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Sports Physical TherapyNCT06985810

Accentuated Eccentric Loading Versus Flywheel Exercises in Footballers

A study testing Accentuated Eccentric Loading training and Flywheel exercises in people with Sports Physical Therapy, run by Riphah International University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

In the field of football, the essence of the lower limb strength, power and general performance is greatly valued by any player who wants to perform exceptionally well in both the acceleration, jumping and general agility. Read more about this study

Who is it for?
Ages 18 to 21 years, men onlyHealthy volunteers can take part
Conditions the study is for
Sports Physical Therapy
What is being tested?
Accentuated Eccentric Loading training and Flywheel exercises
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 sitePakistan
Study dates
30 Jul 2024to 15 Apr 2025
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 to 21 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Age range: 18-21 years
  • Only male participants.
  • At least two years of resistance training experience
  • Consistent participation in football and resistance training for at least one year prior to the study

Who cannot join

  • Neuromuscular or musculoskeletal disorders.
  • Participants have undergone any kind of surgery.
  • Systematic illness: diabetic, hypertension, Trauma or accident history

Trial locations and contacts

1 site in 1 country.

Pakistan1 site
  • Dring Stadium

    Bahawalpur, Punjab Province, 63100

Other trials in Pakistan

About this study

Official title: Effects of Accentuated Eccentric Loading Versus Flywheel Exercises on Lower Limb Strength, Power and Performance in Footballers

In the field of football, the essence of the lower limb strength, power and general performance is greatly valued by any player who wants to perform exceptionally well in both the acceleration, jumping and general agility. Conventional strengthening techniques have always been basic and recent strategies such as the Accentuated Eccentric Loading (AEL) and Flywheel (FW) have been considered as the inventions. AEL increases the muscle contraction during the eccentric phase of exercises and therefore improves hypertrophy and strength. On the other hand, FW uses leverage kinetic energy to oppose, thus, promotes muscle contractions and changes constantly. There is different training modalities that can be applied during training sessions or in prepare to a particular event such as football. Thus, it is essential to compare the applicability of those modalities in training football players. This study design will be Randomized clinical trial. Thirty-six male age 18-21 years who consistently play football and participate in resistance training from previous one year will randomly assigned to the two different exercise protocol i.e. Accentuated eccentric loading and Flywheel. The participants will undergo training program for total of 8 weeks. These two groups will exercise three days in a week and each session will take about 60-75 minutes. In this study researcher will use Back Squat and Leg Press for lower limb strength. Hip thrusts and Broad Jump for lower limb power. Free weights or Weight Machines, 20- meter sprint test and Agility T-test to measure performance of footballers. Data will be analyzed using SPSS version 25.

Read the detailed description

The objective of this study is to compare the impact of Accentuated Eccentric Loading and Flywheel exercises on lower limb strength, power and performance in Football Players.

Being tested
Accentuated Eccentric Loading training, Flywheel exercises
Keywords
Agility, Clinical trials, Football, Power, Randomized, Strength training

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Accentuated Eccentric Loading trainingOther

    18 particpants will train in AEL group for three days a week for eight weeks and each session will take about 60-75 minutes, focusing on eccentric exercises like back squats, leg press, and hip thrusts at 90% 1RM intensity. Sessions, supervised by coaches, include free weight and weight machine exercises. Performance tests (20m sprint, T-agility, broad jump, 1RM assessments) will evaluate progress at the study's start and end.

  • Flywheel exercisesOther

    18 particpants will train in FW group for three days a week for eight weeks and each session will take about 60-75 minutes, incorporating compound movements, Flywheel exercises (squats, sprints, jumps), and relevant free weight and weight machine exercises. Supervised sessions maintain consistent parameters. Performance tests (20m speed, T-agility, broad jump, 1RM assessments) will measure improvements at study start and end for evaluation.

Study groups in NCT06985810
Study groupRoleWhat they receive
Group AExperimentalAccentuated Eccentric Loading training
Receives: Other: Accentuated Eccentric Loading training
Group BExperimentalFlywheel exercises
Receives: Other: Flywheel exercises

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Back Squat

    Back squats compose muscular strength of lower limbs and hence, they were performed at a load of 90% of 1 RM. They recruit the quadriceps, hamstrings, gluteal muscles and the lower back skeletal muscles. It can be concluded that back squat as a measure of maximal strength is reliable and valid especially in athletic subjects such as football players. Cronbach alpha is significant in strength assessment in sports using back squats; test-retest reliability ICC equals 0. 97 and construct validity has been discovered in existing works.

