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Research Article
Does TRX Training Reduce Injury Rates in
Futsal Athletes, as Measured by the Functional
Movement Screening Test? -
Javad Shavikloo* and Aliasghar Norasteh
Department of Corrective Exercises and Sports Injuries, University of Guilan, Iran
*Address for Correspondence: Javad Shavikloo, Department of Corrective Exercises and Sports Injuries,
University of Guilan, Iran, Tel: +98-919-193-3716; E-mail:
Submitted: 05 August 2019; Approved: 07 September 2019; Published: 09 September 2019
Cite this article: Shavikloo J, Norasteh A. Does TRX Training Reduce Injury Rates in Futsal Athletes, as
Measured by the Functional Movement Screening Test? Int J Sports Sci Med. 2019;3(2): 060-064.
Copyright: © 2019 Shavikloo J, et al. This is an open access article distributed under the Creative
Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any
medium, provided the original work is properly cited.
International Journal of
Sports Science & Medicine
ISSN: 2640-0936
International Journal of Sports Science & Medicine
SCIRES Literature - Volume 3 Issue 2 - www.scireslit.com Page -061
ISSN: 2640-0936
INTRODUCTION
With increasing participation in sports activities, the number
of athletes at risk of injury has increased. According to the National
Collegiate Athletic Association reports, approximately 1,82,000
injuries occurred in athletes from 1988 to 2004 and Futsal is among
the top ten injury prone sports with incidence rate of 20.3 and 55.2
injuries per 10000 hours sport participation, respectively [1,2].
Most injuries affect the lower extremity (i.e., knee and thigh) [3,4].
In futsal, prospective studies with hamstring injury rates are scarce,
but Junge and Dvorak. demonstrated that thigh strain is among the
most prevalent diagnoses of time-loss injuries in futsal players [3].
In addition, recently Martinez-Rianza et al. [5] analyzed medical
assistance to Spanish national futsal team over five seasons and
showed that in 43.3% of the cases, injuries were sustained in the thigh,
followed by the leg (12.6%) and knee (10%) [5]. Most assistance cases
(52.6%) were due to muscle overload (i.e., when the individual did
not have an anatomical injury but the muscle was painful and slightly
tight when manually explored) and 14.4% were due to residual pain.
Sport injuries can have various causes. For examples, improper
methods of performing techniques, overuse, and insufficient
recovery. According to previous studies, it is possible that athletes
are vulnerable to various internal factors. These factors include
inappropriate ratios of strength and endurance of agonist and
antagonist muscles, structural abnormalities, gender, pre-seasonal
physical fitness, and history of injury [6-8]. Recently, researchers have
shown that muscular imbalance may be one of the causes of injury, in
addition to improper motor control or muscle weakness [9]. In this
regard, studies clearly show that knee injuries are more common in
female athletes with inappropriate motor control in the body [10].
Core stability is created through stability in the trunk, thus
allowing the production, transmission and optimum control of force
and movement along an integrated kinematic chain [11-13]. The aim
of this type of exercise is to correct movement patterns, increasing
the range of motion, stretching and strengthening muscles, as well
as proprioception training. Core strength training is based on the
principle of high-strength, neuromuscular activity and the use of
static and dynamic training [14,15].
Previous research has shown the importance of the stability of the
core body region in human movements. Core stability plays a role in
the effective functioning of the trunk and limbs for the production,
transfer, and control of forces or energy in the activities [12,16,17].
For example, Richardson et al. [18] examined the sequence of muscle
activity throughout the entire body movement, and a number of
stabilizers in the core region (transverse abdominis, multifidus, rectus
abdominis, and internal and external abdominals oblique) that were
continuously before any movement in the limbs they were activated
[18]. As a result, the authors found that trunk muscle strength,
sprint, and kicking performance improved following 9 weeks of core
strength training on unstable and stable surfaces, without differences
between groups [19]. The results of previous research, confirm the
theory that movement control and core area stability extend to limbs
[17]. More recently suspension training systems have been added to
the list of core stability training devices. In suspension training, as the
name suggests, straps and/or ropes are used to suspend specific body
segments in the air. Individuals then work against their body weight
as they complete exercises in the unstable environment created by
the suspension straps. Although considerable research has examined
more traditional means of instability training [20]. Little previous
research has evaluated the effects of suspension training.
