Plain English Summary
Background and study aims
Groin injuries are among the most common type of sports injuries involving high-impact actions like kicking, cutting, change of directions and rapid acceleration. In football, groin injuries account for 4-19% of the total injuries. Recent studies have shown that previous injuries, playing more often and reduced hip adductor (a group of muscles that make up the inner thigh) strength can increase a persons' chance of groin injuries in male football players. Studies looking at hockey and Australian football support the findings of reduced hip adductor strength as increasing risk of groin injury. Despite these findings, the FIFA 11+ (a warm-up program to prevent injuries in football players) does not include exercises designed to improve hip adductor strength. The overall aim of this project is to look at the effect incorporating Copenhagen Adduction (CA) exercises (exercises designed to increase hip adductor strength) into an 8 week war-up programme could help increase hip adductor strength and prevent groin injuries.
Who can participate?
Male football players aged between 15 and 19 who play for elite under 19's teams in Oslo (Norway).
What does the study involve?
Participants are randomly allocated to one of two groups. Participants in both groups take part in the FIFA 11+ training, which involves 15 exercises split into three parts. The firs part involves slow speed running exercises with stretching, the second part involves six exercises focusing on improving core and leg strength, balance and agility, and the third part involves moderate-high speed running exercises with planting/cutting movements (stopping and changing direction quickly). Participants in the first group also take part in CA exercises which involve floor-based leg-stretching exercises with a partner. At the start of the study and then at 8 weeks (when the final exercise has been finished), participants in both groups have the strength of their hip adductors and hamstrings measured.
What are the possible benefits and risks of participating?
There are no direct benefits or risks to participants taking part in the study.
Where is the study run from?
Oslo Sports Trauma Research Center (Norway)
When is the study starting and how long is it expected to run for?
January 2016 to March 2016
Who is funding the study?
Oslo Sports Trauma Research Center (Norway)
Who is the main contact?
Mr Joar Harøy
Joar.haroy@nih.no
Trial website
Contact information
Type
Scientific
Primary contact
Mr Joar Harøy
ORCID ID
http://orcid.org/0000-0002-0475-637X
Contact details
Norwegian School of Sport Sciences
Department of Sports Medicine
Oslo Sports Trauma Research Center
P.O. Box 4014 Ullevål Stadion
Oslo
0806
Norway
+47 971 95 435
joar.haroy@nih.no
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
N/A
Study information
Scientific title
The effect of the FIFA 11+ warm-up program with or without Copenhagen adduction exercise on eccentric hip adduction strength: a randomised controlled trial
Acronym
EADSE11+
Study hypothesis
Eccentric hip adduction strength for players performing FIFA 11+ will increase 10% or more, in players randomised to replacing the Nordic Hamstring (NH) exercises with the CA exercise, compared to players performing the standard FIFA 11+ program.
Ethics approval
1. Regional Committees for Medical Research Ethics, 19/11/2015, ref: 2015/1921/REK south east
2. Norwegian Social Science and Data Service, 27/11/2015, ref: 45393/3/LT/LR.
Study design
Single-centre randomized single-blind controlled trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Other
Trial type
Other
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet.
Condition
Eccentric hip adductor strength
Intervention
Two under 19's (U19) male football teams in the Oslo region are invited to take part in an 8-week study. Players will individually be randomized into the different training groups stratified according to team belonging.
FIFA 11+ group: The FIFA 11+ programme consists of three parts, with a total of 15 exercises, which should be performed in a specified sequence at the start of each training session. This consists of running exercises at a slow speed combined with active stretching and partner controlled contact, six exercises focusing on core and leg strength, balance and plyometrics/agility, each with three levels of increasing difficulty and then running exercise at moderate/high speed combined with planting/cutting movements. The participants will perform the warm-up program prior to training three times per week, supervised by a sports physiotherapist.
FIFA 11+ with CA group: The participants in the FIFA 11+ with CA group will be asked to carry out the FIFA 11+, but replacing the NH exercise with the CA exercise. The CA is a partner exercise where the player lying on their side with one forearm as support on the floor and the other arm placed along the body. The dominant leg is held in approximately the height of the hip of the partner, who holds the leg with one arm supporting the ankle and the other supporting the knee. The player then raises the body from the floor and the non-dominant leg is adducted so that the feet touch each other and the body is in a straight line. The body is then lowered halfway to the ground while the foot of the non-dominant leg is lowered so that it just touches the floor without using it for support. The players will perform CA on both legs. Participants will perform the FIFA 11+ as warm up three times a week, supervised by a sports physiotherapist.
At baseline and within 7 days after completing the last exercise (8 weeks), all participants undergo strength and performance testing, an eccentric hip adduction strength test, an eccentric hamstring strength test and a sprint test.
Intervention type
Other
Phase
Drug names
Primary outcome measure
Eccentric hip adduction strength in dominant leg is measured in Nm/kg using at portable hand-held dynamometer at baseline and 8 weeks.
Secondary outcome measures
1. Eccentric hamstring strength is determined by measuring the peak force (N) and average peak force of the three maximal hamstring trials using a NordBord at baseline and 8 weeks
2. Sprinting ability is measured using a 20 m sprint tests will be performed on an 8-mm Mondotrack FTS surface by timing participants on distances 0-5m, 0-10m, 0-15m and 0-20m at baseline and 8 weeks
3. Eccentric hip adduction strength in dominant leg is measured in Nm/kg using at portable hand-held dynamometer at baseline and 8 weeks
Overall trial start date
07/01/2016
Overall trial end date
15/03/2016
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
Healthy male football players playing in the regional elite U19 (15-19 years) league in Oslo region.
Participant type
Healthy volunteer
Age group
Mixed
Gender
Male
Target number of participants
The sample size calculation is based on a previous study examining strength effect on CA. With a power of 80% and a 10% increase in eccentric hip adduction strength (Δ=0.28, SD=0.316) in the FIFA 11+ group with CA and no strength increase (Δ =0, SD = 0.295) in the FIFA 11+ group, we need 20 players in each group. As we may expect dropouts due to injuries, we plan to include 25 players in each group.
Participant exclusion criteria
Players with any injury or illness which means that they can't part in the testing procedure.
Recruitment start date
08/01/2016
Recruitment end date
09/01/2016
Locations
Countries of recruitment
Norway
Trial participating centre
Oslo Sports Trauma Research Center
Norwegian School of Sport Sciences
PB 4014 Ullevål Stadion
Oslo
0863
Norway
Sponsor information
Organisation
Oslo Sports Trauma Research Center
Sponsor details
Department of Sports Medicine
Norwegian School of Sport Sciences
P.O. 4014 Ullevåll stadion
Oslo
0806
Norway
+47 23 26 23 67
ostrc@nih.no
Sponsor type
Research organisation
Website
Funders
Funder type
Research organisation
Funder name
Oslo Sports Trauma Research Center
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
We plan to publish the results in 2017.
Intention to publish date
30/06/2017
Participant level data
Available on request
Basic results (scientific)
Publication list
2017 results in: https://www.ncbi.nlm.nih.gov/pubmed/28806100