This study aimed to examine the effect of a 4-week neuromuscular balance-based training program on landing mechanics as reflected by the Landing Error Scoring System-Real Time (LESS-RT), together with associated changes in knee proprioception (JPS), force sense (FSET), static balance (SLST), and single-leg functional performance in elite female wrestlers.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
22
* Single-leg balance and squats on a soft surface (balance pad) * Static and dynamic balance exercises with eyes closed * Closed and open kinetic chain knee exercises with Theraband * Landing and jumping control on a mini trampoline
Yalova University
Yalova, Yalova, Turkey (Türkiye)
Landing Error Scoring System (LESS)
The Landing Error Scoring System (LESS) is an observational assessment tool used to evaluate lower extremity biomechanics during a jump-landing task. Participants perform a standardized jump from a platform and land while their movements are recorded and analyzed based on specific criteria. Higher LESS scores indicate a greater number of movement errors and an increased risk of lower extremity injury, particularly anterior cruciate ligament (ACL) injury. A commonly used cut-off score is ≥5, indicating a higher risk of lower extremity injury, particularly ACL injury.
Time frame: t0: baseline t1: at 4 weeks (post-intervention, after 12 sessions)
Joint Position Sense (JPS)
With their eyes closed, the participant is seated with their knee passively brought to a 45° flexion, held for 5 seconds, and then returned to the starting position. The participant is then asked to actively reproduce the same angle. Three repetitions are performed for each leg, and the average absolute angular error (degrees) is calculated. Measurement will be done using a goniometer. There is no universally established cut-off value; higher repositioning error values indicate impaired proprioception.
Time frame: t0: baseline t1: at 4 weeks (post-intervention, after 12 sessions)
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