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IRCT20260910070994N1 IRCT 2026-10-01 The University of Guilan The Effect of Two Injury-Prevention Warm-Up Programs on Knee Injury Risk Factors in Basketball Players The effect of FIFA 11+ and SHRed warm-up programs on knee injury risk factors in female basketball players 2024-12-01 anticipated 30 Complete https://irct.ir/trial/93236 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: Eligible participants were randomly allocated to two groups (15 participants in each group) using the lottery method with sealed envelopes labeled A and B. One group received the FIFA 11+ program and the other received the SHRed program. N/A 1. Assessment of ankle dorsiflexion range of motion 2. Assessment of ankle plantarflexion range of motion 3. Assessment of knee proprioception at 30 and 60 degrees 4. Assessment of Landing Error Screening Score. Intervention 1: The FIFA 11+ protocol is a standardized warm-up program that consists of three main parts: the first part is active running and warm-up exercises, the second part is strength, plyometric, and balance exercises, and the third part is acceleration and change of direction. This protocol was usually performed for 6 weeks, three sessions per week, each session lasting 20 minutes. The warm-up program began with easy-level exercises in the first sessions, and the level of difficulty of the exercises increased over time. Studies have shown that performing FIFA 11+ can reduce the risk factors for knee injuries, including neuromuscular control and muscle balance. The warm-up process in FIFA 11+ was implemented as follows: first, the athlete performed light running exercises and active movements; then, with strength, balance, and jumping exercises, the muscles and joints were prepared for explosive movements and rapid changes of direction; and finally, the warm-up ended with explosive running and agility exercises. Also, the level of exercises (from Level 1-3), number of sets, and repetitions were adjusted each week according to the participants' overall progress. Intervention 2: The SHRed is a standardized 10–15 min protocol that includes three main parts and 13 exercises in total. It includes aerobic and mobility exercises (e.g., running and changing direction), strength exercises (e.g., core stability and Nordic hamstring exercises), agility exercises (e.g., changing direction and cutting), and balance exercises (e.g., standing on one leg). In the present study, the protocol was conducted by the participants for 6 weeks, with three sessions per week, each lasting 10 - 15 min, under the supervision of the researcher and a physiotherapist with 3 years of clinical experience before each training session. Also, according to the original protocol instructions, the exercise level in each part ranged from level 1 to level 2, depending on participants’ progress in each part. 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 There is no further information
public Ali Shamsimajelan
University of Guilan Complex, Km 5 Tehran Road, Persian Gulf Highway, Rasht, Iran
Rasht Iran (Islamic Republic of) 4199613776 +98 13 3369 0274 alishamsim@yahoo.com The University of Guilan scientific Ali Shamsimajelan
University of Guilan Complex, Km 5 Tehran Road, Persian Gulf Highway, Rasht, Iran
Rasht Iran (Islamic Republic of) 4199613776 +98 13 3369 0274 alishamsim@yahoo.com The University of Guilan Iran (Islamic Republic of) Iran (Islamic Republic of) Female basketball players Aged 18 to 25 At least 3 years of experience in basketball Experience participating in provincial-level competitions and team training sessions Regular training routine (at least three sessions per week) No history of lower-limb injury within the past 6 months 18 years 25 years Female Three non-consecutive absences or two consecutive absences during the warm-up program period Previous injury or surgery, particularly in the lower extremities History of chronic diseases or use of neurological medications Withdrawal or unwillingness to cooperate Failure to adhere to the warm-up program guidelines Prevention Prevention The FIFA 11+ protocol is a standardized warm-up program that consists of three main parts: the first part is active running and warm-up exercises, the second part is strength, plyometric, and balance exercises, and the third part is acceleration and change of direction. This protocol was usually performed for 6 weeks, three sessions per week, each session lasting 20 minutes. The warm-up program began with easy-level exercises in the first sessions, and the level of difficulty of the exercises increased over time. Studies have shown that performing FIFA 11+ can reduce the risk factors for knee injuries, including neuromuscular control and muscle balance. The warm-up process in FIFA 11+ was implemented as follows: first, the athlete performed light running exercises and active movements; then, with strength, balance, and jumping exercises, the muscles and joints were prepared for explosive movements and rapid changes of direction; and finally, the warm-up ended with explosive running and agility exercises. Also, the level of exercises (from Level 1-3), number of sets, and repetitions were adjusted each week according to the participants' overall progress. The SHRed is a standardized 10–15 min protocol that includes three main parts and 13 exercises in total. It includes aerobic and mobility exercises (e.g., running and changing direction), strength exercises (e.g., core stability and Nordic hamstring exercises), agility exercises (e.g., changing direction and cutting), and balance exercises (e.g., standing on one leg). In the present study, the protocol was conducted by the participants for 6 weeks, with three sessions per week, each lasting 10 - 15 min, under the supervision of the researcher and a physiotherapist with 3 years of clinical experience before each training session. Also, according to the original protocol instructions, the exercise level in each part ranged from level 1 to level 2, depending on participants’ progress in each part. Measurement of ankle dorsiflexion range of motion. Timepoint: Before the intervention and after the intervention for one and a half months. Method of measurement: Using a universal goniometer. Measurement of ankle plantarflexion range of motion. Timepoint: Before the intervention and after the intervention for one and a half months. Method of measurement: Using a universal goniometer. Measurement of knee proprioceptive recovery at a 30-degree angle. Timepoint: Before the intervention and after the intervention for one and a half months. Method of measurement: Using a universal goniometer. Measurement of knee proprioceptive recovery at a 60-degree angle. Timepoint: Before the intervention and after the intervention for one and a half months. Method of measurement: Using a universal goniometer. Evaluation of the Landing Error Scoring System (LESS) score. Timepoint: Before the intervention and after the intervention for one and a half months. Method of measurement: Using a specific scoring table based on a reliable reference. The University of Guilan Approved 2024-07-14 University of Guilan Ethics Committee University of Guilan Complex, Km 5 Tehran Road, Persian Gulf Highway, Rasht, Iran Rasht Guilan Iran (Islamic Republic of)