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Multicomponent Exercise Program Effects on Performance and Injury Reduction in Recreational Runners

31. juli 2026 oppdatert av: Yeditepe University

THE IMPACT OF A MULTICOMPONENT EXERCISE PROGRAM ON ATHLETIC PERFORMANCE, PHYSICAL PARAMETERS, AND INJURY REDUCTION IN RECREATIONAL RUNNERS: A RANDOMIZED CONTROLLED TRIAL.

Study aim was to evaluate effectiveness of two home-based exercise programs upon athletic performance, physical parameters and injury reduction in recreational runners. Participants were randomized to multicomponent and traditional strength exercise program in block randomization. Primary outcomes were maximal oxygen uptake (VO2Max) calculated with 20 meter (m) shuttle run test (20m SRT), muscle strength of quadriceps femoris, hamstring and gluteus medius calculated via handheld dynamometer (HHD), plyometric performance measured via countermovement jump (CMJ) and drop jump (DJ), foot posture assessment with foot posture index and navicular drop, core endurance with prone bridge, side bridge and horizontal extension and calf endurance values. Secondary outcome was injury reduction followed via self made questionnaire that was sent each week to the participants in order them to record injury and training characteristic of that with including running and exercise program. Programs were given online without supervision 2-3 times a week. Study consisted of 16-weeks with 8-week training, and 8 weeks follow up including baseline and 8th week assessment. In each assessment all the primary outcomes measured.

H0: There will be no improvement in athletic performance, physical parameters, and injury risk after the multi-component exercise program.

H1: There will be improvement in athletic performance, physical parameters, and injury risk after the multi-component exercise program.

Studieoversikt

Studietype

Intervensjonell

Registrering (Faktiske)

29

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Kadıköy
      • Istanbul, Kadıköy, Tyrkia (Türkiye), 34726
        • PT Academy

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • The primary sport must be running.
  • Be between 18 and 65 years of age.
  • Participate in races.
  • Run 20-100 km per week.
  • Have at least 12 months of regular running experience.
  • At least 3 running training sessions per week.

Exclusion Criteria:

  • Did not injured in the last 3 months.
  • Did not undergone surgery in the last 12 months.
  • Did not have any issues that limit strength training.
  • Did not having any neurological, tumor, cardiovascular, rheumatological, or hormonal diseases.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Forebygging
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Multikomponentøvelsesgruppe
Intervention group received an exercise program that includes same warm-up and cool-down periods containing strength and flexibility exercises with control group. Participants performed the exercises on their own using videos without supervision at home. The multicomponent exercise program which was intervention group included plyometric, strength, and core (lumbopelvic and foot region) exercises. The program was implemented 2-3 times per week. Exercises delivered to participants via Google Drive using exercise videos recorded by researchers, ensuring proper technique was maintained, allowing participants to perform the exercises at home without supervision. Additionally, detailed information about the exercise system and important considerations or precautions while doing the exercise were told in videos. Furthermore, general guidelines including, detailed information about study, drop out criteria, precautions for
Aktiv komparator: Traditional Strength Exercise Group
Control group received an exercise program that includes same warm-up and cool-down periods containing strength and flexibility exercises with intervention group. Participants performed the exercises on their own using videos without supervision at home. The control group only received strength and core exercises. The program was implemented 2-3 times per week. Exercises delivered to participants via Google Drive using exercise videos recorded by researchers, ensuring proper technique was maintained, allowing participants to perform the exercises at home without supervision. Additionally, detailed information about the exercise system and important considerations or precautions while doing the exercise were told in videos. Furthermore, general guidelines including, detailed information about study, drop out criteria, precautions for

