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Core stability and postural control are essential for athletic performance. They affect how efficiently an athlete moves, maintains balance, and avoids injuries. However, researchers have not yet fully explored how coordinated locomotor training - a movement approach that uses walking patterns combined with sprinter and skater positions - changes the way an athlete's nerves and muscles work together. This study aims to compare the effects of coordinated locomotor training versus traditional plyometric exercises on core stability and balance control in novice runners.
The study will enroll 28 novice runners between 18 and 30 years of age. Participants must run less than 10 miles per week and have less than one year of consistent running experience. They will be randomly assigned to either the coordinated locomotor training group or the plyometric training group. The intervention lasts 8 weeks with two sessions per week. Each session runs for about 60 minutes. The researchers will measure core endurance using the Mcgill core endurance tests and the Sahrmann core stability test. Dynamic balance will be assessed using the Star Excursion Balance Test. Postural control will be evaluated using the Romberg test.
The researchers expect that athletes who undergo coordinated locomotor training will show greater improvements in core muscle activation and postural control compared to those who perform plyometric exercises. If proven effective, this training method could provide coaches and trainers with an evidence-based strategy to enhance athletic performance and reduce injury risk.
Study Design:
This is a randomized, double-blind clinical trial. The study will be conducted at the University of Faisalabad, Government College University of Faisalabad, and Agriculture University of Faisalabad. The study population consists of novice runners from these universities.
Sample Size and Sampling:
A total of 28 participants will be enrolled, as calculated using Epitool software.
Eligibility Criteria:
Inclusion Criteria: (1) Age between 18 and 30 years; (2) Running less than 10 miles per week; (3) Not participating in running sports (such as soccer) more than once per week; (4) Less than one year of consistent running experience; (5) Both male and female novice runners.
Exclusion Criteria: (1) History of musculoskeletal injury in the past six months; (2) Diagnosed neurological or vestibular disorders; (3) Presence of current pain, discomfort, or functional limitation during normal or athletic activities (4) Regular use of medications that affect neuromuscular performance, coordination, or balance; (5) Pregnant women.
Intervention Details:
Group A (Coordinated Locomotor Training):
Each session begins with a 5-minute warm-up to familiarize participants with the sprinter and skater techniques. Participants actively perform both movements in a standing position twice per week for 8 weeks, totaling 16 sessions. Participants perform coordinated movement training in four positions: supine, crawling, sitting, and standing. Each position includes 10 repetitions per set, with 3 sets completed, taking approximately 30 minutes. The remaining time includes transition, rest, and cool-down activities.
Group B (Plyometric Training):
The warm-up consists of 2 series of 30 seconds of stimulation including 30 seconds of cool-down with multi-directional jumps. There is a 5-second interval between each jump . The plyometric training protocol consists of 6 series of squat jumps with 30 seconds of activation and 30 seconds of relaxation. There is a 2-second interval between each jump within each series. Participants jump onto a box with a height of 45 centimeters.
Outcome Measures and Assessment Tools:
Static Core Stability: Assessed using the Mcgill core endurance tests and the Sahrmann core stability test (5 levels).
Dynamic Core Stability and Postural Control: Assessed using the Star Excursion Balance Test (SEBT) and the Romberg test with eyes open and eyes closed conditions.
Randomization and Blinding:
Participants will be randomly assigned to either group using a computer-generated random sequence. The study is double-blind. Participants cannot be blinded due to the nature of the interventions.
Data Collection Procedure:
After obtaining informed consent, researchers will record baseline measurements for all outcome measures. The same measurements will be repeated at the end of the 8-week intervention period. All assessments will be conducted by trained physical therapists who are blinded to group allocation.
Statistical Analysis:
Data will be analyzed using SPSS version 22. Descriptive statistics will be calculated for demographic variables. Within-group comparisons will be performed using paired t-tests (if data are normally distributed) or Wilcoxon signed-rank tests (if non-normal). Between-group comparisons will be performed using independent t-tests or Mann-Whitney U tests. Statistical significance will be set at p < 0.05.
Ethical Considerations:
Ethical approval has been obtained from the Research Ethics/Technical Committee of the University of Faisalabad. Written informed consent will be obtained from all participants before enrollment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Coordinated Locomotor Training Group | Experimental | Participants in this arm receive coordinated locomotor training (CLT) consisting of sprinter and skater position exercises performed in supine, crawling, sitting, and standing positions. Each session lasts 60 minutes, twice weekly for 8 weeks (16 sessions total). |
|
| Plyometric Training Group | Active Comparator | Participants in this arm receive plyometric training consisting of multi-directional jumps and squat jumps onto a 45 cm box. Each session includes warm-up, activation series, and cool-down. Sessions are conducted twice weekly for 8 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coordinated Locomotor Training | Other | Coordinated locomotor training is an exercise technique that visualizes and simplifies human movement by combining walking patterns with sprinter and skater positions. The intervention includes: (1) A 5-minute warm-up familiarizing participants with sprinter and skater techniques in standing position; (2) Main CLT session of 60 minutes performed in supine, crawling, sitting, and standing positions; (3) Each position requires 10 repetitions per set, with 3 sets completed; (4) Total of 16 sessions conducted over 8 weeks, twice per week. The training is supervised by trained physical therapists. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Mcgill Core Endurance Test Scores | The Mcgill core endurance tests consist of four subtests: trunk flexor test, trunk extensor test, right side bridge test, and left side bridge test. For each test, participants hold a specific position for as long as possible. The time in seconds is recorded for each position. Longer hold times indicate better core endurance. | Baseline (Week 0) and Week 8 (post-intervention) |
| Change in Sahrmann Core Stability Test Level | The Sahrmann core stability test consists of 5 progressive levels. Participants start with Level 1 (lifting one leg to 90 degrees hip and knee flexion) and progress through increasing difficulty to Level 5 (lowering both legs simultaneously without heels touching the table). The highest level successfully completed without compensatory movement is recorded. Higher levels indicate better core stability. | Baseline (Week 0) and Week 8 (post-intervention) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Romberg Test Performance | he Romberg test assesses postural control by measuring body sway during standing. Participants stand with feet together, arms at sides, first with eyes open for 30 seconds, then with eyes closed for 30 seconds. The amount of body sway or loss of balance is recorded. Increased sway or inability to maintain position indicates poorer postural control. | Baseline (Week 0) and Week 8 (post-intervention) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Faisalabad | Faisalābad | Punjab Province | 3800 | Pakistan |
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| ID | Term |
|---|---|
| D059385 | Plyometric Exercise |
| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
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The outcome assessors and data analysts will be blinded to group allocation. Participants and intervention providers cannot be blinded due to the nature of the exercise interventions.
|
| Plyometric Training | Other | Plyometric training consists of: (1) Warm-up with 2 series of 30 seconds stimulation and 30 seconds cool-down with multi-directional jumps, with 5-second intervals between jumps; (2) 6 series of squat jumps onto a 45 cm box, with 30 seconds activation and 30 seconds relaxation, with 2-second intervals between jumps; (3) Total of 16 sessions conducted over 8 weeks, twice per week. Each session is supervised by trained physical therapists. |
|
| D005791 |
| Patient Care |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D064797 | Physical Conditioning, Human |
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |