| CTRI Number |
CTRI/2024/05/067525 [Registered on: 17/05/2024] Trial Registered Prospectively |
| Last Modified On: |
19/03/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
Advanced exercises to improve ankle stability and overall performance in volleyball players |
|
Scientific Title of Study
|
Effect of plyometric training on stability of ankle and overall performance in recreational volleyball players :A Randomized Controlled Trial |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Amulya Naresh Sirisilla |
| Designation |
Post graduate student |
| Affiliation |
NITTE INSTITUTE OF PHYSIOTHERAPY, NITTE DEEMED TO BE UNIVERSITY |
| Address |
Department of Physiotherapy
Room No,20 Second Base Division
Nitte Institute of Physiotherapy
Nitte (Deemed to be University)
Derlakatte, Mangaluru, India, Karnatakka
Dakshina Kannada
KARNATAKA
575018
India |
| Phone |
8433564217 |
| Fax |
|
| Email |
sirisillaamy66@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Mr Rakesh Krishna Kovela |
| Designation |
Associate professor |
| Affiliation |
NITTE INSTITUTE OF PHYSIOTHERAPY, NITTE DEEMED TO BE UNIVERSITY |
| Address |
Department of Physiotherapy
Room No,20 Second Base Division
Nitte Institute of Physiotherapy
Nitte (Deemed to be University)
Derlakatte, Mangaluru, India, Karnatakka
Dakshina Kannada
KARNATAKA
575018
India |
| Phone |
7204346274 |
| Fax |
|
| Email |
rakesh.krishna@nitte.edu.in |
|
Details of Contact Person
Public Query
|
| Name |
Mr Rakesh Krishna Kovela |
| Designation |
Associate professor |
| Affiliation |
NITTE INSTITUTE OF PHYSIOTHERAPY, NITTE DEEMED TO BE UNIVERSITY |
| Address |
Department of Physiotherapy
Room No,20 Second Base Division
Nitte Institute of Physiotherapy
Nitte (Deemed to be University)
Derlakatte, Mangaluru, India, Karnatakka
Dakshina Kannada
KARNATAKA
575018
India |
| Phone |
7204346274 |
| Fax |
|
| Email |
rakesh.krishna@nitte.edu.in |
|
|
Source of Monetary or Material Support
|
| Nitte Institute of Physiotherapy, NITTE Deemed to be University ,Basic infrastructure support will be provided by Nitte Institute of Physiotherapy. No monetary support is required. |
|
|
Primary Sponsor
|
| Name |
Nitte Institute of Physiotherapy |
| Address |
Department of Physiotherapy
Room No,20 Second Base Division
Nitte Institute of Physiotherapy
Nitte (Deemed to be University)
Derlakatte, Mangaluru, India
Karnatakka
|
| Type of Sponsor |
Other [Nitte Institute of Physiotherapy, Nitte deemed to be university] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Rakesh Krishna Kovela |
Justice K S Hegde Charitable Hospital, NITTE Deemed to be University |
Department of Physiotherapy, Room number 20, Basement second floor, Justice K S Hegde charitable hospital, Deralakatte, Mangaluru, Karnataka, India.
Dakshina Kannada
KARNATAKA |
7204346274
rakesh.krishna@nitte.edu.in |
|
Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Intitutional Ethics Committee of Nitte Institute of Physiotherapy |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
Recreational Volleyball Players |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Group A will be provided
with (Plyometrics and conventional therapy) |
Group A: Individuals will be trained with plyometric training along with conventional therapy. The list of plyometric exercises are:
1)Standing Vertical Jumps (10reps x 2sets) – Participant should be in standing position with feet separate about shoulder width apart. Come down into the squatting position by bending the knees while keeping the back straight and ask them to jump vertically up. While jumping, movement of hands is allowed. The participant should land in squatting position by
maintaining balance on the feet.
2)Horizontal jumps (10reps x 2 set) – Participant should stand stationary with the toes aligned in level with the point marked on the ground and where they are instructed to jump forward as far as possible. Countermovement with
arm and body swing is allowed for participants. While landing on feet the participant should maintain balance of the body.
3)Lateral hops (10reps x 2set) - Participant should be with feet not more than hip-width apart, bend your knees to squat straight down. Keep your weight on your heels. Shift weight from heels to toes as you begin your hops, quickly
push upward and sideways toward the other side as alternative hops.
4)Ankle hops (10reps x 2set) – Participant should stand straight with feet of
shoulder width apart. Place a cone on the ground. Ask the participants to jumps in front that is across the cone by maintaining balance of the body.
5)Single leg hoping (10reps x 2sets) – Participants should stand straight in neutral position with shoulder width apart and then bend at the knee on one leg and start hoping. Maintain balance while hoping. Hoping is done in same
position for both the legs.
Exercises are given for 20 min and after that rest period is of 15 min.
Dynamic stretching(Conventional Therapy):
1)Hamstring stretch: Performed by standing on the ground with feet shoulder width apart and bending the trunk forward with the goal of contacting the right foot with the left hand and vice versa with a dynamic movement.
