| CTRI Number |
CTRI/2026/03/107112 [Registered on: 30/03/2026] Trial Registered Prospectively |
| Last Modified On: |
16/03/2026 |
| 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
|
Effect of Plyometric and Eccentric training VS Fifa 11+ on Hamstring - Quadriceps Strength ratio Among Football PLayers : A Randomized Clinical Trial |
|
Scientific Title of Study
|
Effect Of Plyometric And Eccentric Training vs Fifa 11+ On Hamstring- Quadriceps Strength Ratio Among Footballers : A Randomized Clinical 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 |
Dr Basavaraj Motimath |
| Designation |
HOD, Department of sports physiotherapy |
| Affiliation |
KAHER institute of physiotherapy |
| Address |
KLE Dr. Prabhakar kore Hospital and MRC, Advanced physiotherapy centre, Department of sports physiotherapy Nehrunagar Belgaum karnataka 590010
Belgaum
KARNATAKA
590010
India |
| Phone |
9886100461 |
| Fax |
|
| Email |
basavarajmotimath@klekipt.edu.in |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Basavaraj Motimath |
| Designation |
HOD, Department of sports physiotherapy |
| Affiliation |
KAHER institute of physiotherapy |
| Address |
KLE Dr. Prabhakar kore Hospital and MRC, Advanced physiotherapy centre, Department of sports physiotherapy Nehrunagar Belgaum karnataka 590010
KARNATAKA
590010
India |
| Phone |
9886100461 |
| Fax |
|
| Email |
basavarajmotimath@klekipt.edu.in |
|
Details of Contact Person
Public Query
|
| Name |
Siddharth Godhwani |
| Designation |
Post Graduate |
| Affiliation |
KAHER institute of physiotherapy |
| Address |
KLE Dr. Prabhakar kore Hospital and MRC, Advanced physiotherapy centre, Department of sports physiotherapy Nehrunagar Belgaum karnataka 590010
Belgaum
KARNATAKA
590010
India |
| Phone |
9353609068 |
| Fax |
|
| Email |
godhwanisiddharthwork@gmail.com |
|
|
Source of Monetary or Material Support
|
| KLE Dr Prabhakar Kore Hospital and MRC |
|
|
Primary Sponsor
|
| Name |
Siddharth Godhwani |
| Address |
KLE Dr. Prabhakar kore Hospital and MRC, Advanced physiotherapy centre, Department of sports physiotherapy Nehrunagar Belgaum karnataka 590010 |
| Type of Sponsor |
Other [self] |
|
|
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 Siddharth Godhwani |
KLEs Dr Prabhakar Kore hospital and MRC |
KLEs Dr Prabhakar Kore hospital and MRC , Advanced physiotherapy center, sagar floor , department of sports physiotherapy , room no 38 , nehru nagar , belagavi , karnataka 590010
Belgaum
KARNATAKA |
9353609068
godhwanisiddharthwork@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Research and ethics committe, institute of physiotherapy, belagavi |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
Football players |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
combined plyometric and eccentric training program |
The program will include exercises such as Nordic hamstring curls, eccentric hamstring curls, glute ham raises, depth jumps, two-foot lateral jumps, single-leg jumps, bounding, plant-and-cut drills, and high-speed running drills across the pitch. These exercises are designed to improve eccentric hamstring strength, neuromuscular control, and functional knee stability. The training intensity and progression will be monitored and adjusted appropriately over the 4-week period. |
| Intervention |
FIFA 11+ injury prevention program |
structured neuromuscular warm-up protocol widely used in football. The program includes running exercises at varying intensities, strength exercises, balance training, and controlled jumping drills as per the standardized FIFA 11+ guidelines. A rest period of approximately 60 seconds between exercises and 30–45 seconds between sets will be provided. |
| Comparator Agent |
nil
|
nil |
|
|
Inclusion Criteria
|
| Age From |
14.00 Year(s) |
| Age To |
50.00 Year(s) |
| Gender |
Both |
| Details |
Participants included in the study will be football players of all genders aged 14 years and above, with a minimum of one year of playing experience in football. Only those athletes demonstrating a hamstring-to-quadriceps (H:Q) strength ratio of less than 0.6 will be considered eligible for participation. All participants must be willing to take part in the study and provide written informed consent; for participants below 18 years of age, parental consent and participant assent will be obtained prior to enrollment.
|
|
| ExclusionCriteria |
| Details |
Participants will be excluded if they have sustained any recent fractures, lower limb injuries, or undergone surgery within the past six months. Individuals with diagnosed hypertension, neurological disorders, or cardiovascular conditions will also be excluded. Additionally, footballers currently undergoing any other structured performance training program or rehabilitation program that may influence muscle strength or neuromuscular performance will not be included in the study to avoid confounding effects. |
|
|
Method of Generating Random Sequence
|
Random Number Table |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Push-pull dynamometer |
outcome measures will be assessed pre intervention and post intervention after 4 weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| sEMG Analysis |
outcome measures will be assessed pre intervention and post intervention after 4 weeks |
|
|
Target Sample Size
|
Total Sample Size="40"
Sample Size from India="40"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
15/04/2026 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1"
Months="0"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
This study aims to compare the effects of combined plyometric and eccentric training versus the FIFA 11+ program on the hamstring-to-quadriceps (H:Q) strength ratio among football players. Football involves repetitive high-intensity movements such as sprinting, jumping, and rapid directional changes, which increase the risk of hamstring strains and non-contact ACL injuries. An imbalance in the H:Q ratio, particularly reduced eccentric hamstring strength, is considered a major modifiable risk factor for such injuries. Although the FIFA 11+ program is widely implemented for injury prevention, it may not provide sufficient targeted eccentric loading to correct existing muscle imbalances.
This randomized parallel-group clinical trial will include 40 footballers aged 14 years and above with an H:Q ratio below 0.6. Participants will be randomly allocated into two groups: Group A will undergo combined plyometric and eccentric training, while Group B will perform the FIFA 11+ program. The intervention will be conducted twice weekly for four weeks. Hamstring and quadriceps strength will be assessed pre- and post-intervention using a push-pull dynamometer and EMG analysis. The findings of this study may help identify a more effective physiotherapy-based injury prevention strategy to optimize neuromuscular balance and reduce lower-limb injury risk in football players. |