial
Basketball is an impact, coordination-opposition sport with continuous contact among players and it is considered a sport of medium-high injury incidence. Players are force to have a physical condition appropriate to their practice and the demand to which they must respond due to the intensity of the efforts this sport requires. In order to achieve this, it is necessary to establish an evaluation protocol that allows the detection of functional deficiencies, to guide and conduct in a specific and early way every moment of players' health and growth.
The purpose of this study is to design, apply and analyze the effectiveness of a specific and individualized therapeutic exercise program (Basketball Pre-injury Attack) based on the approach of the functional deficiencies detected by the Basketball Injury Defense, to reduce the susceptibility to injury of youth basketball players (U14 - U17).
Study Overview
Status
Intervention / Treatment
Detailed Description
The aim of this study is to design, apply and analyze the effectiveness of a specific and individualized therapeutic exercise program (Basketball Pre-injury Attack) based on the approach of functional deficiencies detected by the Basketball Injury Defense, to reduce the susceptibility to injury of training federated basketball players.
The specific objectives are:
To improve the deficiencies detected in mobility, stability, symmetry and jumping/landing technique of basketball players in training categories (U14, U16 and U17).
To structure and determine the contents of a specific and individualized therapeutic exercise program (Basketball Preinjury Attack) designed to improve the functional deficiencies of mobility, stability, symmetry and jumping/landing technique of training basketball players based on current scientific evidence.
To analyze whether adherence to the program is achieved by raising players' awareness of the importance and benefits of performing the exercises with correct technique.
To assess whether a decrease in the susceptibility to injury of training federated basketball players is achieved.
For this purpose, an experimental study was conducted as a single-blind, randomized, cluster-controlled clinical trial during the months of June 2019 to February 2020 (9 months). For the development of the methodology of this study, the guidelines of the CONSORT (Consolidated Standards of Reporting Trials) Statement were followed.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Barcelona, Spain, 08018
- Federación Catalana de Baloncesto
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Be between 10 and 17 years old
- Be an active player at the time of selection
- Sign the informed consent.
Exclusion Criteria:
- Being diagnosed with a psychological and/or psychiatric illness.
- Being diagnosed with an oncological disease.
- Be injured at the time of selection.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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EXPERIMENTAL: Basketball pre-injury attack program
The intervention group carried out a program for 24 weeks.
The participant had to perform the program 3 days per week for 12-15' each day (training days with the team, prior to group activation).
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The intervention had a total duration of 24 weeks, with 3 sessions per week (before starting training) with a total duration of 12 to 15 minutes per session.
Each session consisted of 8 exercises with a load of 2 to 3 series between 6 and 12 repetitions; and with a rest at the end of each series of <60 seconds.
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NO_INTERVENTION: Control
The control group performed only the initial, follow-up (12 weeks) and final (24 weeks) evaluations.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Ankle dorsiflexion under load
Time Frame: 1 year
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The Weight-bearing Lunge Test measured with the Leg Motion® system (Check Your Motion, Albacete) was used.
Ankle dorsiflexion was recorded in centimeters.
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1 year
|
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Active hip, knee and ankle dorsiflexion
Time Frame: 1 year
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The Hurdle Step Test measured with the Leg Motion® system (Check Your Motion, Albacete) was used.
A frontal and sagittal view was recorded with two filming devices so that the results could be analyzed later.
Impairment was considered in those cases in which the subject was not able to step the foot over the rope during the hurdle step or if he/she performed adduction, internal or external rotation of the hip, and lost alignment between the hip, knee and ankle.
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1 year
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Ankle stability in monopodal loading
Time Frame: 1 year
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The Single Leg Squat Test was used and the criteria established by Perrot were used: it was considered stable if the foot remained in neutral position during the movement; and unstable if excessive pronation of the foot was evident during the movement or external rotation of the leg.
To analyze the results, a frontal and sagittal view was recorded with two filming devices.
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1 year
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Monopodal dynamic knee valgus
Time Frame: 1 year
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The Single Leg Squat Test was used.
The evaluator recorded a frontal and sagittal view with two filming devices.
The knee was considered to be aligned if the patella was over the second toe.
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1 year
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Lumbo-pelvic stability
Time Frame: 1 year
|
It was evaluated qualitatively with the Single Leg Squat Test and the Hurdle Step Test.
To analyze the results, a frontal and sagittal view was recorded with two filming devices and the criteria established by Perrot were used.
It was considered stable if there was minimal movement in all three planes, the pelvic girdle was aligned and there was no evidence of excessive anteroposterior tilt and/or trunk rotation.
It was considered unstable if these criteria were not met.
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1 year
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Dynamic postural stability
Time Frame: 1 year
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It was analyzed qualitatively with the Single Leg Squat Test.
The test was recorded with two filming devices (frontal and sagittal) and the criteria established by Perrot and Crossley were used.
For this purpose, the deviation of the trunk with respect to the center of gravity was observed.
It was considered stable if there was minimal translation of the center of mass, i.e., no lateral flexion/tilt, rotation or trunk flexion/extension.
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1 year
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Jumping/landing technique
Time Frame: 1 year
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It was analyzed with de Single Hop for distance Test.
Ankle stability at landing, dynamic knee valgus, lumbopelvic stability and dynamic postural stability were analyzed.