    Measured: 8 weeks

  2. Hip Thrusts

    At 90% 1RM hip thrust with the barbell aims at the gluteal muscles and plays an essential role in the improvement of hip extension power needed profoundly in sprinting and jumping in football. This exercise has been proven to help in enhancing hip strength as well as sprint performance; meanwhile, the reliability coefficient of the test in measuring maximal strength in athletes was very high (ICC = 0. 94). The hip thrust's focus on the posterior chain renders it a measure of lower limb strength that is directly applicable to football performance.

    Measured: 8 weeks

  3. Broad Jump

    The broad jump is a test that is frequently used in lower body power, which tracks the force thatan individual athlete is able to produce quickly. This exercise is quite pertinent for football players since it replicates the kind of movements involved in football. The broad jump has shown test-retest reliability of Internal Consistency Coefficient, ICC= 0. 95 and construct validity in determining lower body power of athletes. It is easy to administer, sensitive and reliable and thus widely accepted as a standard measure in athletic ability assessment.

    Measured: 8 weeks

  4. Leg Press Machine

    The leg-press equipment is used perform unilateral leg-press exercise to determine 1-RM strength and the maximal voluntary isometric contraction (MVIC). This exercise focuses on the quadriceps, hamstrings, and glutes by comparatively giving a controlled situation to determine lower limb force. In correlating maximal strength in the context of the leg press, previous studies have found very high to almost perfect reliability (ICC = 0. 96) as well as validity in populations that demand accurate determination of unilateral leg strength.

    Measured: 8 weeks

  5. Agility T-test

    Agility T-test checks how quickly players can change direction and control their body. Players start by sprinting forward, go around a cone, weave through middle cones to the top, turn, weave back through, circle another cone, and sprint to the finish. This tool reliability showed a highICC in almost all studies.

    Measured: 8 weeks

  6. 20 Meter Sprint test

    The 20m sprint test assesses speed over a greater distance compared to the 10m sprint test. Studies have demonstrated that the 20m Sprint Test maintains validity and reliability when performed using electronic timing gates.

    Measured: 8 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 May 2025
  2. Study start30 Jul 2024
  3. Primary completion15 Mar 2025
  4. Study completion15 Apr 2025

Resources

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
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06985810
Sponsor's protocol ID
REC/RCR & AHS/24/0454
Status last verified
May 2025
First submitted
15 May 2025
Last updated
22 May 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Chaabene H, Markov A, Prieske O, Moran J, Behrens M, Negra Y, Ramirez-Campillo R, Koch U, Mkaouer B. Effect of Flywheel versus Traditional Resistance Training on Change of Direction Performance in Male Athletes: A Systematic Review with Meta-Analysis. Int J Environ Res Public Health. 2022 Jun 9;19(12):7061. doi: 10.3390/ijerph19127061.

    PubMed 35742311
  • Nuzzo JL, Pinto MD, Nosaka K. Connective Adaptive Resistance Exercise (CARE) Machines for Accentuated Eccentric and Eccentric-Only Exercise: Introduction to an Emerging Concept. Sports Med. 2023 Jul;53(7):1287-1300. doi: 10.1007/s40279-023-01842-z. Epub 2023 Apr 25.

    PubMed 37097413
  • Godwin MS, Fearnett T, Newman MA. The Potentiating Response to Accentuated Eccentric Loading in Professional Football Players. Sports (Basel). 2021 Nov 26;9(12):160. doi: 10.3390/sports9120160.

    PubMed 34941798
  • Weng Y, Liu H, Ruan T, Yang W, Wei H, Cui Y, Ho IMK, Li Q. Effects of flywheel resistance training on the running economy of young male well-trained distance runners. Front Physiol. 2022 Dec 8;13:1060640. doi: 10.3389/fphys.2022.1060640. eCollection 2022.

    PubMed 36569754
  • Stojanovic MDM, Mikic M, Drid P, Calleja-Gonzalez J, Maksimovic N, Belegisanin B, Sekulovic V. Greater Power but Not Strength Gains Using Flywheel Versus Equivolumed Traditional Strength Training in Junior Basketball Players. Int J Environ Res Public Health. 2021 Jan 29;18(3):1181. doi: 10.3390/ijerph18031181.

