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Optimizing Rehabilitation: The Impact of Encouragement and Instruction on Return-to-Play and Injury Risk Assessment

A crossover study investigating the effect of instructional encouragement on force production and muscular activity in athletes during return-to-play test.

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12624000728538
Enrollment
30
Registered
2024-06-13
Start date
2024-07-01
Completion date
Unknown
Last updated
2024-06-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The objective of the study is to know the influence of the different types of instruction (control, encouragement, explicit and analogy learning) on the variables analyzed. This will allow to know what effects have instruction during return to play test. Analogy and explicit learning could promote better control motor reorganisation compared to control and encouragement condition during hip extension test.

Interventions

Day 1: After an explanation of the test development, informed consent will be obtained. Subsequently, anthropometric assessments will be carried out. The placement of the electrodes will be done according to standardized locations for electromyography (EMG) measurements of the target muscle groups in accordance with SENIAM guidelines. Then, participants will complete a standard warm-up (mobility drills, 5' bike at moderate intensity) Finally, a familiarization session with the equipment and tes

Day 1: After an explanation of the test development, informed consent will be obtained. Subsequently, anthropometric assessments will be carried out. The placement of the electrodes will be done according to standardized locations for electromyography (EMG) measurements of the target muscle groups in accordance with SENIAM guidelines. Then, participants will complete a standard warm-up (mobility drills, 5' bike at moderate intensity) Finally, a familiarization session with the equipment and test procedures will be conducted. Assessment will be carried out for differents researcher blinded who only know what they have to apply. Experimental conditions (CE) will be the next for all participants: ENCOURAGE: only the participant will be encouraged to make maximum force production. (i.e "go,go,go) EXPLICIT LEARINING: the instruction is intended to focus the participant's attention on producing strength with the specific musculature. (i.e "push with your quad") ANALOGY LEARNING: the instruction is intended for the participant to think of a similar situation so that he creates a mental representation of the situation and his force production is oriented to it. (i.e "imagine that someone is grabbing you to keep you from moving. try to free yourself.") CONTROL CONDITION: you are described how to do the test simply "i.e. you have to extend the knee and flex". Day 2: The second visit will begin with a brief warm-up in an attempt to replicate the physiological conditions of the first visit. The electrodes will be repositioned to ensure data collection consistency. The testing phase for hip extension will start with a Maximum Voluntary Contraction (MVC) following Konrad 2005 guidelines. After a control condition, the randomized order of experimental conditions will be followed using specialized software. This sequence will then be replicated for CE1, CE2, and CE3 conditions. Three maximum repetitions will be performed. The isokinetic knee extension test will also follow the MVC > CEcontrol order, with randomization for the other 3 CE conditions. The speed will be set at 60°/s, and 3 repetitions will be performed to ensure adherence to instructions and prevent participants from generating their own rules. The rest period between experimental conditions will be 10 minutes with the aim of reducing post-activation potential and fatigue resulting from the test contractions. Afterthat, will be carried out the same protocol in a hip extension exercise (lying the participant in a supine position with extension during a maximal isometric contraction) Time aproximation of the session will be 1 hour and half. Mode of administration will be a one-on-one visit to the laboratory. EMG during isokinetic knee extension will be assess over quad muscles and for hip extension test, semitendinous, major gluteus and erector spinae L1 level will be assessed.

Sponsors

Angel Carnero
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Crossover
Primary purpose
Prevention
Masking
Blinded (masking used) (Subject, Caregiver)

Eligibility

Sex/Gender
All
Age
18 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

participants of any gender, of legal age, will participate in the study. The main inclusion criteria will be have involved practicing sports in whatever level at the present time.

Exclusion criteria

Participants with clinical issues as injuries or mental health disease that could affect during task. Participants which not involved practicing sports at the present time.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026