Motor control is the ability to create and maintain a balance
between mobility and stability throughout the kinematic chain
while performing a precise and effective motor pattern [21].
Muscle strength, flexibility, endurance, coordination, balance, and
fundamental performance are the components needed to perform
a correct movement and exercise skills [21,22]. Disruption of
basic motor patterns is associated with an increased risk of athletic
injury [9,23]. Although direct and quantitative measurements of
fundamental movements are limited, Cook et al. [24] proposed a
qualitative assessment of the movement, indicating the degree of core
stability of individuals and how they affect performance and injury
[24,25]. The Functional Movement Screening (FMS) test evaluates the
quality of the basic locomotor pattern and any possible limitations or
asymmetry in the movement patterns performed. These tests are also
used to assess pain in athletes, muscle strength, joint stability in the
lower limbs, muscle flexibility, balance and proprioception [25]. The
FMS is considered a comprehensive tool evaluating motor control
ABSTRACT
Objective: The Functional Movement Screening (FMS) measures the range of motion, balance, and stability in different situations.
So performing exercises that increase the (FMS) scores may be helpful in reducing the number of exercise injuries. Therefore, the aim
of this study was to assess does TRX training reduce injury rates in futsal athletes, as measured by the Functional Movement Screening
Test?
Methods: Twenty-four futsal players (CON mean age: 22.40 ± 1.24 years and INT Mean age: 2.44 ± 21.80 years, age range: 18-28)
were randomly assigned to a CON (n = 12) or an INT (n = 12) group. The intervention group carried out three times a week over six weeks
during the same period, the control group continued its routine training that includes futsal specialist training and Tactical training. Both
groups performed functional movement screening before and after the exercise program. Paired t test was used to analyze the data via
SPSS software at the significance level of P < 0.050.
Results: The Paired t test analysis showed significant improvements in Deep squat (p = 0.01), Hurdle step (p = 0.01), In-line lunge
(p = 0.04), Trunk rotary stability (p = 0.021) and total score of the FMS (p = 0.002) from the pre- to post – test in the INT group, But no
significant changes were observed in control group performance.
Conclusion: According to the results, the suspension training seems to increase the FMS by strengthening the body’s core region
and modifying the patterns of utilizing motor units and it can reduce the injury rates to futsal players. So, it is recommended for athletic
trainers and athletes to use these training to prevent sports injuries.
Keywords: Suspension training; Prevent injury; Core stability; FMS
International Journal of Sports Science & Medicine
SCIRES Literature - Volume 3 Issue 2 - www.scireslit.com Page -062
ISSN: 2640-0936
through functional movement and dynamic coordination analysis
[26,27]. The FMS has also been used as an injury prediction tool in
competitive athletes. Recent studies have shown that athletes with an
FMS score under 14 were more likely to sustain an injury than their
peers who received more than 14 points [28,29].
Regardless of the sports level, prevention of injuries is one of the
most important goals in sports medicine and physical therapy. This
issue is of great importance at the professional level, where injury can
prevent proper preparation, or completely excludes the possibility of
participating in competitions. At the amateur level, often in youth
sports clubs, the injury prevention aspect is not as highly stressed.
However, comprehensive motor development at a younger age can
bring significant benefits in the future. Given that the scores for the
FMS test have a predictive value with regard to later susceptibility
to injuries in competitive athletes the aim of the present study was
to evaluate if injuries in futsal players can be reduced by performing
TRX training?
METHODS
The present study was experimental and pre-test and post-test
design with the control group, which was performed on a group
of futsal players of Qazvin city who were selected. All participants
participated in the futsal training program (six hours a week) and at
least five years of futsal experience before the study.
The study plan was first reviewed and approved by the Ethics
Committee of the University of Guilan. The participants were
informed about the aim and methods of the study and signed the
consent form of the study. Non-inclusion criteria included: ankle
sprain over the past six months, knee surgery over the past year, hip
surgery over the past six months if you have a history of a disease or
drug that affects the nervous system, Visual and auditory defects [30].
