Influence of a Corrective Exercise Training Program on Measures of Functional Movement Among Active-Duty Firefighters
NCT ID: NCT02672735
Last Updated: 2016-11-15
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
51 participants
INTERVENTIONAL
2015-07-31
2018-05-31
Brief Summary
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Previous research has demonstrated relationships between MSKI and altered movement patterns. In addition, researchers have started to demonstrate the ability of functional movement assessments to predict future MSKI in various populations, including firefighters. Two of these functional movement assessments include the Functional Movement Screen (FMS) and the Movement Efficiency (ME) Test, which is a component of the Fusionetics Human Performance System. These assessments both quantify the overall functional movement quality of an individual by creating a composite movement score (i.e., Total FMS \& Average ME Test scores, respectively).
In addition, various theoretical models of corrective exercise programming have been proposed. These programs are designed to restore optimal neuromuscular control and correct any identified neuromuscular imbalances observed during the movement assessment through the use of simple and easy-to-follow exercises. The Fusionetics Human Performance System utilizes one such model, with the goal of improving the functional movement quality of an individual by correcting the aforementioned neuromuscular deficiencies observed during the ME Test. Based on this framework, these corrective exercise programs theoretically lower the risk of MSKI of the individual as well.
However, there is currently a lack of research in the literature examining the influence of corrective exercise programming on functional movement quality among the active-duty firefighter population. As such, it remains unknown if a corrective exercise intervention is capable of significantly improving functional movement quality among active-duty firefighters. In addition, recent research suggests that various health and fitness measures are associated with functional movement quality. These measures include total body power output, lower extremity muscular strength, and core muscular endurance. As such, an examination of the influence of a corrective exercise intervention on measures of health and fitness among active-duty firefighters is warranted.
Detailed Description
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Conditions
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Keywords
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Corrective Exercise Program
Participants in the Corrective Exercise Program (CEP) group (n = 28) will be given a four-week corrective exercise programming intervention.
Corrective Exercise Programming
Participants will be given a four-week corrective exercise protocol, with four corrective exercise sessions prescribed each week. Participants in the CEP Group will be required to complete a minimum of three of these four training sessions per week throughout the four-week corrective exercise program intervention. All corrective exercise programming will be created through the Fusionetics Human Performance System. This system, along with weekly compliance questionnaires, will also assess the compliance-level among the participants.
Control
The participants in the Control (CON) group (n = 28) will have their four-week corrective exercise programming intervention deferred for 4 weeks, and as such, will serve as the comparative group for the CEP group.
No interventions assigned to this group
Interventions
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Corrective Exercise Programming
Participants will be given a four-week corrective exercise protocol, with four corrective exercise sessions prescribed each week. Participants in the CEP Group will be required to complete a minimum of three of these four training sessions per week throughout the four-week corrective exercise program intervention. All corrective exercise programming will be created through the Fusionetics Human Performance System. This system, along with weekly compliance questionnaires, will also assess the compliance-level among the participants.
Eligibility Criteria
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Inclusion Criteria
2. are at least 18 years of age;
3. they are an active-duty firefighter;
4. are cleared by their fire department for full active-duty work; and
5. have been an active-duty firefighter for at least 12 months (i.e., one year).
Participants will be included into this study if they:
1. do not suffer from chest pain or dizziness;
2. have not been diagnosed with a heart condition;
3. are not currently pregnant;
4. have not had any serious ankle, knee, hip, back, or shoulder trauma that required medical attention in the past 3 months;
5. have not had surgery on their ankle, knee, hip, back, or shoulder within the past year (12 months); or
6. do not have any current bone, joint, or muscle abnormalities that require medical attention;
7. have not been instructed by a physician or their Health and Safety Officer (HSO) to not participate in this study.
Exclusion Criteria
18 Years
ALL
Yes
Sponsors
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University of Wisconsin, Milwaukee
OTHER
Responsible Party
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Kyle T Ebersole
Associate Professor
Principal Investigators
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Kyle T. Ebersole, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
University of Wisconsin, Milwaukee
Locations
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Station 5
Milwaukee, Wisconsin, United States
Countries
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References
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Burton, L., Kiesel, K., & Cook, G. (2004). Mobility screening for the core: Interventions. Athletic Therapy Today, 9(6), 52-57.
Butler RJ, Contreras M, Burton LC, Plisky PJ, Goode A, Kiesel K. Modifiable risk factors predict injuries in firefighters during training academies. Work. 2013 Jan 1;46(1):11-7. doi: 10.3233/WOR-121545.
