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This study evaluates the preventive effect of a neuromuscular training program on injuries in youth floorball players. Half of participants will receive the training program, and half act as control and perform their usual training practices.
The study is a cluster-randomized controlled trial including male and female youth (12-17 years) floorball players. Club is used as cluster unit.
Coaches in the intervention group receive education of the preventive neuromuscular training program Knee Control (Knäkontroll) before the start of the season. Knee Control consists of 6 different exercises, with 4 different variations and 1 pair-exercise, and takes about 10 minutes to complete. In addition, coaches are instructed to perform a 5-minute running warm-up before the Knee Control exercises. Teams are to carry out the intervention at all training sessions, and the 5-minute warm-up also before all matches.
Coaches in the control group carry on their normal training and warm-up routines with their clubs.
Teams are followed for one full season: October 2017 - March 2018. Data registered for the study include exposure to floorball training and matches, and injuries that occur as a result of participation in floorball.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Knee Control training program | Experimental | The Knee Control program is a neuromuscular training program that consists of 6 different exercises, with 4 levels of progression and one pair-exercise, for each exercise. The Knee Control program takes about 10 minute to complete after familiarization. In addition, a 5-minute running warm-up is instructed to coaches. Coaches are to perform the Knee Control program + the 5 minute warm-up at all training sessions during the season, and the 5 minute warm-up before all matches. |
|
| Control group - usual training | No Intervention | The control group teams receive no intervention, and coaches are instructed to carry out their normal training and warm-up practice throughout the season. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Knee Control training program | Other | 10-minute training program to be performed at all team training sessions during the season. |
|
| Measure | Description | Time Frame |
|---|---|---|
| All physical complaints injury | Any floorball related injury regardless of need of care or absence from floorball training or matches ("all physical complaints" injury definition) | Study start up to end of season (6 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Time-loss injury | Floorball related injury causing absence from the next training or match with the team ("time-loss injury") | Study start up to end of season (6 months) |
| Medical attention injury |
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Inclusion Criteria:
Exclusion Criteria:
-
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| Name | Affiliation | Role |
|---|---|---|
| Martin Hägglund, PhD | Linkoeping University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Linköping University | Linköping | 58183 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36528005 | Derived | Sonesson S, Dahlstrom O, Panagodage Perera NK, Hagglund M. Risk factors for injury and illness in youth floorball players - A prospective cohort study. Phys Ther Sport. 2023 Jan;59:92-102. doi: 10.1016/j.ptsp.2022.11.008. Epub 2022 Dec 5. | |
| 34907058 | Derived | Perera NKP, Walden M, Lindblom H, Akerlund I, Sonesson S, Hagglund M. Illness prevalence and symptoms in youth floorball players: a one-season prospective cohort study involving 471 players. BMJ Open. 2021 Dec 14;11(12):e051902. doi: 10.1136/bmjopen-2021-051902. |
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Undecided, possibly share deidentified exposure and injury outcome data
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| ID | Term |
|---|---|
| D001265 | Athletic Injuries |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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Parallell group cluster-randomized trial
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Statistician performing outcome analyses are blinded to group belonging
Floorball related injury requiring the player to seek care ("medical attention injury")
| Study start up to end of season (6 months) |
| Adverse events | Adverse events of using the program (intervention group only) | Study start up to end of season (6 months) |
| Intervention compliance and fidelity | Coach reported compliance and fidelity with the program protocol (intervention group only) | Study start up to end of season (6 months) |
| Coach experience of injuries and intervention program | Coach baseline and follow-up experiences of injuries (control group and intervention group) and of the Knee Control program (intervention group only) | Baseline and 6 months |
| Player experience of injuries and intervention program | Player baseline and follow-up experiences of injuries (control group and intervention group) and of the Knee Control program (intervention group only) | Baseline and 6 months |
| Exercise fidelity | Exercise fidelity (observation of the technique when using the intervention in select intervention group teams) | At approximately 2 months and 5 months |
| Health care need | Number of health care visits due to floorball related injuries during the season, type of diagnostic examinations and treatments | After study end at 6 months |
| Costs | Estimated costs of floorball related injuries and costs of the intervention | After study end at 6 months |
| 31992545 | Derived | Akerlund I, Walden M, Sonesson S, Hagglund M. Forty-five per cent lower acute injury incidence but no effect on overuse injury prevalence in youth floorball players (aged 12-17 years) who used an injury prevention exercise programme: two-armed parallel-group cluster randomised controlled trial. Br J Sports Med. 2020 Sep;54(17):1028-1035. doi: 10.1136/bjsports-2019-101295. Epub 2020 Jan 28. |