Sensorimotor Training to Enhance Performance - the STEP AHEAD Program

Rationale:

While sensorimotor function is recognized as an important aspect of growth and development, little is known about specific changes in sensorimotor control with sport specific training. Similarly, the relationship between sensorimotor control and sport-specific performance is not yet well understood. Specific rehabilitation exercises have been shown to improve sensorimotor control, many of which are context specific and may also prevent injury and/or concussion. The effect of age on these outcomes and the relationship between training sensorimotor control and age is also not well understood. Thus, evaluation of sensorimotor control outcomes across ages, the effects of sensorimotor training on sensorimotor control and performance is needed and may inform changes to recommendations for sport-specific training.

Ultimately, understanding the effect of training specific sensorimotor systems (which is not a part of typical sport training environments) will inform multiple areas of sport including: 1) Sport-specific performance 2) typical development of SM/NM function, 3) the effect of SM/NM training on SM/NM measures and ice hockey specific physical performance and 4) injury and concussion prevention strategies.

Therefore, the objectives of this study are to:

1. Describe age and sex specific typical scores on sensorimotor and neuromuscular (proprioception, movement related, balance, vision, divided attention) and ice hockey specific physical performance measures over one off season of training. 2. Evaluate the effects of a sensorimotor training program on ice hockey skills performance. 3. Evaluate sensorimotor control as a means to improve safety in sport:

1. Evaluate the effect of SM/NM training on concussion and injury risk. 2. Evaluate the effect of previous concussion and injury on sensorimotor function. 4. Evaluate the effect of SM/NM training on performance of 1) system specific outcomes and 2) sport specific measures in ice hockey players.

• Cervical spine range of motion [Срок оценки: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years]
• Anterolateral flexion strength [Срок оценки: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years]
• cervical flexor endurance test [Срок оценки: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years]
• cervical flexion rotation test [Срок оценки: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years]
• head perturbation test [Срок оценки: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years]
• Head thrust test [Срок оценки: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years]
• Numeric Pain Rating Scale (NPRS) Headache [Срок оценки: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years]
• Numeric Dizziness Rating Scale (NDRS) Dizziness [Срок оценки: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years]
• Numeric Pain Rating Scale (NPRS) Neck pain [Срок оценки: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years]
• Concussion [Срок оценки: yearly, up to 2 years]