Clinical Research Directory

ACL Mechanical Property Changes in Female Collegiate Basketball Players During a Competitive Season

This prospective cohort study aims to investigate whether the mechanical properties of the anterior cruciate ligament (ACL) undergo measurable changes throughout a competitive basketball season in female collegiate athletes. Female athletes are at a significantly higher risk for non-contact ACL injuries compared to males. Beyond acute injuries, cumulative stress from high-intensity sports may lead to subclinical alterations in the ligament's biomechanical properties, potentially increasing injury risk. Using non-invasive shear wave elastography (SWE) and countermovement jump (CMJ) tests, the study will monitor 60 elite players before and after the University Basketball League (UBL) season. The findings will help identify potential signs of cumulative loading and contribute to the development of early detection markers for injury risk in female athletes.

Integrated Neuromuscular Training Improves Jump Height and Landing Mechanics in Male Volleyball Athletes

Background Volleyball is a sport that requires frequent jumping, landing, rapid movements, and changes in direction. During a match, players repeatedly perform actions such as spikes, blocks, and quick defensive movements. Because of these repetitive high-impact movements, volleyball players are at risk of lower-limb injuries, especially to the knees, ankles, and hips. Many injuries occur when athletes land incorrectly after jumping, when muscles are not strong enough, or when the body's balance and coordination are not optimal. Poor movement control during landing can place excessive stress on the joints and surrounding tissues. For this reason, improving the way athletes jump, land, and control their movements is very important for both performance and injury prevention. Purpose of the Study The main purpose of this study was to determine whether an 8-week Integrated Neuromuscular Training program could improve the following aspects in male volleyball athletes: Anthropometric profile, Jump-landing mechanics, Vertical jump height. Male volleyball athletes volunteered to participate in this research. All participants were active players who regularly took part in volleyball training and competitions. Integrated Neuromuscular Training (INT) is a structured exercise approach designed to improve the coordination between the muscular system and the nervous system. In simple terms, it helps the body learn how to move more efficiently, safely, and powerfully. The training program used in this study included a combination of exercises such as strength training to improve muscle power and joint stability, balance and stability exercises to enhance body control, plyometric exercises. This study used a single-blind pretest-posttest design. Pretest: The athletes were evaluated before the training program started. Training period: The participants completed the 8-week Integrated Neuromuscular Training program. Posttest: After the training program, the same measurements were taken again.

THE MYOFASCIAL SYSTEM AND MINIMIZING THE RISK OS INJURY IN SPORT

The aim of the study is to evaluate the effect of myofascial self-release on muscle mechanical properties, performance, neuromuscular function, and injury risk reduction in young soccer players. The hypothesis is a reduction in the number of injuries in the experimental group, as well as improvements in muscle mechanical properties, performance, and neuromuscular function in young soccer players.The study will be a randomized clinical trial with a convenience sample of approximately 65 male athletes aged between 14 and 18 years, divided into control and experimental groups. Athletes with no history of injury in the three months prior to the study will be included, while those with a history of previous surgery or lower limb fractures in the past five years, or who are undergoing physiotherapy at the time of the study, will be excluded.Muscle mechanical properties (myotonometry), flexibility (sit-and-reach test), ankle dorsiflexion range of motion (Weight Bearing Lunge Test), motor control (Y Balance Test), and the reactive strength index (Myjump App) will be assessed before, immediately after, and at 8 and 16 weeks post-intervention. Myofascial self-release will be performed bilaterally on the quadriceps, hamstrings, and calves for 2 minutes per region, twice a week, using a structured massage roller. All procedures will be demonstrated beforehand during the study. For the Myoton procedure, the athlete will simply lie in a supine and prone position on the examination table. The athlete will only be asked to remain still in the "face-up" or "face-down" position, feeling only the light contact of the device's probe, which is painless and will be demonstrated beforehand. In the Y Balance Test, athletes will be asked to balance on one foot atop a grid placed on the floor, with their hands on their hips, and reach as far as possible with the non-supporting leg in three marked directions on the floor, without lifting the heel of the supporting leg. For the Ankle Range of Motion - Weight Bearing Lunge Test, the athlete will place the tested foot on a measuring tape positioned on the floor and will be instructed to touch their knee to the wall in front of them without lifting the heel of the tested foot. Three attempts will be allowed, and the longest distance from the big toe to the wall will be recorded. In the Sit-and-Reach Test, the athlete will sit on the floor with bare feet and both legs extended. They will be instructed to keep their hands side by side and try to reach the greatest possible distance on the ruler in front of them by bending forward without bending their legs, holding the position for one second to measure the distance. Three attempts will be allowed, and the greatest distance reached will be recorded. For ground reaction strength, the athlete will be asked to jump off a 40 cm high box, and as soon as their feet touch the ground, they will be encouraged to jump upward as quickly and as high as possible. In myofascial self-release, athletes in the experimental group will be asked to use the myofascial release roller for 2 minutes before training on each of the three muscle groups - anterior and posterior thigh and posterior leg. Athletes will be instructed to roll using as much pressure as possible on the roller. For the anterior thigh, they will roll across the entire front part of the thigh; for the posterior thigh, they will roll from just below the gluteal region to just above the knee; and for the posterior leg, they will roll from just below the knee to just above the heel.

Comparison of Quadriceps and Semitendinosus Grafts in ACL Reconstruction Using Data From the Danish Knee Ligament Reconstruction Registry (DKRR)

This study looks at two different types of tendon (tissue) used in knee surgery to repair a torn anterior cruciate ligament (ACL), which is a common injury in active people. The two types are taken from different muscles in the thigh: one from the front (quadriceps) and one from the back (semitendinosus). We will use information already collected in a national health registry to see how patients recover after surgery. The study will compare knee function, activity level, and how often patients need another operation.