Effects of a Specific Proprioceptive Training Program on Injury Prevention and Stress in Basketball Players: A Pilot Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Procedures
Proprioceptive Training Protocol
2.3. Measurements
2.3.1. Psychological Stress
2.3.2. Baropodometric Platform
2.3.3. Photogrammetry
2.3.4. Spinal Mouse
2.4. Statistical Analysis
3. Results
4. Discussion
Limitations and Future Research
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Borowshi, L.A.; Yard, E.E.; Fields, S.K. The epidemiology of US High School Basketball Injuries 2005–2007. Am. J. Sports Med. 2008, 36, 2328–2335. [Google Scholar] [CrossRef] [PubMed]
- Gál-Pottyondy, A.; Petró, B.; Czétényi, A.; Négyesi, J.; Nagatomi, R.; Kiss, R.M. Collection and advice on basketball field tests—A literature review. Appl. Sci. 2021, 11, 8855. [Google Scholar] [CrossRef]
- Karipidis, A.; Fotinakis, P.; Taxildaris, K.; Fatouros, J. Factors characterizing a successful performance in basketball. J. Hum. Mov. Stud. 2001, 41, 385–398. [Google Scholar]
- Li, W.; Liu, Y.; Deng, J.; Wang, T. Basketball specific agility: A narrative review of execution plans and implementation effects. Medicine 2024, 103, e37124. [Google Scholar] [CrossRef]
- Spoelstra, E. Complete Conditioning for Basketball; Human Kinetics: Champaign, IL, USA, 2025. [Google Scholar]
- Cao, S.; Liu, J.; Wang, Z.; Geok, S.K. The effects of functional training on physical fitness and skill-related performance among basketball players: A systematic review. Front. Physiol. 2024, 15, 1391394. [Google Scholar] [CrossRef]
- Harrison, P.A.; Narayan, G. Differences in behavior, psychological factors, and environmental factors associated with participation in school sports and other activities in adolescence. J. Sch. Health 2003, 73, 113–120. [Google Scholar] [CrossRef]
- Messina, G.; Francavilla, V.C.; Lima, F.; Padua, E.; Secolo, G.; Secolo, I.; Iovane, A.; Parisi, M.C.; Di Corrado, D. Effects of Proprioceptive Insoles and Specific Core Training on Postural Stability for Preventing Injuries in Tennis. J. Funct. Morphol. Kinesiol. 2024, 9, 34. [Google Scholar] [CrossRef]
- Bullock, G.S.; Ferguson, T.; Vaughan, J.; Gillespie, D.; Collins, G.; Kluzek, S. Temporal Trends and Severity in Injury and Illness Incidence in the National Basketball Association Over 11 Seasons. Orthop. J. Sports Med. 2021, 9, 23259671211004094. [Google Scholar] [CrossRef]
- Zuckerman, S.L.; Wegner, A.M.; Roos, K.G. Injuries sustained in National Collegiate Athletic Association men’s women’s basketball 2009/2010–2014/2015. Br. J. Sports Med. 2018, 52, 261–268. [Google Scholar] [CrossRef]
- Aksovic, N.; Bubanj, S.; Bjelica, B.; Kocic, M.; Lilic, L.; Zelenovic, M.; Stankovic, D.; Milanovic, F.; Pajovic, L.; Capric, I.; et al. Sports Injuries in Basketball Players: A Systematic Review. Life 2024, 14, 898–915. [Google Scholar] [CrossRef]
- Mendhe, S.; Borkar, P. Epidemiology of musculoskeletal injuries in basketball players: Systematic review. Int. J. Phys. Educ. Sport Health 2021, 8, 111–116. [Google Scholar]
