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Trial registered on ANZCTR
Registration number
ACTRN12615001200572
Ethics application status
Approved
Date submitted
16/09/2015
Date registered
4/11/2015
Date last updated
22/06/2021
Date data sharing statement initially provided
22/06/2021
Date results provided
22/06/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
The evaluation the efficacy of functional training based on „joint-by-joint” approach in long distance runners.
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Scientific title
The evaluation the efficacy of functional training based on „joint-by-joint” approach in long distance runners.
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Secondary ID [1]
287489
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
injury
296231
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tissue overload
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Condition category
Condition code
Musculoskeletal
296503
296503
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0
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Normal musculoskeletal and cartilage development and function
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Physical Medicine / Rehabilitation
296504
296504
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Functional training employed by us consists of two stages.
The first one lasts 6 weeks and is devoted to activation of inner foot muscles on the plantar side. The exercises will be performed barefoot with the proper loading of three support points of the feet (the first and the fifth metatarsal heads and the heel). Three kinde of exercise will be applied “Vele’s Forward Lean” (maximal forward lean from a standing position), “Reverse Tandem Gait” (walking backwards) and “Short Foot Exercise” (shortening the foot in the anterior-posterior direction and attempting to bring the head of the metatarsals towards the heel without toe flexion).
The second stage lasts also 6 weeks and is devoted to functional training, which comprises exercises individually customized for each runner aiming to correct their particular dysfunctions. This functional training aims to improve mobility and stability.
The exercise wil be chosen from Functional Movement Screen Corrective Exercise Manual.
Each subject will be examined three times: before the first stage, after the first stage and after the second stage. Trainings will be done every day and each session will last about one hour. Six of the seven sessions per week will be done under no supervision at home. Each subject will be asked to fill the training diary after training session. One training a week will be done under the therapist control.
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Intervention code [1]
292872
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Treatment: Other
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Intervention code [2]
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Prevention
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Influence of functional training and exercising short plantar foot muscles on foot placement.
Foot placement will be assessed by The Foot Posture Index (FPI-6)
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Assessment method [1]
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Timepoint [1]
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Baseline, after 6 weeks of short foot muscles exercise, after 6 weeks of functional training
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Primary outcome [2]
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Influence of functional training and exercising short plantar foot muscles functional movement patterns
Functional movement patterns will be assessed by Functional Movement Screen test.
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Assessment method [2]
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Timepoint [2]
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Baseline, after 6 weeks of short foot muscles exercise, after 6 weeks of functional training
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Secondary outcome [1]
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Quality of fundamental movement patterns
Will be assessed by Functional Movement Screen test.
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Assessment method [1]
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Timepoint [1]
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Baseline, after 6 weeks of short foot muscles exrcise, after 6 weeks of functional training
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Secondary outcome [2]
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Foot posture
Will be assessed by The Foot Posture Index (FPI-6)
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Assessment method [2]
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Timepoint [2]
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Baseline, after 6 weeks of short foot muscles exrcise, after 6 weeks of functional training
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Secondary outcome [3]
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Lower limbs power
Will be assessed by plyometrics platform during jumps
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Assessment method [3]
318413
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Timepoint [3]
318413
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Baseline, after 6 weeks of short foot muscles exrcise, after 6 weeks of functional training
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Secondary outcome [4]
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Load distribution
Will be assessed by baropodometry platform during standing and walking
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Assessment method [4]
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Timepoint [4]
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Baseline, after 6 weeks of short foot muscles exrcise, after 6 weeks of functional training
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Eligibility
Key inclusion criteria
long distance runners who run regularly 3-7 times a week with a total distance of 30-100 km per week
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Minimum age
20
Years
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Maximum age
45
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
previous history of acute injury in the six months prior to the enrollment on the study
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
20/04/2015
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Date of last participant enrolment
Anticipated
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Actual
30/11/2017
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Date of last data collection
Anticipated
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Actual
28/02/2018
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Sample size
Target
60
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Accrual to date
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Final
75
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Recruitment outside Australia
Country [1]
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Poland
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State/province [1]
7172
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
292063
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Primary sponsor type
Individual
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Name
prof Anna Mika
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Address
University of Physical Education in Krakow
al. Jana Pawla II 78
31-571 Krakow
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Country
Poland
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
290738
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Country [1]
290738
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
293547
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The Ethical Committee of Regional Medical Chamber in Krakow
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Ethics committee address [1]
293547
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ul. Krupnicza 11a, 31-123 Krakow, Poland
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Ethics committee country [1]
293547
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Poland
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Date submitted for ethics approval [1]
293547
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Approval date [1]
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15/04/2015
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Ethics approval number [1]
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40/KBL/OIL/2015
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Summary
Brief summary
Running is one of the most common forms of movement activities but, unfortunately, dangers of injuries or strains are high on both professional and amateur level. When an injury takes place it triggers sequence of changes in movement apparatus causing consequential dysfunctions. Risk factors of foot injuries constitute a whole separate group especially in runners. Functional training is understood as a specific set of exercises aimed to establish essential movement patterns vital for normal development of motor abilities in athletes. It ensures separate elements of biokinematic chain are combined into an optimal movement pattern. Functional training is employed to improve physical fitness and results in sports, and to decrease injury risks. Main assumption of “joint-by-joint” therapy conception is a holistic approach to an athlete or a patient. Insufficient stability in a certain body area (e.g. lumbar spine) could be caused by insufficient mobility in the area nearby (e.g. limited hip-joint extension). According to “joint-by-joint” conception therapy should begin first with exercises improving mobility, from the ankle up, segment by segment, then continue with improving stability. Exercises which activate inner foot muscles on the plantar side aim to restore strength and normal muscle tension as well as strengthen medial longitudinal arch, what, in its turn, increase stability in the ankle. Those exercises are employed both in sports and rehabilitation. They are advised in cases of ankle injuries, pes planus, claw and hammer toes as well as an element of sensomotor training. But have not found any reports on employment of those exercises in runners. Functional examination, by means of detection of all limitations and asymmetries, allows to employ individually customized trainings, which could stimulate restoration of correct movement patterns and decrease injury risks in athletes and patients. Aims The aim of the presented research is to define influence of exercising short plantar foot muscles on foot placement and functional movement patterns in runners. Above that we would like to assess efficiency of functional training based on “joint-by-joint” therapy conception, customized to compensate individual limitations and dysfunctions in runners.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Anna Mika
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Address
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University of Physical Education in Krakow
al. Jana Pawla II 78
31-571 Krakow
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Country
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Poland
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Phone
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(4812)6831134
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Anna Mika
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Address
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University of Physical Education in Krakow
al. Jana Pawla II 78
31-571 Krakow
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Country
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Poland
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Phone
60419
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(4812)6831134
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Anna Mika
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Address
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University of Physical Education in Krakow
al. Jana Pawla II 78
31-571 Krakow
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Country
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Poland
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Phone
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(4814)6831134
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Fax
60420
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Email
60420
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The Influence of Plantar Short Foot Muscle Exercises on the Lower Extremity Muscle Strength and Power in Proximal Segments of the Kinematic Chain in Long-Distance Runners.
2019
https://dx.doi.org/10.1155/2019/6947273
N.B. These documents automatically identified may not have been verified by the study sponsor.
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