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Countermovement Jump
Tidsramme: Baseline and 8th week assessment
In order to execute the jump the participant jumped with fast deceleration till 90-degree squat position followed by maximum effort acceleration while holding their hand on their hip. Subjects should perform three jumps, and the best of the three was used. There should be 1-minute rest period between repetitions .
Baseline and 8th week assessment
Drop Jump
Tidsramme: Baseline and 8th week assessment
The participant will perform drop jump from a 30 cm box. They should keep their hands on their hips while executing the jump all the time. At the start of the jump, the participant must step off the box with one foot. After drop patient should jump maximally as soon as possible after touching the ground. Therefore, minimum ground contact time and maximum vertical distance were expected Three trials should executed, and the best one will used in the analysis
Baseline and 8th week assessment
Gluteus Medius Strength
Tidsramme: Baseline and 8th week assessment
Isometric strength of the gluteus medius will be assessed using the Microfet 2 handheld dynamometer, which was reliable for measuring the hip muscle system. The participant must exert maximal effort for 5 seconds in a predetermined direction which was hip abduction in this case. Two repetitions will be performed, and the best result will be recorded. Hip abduction will be measured in the side-lying position with the contralateral leg flexed at 30 degrees at the hip and knee. The tested leg will be positioned at 0 degrees hip flexion, 10 degrees hip abduction, and full knee extension. The dynamometer will be placed 5 cm proximally to the lateral condyle of the femur. A strap will be used to secure the patient from the iliac crest to the bed . Before executing the test 3 sets of 5 second submaximal contraction required for warm up.
Baseline and 8th week assessment
Quadriceps Femoris Strength
Tidsramme: Baseline and 8th week assessment.
the handheld dynamometer was applicable for assessing quadriceps peak torque and late torque production rate . The intraclass correlation coefficient for isometric quadriceps measurements was 0.96. The dynamometer was secured by attaching a strap to leg extension machine . The quadriceps muscle strength will be assessed while seated with the knee flexed at 60 degrees. Three trials will be used and the best one will be recorded . There will be three submaximal contractions for adaptation for warm up . The dynamometer will be placed on the anterior tibia, two fingers above the lateral malleolus . Handles will be used to secure participants. Maximum leg extension will be wanted from patient to measure strength after positioning patient for about 6-8 second.
Baseline and 8th week assessment.
Hamstring Strength
Tidsramme: Baseline and 8th week assessment.
The assessment will be performed with the knee flexed at 30 degrees in a seated position in a leg extension machine secured by straps from thigh and handles in the sides [88,89]. Three trials will be used, and the best one will be recorded . There will be three submaximal contractions for adaptation and warm up beforehand . The dynamometer will be at the level of the lateral malleolus, and the evaluator stabilizing the dynamometer strap using their body . Maximum leg flexion will be wanted from patient to measure strength after positioning patient for about 6-8 second.
Baseline and 8th week assessment.
Calf Endurance
Tidsramme: Baseline and 8th week assessment
Calf endurance test was valid test for assessing calf endurance. The participants will perform as many calves raises as possible on a 10-degree inclined surface, extending their knees and using a metronome of 30 beats per minute representing 30 repetitions per minute . Before the test, each participant will warm up with ten bilateral standing heel raises to get used to the metronome speed. The test termination criteria will be explained to the participants which were if the heel can no longer be raised off the incline board, if the digital metronome's pace can no longer be followed and if the knee angle or trunk posture can no longer be maintained or more than fingertip support on the wall is required for balance. A verbal cue was supplied if a termination requirement was met. When two successive prompts went unanswered, the test was stopped .
Baseline and 8th week assessment
Core endurance
Tidsramme: Baseline and 8th week assessment
The participant will be asked to maintain the maximum duration in seconds throughout the predefined positions. The posterior core will be assessed using the horizontal extension test, the lateral core using the lateral bridge, and the anterior core using the prone bridge.
Baseline and 8th week assessment
Foot posture index
Tidsramme: Baseline and 8th week assessment
FPI consisted of 6 measurements which were themed from parts of the foot such as forefoot, midfoot and rearfoot. Each evaluation scored with 5 scores consisting of -2 to +2. These evaluations were: talar head palpation, curves above and below lateral malleolus, inversion and eversion of the calcaneus, bulge in the region of talonavicular joint, congruence of the medial longitudinal arch, abduction and adduction of forefoot on the rearfoot (too-many-toes) .Participant will evaluated in a relaxed standing position .
Baseline and 8th week assessment
Navicular drop
Tidsramme: Baseline and 8th week assessment
The distance from navicular tuberosity will be measured via using a meter in sitting position when subtalar joint was in neutral position. After that same distance will be measured in weight bearing position. The difference between the two measurements will give the navicular drop difference.
Baseline and 8th week assessment
Shuttle Run Test
Tidsramme: Baseline and 8th week assessment
When the athlete begins the test, their speed was 8.5 kilometers per hour (km/h) and were increased by 0.5 km/h in every minute. The test stopped if the athlete cannot keep up with the pace or fails to complete the shuttle within the predetermined time limits on two consecutive attempts . VO2 max values calculated according to the results described by Ramsbotton and colleagues and the VO2 max conversion table .
Baseline and 8th week assessment

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Injury Tracking Assessment
Tidsramme: Baseline to 16th week in each week questionnaire sent.
Injury tracking and training-related variables will be collected through questionnaire that was created for this study. The questionnaire will be self-administered and will used to assess the incidence and prevalence of injuries. It included questions about how many sessions of the programs were performed weekly and the duration of each session. Additionally, there were questions about the number of weekly running training sessions, the surface, the distance covered, and the duration of each session. Finally, there were questions about whether an injury occurred, the location of the injury, how (sudden or gradual) and when the pain manifested. An injury was classified as a running-related injury resulting inability to participate in the next training session due to any musculoskeletal complaint . A Google form will be used to collect these questions.
Baseline to 16th week in each week questionnaire sent.

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Publikasjoner og nyttige lenker

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Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

10. september 2025

Primær fullføring (Faktiske)

10. mai 2026

Studiet fullført (Antatt)

10. mai 2027

Datoer for studieregistrering

Først innsendt

23. juli 2026

Først innsendt som oppfylte QC-kriteriene

31. juli 2026

Først lagt ut (Faktiske)

3. august 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

3. august 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

31. juli 2026

Sist bekreftet

1. juli 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • 202506Y0873

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

All data can be presented.

IPD-delingstidsramme

As soon as possible.

Tilgangskriterier for IPD-deling

Researchers who need it for science.

IPD-deling Støtteinformasjonstype

  • STUDY_PROTOCOL
  • SEVJE
  • ICF
  • ANALYTIC_CODE
  • CSR

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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