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Effects of a Therapeutic Exercise Program for Injuries Prevention in Wheelchair Basketball (WB) Players

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02842008
Recruitment Status : Completed
First Posted : July 22, 2016
Last Update Posted : November 21, 2017
Sponsor:
Information provided by (Responsible Party):
Saleky García Gómez, Universidad Politecnica de Madrid

Brief Summary:

Shoulder pain is the most common symptom of physical dysfunction in wheelchair basketball players. About the 85% of this population had shoulder pain in some moment of their life. Some studies suggest that exercise is an important tool as an element to treat and prevent shoulder injuries. For that reason, an intervention program would be a useful tool for prevent shoulder injuries in this population.

The purpose of this study is determine the effects of therapeutic exercise program wheelchair basketball players, in order to prevent shoulder injuries.


Condition or disease Intervention/treatment Phase
Athletic Injuries Shoulder Pain Shoulder Injury Behavioral: Exercise group Not Applicable

Detailed Description:
The hypothesis of the study was that the exercise program was effective to prevent shoulder injuries in this population.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 36 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Effects of a Therapeutic Exercise Program for Injuries Prevention in Wheelchair Basketball (WB) Players
Study Start Date : July 2016
Actual Primary Completion Date : July 2016
Actual Study Completion Date : August 2017

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Exercise group
Wheelchair basketball players participating in home therapeutic exercise program that use the protocol of postural hygiene.
Behavioral: Exercise group
This group will receive a home exercise program of shoulder based on mobility, strength and strengthening exercises, lasting 10 weeks, 3 times per weeks. The target dose use for mobility consisted in 8 repetitions for each 4 movements, for strengthening using resistive bands, 3 sets (including 5 exercises) of 10 repetitions with a 45 second rest between sets and 5 repetitions for each 5 strength with a 30 second rest and general protocol of postural hygiene. The instructional of the program is 30 minutes each day during the time of the study (10 weeks) with a screening about the exercise program and the daily activities performed every 4 weeks. Physiotherapist provided support to subjects through email along 10 weeks.

No Intervention: Control group
Wheelchair basketball players that not participate in home therapeutic exercise program and use a protocol of postural hygiene provided.



Primary Outcome Measures :
  1. Change from baseline shoulder pain at 10 weeks [ Time Frame: Baseline and at 10 weeks ]
    The presence of shoulder pain will be measured at the beginning and at 10 weeks with "Shoulder Pain Index for Wheelchair Basketball (SPI-WB)" (submitting).


Secondary Outcome Measures :
  1. Neer test [ Time Frame: Baseline and at 10 weeks ]
    Neer's Test assesses for possible rotator cuff impingement. Pain is a positive test.

  2. Hawkins-Kennedy test [ Time Frame: Baseline and at 10 weeks ]
    Hawkins-Kennedy`s test indicative a possible impingement between the greater tuberosity of the humerus against the coraco- humeral ligament.

  3. Jobe test [ Time Frame: Baseline and at 10 weeks ]
    Jobe`s test assesses for possible supraspinatus weakness and/or impingement.

  4. Patte test [ Time Frame: Baseline and at 10 weeks ]
    Patte`s test measure for possible infraspinatus and teres minor weakness and/or impingement.

  5. Shoulder range of motion [ Time Frame: Baseline and at 10 weeks ]
    The range of motion will be evaluated in flexion, extension, internal rotation, external rotation and abduction with a goniometric at the beginning and at 10 weeks.

  6. Players´ adherence to the exercise program [ Time Frame: At 4 and 8 weeks ]
    Players will complete a questionnaire rating their adherence to the exercise program.

  7. Players´ self-efficacy to the exercise program [ Time Frame: Baseline ]
    Players will complete a questionnaire about the self-efficacy according to the exercise program.

  8. Players adherence to the protocol of postural hygiene. [ Time Frame: At 4 and 8 weeks ]
    Players will complete a follow-up questionnaire rating their adherence to the protocol of postural hygiene.

  9. Activities performed outside of the training and exercise program. [ Time Frame: At 4 and 8 weeks ]
    Players will be complete a follow-up questionnaire about the activities performed outside of the training and exercise program.



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Ages Eligible for Study:   15 Years to 45 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Study Population 36 wheelchair basketball players belonging to the male and female preselection Spanish wheelchair basketball national team were recruiting during a campus. The inclusion and exclusion criteria were chosen to include a specific population.

Inclusion Criteria:

  • Players belonging to the male and female preselection Spanish wheelchair basketball national team.
  • Have the federal license at the Spanish Sport Federation for People with Physical Disabilities available at the time of the study (2015-2016 season).
  • For players using wheelchair for daily activities, to use the manual wheelchair at least for 3 hours a day and 6 hours of wheelchair basketball training per week.
  • For players not using wheelchair for daily activities, to use the manual wheelchair at least for 6 hours of wheelchair basketball training per week.
  • Use wheelchair at least one year before the study and at least one year of experience in the sport competition.
  • Acceptance of informed consent.

Exclusion Criteria:

  • History of acute injuries in the post-surgical process or dislocation along the year before the study. These conditions may affect the effective of the exercise intervention.
  • Differential diagnosis as acute injuries at cervical region and recent traumatic injury in shoulder one year before the study. The exercise program may not be appropriate for these conditions.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02842008


Locations
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Spain
Universidad Politécnica de Madrid
Madrid, Spain, 28040
Sponsors and Collaborators
Universidad Politecnica de Madrid
Investigators
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Study Director: Javier Pérez Tejero, PhD Universidad Politécnica de Madrid
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Responsible Party: Saleky García Gómez, PT PhD student, Universidad Politecnica de Madrid
ClinicalTrials.gov Identifier: NCT02842008    
Other Study ID Numbers: UPMadrid
First Posted: July 22, 2016    Key Record Dates
Last Update Posted: November 21, 2017
Last Verified: November 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Keywords provided by Saleky García Gómez, Universidad Politecnica de Madrid:
Exercise Therapy
Shoulder pain
Shoulder injuries
Shoulder function
Prevention
Wheelchair users
Additional relevant MeSH terms:
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Shoulder Pain
Shoulder Injuries
Athletic Injuries
Wounds and Injuries
Arthralgia
Joint Diseases
Musculoskeletal Diseases
Pain
Neurologic Manifestations
Signs and Symptoms