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Real-time optimized biofeedback utilizing sport techniques (ROBUST): a study protocol for a randomized controlled trial
BACKGROUND: Anterior cruciate ligament (ACL) injuries in female athletes lead to a variety of short- and long-term physical, financial, and psychosocial ramifications. While dedicated injury prevention training programs have shown promise, ACL injury rates remain high as implementation has not becom...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5297146/ https://www.ncbi.nlm.nih.gov/pubmed/28173788 http://dx.doi.org/10.1186/s12891-017-1436-1 |
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author | Taylor, Jeffrey B. Nguyen, Anh-Dung Paterno, Mark V. Huang, Bin Ford, Kevin R. |
author_facet | Taylor, Jeffrey B. Nguyen, Anh-Dung Paterno, Mark V. Huang, Bin Ford, Kevin R. |
author_sort | Taylor, Jeffrey B. |
collection | PubMed |
description | BACKGROUND: Anterior cruciate ligament (ACL) injuries in female athletes lead to a variety of short- and long-term physical, financial, and psychosocial ramifications. While dedicated injury prevention training programs have shown promise, ACL injury rates remain high as implementation has not become widespread. Conventional prevention programs use a combination of resistance, plyometric, balance and agility training to improve high-risk biomechanics and reduce the risk of injury. While many of these programs focus on reducing knee abduction load and posture during dynamic activity, targeting hip extensor strength and utilization may be more efficacious, as it is theorized to be an underlying mechanism of injury in adolescent female athletes. Biofeedback training may complement traditional preventive training, but has not been widely studied in connection with ACL injuries. We hypothesize that biofeedback may be needed to maximize the effectiveness of neuromuscular prophylactic interventions, and that hip-focused biofeedback will improve lower extremity biomechanics to a larger extent than knee-focused biofeedback during dynamic sport-specific tasks and long-term movement strategies. METHODS: This is an assessor-blind, randomized control trial of 150 adolescent competitive female (9–19 years) soccer players. Each participant receives 3x/week neuromuscular preventive training and 1x/week biofeedback, the mode depending on their randomization to one of 3 biofeedback groups (hip-focused, knee-focused, sham). The primary aim is to assess the impact of biofeedback training on knee abduction moments (the primary biomechanical predictor of future ACL injury) during double-leg landings, single-leg landings, and unplanned cutting. Testing will occur immediately before the training intervention, immediately after the training intervention, and 6 months after the training intervention to assess the long-term retention of modified biomechanics. Secondary aims will assess performance changes, including hip and core strength, power, and agility, and the extent to which maturation effects biofeedback efficacy. DISCUSSION: The results of the Real-time Optimized Biofeedback Utilizing Sport Techniques (ROBUST) trial will help complement current preventive training and may lead to clinician-friendly methods of biofeedback to incorporate into widespread training practices. TRIAL REGISTRATION: Date of publication in ClinicalTrials.gov: 20/04/2016. ClinicalTrials.gov Identifier: NCT02754700. |
format | Online Article Text |
id | pubmed-5297146 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-52971462017-02-10 Real-time optimized biofeedback utilizing sport techniques (ROBUST): a study protocol for a randomized controlled trial Taylor, Jeffrey B. Nguyen, Anh-Dung Paterno, Mark V. Huang, Bin Ford, Kevin R. BMC Musculoskelet Disord Study Protocol BACKGROUND: Anterior cruciate ligament (ACL) injuries in female athletes lead to a variety of short- and long-term physical, financial, and psychosocial ramifications. While dedicated injury prevention training programs have shown promise, ACL injury rates remain high as implementation has not become widespread. Conventional prevention programs use a combination of resistance, plyometric, balance and agility training to improve high-risk biomechanics and reduce the risk of injury. While many of these programs focus on reducing knee abduction load and posture during dynamic activity, targeting hip extensor strength and utilization may be more efficacious, as it is theorized to be an underlying mechanism of injury in adolescent female athletes. Biofeedback training may complement traditional preventive training, but has not been widely studied in connection with ACL injuries. We hypothesize that biofeedback may be needed to maximize the effectiveness of neuromuscular prophylactic interventions, and that hip-focused biofeedback will improve lower extremity biomechanics to a larger extent than knee-focused biofeedback during dynamic sport-specific tasks and long-term movement strategies. METHODS: This is an assessor-blind, randomized control trial of 150 adolescent competitive female (9–19 years) soccer players. Each participant receives 3x/week neuromuscular preventive training and 1x/week biofeedback, the mode depending on their randomization to one of 3 biofeedback groups (hip-focused, knee-focused, sham). The primary aim is to assess the impact of biofeedback training on knee abduction moments (the primary biomechanical predictor of future ACL injury) during double-leg landings, single-leg landings, and unplanned cutting. Testing will occur immediately before the training intervention, immediately after the training intervention, and 6 months after the training intervention to assess the long-term retention of modified biomechanics. Secondary aims will assess performance changes, including hip and core strength, power, and agility, and the extent to which maturation effects biofeedback efficacy. DISCUSSION: The results of the Real-time Optimized Biofeedback Utilizing Sport Techniques (ROBUST) trial will help complement current preventive training and may lead to clinician-friendly methods of biofeedback to incorporate into widespread training practices. TRIAL REGISTRATION: Date of publication in ClinicalTrials.gov: 20/04/2016. ClinicalTrials.gov Identifier: NCT02754700. BioMed Central 2017-02-07 /pmc/articles/PMC5297146/ /pubmed/28173788 http://dx.doi.org/10.1186/s12891-017-1436-1 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Taylor, Jeffrey B. Nguyen, Anh-Dung Paterno, Mark V. Huang, Bin Ford, Kevin R. Real-time optimized biofeedback utilizing sport techniques (ROBUST): a study protocol for a randomized controlled trial |
title | Real-time optimized biofeedback utilizing sport techniques (ROBUST): a study protocol for a randomized controlled trial |
title_full | Real-time optimized biofeedback utilizing sport techniques (ROBUST): a study protocol for a randomized controlled trial |
title_fullStr | Real-time optimized biofeedback utilizing sport techniques (ROBUST): a study protocol for a randomized controlled trial |
title_full_unstemmed | Real-time optimized biofeedback utilizing sport techniques (ROBUST): a study protocol for a randomized controlled trial |
title_short | Real-time optimized biofeedback utilizing sport techniques (ROBUST): a study protocol for a randomized controlled trial |
title_sort | real-time optimized biofeedback utilizing sport techniques (robust): a study protocol for a randomized controlled trial |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5297146/ https://www.ncbi.nlm.nih.gov/pubmed/28173788 http://dx.doi.org/10.1186/s12891-017-1436-1 |
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