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This study aims to develop a holistic, multidisciplinary health monitoring/screening module that evaluates the health and performance parameters of esports players, and to apply and assess the effectiveness of an individualized multidisciplinary preventive intervention program (PIP) based on the screening findings. Esports players are frequently exposed to prolonged sitting, repetitive movements, high screen time, and irregular lifestyle habits, which can lead to musculoskeletal problems, visual strain, increased cardiovascular load, sleep disturbances, and psychological effects. Comprehensive, systematic, and multidisciplinary screening models addressing these risks remain limited in the literature.
Amateur and/or professional players from the Yeditepe University Esports Club will undergo a multidimensional baseline assessment covering cardiovascular and respiratory parameters, musculoskeletal analysis, visual strain, nutritional status, cognitive function, and mental status. Participants will then be allocated to a control group or an intervention group. The intervention group will complete a 12-week individualized preventive exercise protocol in addition to their usual training, while the control group continues their usual training routine. All measurements will be repeated after 12 weeks to evaluate the effectiveness of the program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Multidisciplinary Preventive Exercise Program | Experimental | Participants in this arm continue their usual esports training and additionally receive a 12-week individualized multidisciplinary preventive physiotherapy and rehabilitation program. The program is delivered 2 days per week and consists of dynamic stretching/mobility exercises, strength and endurance exercises, and vestibular/visual training, integrated into gameplay (a 5-minute exercise block during the 10-minute break after each 45-minute play session). |
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| Control Group | No Intervention | Participants in this arm continue their usual esports training routine without any additional preventive exercise program. The same multidimensional assessments are administered at baseline and at week 12. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multidisciplinary Preventive Exercise Program | Behavioral | A 12-week individualized program delivered 2 days per week, integrated into gameplay as a 5-minute exercise block during the 10-minute break following each 45-minute play session. Three components: (1) dynamic stretching and mobility (thoracic extension, hip swings, pectoralis dynamic stretches; 2 sets x 10 reps each); (2) strength and endurance (craniocervical flexion 2x15 with 10-sec holds, plank 3x15 sec, isometric wrist extension 3x45 sec at 30% MVIC, air squats 3x12); (3) vestibular and visual training (quiet eye training 2x15, letter-tracking, and sport-specific VOR training 3x20 sec each). |
| Measure | Description | Time Frame |
|---|---|---|
| Change in core endurance (McGill Core Endurance Test Battery) | Trunk muscle endurance assessed with the McGill Core Endurance Test Battery (trunk flexor, extensor, and lateral bridge endurance times in seconds). Change from baseline to week 12 is compared between groups. | Baseline and 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in upper extremity function (DASH) | Self-reported upper extremity disability measured with the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. | Baseline and 12 weeks |
| Change in pain (McGill Pain Questionnaire, MPQ) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yeditepe University Kozyatağı Hospital | Istanbul | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D059352 | Musculoskeletal Pain |
| D057185 | Sedentary Behavior |
| D005247 | Feeding Behavior |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
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Two parallel groups: an intervention group receiving a 12-week multidisciplinary preventive exercise program in addition to usual training, and a control group continuing usual training.
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Pain experience assessed with the short-form McGill Pain Questionnaire.
| Baseline and 12 weeks |
| Change in functional exercise capacity (6-Minute Walk Test) | Distance walked in 6 minutes (meters), reflecting cardiovascular/functional capacity. | Baseline and 12 weeks |
| Change in muscle mechanical properties (MyotonPRO) | Muscle tone, stiffness, and elasticity measured with the MyotonPRO device. | Baseline and 12 weeks |
| Change in hand grip strength (Jamar dynamometer) | Maximal grip strength measured with a Jamar hydraulic hand dynamometer. | Baseline and 12 weeks |
| Change in posture (PostureScreen Mobile) | Postural angular deviations of head, shoulder, trunk, and hip segments assessed photogrammetrically with the PostureScreen Mobile application. | Baseline and 12 weeks |
| Change in Maximal inspiratory pressure (MIP) | Maximal inspiratory pressure measured with the Micro RPM device. | Baseline and 12 weeks |
| Change in attention (d2 Test of Attention) | Attention performance assessed with the d2 Test of Attention. | Baseline and 12 weeks |
| Change in sleep quality (Pittsburgh Sleep Quality Index, PSQI) | Sleep quality measured with the Pittsburgh Sleep Quality Index. | Baseline and 12 weeks |
| Change in psychological status (DASS-21) | Depression, anxiety, and stress levels measured with the DASS-21 scale. | Baseline and 12 weeks |
| Change in maximal expiratory pressure (MEP) | Maximal expiratory pressure measured with the Micro RPM device. | Baseline and 12 weeks |
| Change in response inhibition (Go/No-Go Test) | Response inhibition assessed with the Go/No-Go task. | Baseline and 12 weeks |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
| D001522 | Behavior, Animal |