All measurements were done alike by one person. The participants
performed the FMS test once before the training program and the
second time after completing the training program. The applied FMS
tests consisted of seven motor tasks: a deep squat, a hurdle step, an in-
line lunge, a shoulder mobility test, an active straight leg raise, a rotary
stability test and a trunk stability push-up. All movement tasks were
assessed on a scale from 0 to 3, where 3 meant the proper execution of
the locomotor pattern; 2 meant the execution of the locomotor pattern
with elements of compensation; 1 meant the inability to perform the
motor pattern; 0 indicating pain during movement. Each trial was
performed twice, and the better of the two results was registered for
further analysis. Specific comments should be noted defining why a
score of three was not obtained. Each test was performed 2 times, and
the best score for the two runs was recorded for subsequent analyzes
[24]. Score 21 was the maximum score earned.
Stabilization training was conducted in the gym, following a 15
min warm-up. The exercises were performed in strictly predetermined
order, in closed kinematic chains using slings attached to the gym
horizontal bar and ladders. The stabilization exercises, which lasted
about 20 min, were conducted on a normal training day, always with
a prior warm-up and before the subsequent futsal workout [31]. The
control group performed only routine training during the research
period (six weeks) that included futsal specialist training and tactical
workout, but the intervention group performed a planned training
program instead of a part of their routine training program. Details
of the training are presented in table 1.
Suspension training
The FMS measurements were performed in both groups before
(pre-test) and after (post-test) for the six-week period of sling training.
All variables were normally distributed (Shapiro Wilks test). Data are
presented as means with Standard Deviation (SD). Paired t-tests were
used to identify differences Pre/Post-test results for FMS between
control and intervention groups. Statistically significant differences
were assumed at P ≤ 0.05.
RESULTS
The descriptive characteristics of the research samples, including
height, weight, age, Body Mass Index (BMI) are presented in table 2.
As shown in table 3, the results of the functional movement screen
indicate that after performing the training program between the
intervention and control groups Significant changes were observed
in the Deep squat (p = 0.01), Hurdle step (p = 0.01), In-line lunge (p
= 0.04), Trunk rotary stability (p = 0.021) and total score of the FMS
(p = 0.002). Discussion
The aim of this study was to assess does TRX training reduce
injury rates in futsal athletes, as measured by the Functional
Movement Screening Test? The results of this study showed that
the performing of TRX training significantly improves the scores
of participants in the FMS. The results of the present study, confirm
the conducted study by Peate et al. [32] who reported that the use
of prevention training in people with a score of less than 14 in the
FMS would improve the score obtained in the test and also reduce
the probability of injury [32]. It also confirms the results of the Frost
study, which reported that after completing the exercise program
in the training group, improved FMS test scores compared with
the control group [33]. Also in another study, Wright et al., used
functional exercises in adolescents for four weeks and reported that
Table 1: Training program.
Training Program
Saturday Monday Wednesday
Warm-up Running 15min Running 15min Running 15min
Exercise
Type
Pike, Crunch (on
hands), mountain
climber, Oblique
Crunch, Lunge,
Plank, Hamstring
Cruel, Squat
Pike, Crunch (on
hands), mountain
climber, Oblique
Crunch, Lunge, Plank,
Hamstring Cruel,
Squat
Pike, Crunch (on
hands), mountain
climber, Oblique
Crunch, Lunge,
Plank, Hamstring
Cruel, Squat
Exercise
Method
1 Wks
2sets, 9reps, 2sets, 9sec 30sec rest (exercise), 2-3min
rest (set)
2 Wks
2sets, 9reps, 2sets, 9sec 30sec rest (exercise), 2-3min
rest (set)
3 Wks
2sets, 12reps, 2sets, 12sec 30sec rest (exercise),
2-3min rest (set)
4 Wks
2sets, 15reps, 2sets, 15sec 30sec rest (exercise),
2-3min rest (set)
5 Wks
3sets, 15reps, 3sets, 15sec 30sec rest (exercise),
2-3min rest (set)
6 Wks
2sets, 9reps, 2sets, 9sec 30sec rest (exercise), 2-3min
rest (set)
Table 2: General characteristics of subjects (Mean ± SD).