Clark, M.A, & Lucett, S.C. (2011). NASM Essentials of Corrective Exercise Training (1st ed.). Baltimore, MD: Lippincott Williams & Wilkins.
Comerford MJ, Mottram SL. Functional stability re-training: principles and strategies for managing mechanical dysfunction. Man Ther. 2001 Feb;6(1):3-14. doi: 10.1054/math.2000.0389.
Comerford MJ, Mottram SL. Movement and stability dysfunction--contemporary developments. Man Ther. 2001 Feb;6(1):15-26. doi: 10.1054/math.2000.0388.
Cook, G. (2003). Athletic Body in Balance. Champaign, IL: Human Kinetics.
Cook, G. (2010). Movement: Functional Movement Systems - Screening, Assessment and Corrective Strategies. Santa Cruz, CA: On Target Publications.
Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function - part 1. Int J Sports Phys Ther. 2014 May;9(3):396-409.
Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function-part 2. Int J Sports Phys Ther. 2014 Aug;9(4):549-63.
Duncan MJ, Stanley M. Functional movement is negatively associated with weight status and positively associated with physical activity in british primary school children. J Obes. 2012;2012:697563. doi: 10.1155/2012/697563. Epub 2012 Mar 26.
Duncan MJ, Stanley M, Leddington Wright S. The association between functional movement and overweight and obesity in British primary school children. BMC Sports Sci Med Rehabil. 2013 May 15;5:11. doi: 10.1186/2052-1847-5-11. eCollection 2013.
Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J Athl Train. 2012 May-Jun;47(3):339-57. doi: 10.4085/1062-6050-47.3.08.
Harman, E., & Garhammer, J. (2008). Administration, scoring, and interpretation of selected tests. In T.R. Baechle, & R.W. Earle (Eds.), Essentials of Strength Training and Conditioning (3rd ed., pp. 250-292). Champaign, IL: Human Kinetics.
Hirth, C.J. (2007). Clinical movement analysis to identify muscle imbalances and guide exercise. Athletic Therapy Today, 12(4), 10-14.
International Association of Fire Fighters. (2008). The Fire Service Joint Labor Management Wellness-Fitness Initiative, (3rd ed.). Washington, D.C.
Kiesel, K, Burton, L., & Cook, G. (2004). Mobility screening for the core. Athletic Therapy Today, 9(5), 38-41.
Knapik JJ, Cosio-Lima LM, Reynolds KL, Shumway RS. Efficacy of functional movement screening for predicting injuries in coast guard cadets. J Strength Cond Res. 2015 May;29(5):1157-62. doi: 10.1519/JSC.0000000000000704.
Kritz, M., Cronin, J., & Hume, P. (2009). The bodyweight squat: A movement screen for the squat pattern. Strength and Conditioning Journal, 31(1), 76-85.
Kritz, M., Cronin, J., & Hume, P. (2009). Using the body weight forward lunge to screen an athlete's lunge pattern. Strength and Conditioning Journal, 31(6), 15-24.
Kurlick G.M. (2012). Stop, drop, and roll: workplace hazards of local government firefighters, 2009. Monthly Labor Review, 135, 18-25.
Page, P., Frank, C.C., & Lardner, R. (2010). Assessment and Treatment of Muscle Imbalance: The Janda Approach. Champaign, IL: Human Kinetics.
Peate WF, Bates G, Lunda K, Francis S, Bellamy K. Core strength: a new model for injury prediction and prevention. J Occup Med Toxicol. 2007 Apr 11;2:3. doi: 10.1186/1745-6673-2-3.
Perry FT, Koehle MS. Normative data for the functional movement screen in middle-aged adults. J Strength Cond Res. 2013 Feb;27(2):458-62. doi: 10.1519/JSC.0b013e3182576fa6.
Reiman, M.P., & Manske, R.C. (2009). Functional Testing in Human Performance. Champaign, IL: Human Kinetics.
Seabury SA, McLaren CF. The Frequency, Severity, and Economic Consequences of Musculoskeletal Injuries to Firefighters in California. Rand Health Q. 2012 Sep 1;2(3):4. eCollection 2012 Fall.
TriData Corporation (2005). The Economic Consequences of Firefighter Injuries and their Prevention. Final Report. Arlington, VA: National Institute of Standards and Technology, U.S. Department of Commerce.
Other Identifiers
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15.389
Identifier Type: -
Identifier Source: org_study_id