Functional Movement QualityNCT02672735
Influence of a Corrective Exercise Training Program on Measures of Functional Movement Among Active-Duty Firefighters
A study testing Corrective Exercise Programming in people with Functional Movement Quality, run by University of Wisconsin, Milwaukee at 1 site in United States.
Trial summary
The occupation of firefighting is considered to be one of the most dangerous occupations in the United States (U.S.). As such, a high prevalence of musculoskeletal injuries (MSKIs) have been observed among the firefighter population. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Functional Movement Quality
- What is being tested?
- Corrective Exercise Programming
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 51 participants
- Where
- 1 siteUnited States
- Study dates
- Jul 2015to May 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Participants will be included into this study if they:
- do not suffer from chest pain or dizziness;
- have not been diagnosed with a heart condition;
- are not currently pregnant;
- have not had any serious ankle, knee, hip, back, or shoulder trauma that required medical attention in the past 3 months;
- have not had surgery on their ankle, knee, hip, back, or shoulder within the past year (12 months); or
- do not have any current bone, joint, or muscle abnormalities that require medical attention;
- have not been instructed by a physician or their Health and Safety Officer (HSO) to not participate in this study.
Who cannot join
- 1. Participants will be excluded from being placed into Phase 2 (i.e., the intervention portion) of this study if they are already engaged in a structured corrective exercise program. Furthermore, in order to ensure similar baseline functional movement quality between the CEP and CON groups, participants will be excluded from being placed into the intervention portion of this study if their Overall MET score is < 25 or > 75.
Trial locations and contacts
1 site in 1 country.
About this study
The occupation of firefighting is considered to be one of the most dangerous occupations in the United States (U.S.). As such, a high prevalence of musculoskeletal injuries (MSKIs) have been observed among the firefighter population. This high rate of MSKI has created an extremely large financial impact on fire departments across the United States. Therefore, interest in developing methods of identifying those at risk for developing a future MSKI and interventions designed to prevent these MSKIs from happening has grown among both the firefighter population, as well as among researchers and practitioners.
Previous research has demonstrated relationships between MSKI and altered movement patterns. In addition, researchers have started to demonstrate the ability of functional movement assessments to predict future MSKI in various populations, including firefighters. Two of these functional movement assessments include the Functional Movement Screen (FMS) and the Movement Efficiency (ME) Test, which is a component of the Fusionetics Human Performance System. These assessments both quantify the overall functional movement quality of an individual by creating a composite movement score (i.e., Total FMS \& Average ME Test scores, respectively).
Read more
In addition, various theoretical models of corrective exercise programming have been proposed. These programs are designed to restore optimal neuromuscular control and correct any identified neuromuscular imbalances observed during the movement assessment through the use of simple and easy-to-follow exercises. The Fusionetics Human Performance System utilizes one such model, with the goal of improving the functional movement quality of an individual by correcting the aforementioned neuromuscular deficiencies observed during the ME Test. Based on this framework, these corrective exercise programs theoretically lower the risk of MSKI of the individual as well.
However, there is currently a lack of research in the literature examining the influence of corrective exercise programming on functional movement quality among the active-duty firefighter population. As such, it remains unknown if a corrective exercise intervention is capable of significantly improving functional movement quality among active-duty firefighters. In addition, recent research suggests that various health and fitness measures are associated with functional movement quality. These measures include total body power output, lower extremity muscular strength, and core muscular endurance. As such, an examination of the influence of a corrective exercise intervention on measures of health and fitness among active-duty firefighters is warranted.
- Conditions
- Functional Movement Quality
- Being tested
- Corrective Exercise Programming
- Keywords
- corrective exercise program, movement efficiency
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Corrective Exercise ProgrammingOther
Participants will be given a four-week corrective exercise protocol, with four corrective exercise sessions prescribed each week. Participants in the CEP Group will be required to complete a minimum of three of these four training sessions per week throughout the four-week corrective exercise program intervention. All corrective exercise programming will be created through the Fusionetics Human Performance System. This system, along with weekly compliance questionnaires, will also assess the compliance-level among the participants.
| Study group | Role | What they receive |
|---|---|---|
| Corrective Exercise Program | Experimental | Participants in the Corrective Exercise Program (CEP) group (n = 28) will be given a four-week corrective exercise programming intervention. Receives: Other: Corrective Exercise Programming |
| Control | No intervention | The participants in the Control (CON) group (n = 28) will have their four-week corrective exercise programming intervention deferred for 4 weeks, and as such, will serve as the comparative group for the CEP group. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Total Functional Movement Screen (FMS) Score
The Functional Movement Screen (FMS) is a seven task movement screen test that will be scored on a 4-point scale (0-3, worst-best), for a total of 21 possible points.