Group Number Age(year) Height (cm) Weight (kg) BMI
CON 12 22.40 ± 1.24 174.52 ± 4.30 65.80 ± 6.66 21.12 ± 2.18
INT 12 2.44 ± 21.80 173.25 ± 4.04 66.40 ± 4.67 21.35 ± 1.55
International Journal of Sports Science & Medicine
SCIRES Literature - Volume 3 Issue 2 - www.scireslit.com Page -063
ISSN: 2640-0936
performing 4 weeks of the training program in adolescents did not
improve the scores obtained from the FMS [34]. The results of the
present study are not consistent with the results of Wright et al. this
difference can be attributed to the fact that in the present study, the
training was completed within six weeks, but in the study of Wright
et al. The study period was four weeks, which suggests that perhaps
utilizing Such a short-term training program can individually affect
components of physical fitness, but will not affect the FMS results,
because a suitable training program is a program that coordinates all
the core components of the body for a univalent action and has the
correct execution order. After completing the suspended training, the
subjects scored a mean score of FMS 16.60, slightly higher than the
score of the adult FMS results, with an average score of 15.8 [35].
In the study of male athletes between the ages of 8-14, the average
score FMS was 15.2 [36]. This amount was also lower than the average
obtained in the present study. This difference in the results can be
due to the difference in age between those surveyed in this study and
other studies, as well as differences in training program and physical
activity level.
The core region of the body as an interface, with the effective
transfer of forces produced from the lower extremity to the upper
limb, helps in perform the training [21]. Therefore, instability in the
pelvic region during the running leads to a weak technique and an
ineffective use of force [37]. Lumbar-pelvic muscle region plays an
important role in flexion, extension, and resistance to shear force in
the spine and perform a complete activity in the trunk movements.
For a good performing in sports activity, core stability is needed
for resistance to shear forces in the spine, which occurs in several
directions [17]. Due to the movement of the vertebral column at
the same time in three dimensions, many stresses on passive bone
structures-spinal ligaments carry a lot of stress; therefore, the
spine is susceptible to injury. As a result, it is necessary to control
the movement of the lumbar and abdominal muscles by providing
the optimal stiffness against the loads on the lumbar spine and
preventing excessive damage. The main purpose of the vertebra
stabilization exercises is to create a physical capacity to maintain
normal position in the spinal column during daily activities; it does
this by increasing the endurance and coordination of the vertebrate
stabilizer muscles [38]. However, suspended training, which are a
new form of core stabilization training, practice the whole body in an
unstable condition, the ability to enhance the activity of the roots of
the nerves, to establish coordination between the trunk and the hip
joint, and to reduce abnormalities and asymmetry in the limb during
the execution of the movement to be [15]. Also, these trainings have
a positive effect on the muscular reactions in the closed kinematic
chain and improve the ability to control the balance.
CONCLUSION
Regarding the results of this study, suspension training lead
to improving the scores of FMS Futsal athlete’s players. Research
has shown that continuous training in suspended exercises can
potentially improve the body’s core body region by improving the
use of motor units and creating coherence in the core body region.
These exercises strengthen the core muscles of the body by improving
the performance of the FMS scores and thus TRX training can reduce
injury rates in futsal players.
ACKNOWLEDGMENT
We would like to thank all the participants who helped us with
this research and thank the University of Guilan for providing the
groundwork for the study.
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SD)
t p*
CON
Deep squat 2.00 ± 0.66 2.20 ± 0.42 1.00 0.34
Hurdle step 2.10 ± 0.73 1.80 ± 0.78 0.81 0.43
In-line lunge 2.20 ± 0.63 2.00 ± 0.66 0.82 0.44
Shoulder mobility 2.00 ± 0.47 2.20 ± 0.63 1.00 0.34
Active straight leg
raise
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Trunk stability push up 2.10 ± 0.73 1.80 ± 0.78 1.96 0.08
Trunk rotary stability 1.70 ± 0.48 1.80 ± 0.63 0.42 0.67
TOTAL FMS Score 14.40 ± 1.07 13.90 ± 1.28 1.46 *
0.17
INT
Deep squat 1.50 ± 0.52 2.40 ± 0.51 3.85 *
0.04
Hurdle step 2.00 ± 0.66 2.50 ± 0.84 3.00 *
0.01
In-line lunge 2.00 ± 0.47 2.60 ± 0.51 3.67 *
0.04
Shoulder mobility 2.10 ± 0.73 2.30 ± 0.67 1.50 0.16
Active straight leg
raise
2.20 ± 0.63 2.40 ± 0.51 1.50 0.16
Trunk stability push up 2.00 ± 0.66 2.40 ± 0.51 2.44 *
0.37
Trunk rotary stability 1.40 ± 0.51 2.30 ± 0.48 9.00 *
0.01
TOTAL FMS Score 13.50 ± 1.08 16.60 ± 1.50 6.43 *
0.01
*
Significantly different from the pre to post test within each groups P ≤ 0.05.
