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Trial registered on ANZCTR


Registration number
ACTRN12615001200572
Ethics application status
Approved
Date submitted
16/09/2015
Date registered
4/11/2015
Date last updated
4/11/2015
Type of registration
Retrospectively registered

Titles & IDs
Public title
The evaluation the efficacy of functional training based on „joint-by-joint” approach in long distance runners.
Scientific title
The evaluation the efficacy of functional training based on „joint-by-joint” approach in long distance runners.
Secondary ID [1] 287489 0
None
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
injury 296231 0
tissue overload 296233 0
Condition category
Condition code
Musculoskeletal 296503 296503 0 0
Normal musculoskeletal and cartilage development and function
Physical Medicine / Rehabilitation 296504 296504 0 0
Physiotherapy

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Functional training employed by us consists of two stages.
The first one lasts 6 weeks and is devoted to activation of inner foot muscles on the plantar side. The exercises will be performed barefoot with the proper loading of three support points of the feet (the first and the fifth metatarsal heads and the heel). Three kinde of exercise will be applied “Vele’s Forward Lean” (maximal forward lean from a standing position), “Reverse Tandem Gait” (walking backwards) and “Short Foot Exercise” (shortening the foot in the anterior-posterior direction and attempting to bring the head of the metatarsals towards the heel without toe flexion).
The second stage lasts also 6 weeks and is devoted to functional training, which comprises exercises individually customized for each runner aiming to correct their particular dysfunctions. This functional training aims to improve mobility and stability.
The exercise wil be chosen from Functional Movement Screen Corrective Exercise Manual.
Each subject will be examined three times: before the first stage, after the first stage and after the second stage. Trainings will be done every day and each session will last about one hour. Six of the seven sessions per week will be done under no supervision at home. Each subject will be asked to fill the training diary after training session. One training a week will be done under the therapist control.
Intervention code [1] 292872 0
Treatment: Other
Intervention code [2] 293113 0
Prevention
Comparator / control treatment
No control group
Control group
Uncontrolled

Outcomes
Primary outcome [1] 296131 0
Influence of functional training and exercising short plantar foot muscles on foot placement.
Foot placement will be assessed by The Foot Posture Index (FPI-6)
Timepoint [1] 296131 0
Baseline, after 6 weeks of short foot muscles exercise, after 6 weeks of functional training
Primary outcome [2] 296425 0
Influence of functional training and exercising short plantar foot muscles functional movement patterns

Functional movement patterns will be assessed by Functional Movement Screen test.
Timepoint [2] 296425 0
Baseline, after 6 weeks of short foot muscles exercise, after 6 weeks of functional training
Secondary outcome [1] 317582 0
Quality of fundamental movement patterns

Will be assessed by Functional Movement Screen test.
Timepoint [1] 317582 0
Baseline, after 6 weeks of short foot muscles exrcise, after 6 weeks of functional training
Secondary outcome [2] 318412 0
Foot posture

Will be assessed by The Foot Posture Index (FPI-6)
Timepoint [2] 318412 0
Baseline, after 6 weeks of short foot muscles exrcise, after 6 weeks of functional training
Secondary outcome [3] 318413 0
Lower limbs power
Will be assessed by plyometrics platform during jumps
Timepoint [3] 318413 0
Baseline, after 6 weeks of short foot muscles exrcise, after 6 weeks of functional training
Secondary outcome [4] 318414 0
Load distribution

Will be assessed by baropodometry platform during standing and walking
Timepoint [4] 318414 0
Baseline, after 6 weeks of short foot muscles exrcise, after 6 weeks of functional training

Eligibility
Key inclusion criteria
long distance runners who run regularly 3-7 times a week with a total distance of 30-100 km per week
Minimum age
20 Years
Maximum age
45 Years
Gender
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
previous history of acute injury in the six months prior to the enrollment on the study

Study design
Purpose of the study
Educational / counselling / training
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Who is / are masked / blinded?



