Effect of combining eight weeks of neuromuscular training with dual cognitive tasks on landing mechanics in futsal players with knee ligament dominance defect: a randomized controlled trial.

IF 2.8
Majid Hamoongard, Malihe Hadadnezhad, Ali Abbasi
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Abstract

Background: The performing of jump and landing in futsal simultaneous with divided attention is one of the most common mechanisms of non-contact anterior cruciate ligament (ACL) injury. Neuromuscular training has effectively reduced the risk of ACL injury, but the effect of neurocognitive training has received less attention. This study investigated the effect of combining 8 weeks of neuromuscular training with dual cognitive tasks on the landing mechanics of futsal players with knee ligament dominance defects.

Methods: Thirty male futsal players (mean ± SD: age: 21.86 ± 3.27 years) with knee ligament dominance defects were purposefully identified by the tuck jump test and were randomly divided into the intervention and the control group. The intervention group performed dual task (DT) training for three weekly sessions for 8 weeks and 60 min each, while the control group only did activities of daily living. During the drop vertical jump test, 2D landing kinematics in two moments of initial contact (IC) and full flexion (FF) were assessed. Data were analyzed by means of 2 × 2 repeated measures ANOVA followed by post hoc comparison (Bonferroni) at the significance level of (α ≤ 0.05).

Results: A significant improvement was observed in the intervention group compared to the control group for the dynamic knee valgus at IC (F1,28 = 6.33; P = 0.02, ES = 0.31) and FF (F1,28 = 13.47; P = 0.003, ES = 0.49), knee flexion at IC (F1,28 = 20.08; P = 0.001, ES = 0.41) and FF (F1,28 = 13.67; P = 0.001, ES = 0.32), ankle dorsiflexion at IC (F1,28 = 37.17; P = 0.001, ES = 0.72) and FF (F1,28 = 14.52; P = 0.002, ES = 0.50), and trunk flexion at FF (F1,28 = 20.48; P = 0.001, ES = 0.59) angles. Changes in the trunk flexion at IC (F1,28 = 0.54; P = 0.47, ES = 0.03) and trunk lateral flexion at IC (F1,28 = 0.006; P = 0.93, ES = 0.00) and FF (F1,28 = 2.44; P = 0.141, ES = 0.148) angles were not statistically significant.

Conclusions: DT training compared to the control group improved landing mechanics in futsal players with knee ligament dominance defects.

Trial registration: Current Controlled Trials using the IRCT website with ID number IRCT20210602051477N1 prospectively registered on 20/06/2021.

Abstract Image

Abstract Image

结合八周神经肌肉训练和双重认知任务对五人制运动员膝关节韧带优势缺陷着陆力学的影响:一项随机对照试验。
背景:五人制足球运动员同时起跳和落地时注意力分散是非接触性前交叉韧带损伤最常见的机制之一。神经肌肉训练可以有效降低前交叉韧带损伤的风险,但神经认知训练的效果受到的关注较少。本研究探讨了8周神经肌肉训练与双重认知任务相结合对五人制足球运动员膝关节韧带优势缺陷的落地力学的影响。方法:对30名男性五人制足球运动员(平均±SD:年龄:21.86±3.27岁)进行有目的的膝韧带优势缺陷检测,随机分为干预组和对照组。干预组进行双任务训练,每周三次,每次60分钟,为期8周,而对照组只进行日常生活活动。在落体垂直起跳试验中,评估了两初始接触时刻(IC)和完全屈曲时刻(FF)的二维着陆运动学。数据分析采用2 × 2重复测量方差分析,事后比较(Bonferroni),显著性水平为(α≤0.05)。结果:与对照组相比,干预组在IC处的膝关节动态外翻有显著改善(F1,28 = 6.33;P = 0.02, ES = 0.31)和FF (F1,28 = 13.47;P = 0.003, = 0.49),膝盖弯曲IC (F1, 28日= 20.08;P = 0.001, ES = 0.41)和FF (F1,28 = 13.67;P = 0.001, ES = 0.32), IC时踝关节背屈(F1,28 = 37.17;P = 0.001, ES = 0.72)和FF (F1,28 = 14.52;P = 0.002, ES = 0.50), FF时躯干屈曲(F1,28 = 20.48;P = 0.001, ES = 0.59)角度。IC时躯干屈曲的变化(F1,28 = 0.54;P = 0.47, ES = 0.03)和IC时躯干侧屈(F1,28 = 0.006;P = 0.93, ES = 0.00)和FF (F1,28 = 2.44;P = 0.141, ES = 0.148)角度差异无统计学意义。结论:与对照组相比,DT训练改善了五人制运动员膝关节韧带优势缺陷的落地力学。试验注册:使用IRCT网站进行当前对照试验,ID号为IRCT20210602051477N1,预期于20/06/2021注册。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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