Altered trunk and lower extremity movement coordination after neuromuscular training with and without external focus instruction: a randomized controlled trial.

Anterior cruciate ligament Drop vertical jump Feedback Segment coupling

Journal

BMC sports science, medicine & rehabilitation
ISSN: 2052-1847
Titre abrégé: BMC Sports Sci Med Rehabil
Pays: England
ID NLM: 101605016

Informations de publication

Date de publication:
17 Aug 2021
Historique:
received: 21 02 2021
accepted: 07 08 2021
entrez: 18 8 2021
pubmed: 19 8 2021
medline: 19 8 2021
Statut: epublish

Résumé

This study sought to determine the effects of a 6-week neuromuscular training (NMT) and NMT plus external focus (NMT plus EF) programs on trunk and lower extremity inter-segmental movement coordination in active individuals at risk of injury. Forty-six active male athletes (controls = 15, NMT = 16, NMT plus EF = 15) participated (age = 23.26 ± 2.31 years) in this controlled, laboratory study. Three-dimensional kinematics were collected during a drop vertical jump (DVJ). A continuous relative phase (CRP) analysis quantified inter-segmental coordination of the: (1) thigh (flexion/extension)-shank (flexion/extension), (2) thigh (abduction/adduction)-shank (flexion/extension), (3) thigh (abduction/adduction)-trunk (flexion/extension), and (4) trunk (flexion/extension)-pelvis (posterior tilt/anterior tilt). Analysis of covariance compared biomechanical data between groups. After 6 weeks, inter-segmental coordination patterns were significantly different between the NMT and NMT plus EF groups (p < 0.05). No significant differences were observed in CRP for trunk-pelvis coupling comparing between NMT and NMT plus EF groups (p = 0.134), while significant differences were observed CRP angle of the thigh-shank, thigh-trunk couplings (p < 0.05). Trunk and lower extremity movement coordination were more in-phase during DVJ in the NMT plus EF compared to NMT in active individuals at risk of anterior cruciate ligament injury. The protocol was prospectively registered at UMIN_RCT website with ID number: UMIN000035050, Date of provisional registration 2018/11/27.

Sections du résumé

BACKGROUND BACKGROUND
This study sought to determine the effects of a 6-week neuromuscular training (NMT) and NMT plus external focus (NMT plus EF) programs on trunk and lower extremity inter-segmental movement coordination in active individuals at risk of injury.
METHODS METHODS
Forty-six active male athletes (controls = 15, NMT = 16, NMT plus EF = 15) participated (age = 23.26 ± 2.31 years) in this controlled, laboratory study. Three-dimensional kinematics were collected during a drop vertical jump (DVJ). A continuous relative phase (CRP) analysis quantified inter-segmental coordination of the: (1) thigh (flexion/extension)-shank (flexion/extension), (2) thigh (abduction/adduction)-shank (flexion/extension), (3) thigh (abduction/adduction)-trunk (flexion/extension), and (4) trunk (flexion/extension)-pelvis (posterior tilt/anterior tilt). Analysis of covariance compared biomechanical data between groups.
RESULTS RESULTS
After 6 weeks, inter-segmental coordination patterns were significantly different between the NMT and NMT plus EF groups (p < 0.05). No significant differences were observed in CRP for trunk-pelvis coupling comparing between NMT and NMT plus EF groups (p = 0.134), while significant differences were observed CRP angle of the thigh-shank, thigh-trunk couplings (p < 0.05).
CONCLUSIONS CONCLUSIONS
Trunk and lower extremity movement coordination were more in-phase during DVJ in the NMT plus EF compared to NMT in active individuals at risk of anterior cruciate ligament injury.
TRIAL REGISTRATION BACKGROUND
The protocol was prospectively registered at UMIN_RCT website with ID number: UMIN000035050, Date of provisional registration 2018/11/27.

Identifiants

pubmed: 34404477
doi: 10.1186/s13102-021-00326-9
pii: 10.1186/s13102-021-00326-9
pmc: PMC8369650
doi:

Types de publication

Journal Article

Langues

eng

Pagination

92

Informations de copyright

© 2021. The Author(s).

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Auteurs

Bahram Sheikhi (B)

Biomechanics and Corrective Exercise Laboratory, Faculty of Physical Education and Sports Sciences, Kharazmi University, Mirdamad Blvd., Hesari St, Tehran, Iran.

Amir Letafatkar (A)

Biomechanics and Corrective Exercise Laboratory, Faculty of Physical Education and Sports Sciences, Kharazmi University, Mirdamad Blvd., Hesari St, Tehran, Iran. letafatkaramir@yahoo.com.

Abbey C Thomas (AC)

Department of Kinesiology, University of North Carolina at Charlotte, Charlotte, NC, USA.

Kevin R Ford (KR)

Department of Physical Therapy, Congdon School of Health Sciences, High Point University, One University Parkway, High Point, NC, 27268, USA.

Classifications MeSH