Intervention assignment
Other design features
Phase
Type of endpoint(s)
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment outside Australia
Country [1] 7172 0
Poland
State/province [1] 7172 0

Funding & Sponsors
Funding source category [1] 292063 0
Self funded/Unfunded
Name [1] 292063 0
Address [1] 292063 0
Country [1] 292063 0
Primary sponsor type
Individual
Name
prof Anna Mika
Address
University of Physical Education in Krakow
al. Jana Pawla II 78
31-571 Krakow
Country
Poland
Secondary sponsor category [1] 290738 0
None
Name [1] 290738 0
Address [1] 290738 0
Country [1] 290738 0

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 293547 0
The Ethical Committee of Regional Medical Chamber in Krakow
Ethics committee address [1] 293547 0
ul. Krupnicza 11a, 31-123 Krakow, Poland
Ethics committee country [1] 293547 0
Poland
Date submitted for ethics approval [1] 293547 0
Approval date [1] 293547 0
15/04/2015
Ethics approval number [1] 293547 0
40/KBL/OIL/2015

Summary
Brief summary
Running is one of the most common forms of movement activities but, unfortunately, dangers of injuries or strains are high on both professional and amateur level. When an injury takes place it triggers sequence of changes in movement apparatus causing consequential dysfunctions. Risk factors of foot injuries constitute a whole separate group especially in runners.
Functional training is understood as a specific set of exercises aimed to establish essential movement patterns vital for normal development of motor abilities in athletes. It ensures separate elements of biokinematic chain are combined into an optimal movement pattern. Functional training is employed to improve physical fitness and results in sports, and to decrease injury risks.
Main assumption of “joint-by-joint” therapy conception is a holistic approach to an athlete or a patient. Insufficient stability in a certain body area (e.g. lumbar spine) could be caused by insufficient mobility in the area nearby (e.g. limited hip-joint extension). According to “joint-by-joint” conception therapy should begin first with exercises improving mobility, from the ankle up, segment by segment, then continue with improving stability.
Exercises which activate inner foot muscles on the plantar side aim to restore strength and normal muscle tension as well as strengthen medial longitudinal arch, what, in its turn, increase stability in the ankle. Those exercises are employed both in sports and rehabilitation. They are advised in cases of ankle injuries, pes planus, claw and hammer toes as well as an element of sensomotor training. But have not found any reports on employment of those exercises in runners.
Functional examination, by means of detection of all limitations and asymmetries, allows to employ individually customized trainings, which could stimulate restoration of correct movement patterns and decrease injury risks in athletes and patients.
Aims
The aim of the presented research is to define influence of exercising short plantar foot muscles on foot placement and functional movement patterns in runners. Above that we would like to assess efficiency of functional training based on “joint-by-joint” therapy conception, customized to compensate individual limitations and dysfunctions in runners.
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 60418 0
A/Prof Anna Mika
Address 60418 0
University of Physical Education in Krakow
al. Jana Pawla II 78
31-571 Krakow
Country 60418 0
Poland
Phone 60418 0
(4812)6831134
Fax 60418 0
Email 60418 0
anna.mika@awf.krakow.pl
Contact person for public queries
Name 60419 0
A/Prof Anna Mika
Address 60419 0
University of Physical Education in Krakow
al. Jana Pawla II 78
31-571 Krakow
Country 60419 0
Poland
Phone 60419 0
(4812)6831134
Fax 60419 0
Email 60419 0
anna.mika@awf.krakow.pl
Contact person for scientific queries
Name 60420 0
A/Prof Anna Mika
Address 60420 0
University of Physical Education in Krakow
al. Jana Pawla II 78
31-571 Krakow
Country 60420 0
Poland
Phone 60420 0
(4814)6831134
Fax 60420 0
Email 60420 0
anna.mika@awf.krakow.pl

No information has been provided regarding IPD availability
Summary results
No Results