Upper Extremity Performance, Balance and Core Endurance in Adolescent Soccer Players

October 31, 2024 updated by: Zeynep HOŞBAY, Biruni University

Soccer is one of the most popular sports in the world with a large number of players under the age of 18. High physical demands, frequent changes in exercise intensity and a large number of movement profiles require optimal physical capacity for both adult and child players in soccer.

Physical Performance Tests (PPT) are used to provide a detailed overview of functional status, to predict injury or to decide on return to sport. Physical performance is assessed using closed or open kinetic chain tests; however, in athletic populations, closed kinetic chain PTs may allow for more comprehensive assessments than open kinetic chain PTs.

The continuity of the kinetic chain is required for biomechanically and kinesiologically correct performance of upper extremity functions during daily life activities. The kinetic chain is a system that enables different body parts to produce and transfer power in coordination. The system creates minimal stress, maximal power generation and transfer in the kinetic chain, thus supporting the movement in the distal segments. In order to ensure minimal loss in power transfer between the extremities and trunk, trunk stabilization with a strong core is required.

Athletic performance can be assessed by functional, agility, speed and power tests involving the extremities or the whole body. According to the kinetic chain theory, a "break in the chain" can lead to a decrease in optimal force production and a decrease in performance. The relationship between balance, strength and endurance parameters can provide a basis for the assessment of injury risks and the development of preventive programs. In the literature, it has been suggested that factors related to strength and functionality of the upper extremity may be related to endurance and performance. The aim of this study was to investigate the relationship between upper extremity performance, balance and core endurance in adolescent soccer players.

Study Overview

Detailed Description

Soccer is one of the most popular sports in the world with a large number of players under the age of 18. High physical demands, frequent changes in exercise intensity and a large number of movement profiles require optimal physical capacity for both adult and child players in soccer.

Physical Performance Tests (PPT) are used to provide a detailed overview of functional status, to predict injury or to decide on return to sport. Physical performance is assessed using closed or open kinetic chain tests; however, in athletic populations, closed kinetic chain PTs may allow for more comprehensive assessments than open kinetic chain PTs.

Balance is one of the important factors determining sportive performance. It provides neuromuscular control by integrating central nervous system stimuli from the environment to maintain postural control on unstable surfaces during sports activities. Soccer is often played on unstable surfaces (e.g., jumping on grass, kicking the ball while being blocked by an opponent), and the factors affecting players' balance are greater than in other sports. This suggests that soccer players need to have a more dynamic balance compared to other athletes.

The core is the power center of the body with the abdominal muscles on the front, paraspinal and gluteal muscles on the back, diaphragm on the roof, oblique abdominal muscles on the sides, and pelvic ring on the floor. The core acts as a muscular corset to stabilize the trunk with or without limb movement. Core stability enhances effective control of the trunk and stabilization of posture and provides a fundamental basis for force generation and transmission between the upper and lower extremities.

The continuity of the kinetic chain is required for biomechanically and kinesiologically correct performance of upper extremity functions during daily life activities. The kinetic chain is a system that enables different body parts to produce and transfer power in coordination. The system creates minimal stress, maximal power generation and transfer in the kinetic chain, thus supporting the movement in the distal segments. In order to ensure minimal loss in power transfer between the extremities and trunk, trunk stabilization with a strong core is required.

Athletic performance can be assessed by functional, agility, speed and power tests involving the extremities or the whole body. According to the kinetic chain theory, a "break in the chain" can lead to a decrease in optimal force production and a decrease in performance [16]. The relationship between balance, strength and endurance parameters can provide a basis for the assessment of injury risks and the development of preventive programs. In the literature, it has been suggested that factors related to strength and functionality of the upper extremity may be related to endurance and performance. The aim of this study was to investigate the relationship between upper extremity performance, balance and core endurance in adolescent soccer players.

Study Type

Interventional

Enrollment (Actual)

52

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Zeytinburnu
      • Istanbul, Zeytinburnu, Turkey, 34015
        • Biruni University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Athletes between the ages of 13-16
  • Be actively playing amateur football for at least 1 year in any football team
  • Playing soccer regularly for 60 minutes at least 3 days a week

Exclusion Criteria:

  • A shoulder problem in the last three months,
  • He plays in the goalkeeper position,
  • Not having any disease (cardiac, orthopedic or neurological) that may prevent participation in the study,
  • Having circulatory problems such as varicose veins,
  • Surgical history in the last 6 months,
  • Receiving any other physiotherapy treatment,
  • The presence of symptoms such as vertigo,
  • Presence of complaints in the musculoskeletal system of the elbow, wrist, hand and trunk and lower extremities

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Assessment Group
All of the tests planned to be used in the study will be applied to adolescent amateur soccer players who meet the inclusion criteria.
All of these tests planned to be used in the study will be applied to adolescent amateur soccer players who meet the inclusion criteria.
Other Names:
  • Upper Quarter Y Balance Test
  • Star Excursion Balance Test
  • Mcgill Core Endurance Test

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Closed Kinetic Chain Upper Extremity Stability Test
Time Frame: through study completion, an average of 6 months.
It is used to assess upper extremity strength, endurance and closed kinetic chain. The test is performed as follows: In the push-up position, the distance between the two hands is adjusted to 90 cm, then one hand is extended towards the other hand and the number of repetitions completed within 15 s is recorded. The test is repeated 3 times. A rest period of 45 s is allowed between tests to avoid fatigue caused by high intensity activity (1:3 activity/rest ratio).
through study completion, an average of 6 months.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Upper Quarter Y Balance Test
Time Frame: through study completion, an average of 6 months.
The assessment is started in the push-up position with both arms shoulder-width apart. Starting with the non-dominant hand, the maximum distance reached in the medial, inferolateral and superiolateral directions is recorded. To determine upper extremity length, the distance between C7 and the 3rd fingertip is measured in cm in the anatomical position with the shoulder joint in 90° abduction. In cases where the feet are off the ground during the tests, significant flexion of the hip occurs, load is transferred to the reaching arm and the elbow of the stable arm is flexed, the test is considered invalid and the test is restarted.
through study completion, an average of 6 months.
Star Excursion Balance Test
Time Frame: through study completion, an average of 6 months.
For the test setup, 4 1.5-meter tape measures are attached to the floor at a 45-degree angle. The athlete is asked to stand on one foot at the intersection point and extend the toe of the other foot in 8 directions (anterior, anterolateral, lateral, posterolateral, posterior, posteromedial, medial and anteromedial). Meanwhile, the person should not lose his/her balance and should not lift the heel of the foot on which he/she is standing off the ground.
through study completion, an average of 6 months.
Mcgill Core Endurance Test
Time Frame: through study completion, an average of 6 months.
McGill's trunk muscle endurance tests are used to assess core stability. Trunk flexor endurance test (TFET), trunk extensor endurance test (TEET), bilateral side bridge endurance tests (SBET).
through study completion, an average of 6 months.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Zeynep HOŞBAY, PHD, Biruni University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 17, 2024

Primary Completion (Actual)

October 18, 2024

Study Completion (Actual)

October 18, 2024

Study Registration Dates

First Submitted

October 16, 2024

First Submitted That Met QC Criteria

October 31, 2024

First Posted (Estimated)

November 4, 2024

Study Record Updates

Last Update Posted (Estimated)

November 4, 2024

Last Update Submitted That Met QC Criteria

October 31, 2024

Last Verified

October 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • adolescent soccer players

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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