]>
IRCT20220614055164N1 IRCT 2022-10-09 Razi University of Kermanshah The Effect of Four Weeks of Neuromuscular Exercise and Transcranial Direct Current Stimulation on Balance and Lower Limb Muscles Electromyography of Martial Arts Athletes with Dynamic Knee Valgus at the Moment of Landing. The Effect of Four Weeks of Neuromuscular Exercise and Transcranial Direct Current Stimulation (tDCS) on Balance and Lower Limb Muscles Electromyography of Martial Arts Athletes with Dynamic Knee Valgus at the Moment of Landing 2022-08-06 anticipated 34 Complete https://irct.ir/trial/64150 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention, Randomization description: This study is a one-way blind randomized trial with parallel groups and a pretest-posttest design, which uses a randomized list from random.org to investigate the feasibility of direct extracorporeal flow stimulation and neuromuscular training. In people with dynamic Volgus, it deals with the knee, Blinding description: This study is a one-way blind randomized trial in which participants are considered a blind group, selected using a random list from random.org. N/A Dynamic knee valgus. Intervention 1: "Intervention group:" The interventions performed in this group include: TDCS transcranial direct current stimulation, after coming to the laboratory, the subject will be asked to sit on a comfortable chair that has already been placed in the desired location. Then, the direction of installation of the electrodes will be marked using a special EEG cap, and then the electrodes will be installed in the marked areas. To stimulate the right M1 area, the anode electrode will be placed in the FC2 area and the cathode electrode will be placed on the left shoulder. After the electrodes are installed, the subjects will be seated and without any verbal communication for 20 minutes for anodal electrical stimulation with an intensity of 2 They will receive milliamps. After that, neuromuscular exercises such as resistance training, plyometrics, dynamic stability, central body strength are used. The subjects are required to complete 1-hour training sessions, three times a week for 4 weeks. This program includes a 10-minute dynamic warm-up that includes multi-planar movement, mobility, coordination, balance, plyometrics, and jogging with the goal of increasing body temperature. After the dynamic warm-up, the subjects perform initial exercises focusing on muscle strength, lower body strength, upper body strength, and core strength. As the subjects get used to the exercises, the volume is gradually increased. Exercises include the use of body mass, barbells, dumbbells, resistance bands and weight plates. Subjects will perform the exercises between 3 to 4 sets of 10 to 15. Intervention 2: "Control group:" The interventions of this group include: TDCS transcranial direct current stimulation exercises. In this group, the method of recording the electrodes will be similar to the anodal electrical stimulation mode (intervention group), with the difference that sham stimulation will be used. In this stimulation, the electric current will be gradually increased for 30 seconds to create a state similar to anode stimulation, and then it will return to the initial state and practically no stimulation will be received in the target areas. After that, neuromuscular exercises such as resistance training, plyometrics, dynamic stability, central body strength are used. The subjects are required to complete 1-hour training sessions, three times a week for 4 weeks. This program includes a 10-minute dynamic warm-up that includes multi-planar movement, mobility, coordination, balance, plyometrics, and jogging with the goal of increasing body temperature. After the dynamic warm-up, the subjects perform initial exercises focusing on muscle strength, lower body strength, upper body strength, and core strength. As the subjects get used to the exercises, the volume is gradually increased. Exercises include the use of body mass, barbells, dumbbells, resistance bands and weight plates. Subjects will perform the exercises between 3 to 4 sets of 10 to 15. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Based on the large amount of data, the research team has not yet made a final decision to publish the data.