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1 year
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Symmetry between the dominant and non-dominant limb
Time Frame: 1 year
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From the distance obtained in the Single Hop for distance Test, the Symmetry Index was calculated using the formula: (Distance dominant limb/Distance non-dominant limb)*100.
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1 year
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Age
Time Frame: 1 year
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Recorded in years.
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1 year
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Category
Time Frame: 1 year
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According to the age of the participant could compete in 3 categories: U14, U16 or U17.
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1 year
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Gender
Time Frame: 1 year
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Female or male.
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1 year
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Weight
Time Frame: 1 year
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Weight was recorded in kg.
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1 year
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Height
Time Frame: 1 year
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Height was recorded in cm.
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1 year
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Body Mass Index (BMI)
Time Frame: 1 year
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It was calculated from the following formula [weight (kg) / height2 (m)].
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1 year
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Wingspan
Time Frame: 1 year
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The horizontal wingspan was recorded in cm.
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1 year
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Hewett TE, Myer GD, Ford KR, Heidt RS Jr, Colosimo AJ, McLean SG, van den Bogert AJ, Paterno MV, Succop P. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med. 2005 Apr;33(4):492-501. doi: 10.1177/0363546504269591. Epub 2005 Feb 8.
- Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J, Bleakley C. The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med. 2014 Jan;44(1):123-40. doi: 10.1007/s40279-013-0102-5.
- Dill KE, Begalle RL, Frank BS, Zinder SM, Padua DA. Altered knee and ankle kinematics during squatting in those with limited weight-bearing-lunge ankle-dorsiflexion range of motion. J Athl Train. 2014 Nov-Dec;49(6):723-32. doi: 10.4085/1062-6050-49.3.29.
- Romero Morales C, Calvo Lobo C, Rodriguez Sanz D, Sanz Corbalan I, Ruiz Ruiz B, Lopez Lopez D. The concurrent validity and reliability of the Leg Motion system for measuring ankle dorsiflexion range of motion in older adults. PeerJ. 2017 Jan 3;5:e2820. doi: 10.7717/peerj.2820. eCollection 2017.
- Aerts I, Cumps E, Verhagen E, Wuyts B, Van De Gucht S, Meeusen R. The effect of a 3-month prevention program on the jump-landing technique in basketball: a randomized controlled trial. J Sport Rehabil. 2015 Feb;24(1):21-30. doi: 10.1123/jsr.2013-0099. Epub 2014 Jun 6.
- Myer GD, Ford KR, McLean SG, Hewett TE. The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics. Am J Sports Med. 2006 Mar;34(3):445-55. doi: 10.1177/0363546505281241. Epub 2005 Nov 10.
- Myklebust G, Engebretsen L, Braekken IH, Skjolberg A, Olsen OE, Bahr R. Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med. 2003 Mar;13(2):71-8. doi: 10.1097/00042752-200303000-00002.
- Moody JA, Naclerio F, Green P, Lloyd RS. Motor skill development in youths. En: Lloyd R, Oliver JL. Strength and Conditioning for Young Athletes: Science and Application. 1ª edición. New York:Routledge;2014
- Baumbach SF, Braunstein M, Seeliger F, Borgmann L, Bocker W, Polzer H. Ankle dorsiflexion: what is normal? Development of a decision pathway for diagnosing impaired ankle dorsiflexion and M. gastrocnemius tightness. Arch Orthop Trauma Surg. 2016 Sep;136(9):1203-1211. doi: 10.1007/s00402-016-2513-x. Epub 2016 Jul 14.
- Gonzalo-Skok O, Serna J, Rhea MR, Marin PJ. AGE DIFFERENCES IN MEASURES OF FUNCTIONAL MOVEMENT AND PERFORMANCE IN HIGHLY YOUTH BASKETBALL PLAYERS. Int J Sports Phys Ther. 2017 Oct;12(5):812-821.
- Branta C, Haubenstricker J, Seefeldt V. Age changes in motor skills during childhood and adolescence. Exerc Sport Sci Rev. 1984;12:467-520.
- Fort-Vanmeerhaeghe A, Gual G, Romero-Rodriguez D, Unnitha V. Lower Limb Neuromuscular Asymmetry in Volleyball and Basketball Players. J Hum Kinet. 2016 Apr 13;50:135-143. doi: 10.1515/hukin-2015-0150. eCollection 2016 Apr 1.
- McKeon PO, Hertel J. Systematic review of postural control and lateral ankle instability, part I: can deficits be detected with instrumented testing. J Athl Train. 2008 May-Jun;43(3):293-304. doi: 10.4085/1062-6050-43.3.293.
- Perrott MA, Pizzari T, Opar M, Cook J. Development of clinical rating criteria for tests of lumbopelvic stability. Rehabil Res Pract. 2012;2012:803637. doi: 10.1155/2012/803637. Epub 2011 Dec 29.
- Teyhen D, Bergeron MF, Deuster P, Baumgartner N, Beutler AI, de la Motte SJ, Jones BH, Lisman P, Padua DA, Pendergrass TL, Pyne SW, Schoomaker E, Sell TC, O'Connor F. Consortium for health and military performance and American College of Sports Medicine Summit: utility of functional movement assessment in identifying musculoskeletal injury risk. Curr Sports Med Rep. 2014 Jan-Feb;13(1):52-63. doi: 10.1249/JSR.0000000000000023.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 123/2018 (phase 2)
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
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