    PubMed 33572738
  • Negra Y, Chaabene H, Sammoud S, Prieske O, Moran J, Ramirez-Campillo R, Nejmaoui A, Granacher U. The Increased Effectiveness of Loaded Versus Unloaded Plyometric Jump Training in Improving Muscle Power, Speed, Change of Direction, and Kicking-Distance Performance in Prepubertal Male Soccer Players. Int J Sports Physiol Perform. 2020 Feb 1;15(2):189-195. doi: 10.1123/ijspp.2018-0866. Epub 2019 Oct 15.

    PubMed 31094246
  • Sagelv EH, Pedersen S, Nilsen LPR, Casolo A, Welde B, Randers MB, Pettersen SA. Flywheel squats versus free weight high load squats for improving high velocity movements in football. A randomized controlled trial. BMC Sports Sci Med Rehabil. 2020 Oct 2;12:61. doi: 10.1186/s13102-020-00210-y. eCollection 2020.

    PubMed 33024564
  • di Cagno A, Iuliano E, Buonsenso A, Giombini A, Di Martino G, Parisi A, Calcagno G, Fiorilli G. Effects of Accentuated Eccentric Training vs Plyometric Training on Performance of Young Elite Fencers. J Sports Sci Med. 2020 Nov 19;19(4):703-713. eCollection 2020 Dec.

    PubMed 33239944
  • Wang J, Zhang Q, Chen W, Fu H, Zhang M, Fan Y. The effect of flywheel complex training with eccentric-overload on muscular adaptation in elite female volleyball players. PeerJ. 2024 Mar 21;12:e17079. doi: 10.7717/peerj.17079. eCollection 2024.

    PubMed 38525282
  • Oliver JL, Ramachandran AK, Singh U, Ramirez-Campillo R, Lloyd RS. The Effects of Strength, Plyometric and Combined Training on Strength, Power and Speed Characteristics in High-Level, Highly Trained Male Youth Soccer Players: A Systematic Review and Meta-Analysis. Sports Med. 2024 Mar;54(3):623-643. doi: 10.1007/s40279-023-01944-8. Epub 2023 Oct 28.

    PubMed 37897637
  • Armitage M, McErlain-Naylor SA, Devereux G, Beato M, Buckthorpe M. On-field rehabilitation in football: Current knowledge, applications and future directions. Front Sports Act Living. 2022 Dec 5;4:970152. doi: 10.3389/fspor.2022.970152. eCollection 2022. No abstract available.

    PubMed 36544545
  • Yuan S, Lu Z, Tan S, Zhang Z, Jing S, Liu H, Zhou Z, Bao D. Comparison of six-week flywheel and traditional resistance training on deceleration and dynamic balance in elite badminton players. Front Physiol. 2025 Feb 25;16:1491661. doi: 10.3389/fphys.2025.1491661. eCollection 2025.

    PubMed 40070459
  • Beato M, Dello Iacono A. Implementing Flywheel (Isoinertial) Exercise in Strength Training: Current Evidence, Practical Recommendations, and Future Directions. Front Physiol. 2020 Jun 3;11:569. doi: 10.3389/fphys.2020.00569. eCollection 2020. No abstract available.

    PubMed 32581845
  • Maroto-Izquierdo S, Martin-Rivera F, Nosaka K, Beato M, Gonzalez-Gallego J, de Paz JA. Effects of submaximal and supramaximal accentuated eccentric loading on mass and function. Front Physiol. 2023 Jun 28;14:1176835. doi: 10.3389/fphys.2023.1176835. eCollection 2023.

    PubMed 37449014
  • Perna P, de Keijzer KL, Beato M. Flywheel resistance training in football: a useful rehabilitation tool for practitioners. Front Sports Act Living. 2024 Jul 5;6:1434995. doi: 10.3389/fspor.2024.1434995. eCollection 2024. No abstract available.

    PubMed 39036368

Questions about this trial

What is this clinical trial studying?

A study testing Accentuated Eccentric Loading training and Flywheel exercises in people with Sports Physical Therapy, run by Riphah International University at 1 site in Pakistan.

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 4 inclusion and 3 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: finished, as of the sponsor's last update on 22 May 2025. 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 Pakistan. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Back Squat (time frame: 8 weeks). The study lists 6 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 NCT06985810, which also lists 15 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 22 May 2025.

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