Effects Provided by a Physiotherapy Treatment Preventing Lower Extremity Injuries in Female Football Players

Universidad de Zaragoza35 enrolled

Overview

Background and justification: Women's football has a percentage of knee injury of 31.8%, and the anterior cruciate ligament lesion is between 2 and 4 times higher than the male. Injury prevention programs seek to improve the control of the neuromuscular recruitment, dynamic valgus and lumbopelvic stabilization. Recently Cibulka and Bennett have proposed a new prevention theory based on the strengthening of the external abductor and hip rotator muscles. The objective of this study is to design and carry out a physiotherapy program based on the prevention of modifiable risks factors. Design: Controlled clinical trial Methodology: 2 groups were formed, the first or experimental integrated by the female players from football team called CD Oliver (CDO), and control, integrated by the female players of the first team SD Huesca (SDH). The investigators will carried out an initial and final evaluation in which they will be collected data on variables of injury incidence, muscle length and torque. A physiotherapy program will be implemented that will consider three areas of weekly action during training, preventive force sessions, compensatory force sessions and physiotherapy sessions.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Anterior Cruciate Ligament Injuries Injuries, Knee

Interventions

Physiotherapy program of lumbopelvic stabilization and strengthening of the hip region musculatureBEHAVIORAL

The intervention program will begin in August, along with the 2019/2020 season, and will finish at the end of the first round (5-6 months). It will be applied to CD Oliver players in three weekly sessions: preventive force, compensatory force and physiotherapy attention. During this intervention period, the SD Huesca players, control group, continued with their usual training program. They will not implement any physiotherapy program like the designed one for the study.

Eligibility

Sex: FEMALEMin age: 15 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Have a valid federal license signed by the competent medical authority. * Be part of a team registered in the federated league. * Train 4 and a half hours a week or more. * Compete and train in regulatory fields, with artificial grass. * Have a staff composed of a qualified technician, registered and in possession of the corresponding validated license. * Sign the informed consent. Exclusion Criteria: \- Suffering a lower limb injury at the start of the study.

Outcomes

Primary Outcomes

Change in the strength of hip musculature

Quadriceps Hamstrings internal and external hip rotators hip abductors Hip flexors Hip extensors

Time frame: The measures will be taken at the beginning and at the end of the study (45 minutes per player)

Secondary Outcomes

Change in the muscle length test

Ely test (active and passive) Ober test (active and passive) Ake test Pake test

Time frame: The measures will be taken at the beginning and at the end of the study (45 minutes per player)

Injuries Incidence

number and type of injuries

Time frame: through study completion, an average of 1 year