public Mozhdeh Sadat Moshashaei Hajeabadei
Razi University, University Street,Bostan Arch
Kermanshah Iran (Islamic Republic of) 6714414971 +98 83 3427 7605 m.moshashaei@stu.razi.ac.ir Razi University of Kermanshah scientific Farzanh Gandomi
Razi University, University Street, Bostan Arch
Kermanshah Iran (Islamic Republic of) 6714414971 +98 83 3427 7605 gandomif@razi.ac.ir Razi University of Kermanshah Iran (Islamic Republic of) Being healthy female athletes At the time of study, at least three years of continuous and regular participation in martial arts training (Taekwondo, Karate, Wushu, etc.) A history of knee or ankle injuries in the last year has not been reported. Athletes with more than 12 degrees of knee valgus are considered to have dynamic knee valgus. 15 years 35 years Female Athletes with an acute injury in the last six months that prevented them from doing physical activity. History of fracture or surgery in the lower limb. Having strengthening interventions in addition to martial arts sports activities Prevention Placebo "Intervention group:" The interventions performed in this group include: TDCS transcranial direct current stimulation, after coming to the laboratory, the subject will be asked to sit on a comfortable chair that has already been placed in the desired location. Then, the direction of installation of the electrodes will be marked using a special EEG cap, and then the electrodes will be installed in the marked areas. To stimulate the right M1 area, the anode electrode will be placed in the FC2 area and the cathode electrode will be placed on the left shoulder. After the electrodes are installed, the subjects will be seated and without any verbal communication for 20 minutes for anodal electrical stimulation with an intensity of 2 They will receive milliamps. After that, neuromuscular exercises such as resistance training, plyometrics, dynamic stability, central body strength are used. The subjects are required to complete 1-hour training sessions, three times a week for 4 weeks. This program includes a 10-minute dynamic warm-up that includes multi-planar movement, mobility, coordination, balance, plyometrics, and jogging with the goal of increasing body temperature. After the dynamic warm-up, the subjects perform initial exercises focusing on muscle strength, lower body strength, upper body strength, and core strength. As the subjects get used to the exercises, the volume is gradually increased. Exercises include the use of body mass, barbells, dumbbells, resistance bands and weight plates. Subjects will perform the exercises between 3 to 4 sets of 10 to 15. "Control group:" The interventions of this group include: TDCS transcranial direct current stimulation exercises. In this group, the method of recording the electrodes will be similar to the anodal electrical stimulation mode (intervention group), with the difference that sham stimulation will be used. In this stimulation, the electric current will be gradually increased for 30 seconds to create a state similar to anode stimulation, and then it will return to the initial state and practically no stimulation will be received in the target areas. After that, neuromuscular exercises such as resistance training, plyometrics, dynamic stability, central body strength are used. The subjects are required to complete 1-hour training sessions, three times a week for 4 weeks. This program includes a 10-minute dynamic warm-up that includes multi-planar movement, mobility, coordination, balance, plyometrics, and jogging with the goal of increasing body temperature. After the dynamic warm-up, the subjects perform initial exercises focusing on muscle strength, lower body strength, upper body strength, and core strength. As the subjects get used to the exercises, the volume is gradually increased. Exercises include the use of body mass, barbells, dumbbells, resistance bands and weight plates. Subjects will perform the exercises between 3 to 4 sets of 10 to 15. Dynamic knee valgus. Timepoint: Before pre-test and post-test. Method of measurement: To do this, participants with inclusion criteria will be tested for the jump-landing test, and while doing so, a Canon camcorder will be used - in the front view and at a distance of two meters from the subject. Approximate time of this test is 10 to 15 It's a minute. The prepared video is given to kinoveia software and the knee valgus angle will be extracted at the moment of landing. Lower Limb Muscles Electromyography. Timepoint: After 10 minutes of warm-up, the lower limb electrical activity test is approximately 60 minutes long. Method of measurement: After heating, test the electrical activity of the lower limb with an EMG device that after skin preparation (skin shaving, use of 70% alcohol and sandpaper) at the installation site of electrodes for the muscles of gluteus medius, vestus medialis and vestus lateralis, toxic membrane Biceps, electrical activity of the mentioned muscles and valgus angle of the knee are measured in two landing skills from a 30 cm box and lateral jump. Sole pressure scanner. Timepoint: Balance test with foot pressure scanner The approximate time of this test is 10 to 15 minutes. Method of measurement: Balance test with foot sole pressure scanner, which is initially taken using a digital scale (SKA, made in Germany) to weigh the subject's weight and height. Subjects with the guidance of the researcher with bare feet on two legs and one foot with eyes open and closed on the marked area on the screen of the foot pressure device and the hand will be hanging next to the body. Razi University of Kermanshah Approved 2022-04-16 Ethics Committee of Kermanshah University of Razi Razi University, University Street, Bostan Arch kermanshah Kermanshah Iran (Islamic Republic of)