Measured: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
Change in Overall Movement Efficiency (ME) Test Score
The Movement Efficiency (ME) Test, which is part of the Fusionetics Human Performance System, uses a 0-100 scale to score the functional movement quality of an individual.
Measured: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
Change in Dynamic Balance Ability
The dynamic balance ability of each participant will be assessed by utilizing the Y-Balance Test (YBT).
Measured: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
Secondary outcomes (4)
Change in Range of Motion
Passive range of Motion (PROM) for the foot, ankle, knee, hip, shoulder, and trunk will be bilaterally measured with a standard plastic goniometer (a kind of ruler).
Measured: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
Change in Total Body Power Output
Total body power output will be examined by performing a countermovement jump (CMJ), which is a field-test commonly utilized by practitioners to examine total body power output.
Measured: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
Change in Lower Extremity Isometric Muscular Strength
The isometric lower extremity muscular strength of each participant will be examined utilizing the Jackson Strength Evaluation System.
Measured: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
Change in Core Muscular Endurance
The overall core muscular endurance of each participant will be examined through the use of a prone plank. Participants will perform a prone plank until volitional fatigue.
Measured: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Feb 2016 (estimated)
- Study startJul 2015
- Primary completionMay 2017 (estimated)
- Study completionMay 2018 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (26)Papers the sponsor has linked to this study.
- Other trials for Functional Movement QualityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 51 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Wisconsin, Milwaukee
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Kyle T Ebersole, University of Wisconsin, Milwaukee
- Investigators
- Kyle T. Ebersole, Ph.D., Principal investigator, University of Wisconsin, Milwaukee
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02672735
- Sponsor's protocol ID
- 15.389
- Status last verified
- Nov 2016
- First submitted
- 27 Aug 2015
- Last updated
- 15 Nov 2016
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Publications
Burton, L., Kiesel, K., & Cook, G. (2004). Mobility screening for the core: Interventions. Athletic Therapy Today, 9(6), 52-57.
Butler RJ, Contreras M, Burton LC, Plisky PJ, Goode A, Kiesel K. Modifiable risk factors predict injuries in firefighters during training academies. Work. 2013 Jan 1;46(1):11-7. doi: 10.3233/WOR-121545.
PubMed 23324700Clark, M.A, & Lucett, S.C. (2011). NASM Essentials of Corrective Exercise Training (1st ed.). Baltimore, MD: Lippincott Williams & Wilkins.
Comerford MJ, Mottram SL. Functional stability re-training: principles and strategies for managing mechanical dysfunction. Man Ther. 2001 Feb;6(1):3-14. doi: 10.1054/math.2000.0389.
PubMed 11243904Comerford MJ, Mottram SL. Movement and stability dysfunction--contemporary developments. Man Ther. 2001 Feb;6(1):15-26. doi: 10.1054/math.2000.0388.
PubMed 11243905Cook, G. (2003). Athletic Body in Balance. Champaign, IL: Human Kinetics.
Cook, G. (2010). Movement: Functional Movement Systems - Screening, Assessment and Corrective Strategies. Santa Cruz, CA: On Target Publications.
Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function - part 1. Int J Sports Phys Ther. 2014 May;9(3):396-409.
PubMed 24944860Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function-part 2. Int J Sports Phys Ther. 2014 Aug;9(4):549-63.
PubMed 25133083Duncan MJ, Stanley M. Functional movement is negatively associated with weight status and positively associated with physical activity in british primary school children. J Obes. 2012;2012:697563. doi: 10.1155/2012/697563. Epub 2012 Mar 26.
PubMed 22545208Duncan MJ, Stanley M, Leddington Wright S. The association between functional movement and overweight and obesity in British primary school children. BMC Sports Sci Med Rehabil. 2013 May 15;5:11. doi: 10.1186/2052-1847-5-11. eCollection 2013.