- Cumps, E.; Verhagen, E.; Meeusen, R. Prospective epidemiological study of basketball injuries during one competitive season: Ankle sprains and overuse knee injuries. J. Sports Sci. Med. 2007, 6, 204–211. [Google Scholar] [PubMed]
- Vanderlei, F.M.; Bastos, F.N.; de Lemes, Í.R.; Vanderlei, L.C.M.; Netto, J.; Pastre, C.M. Sports injuries among adolescent basketball players according to position on the court. Int. Arch. Med. 2013, 6, 5. [Google Scholar] [CrossRef]
- Ramirez-Campillo, R.; García-Hermoso, A.; Moran, J.; Chaabene, H.; Negra, Y.; Scanlan, A.T. The effects of plyometric jump training on physical fitness attributes in basketball players: A meta-analysis. J. Sport Health Sci. 2022, 11, 656–670. [Google Scholar] [CrossRef]
- Doeven, S.H.; Brink, M.S.; Kosse, S.J.; Lemmink, K.A.P.M. Postmatch recovery of physical performance and biochemical markers in team ball sports: A systematic review. BMJ Open Sport Exerc. Med. 2018, 4, e000264. [Google Scholar] [CrossRef]
- Moreira, A.; Bacurau, R.F.P.; Napimoga, M.H.; Arruda, A.F.S.; Freitas, C.G.; Drago, G.; Aoki, M.S. Salivary IL-21 and IGA responses to a competitive match in elite basketball players. Biol. Sport 2013, 30, 243–247. [Google Scholar] [CrossRef]
- Moreira, A.; Crewther, B.; Freitas, C.G.; Arruda, A.F.S.; Costa, E.C.; Aoki, M.S. Session RPE and salivary immune-endocrine responses to simulated and official basketball matches in elite young male athletes. J. Sports Med. Phys. Fitness 2012, 52, 682–687. [Google Scholar] [PubMed]
- Abd El Razzak Ahmed, H. Effects of the Specific Training (Exercises) on Improving the Performance Level of the Basket Skill on the Parallel Bars According to the Biomechanical Determinant. J. Appl. Sports Sci. 2015, 5, 9–18. [Google Scholar]
- Wang, Y.; Jia, Q.; Deng, T. The Effect of Ankle Joint Proprioception Training on Preventing Ankle Joint Injury of Athletes. Investig. Clín. 2020, 61, 910–921. [Google Scholar]
- Di Corrado, D.; Francavilla, V.C.; La Paglia, R.; Parisi, M.C.; Buscemi, A.; Coco, M. Short-Term effects of specific Sensorimotor Training on postural assessment in healthy individuals: A pilot study with a randomized placebo-controlled trial. J. Funct. Morphol. Kinesiol. 2023, 8, 46–55. [Google Scholar] [CrossRef]
- Riva, D.; Bianchi, R.; Rocca, F.; Mamo, C. Proprioceptive training and injury prevention in a professional men’s basketball team: A six-year prospective study. J. Strength Cond. Res. 2016, 30, 461–475. [Google Scholar] [CrossRef]
- Arede, J.; Ferreira, A.P.; Esteves, P.; Gonzalo-Skok, O.; Leite, N. Preparing for the youth basketball European Championship: Perceptual response and acute effects of an injury prevention program. Int. J. Sports Sci. Coach. 2024, 19, 306–314. [Google Scholar] [CrossRef]
- Luo, S.; Soh, K.G.; Zhao, Y.; Soh, K.L.; Sun, H.; Nasiruddin, N.J.M.; Ma, L. Effect of core training on athletic and skill performance of basketball players: A systematic review. PLoS ONE 2023, 18, e0287379. [Google Scholar] [CrossRef] [PubMed]
- Yılmaz, O.; Soylu, Y.; Erkmen, N.; Kaplan, T.; Batalik, L. Effects of proprioceptive training on sports performance: A systematic review. BMC Sports Sci. Med. Rehabil. 2024, 16, 149–161. [Google Scholar] [CrossRef] [PubMed]
