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The effect of motor control training according to the kinetic control concept on the back pain of female football players |
Zaworski K, Gawlik K, Kregiel-Rosiak A, Baj-Korpak J |
Journal of Back and Musculoskeletal Rehabilitation 2021;34(5):757-765 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
BACKGROUND: Due to a significant burden associated with training sessions and matches, female football players often suffer from lumbar pain. Physical exercise is considered an effective form of therapy for this condition. The exercises in the kinetic control concept are one of the forms of motor control training. OBJECTIVE: The aim of the study was to evaluate the effectiveness of motor control training according to the kinetic control concept on the level of lumbar spine pain, degree of disability, functional level and load distribution of lower limbs in football players. METHODS: The study included 18 football players, randomly divided into two study groups: A -- female players implementing their training plan with additional kinetic control training (n = 9) and B (control) -- female players implementing their training plan only (n = 9). Pain intensity was measured using visual analogue scale (VAS) and Laitinen's questionnaire. Functional disability was assessed using Oswestry Disability Index (ODI) and Back Pain Functional Scale (BPFS). The asymmetry index was assessed in a balance test with open and closed eyes and a countermovement jump (CMJ). RESULTS: There was a significant statistical difference between the groups (p < 0.05) in measurements using VAS, ODI and BPFS, in favor of group A. Asymmetry index values in tests on the dynamometer platform did not differ significantly between the groups (p > 0.05). A statistically significant correlation was found between the asymmetry index score in the closed-eye balance test (r = 0.567, p = 0.049) and the CMJ landing phase (r = 0.641, p = 0.033), and the level of pain measured using VAS. CONCLUSIONS: Motor control training in the kinetic control concept reduced the pain symptoms of the lumbar spine and the degree of disability and increased the functional level in football female players.
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