PubMed 23675746Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J Athl Train. 2012 May-Jun;47(3):339-57. doi: 10.4085/1062-6050-47.3.08.
PubMed 22892416Harman, E., & Garhammer, J. (2008). Administration, scoring, and interpretation of selected tests. In T.R. Baechle, & R.W. Earle (Eds.), Essentials of Strength Training and Conditioning (3rd ed., pp. 250-292). Champaign, IL: Human Kinetics.
Hirth, C.J. (2007). Clinical movement analysis to identify muscle imbalances and guide exercise. Athletic Therapy Today, 12(4), 10-14.
International Association of Fire Fighters. (2008). The Fire Service Joint Labor Management Wellness-Fitness Initiative, (3rd ed.). Washington, D.C.
Study at a glance
From the registry record, last updated by the sponsor on 15 Nov 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Influence of a Corrective Exercise Training Program on Measures of Functional Movement Among Active-Duty Firefighters
- ClinicalTrials.gov ID
- NCT02672735
- Acronym / sponsor ID
- 15.389
- Conditions
- Functional Movement Quality
- Keywords
- corrective exercise program, movement efficiency
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 51 participants (actual)
- Lead sponsor
- University of Wisconsin, MilwaukeeUniversity, hospital or other
- Study start
- Jul 2015
- Primary completion
- May 2017 (estimated)
- Study completion
- May 2018 (estimated)
- First posted
- 3 Feb 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The occupation of firefighting is considered to be one of the most dangerous occupations in the United States (U.S.). As such, a high prevalence of musculoskeletal injuries (MSKIs) have been observed among the firefighter population. This high rate of MSKI has created an extremely large financial impact on fire departments across the United States. Therefore, interest in developing methods of identifying those at risk for developing a future MSKI and interventions designed to prevent these MSKIs from happening has grown among both the firefighter population, as well as among researchers and practitioners.
Previous research has demonstrated relationships between MSKI and altered movement patterns. In addition, researchers have started to demonstrate the ability of functional movement assessments to predict future MSKI in various populations, including firefighters. Two of these functional movement assessments include the Functional Movement Screen (FMS) and the Movement Efficiency (ME) Test, which is a component of the Fusionetics Human Performance System. These assessments both quantify the overall functional movement quality of an individual by creating a composite movement score (i.e., Total FMS \& Average ME Test scores, respectively).
In addition, various theoretical models of corrective exercise programming have been proposed. These programs are designed to restore optimal neuromuscular control and correct any identified neuromuscular imbalances observed during the movement assessment through the use of simple and easy-to-follow exercises. The Fusionetics Human Performance System utilizes one such model, with the goal of improving the functional movement quality of an individual by correcting the aforementioned neuromuscular deficiencies observed during the ME Test. Based on this framework, these corrective exercise programs theoretically lower the risk of MSKI of the individual as well.
However, there is currently a lack of research in the literature examining the influence of corrective exercise programming on functional movement quality among the active-duty firefighter population. As such, it remains unknown if a corrective exercise intervention is capable of significantly improving functional movement quality among active-duty firefighters. In addition, recent research suggests that various health and fitness measures are associated with functional movement quality. These measures include total body power output, lower extremity muscular strength, and core muscular endurance. As such, an examination of the influence of a corrective exercise intervention on measures of health and fitness among active-duty firefighters is warranted.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Corrective Exercise Program | Experimental | Other: Corrective Exercise ProgrammingParticipants in the Corrective Exercise Program (CEP) group (n = 28) will be given a four-week corrective exercise programming intervention. |
| Control | No intervention | –The participants in the Control (CON) group (n = 28) will have their four-week corrective exercise programming intervention deferred for 4 weeks, and as such, will serve as the comparative group for the CEP group. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- do not suffer from chest pain or dizziness;
- have not been diagnosed with a heart condition;
- are not currently pregnant;
- have not had any serious ankle, knee, hip, back, or shoulder trauma that required medical attention in the past 3 months;
- have not had surgery on their ankle, knee, hip, back, or shoulder within the past year (12 months); or
Key exclusion criteria (1 listed)
- 1. Participants will be excluded from being placed into Phase 2 (i.e., the intervention portion) of this study if they are already engaged in a structured corrective exercise program. Furthermore, in order to ensure similar baseline functional movement quality between the CEP and CON groups, participants will be excluded from being placed into the intervention portion of this study if their Overall MET score is < 25 or > 75.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Corrective Exercise ProgrammingParticipants will be given a four-week corrective exercise protocol, with four corrective exercise sessions prescribed each week. Participants in the CEP Group will be required to complete a minimum of three of these four training sessions per week throughout the four-week corrective exercise program intervention. All corrective exercise programming will be created through the Fusionetics Human Performance System. This system, along with weekly compliance questionnaires, will also assess the compliance-level among the participants. | Other | Corrective Exercise Program |
Primary outcome
Change in Total Functional Movement Screen (FMS) Score
Time frame: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
The Functional Movement Screen (FMS) is a seven task movement screen test that will be scored on a 4-point scale (0-3, worst-best), for a total of 21 possible points.
