A warm-up program to prevent injuries in basketball

ISRCTN ISRCTN15837920
DOI https://doi.org/10.1186/ISRCTN15837920
Secondary identifying numbers 2
Submission date
09/09/2021
Registration date
15/09/2021
Last edited
28/09/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Given the high incidence rates and long-term consequences associated with ankle and anterior cruciate ligament (ACL) injury, there has been extensive research on injury prevention programs in basketball players but the findings have been ambiguous. The aim of this study is to assess the effectiveness of a specifically designed five-phase warm-up protocol at reducing the risk of basketball-related injuries.

Who can participate?
Officially registered basketball teams in Switzerland with players aged 16 years and over with more than 2 years’ experience in organized basketball training and competition

What does the study involve?
Eligible basketball teams will be randomly allocated to a control or intervention group. The intervention is designed to include balance, flexibility, strength, plyometrics and agility drills, replicating a basketball-specific workload. Teams from the control group will be instructed to perform their usual warm-up routine, including light aerobic exercises, basketball and team drills, and dynamic stretching. Injuries are reported (via e-mail) by the coach or other contact person (therapist, medical doctor) on a weekly injury report form (standardized questionnaire) for one basketball season from October 2021 to May 2022.

What are the possible benefits and risks of participating?
A specifically designed training program can be effective in reducing the risk of injury in basketball players. Prevention of basketball injuries can be beneficial to basketball players, teams, the Swiss Basketball Federation, health insurance companies, and society. There is a mild risk of injury if proper form and technique are not used. The risks will be minimized by focusing on proper technique, movement awareness, body positioning and basketball-specific activity demands, along with using trained technicians (e.g. strength and conditioning coaches) as well as research participants who have experience with neuromuscular training.

Where is the study run from?
University of Basel (Switzerland)

When is the study starting and how long is it expected to run for?
August 2021 to May 2022

Who is funding the study?
Swiss Government (Switzerland)

Who is the main contact?
Dr Oliver Faude
oliver.faude@unibas.ch

Contact information

Dr Oliver Faude
Scientific

Department of Sport, Exercise and Health
University of Basel
Birsstrase. 320B
Basel
4052
Switzerland

Phone +41 (0)61 207 47 35
Email oliver.faude@unibas.ch
Dr Emilija Stojanovic
Scientific

Department of Sport, Exercise and Health
University of Basel
Birsstrase 320B
Basel
4052
Switzerland

Phone +38 (0)1655510466
Email stojanovic.emilija@yahoo.com

Study information

Study designTwo-arm single-center cluster-randomized controlled trial
Primary study designInterventional
Secondary study designCluster randomised trial
Study setting(s)Other
Study typePrevention
Participant information sheet No participant information sheet available
Scientific titleA neuromuscular warm-up program to prevent injuries in basketball - a cluster-randomized controlled trial
Study acronymIPPB
Study hypothesisA specifically designed training program can be effective in reducing the incidence rate of injury in basketball players.
Ethics approval(s)Approved 24/08/2021, Ethikkommission Nordwest- und Zentralschweiz (Hebelstrasse 53, 4056 Basel CH, Switzerland; +41 (0)61 268 13 50; eknz@bs.ch), ref: 2021-01668
ConditionInjury prevention in basketball
InterventionAll teams will be randomly allocated to a control or intervention group in a 1:1 ratio. The researcher who conducts the randomization will not be involved in the intervention, and recruitment will be completed before randomization. Computer-generated cluster randomization will be conducted using Research Randomizer software (https://www.randomizer.org/).

A specifically designed five-phase (20 min) neuromuscular warm-up protocol will be integrated within the regular training routines. At the beginning of the season, each coach will obtain an exercise manual including a detailed description of the setup, all the exercises (including different difficulty levels), and additional background information concerning posture corrections and proprioception. Intervention components are designed to include running (running straight ahead, running high-knees, running glute-kick, hip out, hip in, leg crossovers), plyometrics, balance, strength (walking lunge, double leg jump – double-leg landing, single-leg jump to double leg jump, double leg jump – highest point catch – double-leg landing, single-leg jump – highest point catch – single-leg landing, double leg jump – two-handed pass, wall sit, ball release core rotations, plank, side plank) and agility drills (mirror forwards and backwards, mirror side shuffle), replicating a basketball-specific workload as recommended from the literature. Teams from the control group will be instructed to perform their usual warm-up routine, including light aerobic exercises, basketball and team drills, and dynamic stretching.
Intervention typeBehavioural
Primary outcome measureIncidence rate of lower extremity injuries, reported (via e-mail) by the coach or other contact person (therapist, medical doctor) on a weekly injury report form (standardized questionnaire). The observation period will comprise one basketball season from October 2021 to May 2022
Secondary outcome measuresIncidence rate of:
1. Overall injuries
2. Severe injuries (lay-off time of more than 28 days)
3. Joint-ligament injuries
4. Muscle injuries
5. Ankle injuries
6. Knee injuries
7. Upper extremity injuries

Reported (via e-mail) by the coach or other contact person (therapist, medical doctor) on a weekly injury report form (standardized questionnaire). The observation period will comprise one basketball season from October 2021 to May 2022
Overall study start date24/08/2021
Overall study end date31/05/2022

Eligibility

Participant type(s)Healthy volunteer
Age groupMixed
SexBoth
Target number of participants124
Total final enrolment130
Participant inclusion criteria1. ≥16 years of age
2. >2 years’ experience in organized basketball training and competition immediately prior to participation in the study
3. Officially registered teams
Participant exclusion criteriaTeams will be excluded if:
1. Regular training takes place less than twice per week
2. Teams already apply an injury prevention program or a structured warm-up focusing on neuromuscular control (apart from light aerobic exercise, basketball and teams drills, and dynamic stretching)
Recruitment start date15/09/2021
Recruitment end date08/10/2021

Locations

Countries of recruitment

  • Switzerland

Study participating centre

University of Basel
Department of Sports, Exercise and Health
Birsstrasse 320B
Basel
4052
Switzerland

Sponsor information

University of Basel
University/education

Department for Sport Exercise and Health
Birsstrasse. 320B
Basel
4052
Switzerland

Phone +41 (0)61 207 4735
Email emilija.stojanovic@unibas.ch
Website https://www.unibas.ch/de
ROR logo "ROR" https://ror.org/02s6k3f65

Funders

Funder type

Government

Swiss Government

No information available

Results and Publications

Intention to publish date30/09/2022
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Dr Emilija Stojanovic (stojanovic.emilija@yahoo.com). All of the individual participant data collected during the trial will be available after deidentification and immediately after publication with no end date to anyone who wishes to access the data for any purpose.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results 17/05/2022 18/05/2022 No No
Protocol file version 2 13/09/2021 28/09/2022 No No

Additional files

ISRCTN15837920_BasicResults_17May22.pdf
ISRCTN15837920_PROTOCOL_V2_13Sep21.pdf

Editorial Notes

28/09/2022: Uploaded protocol (not peer reviewed).
18/05/2022: The basic results of this trial have been uploaded as an additional file.
17/05/2022: Total final enrolment added.
04/10/2021: The recruitment end date has been changed from 01/10/2021 to 08/10/2021.
10/09/2021: Trial's existence confirmed by the Federal Commission for Scholarships for Foreign Students.