- Endo, T.; Sekiya, H.; Raima, C. Psychological pressure on athletes during matches and practices. Asian J. Sport Exerc. Psychol. 2023, 3, 161–170. [Google Scholar] [CrossRef]
- Di Corrado, D. Biological underpinnings of mood and the role of physical exercise. Sport Sci. Health 2017, 13, 461–468. [Google Scholar] [CrossRef]
- Battaglini, M.P.; Pessôa Filho, D.M.; Calais, S.L.; Miyazaki, M.C.O.S.; Neiva, C.M.; Espada, M.C.; Verardi, C.E.L. Analysis of progressive muscle relaxation on psychophysiological variables in basketball athletes. Int. J. Environ. Res. Public Health 2022, 19, 17065. [Google Scholar] [CrossRef]
- Di Corrado, D.; Buscemi, A.; Magnano, P.; Maldonato, N.M.; Tusak, M.; Coco, M. Mood States and Performance in Elite Canoe Polo Players: The Mediating Role of Stress. Int. J. Environ. Res. Public Health 2021, 18, 4494. [Google Scholar] [CrossRef]
- Sighinolfi, L. Sport Psychology in Basketball: Performance Under Pressure. In Basketball Sports Medicine and Science; Laver, L., Kocaoglu, B., Cole, B., Arundale, A.J.H., Bytomski, J., Amendola, A., Eds.; Springer: New York, NY, USA, 2020; pp. 983–994. [Google Scholar]
- Lemyre, L.; Tessier, R. Measuring psychological stress. Concept, model, and measurement instrument in primary care research. Can. Fam. Physician 2003, 49, 1159–1166. [Google Scholar]
- Olejnik, S.; Algina, J. Generalized Eta and Omega Squared Statistics: Measures of Effect Size for Some Common Research Designs. Psychol. Methods 2003, 8, 434–447. [Google Scholar] [CrossRef]
- Mancha-Triguero, D.; García-Rubio, J.; Calleja-González, J.; Ibáñez, S.J. Physical fitness in basketball players: A systematic review. J. Sports Med. Phys. Fit 2019, 59, 1513–1525. [Google Scholar] [CrossRef] [PubMed]
- McInnes, S.; Carlson, J.; Jones, C.; McKenna, M. The physiological load imposed on basketball players during competition. J. Sports Sci. 1995, 13, 387–397. [Google Scholar] [CrossRef]
- Harry-Leite, P.; Paquete, M.; Teixeira, J.; Santos, M.; Sousa, J.; Fraiz-Brea, J.A.; Ribeiro, F. Acute impact of proprioceptive exercise on proprioception and balance in athletes. Appl. Sci. 2022, 12, 830. [Google Scholar] [CrossRef]
- Zacharakis, E.D.; Bourdas, D.I.; Kotsifa, M.I.; Bekris, E.M.; Velentza, E.T.; Kostopoulos, N.I. Effect of balance and proprioceptive training on balancing and technical skills in 13–14-year-old youth basketball players. J. Phys. Educ. Sport 2020, 20, 2487–2500. [Google Scholar]
- Domeika, A.; Slapšinskaitė, A.; Razon, S.; Šiupšinskas, L.; Klizienė, I.; Dubosienė, M. Effects of an 8-week basketball-specific proprioceptive training with a single-plane instability balance platform. Technol. Health Care 2020, 28, 561–571. [Google Scholar] [CrossRef] [PubMed]
- Ondra, L.; Nátěsta, P.; Bizovská, L.; Kuboňová, E.; Svoboda, Z. Effect of in-season neuromuscular and proprioceptive training on postural stability in male youth basketball players. Acta Gymnica 2017, 47, 144–149. [Google Scholar] [CrossRef]