2)Gastrocnemius stretch: Individual takes one step forward while standing, while the knee of the leg in the back was fully extended. The dynamic stretch was induced by pushing the front knee forward.
3)Soleus stretch: Individual takes one step forward while standing, while the knee of the leg in the back was fully extended.
Each stretching will be provided for 30sec of 3 sets for 15 min. Stretching will be
given bilaterally for both the limbs.
Entire session along with the conventional
therapy will be of 35min along with 15 min rest period. Training for will be given
for 3 days in a week alternatively for 3 weeks. |
| Comparator Agent |
Group B (Conventional
therapy) |
Group B: Individuals will be trained with dynamic stretching focusing on 3 muscles like gastrocnemius, hamstring and soleus muscle
The list of stretching exercises which are provided are:
1)Hamstring stretch: Performed by standing on the ground with feet shoulder width apart and bending the trunk forward with the goal of contacting the right foot with the left hand and vice versa with a dynamic movement.
2)Gastrocnemius stretch: Individual takes one step forward while standing, while the knee of the leg in the back was fully extended. The dynamic stretch was induced by pushing the front knee forward.
3)Soleus stretch: Individual takes one step forward while standing, while the knee of the leg in the back was fully extended.
Each stretching will be provided for 30sec of 3 sets for 15 min. Stretching will be
given bilaterally for both the limbs.Training for will be given for 3 days in a week alternatively for 3 weeks. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
25.00 Year(s) |
| Gender |
Both |
| Details |
1.Recreational Volleyball players recruited from colleges of Nitte Deemed-to-be University
2.Male and female students of Age: 18-25 years
3.Recreational Volleyball Players with decreased ankle range of motion and strength |
|
| ExclusionCriteria |
| Details |
Recreational Volleyball Players
1.With Fractures
2.Any recent lower limb and spinal injuries
3.Cardiorespiratory problems
4.Pain during medical and physical examination are excluded from the study
5.Players who play less than 3-4 times in a week |
|
|
Method of Generating Random Sequence
|
Random Number Table |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
1.Dynamometer(Strength)
2.Inclinometer(Range)
3.Modified Dorsiflexion Lunge Test
4.Agility T Test |
2 times - on day 1 pre measurement and after 3 week of intervention post measurement(for all the outcomes) |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Nil |
Nil |
|
|
Target Sample Size
|
Total Sample Size="42"
Sample Size from India="42"
Final Enrollment numbers achieved (Total)= "42"
Final Enrollment numbers achieved (India)="42" |
|
Phase of Trial
|
Phase 2 |
|
Date of First Enrollment (India)
|
01/07/2024 |
| Date of Study Completion (India) |
02/02/2025 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="1"
Months="0"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Completed |
Publication Details
Modification(s)
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
Brief Summary
Modification(s)
|
Recreational sport can be considered as both leisure activities and sports. Volleyball is played both indoors and outdoors. It involves combination of several physical qualities, particularly strength, speed, agility, and flexibility, which is essential for one who plays volleyball. A volleyball player performs powerful movements during the game, such as jumping, digging, spiking, blocking, striding, and also initiates multidirectional movements. Volleyball movements exert immense force on ankles, up to ten times body weight, raising injury risks. Factors like flexibility loss and muscle weakness worsen this. Repetitive landings can lead to functional ankle instability, emphasizing the need for strength, balance, and biomechanical awareness to prevent injuries. Lower extremity injuries, which constitute 50 of 60% of volleyball injuries, are predominantly ankle-related (47.4%), with non-contact traumatic incidents at 25.4% and overuse at 4.4%. Plyometric training has shown significant benefits for players, enhancing muscle strength, flexibility, agility, and overall athletic performance. It stimulates stretch reflexes, muscle activation, and neuromuscular control, improving joint proprioception during high-impact actions like jumping and landing, thus aiding injury prevention and performance enhancement. In addition, plyometric exercise helps in enhancing agility performance, which requires both co-ordination and balance, which increases proprioceptive feedback. For better sports performance, training will be planned along with regular activity. The training technique which is provided consists of brief periods of rest intervals along with high-intensity activity with optimum repetition. Training involves similar movements which increases endurance capacity of players so that muscle works on its own pace according to movement. Recent evidence suggests that dynamic stretching enhances ankle flexibility, range, and motor task performance. Plyometric training has been shown to improve balance, flexibility, and functional performance in basketball and soccer players. The Agility T Test has proven effective in enhancing overall performance in various sports. However, the Modified Dorsiflexion Lunge Test, an ankle injury risk assessment tool, has been adequately utilized in studies. This research aims to use the Modified Dorsiflexion Lunge Test with an inclinometer to enhance ankle stability and reduce injury risk in recreational volleyball players. The study investigates the impact of plyometric training on ankle stability, focusing on strength, flexibility, and functional performance to reduce ankle injuries. |