Change in Overall Movement Efficiency (ME) Test Score
Time frame: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
The Movement Efficiency (ME) Test, which is part of the Fusionetics Human Performance System, uses a 0-100 scale to score the functional movement quality of an individual.
Change in Dynamic Balance Ability
Time frame: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
The dynamic balance ability of each participant will be assessed by utilizing the Y-Balance Test (YBT).
4 secondary outcomes
Change in Range of Motion
Time frame: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
Change in Total Body Power Output
Time frame: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
Change in Lower Extremity Isometric Muscular Strength
Time frame: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
Change in Core Muscular Endurance
Time frame: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Nov 2016.
- BackgroundBurton, L., Kiesel, K., & Cook, G. (2004). Mobility screening for the core: Interventions. Athletic Therapy Today, 9(6), 52-57.
- Background: PubMed 23324700Butler RJ, Contreras M, Burton LC, Plisky PJ, Goode A, Kiesel K. Modifiable risk factors predict injuries in firefighters during training academies. Work. 2013 Jan 1;46(1):11-7. doi: 10.3233/WOR-121545.
- BackgroundClark, M.A, & Lucett, S.C. (2011). NASM Essentials of Corrective Exercise Training (1st ed.). Baltimore, MD: Lippincott Williams & Wilkins.
- Background: PubMed 11243904Comerford MJ, Mottram SL. Functional stability re-training: principles and strategies for managing mechanical dysfunction. Man Ther. 2001 Feb;6(1):3-14. doi: 10.1054/math.2000.0389.
- Background: PubMed 11243905Comerford MJ, Mottram SL. Movement and stability dysfunction--contemporary developments. Man Ther. 2001 Feb;6(1):15-26. doi: 10.1054/math.2000.0388.
- BackgroundCook, G. (2003). Athletic Body in Balance. Champaign, IL: Human Kinetics.
- BackgroundCook, G. (2010). Movement: Functional Movement Systems - Screening, Assessment and Corrective Strategies. Santa Cruz, CA: On Target Publications.
- Background: PubMed 24944860Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function - part 1. Int J Sports Phys Ther. 2014 May;9(3):396-409.
- Background: PubMed 25133083Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function-part 2. Int J Sports Phys Ther. 2014 Aug;9(4):549-63.
- Background: PubMed 22545208Duncan MJ, Stanley M. Functional movement is negatively associated with weight status and positively associated with physical activity in british primary school children. J Obes. 2012;2012:697563. doi: 10.1155/2012/697563. Epub 2012 Mar 26.
- Background: PubMed 23675746Duncan MJ, Stanley M, Leddington Wright S. The association between functional movement and overweight and obesity in British primary school children. BMC Sports Sci Med Rehabil. 2013 May 15;5:11. doi: 10.1186/2052-1847-5-11. eCollection 2013.
- Background: PubMed 22892416Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J Athl Train. 2012 May-Jun;47(3):339-57. doi: 10.4085/1062-6050-47.3.08.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Kyle T. Ebersole, Ph.D. principal investigator
University of Wisconsin, Milwaukee
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Corrective Exercise Programming in people with Functional Movement Quality, run by University of Wisconsin, Milwaukee at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 15 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Total Functional Movement Screen (FMS) Score (time frame: Pre-Intervention (Week 0), Mid-Intervention (Week 3), Post-Intervention (Week 5)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02672735, which also lists 26 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Nov 2016.