Anterior Cruciate Ligament Injuries, Blood Flow Restriction Training, Eccentric Training, Muscle Morphology, Patellofemoral Pain Syndrome
Conditions
Brief summary
This randomized clinical trial study compares high-load eccentric training (HL-Et), sham LL-BFRt, and low-load blood flow restriction (LL-BFRt) in sportsmen. The primary inquiries it seeks to address are: Is LL-BFR superior to HL-Et and sham LL-BFRt in terms of improving muscle morphology? Is LL-BFR a more effective Patellofemoral Pain Syndrome and ACL injury preventive than HL-Et and sham LL-BFRt? The three intervention groups that will be randomly assigned to participants are LL-BFRt, sham LL-BFRt, and HL-Et. Participants are expected to carry out: Participants in LL-BFRt will be required to perform LL eccentric training at 30% of their repetition maximum (RM) and 70% of their artery occlusion pressure (AOP). This training will include stairs, single leg squat, and single leg deadlift. Participants in HL-Et will be required to perform LL eccentric training at 70% of their maximum number of repetitions (RM). In order to determine whether muscular morphology and the prevention of Patellofemoral Pain Syndrome and ACL injury improve following the interventions and follow-up, researchers will compare LL-BFRt, sham LL-BFRt, and HL-Et.
Interventions
PROCEDURELow load-BFRt
The participants' two legs will be subjected to 70% arterial occlusion pressure when the physical therapist applies the BFR cuffs. After that, participants will be required to complete eccentric exercises with a maximum repetition count of 30%, such as stairs, single leg squat, and single leg deadlift.
PROCEDURESham Low load-BFRt
The participants' two legs will be subjected to 10% arterial occlusion pressure when the physical therapist applies the BFR cuffs. After that, participants will be required to complete eccentric exercises with a maximum repetition count of 30%, such as stairs, single leg squat, and single leg deadlift.
PROCEDUREHigh load-Eccentric training
The physical therapist will instruct the participants to complete eccentric exercises at a maximum of 70% repetitions, such as stairs, single leg squat, and single leg deadlift.
Sponsors
Udayana University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
15 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* Being between the ages of 15 and 35 * Play level 1 sports (fight martial arts, basketball, futsal, and soccer) at least twice a week * Never experienced an Patellofemoral Pain Syndrome or ACL injury before * Never experienced a grade III sprain or strain * Consent to participate in the study until its conclusion and provide informed consent.
Exclusion criteria
* Having a tumor, cancer, vena thromboembolic disease, obesity, diabetes, hypertension, anemia, and renal failure * Disabilities or those who are disabled.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Muscle cross-sectional area | 8 weeks | Using a musculoskeletal ultrasonography, researchers will determine the cross-sectional area of vastus medial obliques muscle and peroneus longus muscle. |
| Vastus medial obliques fiber angle | 8 weeks | Using a musculoskeletal ultrasonography, researchers will determine the vastus medial obliques fiber angle. |
| Patella position | 8 weeks | Using a musculoskeletal ultrasonography, researchers will determine the patella position. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of patellofemoral pain syndrome | 1 year | Researchers will determine the incidence of patellofemoral pain syndrome with the physical examination of grind test. |
| Incidence of anterior cruciate ligament injury | 1 year | Researchers will determine the incidence of anterior cruciate ligament injury with the physical examination of Lachman's test. |
Countries
Indonesia
Contacts
Primary ContactI Putu Gde Surya Adhitya, PhD
Outcome results
None listed