- Nikolaos, K.; Evangelos, B.; Nikolaos, A.; Emmanouil, K.; Panagiotis, K. The effect of a balance and proprioception training program on amateur basketball players’ passing skills. J. Phys. Educ. Sport 2012, 12, 316–323. [Google Scholar]
- Hupperets, M.; Verhagen, E.; Van Mechelen, W. Effect of unsupervised home based proprioceptive training on recurrences of ankle sprain: Randomised controlled trial. BMJ 2009, 339, b2684. [Google Scholar] [CrossRef] [PubMed]
- Eils, E.; Schroeter, R.; Schröder, M.; Gerss, J.; Rosenbaum, D. Multistation proprioceptive exercise program prevents ankle injuries in basketball. Med. Sci. Sports Exerc. 2010, 42, 2098–2105. [Google Scholar] [CrossRef]
- Wang, H.K.; Chen, C.H.; Shiang, T.Y.; Jan, M.H.; Lin, K.H. Risk-factor analysis of high school basketball–player ankle injuries: A prospective controlled cohort study evaluating postural sway, ankle strength, and flexibility. Arch. Phys. Med. Rehabil. 2006, 87, 821–825. [Google Scholar] [CrossRef]
- Zouita, A.B.M.; Majdoub, O.; Ferchichi, H.; Grandy, K.; Dziri, C.; Salah, F.B. The effect of 8-weeks proprioceptive exercise program in postural sway and isokinetic strength of ankle sprains of Tunisian athletes. Ann. Phys. Rehabil. Med. 2013, 56, 634–643. [Google Scholar] [CrossRef] [PubMed]
- Ivanenko, Y.; Gurfinkel, V.S. Human postural control. Front. Neurosci. 2018, 12, 171. [Google Scholar] [CrossRef] [PubMed]
- Lee, A.C.; Kuang, P.F. The effectiveness of sports specific balance training program in reducing risk of ankle sprain in basketball. Int. J. Physiother. 2016, 3, 681–686. [Google Scholar] [CrossRef]
- Coco, M.; Buscemi, A.; Pennisi, E.; Cavallari, P.; Papotto, G.; Papotto, G.M.F.; Perciavalle, V.; Di Corrado, D. Perciavalle Va Postural control and stress exposure in young men: Changes in cortisol awakening response and blood lactate. Int. J. Environ. Res. Public Health 2020, 17, 7222. [Google Scholar] [CrossRef] [PubMed]
- Zech, A.; Markus Hubscher, M.; Vogt, L.; Winfried Banzer, W.; Hansel, F.; Pfeifer, K. Balance training for neuromuscular control and performance enhancement: A systematic review. J. Athl. Train. 2010, 45, 392–403. [Google Scholar] [CrossRef]
Time | Exercises |
---|---|
Warm-up (10′) | Progressive running until optimal body temperature is reached |
Mobility (10′) | Calf mobility (2 reps ×10 each side) |
Hip mobility (2 reps ×10 each side) | |
Proprioceptive Work (20′) using Sinergy-Mat platforms | Squat on balance disc (bipodal)—3 reps ×10 |
Pistol squat on balance disc (monopodal)—3 reps ×10—5 reps ×(L/R) | |
Elastic band oscillations—frontal—3 reps ×10 | |
Elastic band oscillations—lateral—3 reps ×10 | |
Postural Work (10′) | Standing stretch (touching toes) with wall support—3 reps ×10 |
(Cool-down) | Sitting on the floor with back against wall + forward stretch—3 reps ×10 |
Spinal decompression with feet against the wall (20″) |
Experimental Group | Control Group | p | |
---|---|---|---|
Age (years) | 22.92 ± 4.64 | 21.73 ± 4.71 | 0.641 |
BMI (kg/m2) | 24.42 ± 1.2 | 23.81 ± 1.1 | 0.582 |
Weight (kg) | 87.78 ± 5.22 | 91.56 ± 4.82 | 0.673 |
