Effects of Foot Strengthening on the Incidence of Injuries in Long Distance Runners

NCT ID: NCT02306148

Last Updated: 2024-05-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

118 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-30

Study Completion Date

2019-03-01

Brief Summary

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The main objective of this trial is to investigate the effects of a training protocol for the foot and ankle complex on the prevalence of running related injuries on long distance runners.

Detailed Description

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Using a web software as a follow up tool, subjects can be scanned for injuries and have them confirmed by a physician, determining the injuries prevalence in one year.

Through force platform and infrared cameras, the kinematics and kinetics during gait will allow assessment of joint moments, power during propulsion, ankle and knee range of motion.

The hypothesis is that a strengthening program for foot and ankle muscles can alter the prevalence of lower limbs injuries on long distance runners, lowering the harmful forces that these segments receive. The participants will be randomly assigned into control group (placebo intervention) or into intervention group, that will receive an 8 weeks strengthening intervention, twice a week with the supervision of a physiotherapist and three times a week being remotely supervised by a software at home, for 30 minutes each session. This will aim for increasing foot and ankle range of movement and muscle strength.

Every exercise has its own progression depending on the subjects execution, increasing in intensity and difficulty.

Conditions

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Leg Injuries

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Investigators

Study Groups

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Control Group

Group will practice 15 seconds isometric lower limb stretching protocol and must continue practicing running as usual.

Group Type PLACEBO_COMPARATOR

Foot and ankle strengthening

Intervention Type OTHER

Group will be trained during 2 months at the university by a physiotherapist and at home with a training software for foot and ankle strengthening.

Foot and ankle strengthening

Group will be trained during 2 months by a physiotherapist for foot and ankle strengthening and must continue to exercise at home with a training software supervision. Must continue practicing running as usual.

Group Type EXPERIMENTAL

Foot and ankle strengthening

Intervention Type OTHER

Group will be trained during 2 months at the university by a physiotherapist and at home with a training software for foot and ankle strengthening.

Interventions

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Foot and ankle strengthening

Group will be trained during 2 months at the university by a physiotherapist and at home with a training software for foot and ankle strengthening.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* practice long distance (more than 5 km) running for at least one year;
* run at least 20 km a week;

Exclusion Criteria

* run using minimalist shoes or barefoot;
* having prior experience in isolated foot and ankle strength training within the last year;
* have any health condition that affect gait and running;
* being receiving any physical therapy intervention;
* having any running related injuries during the last two months.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Fundação de Amparo à Pesquisa do Estado de São Paulo

OTHER_GOV

Sponsor Role collaborator

University of Sao Paulo General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Isabel de Camargo Neves Sacco

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Isabel Sacco, PHD

Role: PRINCIPAL_INVESTIGATOR

Associate Professor at São Paulo University

Locations

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Universidade de São Paulo

São Paulo, , Brazil

Site Status

Countries

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Brazil

References

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Suda EY, Watari R, Matias AB, Taddei UT, Sacco ICN. Predictive Effect of Well-Known Risk Factors and Foot-Core Training in Lower Limb Running-Related Injuries in Recreational Runners: A Secondary Analysis of a Randomized Controlled Trial. Am J Sports Med. 2022 Jan;50(1):248-254. doi: 10.1177/03635465211056329. Epub 2021 Nov 17.

Reference Type DERIVED
PMID: 34786990 (View on PubMed)

Watari R, Suda EY, Santos JPS, Matias AB, Taddei UT, Sacco ICN. Subgroups of Foot-Ankle Movement Patterns Can Influence the Responsiveness to a Foot-Core Exercise Program: A Hierarchical Cluster Analysis. Front Bioeng Biotechnol. 2021 Jun 8;9:645710. doi: 10.3389/fbioe.2021.645710. eCollection 2021.

Reference Type DERIVED
PMID: 34169063 (View on PubMed)

Taddei UT, Matias AB, Duarte M, Sacco ICN. Foot Core Training to Prevent Running-Related Injuries: A Survival Analysis of a Single-Blind, Randomized Controlled Trial. Am J Sports Med. 2020 Dec;48(14):3610-3619. doi: 10.1177/0363546520969205. Epub 2020 Nov 6.

Reference Type DERIVED
PMID: 33156692 (View on PubMed)

Matias AB, Taddei UT, Duarte M, Sacco IC. Protocol for evaluating the effects of a therapeutic foot exercise program on injury incidence, foot functionality and biomechanics in long-distance runners: a randomized controlled trial. BMC Musculoskelet Disord. 2016 Apr 14;17:160. doi: 10.1186/s12891-016-1016-9.

Reference Type DERIVED
PMID: 27075480 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Related Links

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http://www.usp.br/labimph

Laboratory website

http://www.fm.usp.br/

University website

Other Identifiers

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LaBiMPH-002

Identifier Type: -

Identifier Source: org_study_id

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