Botelho Marcelo B, Barbosa Marcio A, Junior Celso S, Lara Jerusa P R, Moreira Alexandre, Baptista Abrahão F
Medicine and Health Program, Federal University of Bahia, Salvador, Bahia, Brazil.
Fluminense Football Club, Rio de Janeiro, Rio de Janeiro, Brazil.
J Chiropr Med. 2022 Dec;21(4):270-279. doi: 10.1016/j.jcm.2022.02.021. Epub 2022 Jul 15.
The purpose of this study was to assess the feasibility of the procedures' routine, the recruiting rate, the presence of any significant detrimental impact on the players' training routine, and the sham efficacy in achieving blinding.
A parallel randomized controlled clinical trial was performed with 20 elite soccer players who were randomly assigned to 1 of 2 groups: spinal manipulative therapy (SMT) and sham SMT. All players were from the same team, were injury free, and were naive to SMT. Measured outcome tests (30-m sprint run with a 10-m split and change of direction [COD] test) were performed at the same time by all participants immediately before and after interventions. Photocell devices were used for data acquisition.
Twenty participants were analyzed (10 in each group). There were no changes to the sprint (10 m and 30 m) and COD test results immediately after either of the interventions. All participants in both groups (SMT and sham SMT) answered "yes" to a question after the intervention asking if they were treated by SMT. No adverse effects or training routine impairment were reported.
This pilot study protocol showed it was an appropriate design for a confirmatory clinical trial. The study had minimal effect on the team training routine, and the recruitment rate was excellent. The proposed sham SMT strategy was successful in blinding the players. In this sample, SMT did not have any immediate effect on the performance of these elite soccer players, as measured by 10- and 30-m sprint times and COD sprint times.
本研究旨在评估该程序的常规可行性、招募率、对运动员训练常规是否存在任何重大不利影响以及实现盲法的假手术效果。
对20名精英足球运动员进行了一项平行随机对照临床试验,这些运动员被随机分配到以下两组之一:脊柱手法治疗(SMT)组和假SMT组。所有运动员来自同一球队,无伤病,且对SMT不了解。所有参与者在干预前后立即同时进行测量结果测试(30米短跑,含10米分段和变向[COD]测试)。使用光电管设备进行数据采集。
对20名参与者进行了分析(每组10名)。两种干预后,短跑(10米和30米)和COD测试结果均无变化。干预后,SMT组和假SMT组的所有参与者对“是否接受了SMT治疗”这一问题均回答“是”。未报告有不良反应或训练常规受损情况。
该初步研究方案表明,它是一项验证性临床试验的合适设计。该研究对球队训练常规的影响最小,招募率很高。所提出的假SMT策略成功地使运动员无法分辨真假。在这个样本中,以10米和30米短跑时间以及COD短跑时间衡量,SMT对这些精英足球运动员的表现没有任何即时影响。