Height (cm) | 191 ± 7.19 | 195 ± 8.14 | 0.537 |
Stress | 81.95 ± 18.38 | 79.87 ± 16.67 | 0.683 |
Alignment of the longitudinal body axis | 1.38 ± 0.51 | 1.28 ± 0.58 | 0.586 |
Spinal range of motion | 64.27 ± 9.33 | 61.67 ± 9.73 | 0.648 |
Parameters | T0 | T1 | T2 | ||||
---|---|---|---|---|---|---|---|
EG | CG | EG | CG | EG | CG | ||
Stress levels | 81.95 ± 18.38 | 79.87 ± 16.67 | 75.06± 16.25 | 82.16± 17.93 | 59.61± 6.15 ** | 87.64± 18.53 | |
Alignment of the longitudinal body axis | 1.38 ± 0.51 | 1.28 ± 0.58 | 0.37± 0.45 | 1.38 ± 0.61 | 0.27 ± 0.45 ** | 1.35 ± 0.60 | |
Spinal range of motion | 64.27 ± 9.33 | 61.67 ± 9.73 | 68.33± 9.22 | 61.40 ± 9.43 | 75.60± 8.79 ** | 61.26 ± 9.41 | |
Total plantar load distribution | Right foot | 52.30 ± 5.30 | 52.40 ± 5.16 | 52.11± 4.34 | 52.41 ± 4.97 | 51.80 ± 2.55 | 52.53 ± 5.09 |
Left foot | 47.70 ± 5.29 | 47.60 ± 2.97 | 47.89 ± 4.09 | 47.59 ± 2.89 | 48.20 ± 2.35 | 47.47 ± 2.57 |
Parameters | Effect | F | df | p | η2 |
---|---|---|---|---|---|
Stress Level | Time | 31.45 | 2, 27 | <0.001 | 0.23 |
Group | 19.65 | 1, 28 | 0.07 | 0.17 | |
Time × Group | 45.27 | 2, 27 | <0.001 | 0.27 | |
Spinal range of motion | Time | 29.29 | 2, 27 | <0.001 | 0.24 |
Group | 5.53 | 1, 28 | 0.02 | 0.17 | |
Time × Group | 36.13 | 2, 27 | <0.001 | 0.18 | |
Alignment of the longitudinal body axis | Time | 43.75 | 2, 27 | <0.001 | 0.26 |
Group | 20.17 | 1, 28 | <0.001 | 0.60 | |
Time × Group | 85.75 | 2, 27 | <0.001 | 0.35 | |
Total plantar distribution Right Load | Time | 0.045 | 2, 27 | 0.95 | 0.03 |
Group | 1.82 | 1, 28 | 0.18 | 0.04 | |
Time × Group | 0.126 | 2, 27 | 0.88 | 0.03 | |
Total plantar distribution Left Load | Time | 0.042 | 2, 27 | 0.95 | 0.04 |
Group | 0.093 | 1, 28 | 0.76 | 0.04 | |
Time × Group | 0.042 | 2, 27 | 0.96 | 0.03 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Francavilla, V.C.; Messina, G.; Mingrino, O.; Parisi, M.C.; Di Corrado, D. Effects of a Specific Proprioceptive Training Program on Injury Prevention and Stress in Basketball Players: A Pilot Study. J. Funct. Morphol. Kinesiol. 2025, 10, 226. https://doi.org/10.3390/jfmk10020226
Francavilla VC, Messina G, Mingrino O, Parisi MC, Di Corrado D. Effects of a Specific Proprioceptive Training Program on Injury Prevention and Stress in Basketball Players: A Pilot Study. Journal of Functional Morphology and Kinesiology. 2025; 10(2):226. https://doi.org/10.3390/jfmk10020226
Chicago/Turabian StyleFrancavilla, Vincenzo Cristian, Giuseppe Messina, Omar Mingrino, Maria Chiara Parisi, and Donatella Di Corrado. 2025. "Effects of a Specific Proprioceptive Training Program on Injury Prevention and Stress in Basketball Players: A Pilot Study" Journal of Functional Morphology and Kinesiology 10, no. 2: 226. https://doi.org/10.3390/jfmk10020226
APA StyleFrancavilla, V. C., Messina, G., Mingrino, O., Parisi, M. C., & Di Corrado, D. (2025). Effects of a Specific Proprioceptive Training Program on Injury Prevention and Stress in Basketball Players: A Pilot Study. Journal of Functional Morphology and Kinesiology, 10(2), 226. https://doi.org/10.3390/jfmk10020226