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International Journal of Sports Science & Medicine

  • 1. Research Article Does TRX Training Reduce Injury Rates in Futsal Athletes, as Measured by the Functional Movement Screening Test? - Javad Shavikloo* and Aliasghar Norasteh Department of Corrective Exercises and Sports Injuries, University of Guilan, Iran *Address for Correspondence: Javad Shavikloo, Department of Corrective Exercises and Sports Injuries, University of Guilan, Iran, Tel: +98-919-193-3716; E-mail: Submitted: 05 August 2019; Approved: 07 September 2019; Published: 09 September 2019 Cite this article: Shavikloo J, Norasteh A. Does TRX Training Reduce Injury Rates in Futsal Athletes, as Measured by the Functional Movement Screening Test? Int J Sports Sci Med. 2019;3(2): 060-064. Copyright: © 2019 Shavikloo J, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. International Journal of Sports Science & Medicine ISSN: 2640-0936
  • 2. International Journal of Sports Science & Medicine SCIRES Literature - Volume 3 Issue 2 - www.scireslit.com Page -061 ISSN: 2640-0936 INTRODUCTION With increasing participation in sports activities, the number of athletes at risk of injury has increased. According to the National Collegiate Athletic Association reports, approximately 1,82,000 injuries occurred in athletes from 1988 to 2004 and Futsal is among the top ten injury prone sports with incidence rate of 20.3 and 55.2 injuries per 10000 hours sport participation, respectively [1,2]. Most injuries affect the lower extremity (i.e., knee and thigh) [3,4]. In futsal, prospective studies with hamstring injury rates are scarce, but Junge and Dvorak. demonstrated that thigh strain is among the most prevalent diagnoses of time-loss injuries in futsal players [3]. In addition, recently Martinez-Rianza et al. [5] analyzed medical assistance to Spanish national futsal team over five seasons and showed that in 43.3% of the cases, injuries were sustained in the thigh, followed by the leg (12.6%) and knee (10%) [5]. Most assistance cases (52.6%) were due to muscle overload (i.e., when the individual did not have an anatomical injury but the muscle was painful and slightly tight when manually explored) and 14.4% were due to residual pain. Sport injuries can have various causes. For examples, improper methods of performing techniques, overuse, and insufficient recovery. According to previous studies, it is possible that athletes are vulnerable to various internal factors. These factors include inappropriate ratios of strength and endurance of agonist and antagonist muscles, structural abnormalities, gender, pre-seasonal physical fitness, and history of injury [6-8]. Recently, researchers have shown that muscular imbalance may be one of the causes of injury, in addition to improper motor control or muscle weakness [9]. In this regard, studies clearly show that knee injuries are more common in female athletes with inappropriate motor control in the body [10]. Core stability is created through stability in the trunk, thus allowing the production, transmission and optimum control of force and movement along an integrated kinematic chain [11-13]. The aim of this type of exercise is to correct movement patterns, increasing the range of motion, stretching and strengthening muscles, as well as proprioception training. Core strength training is based on the principle of high-strength, neuromuscular activity and the use of static and dynamic training [14,15]. Previous research has shown the importance of the stability of the core body region in human movements. Core stability plays a role in the effective functioning of the trunk and limbs for the production, transfer, and control of forces or energy in the activities [12,16,17]. For example, Richardson et al. [18] examined the sequence of muscle activity throughout the entire body movement, and a number of stabilizers in the core region (transverse abdominis, multifidus, rectus abdominis, and internal and external abdominals oblique) that were continuously before any movement in the limbs they were activated [18]. As a result, the authors found that trunk muscle strength, sprint, and kicking performance improved following 9 weeks of core strength training on unstable and stable surfaces, without differences between groups [19]. The results of previous research, confirm the theory that movement control and core area stability extend to limbs [17]. More recently suspension training systems have been added to the list of core stability training devices. In suspension training, as the name suggests, straps and/or ropes are used to suspend specific body segments in the air. Individuals then work against their body weight as they complete exercises in the unstable environment created by the suspension straps. Although considerable research has examined more traditional means of instability training [20]. Little previous research has evaluated the effects of suspension training. Motor control is the ability to create and maintain a balance between mobility and stability throughout the kinematic chain while performing a precise and effective motor pattern [21]. Muscle strength, flexibility, endurance, coordination, balance, and fundamental performance are the components needed to perform a correct movement and exercise skills [21,22]. Disruption of basic motor patterns is associated with an increased risk of athletic injury [9,23]. Although direct and quantitative measurements of fundamental movements are limited, Cook et al. [24] proposed a qualitative assessment of the movement, indicating the degree of core stability of individuals and how they affect performance and injury [24,25]. The Functional Movement Screening (FMS) test evaluates the quality of the basic locomotor pattern and any possible limitations or asymmetry in the movement patterns performed. These tests are also used to assess pain in athletes, muscle strength, joint stability in the lower limbs, muscle flexibility, balance and proprioception [25]. The FMS is considered a comprehensive tool evaluating motor control ABSTRACT Objective: The Functional Movement Screening (FMS) measures the range of motion, balance, and stability in different situations. So performing exercises that increase the (FMS) scores may be helpful in reducing the number of exercise injuries. Therefore, the aim of this study was to assess does TRX training reduce injury rates in futsal athletes, as measured by the Functional Movement Screening Test? Methods: Twenty-four futsal players (CON mean age: 22.40 ± 1.24 years and INT Mean age: 2.44 ± 21.80 years, age range: 18-28) were randomly assigned to a CON (n = 12) or an INT (n = 12) group. The intervention group carried out three times a week over six weeks during the same period, the control group continued its routine training that includes futsal specialist training and Tactical training. Both groups performed functional movement screening before and after the exercise program. Paired t test was used to analyze the data via SPSS software at the significance level of P < 0.050. Results: The Paired t test analysis showed significant improvements in Deep squat (p = 0.01), Hurdle step (p = 0.01), In-line lunge (p = 0.04), Trunk rotary stability (p = 0.021) and total score of the FMS (p = 0.002) from the pre- to post – test in the INT group, But no significant changes were observed in control group performance. Conclusion: According to the results, the suspension training seems to increase the FMS by strengthening the body’s core region and modifying the patterns of utilizing motor units and it can reduce the injury rates to futsal players. So, it is recommended for athletic trainers and athletes to use these training to prevent sports injuries. Keywords: Suspension training; Prevent injury; Core stability; FMS
  • 3. International Journal of Sports Science & Medicine SCIRES Literature - Volume 3 Issue 2 - www.scireslit.com Page -062 ISSN: 2640-0936 through functional movement and dynamic coordination analysis [26,27]. The FMS has also been used as an injury prediction tool in competitive athletes. Recent studies have shown that athletes with an FMS score under 14 were more likely to sustain an injury than their peers who received more than 14 points [28,29]. Regardless of the sports level, prevention of injuries is one of the most important goals in sports medicine and physical therapy. This issue is of great importance at the professional level, where injury can prevent proper preparation, or completely excludes the possibility of participating in competitions. At the amateur level, often in youth sports clubs, the injury prevention aspect is not as highly stressed. However, comprehensive motor development at a younger age can bring significant benefits in the future. Given that the scores for the FMS test have a predictive value with regard to later susceptibility to injuries in competitive athletes the aim of the present study was to evaluate if injuries in futsal players can be reduced by performing TRX training? METHODS The present study was experimental and pre-test and post-test design with the control group, which was performed on a group of futsal players of Qazvin city who were selected. All participants participated in the futsal training program (six hours a week) and at least five years of futsal experience before the study. The study plan was first reviewed and approved by the Ethics Committee of the University of Guilan. The participants were informed about the aim and methods of the study and signed the consent form of the study. Non-inclusion criteria included: ankle sprain over the past six months, knee surgery over the past year, hip surgery over the past six months if you have a history of a disease or drug that affects the nervous system, Visual and auditory defects [30]. All measurements were done alike by one person. The participants performed the FMS test once before the training program and the second time after completing the training program. The applied FMS tests consisted of seven motor tasks: a deep squat, a hurdle step, an in- line lunge, a shoulder mobility test, an active straight leg raise, a rotary stability test and a trunk stability push-up. All movement tasks were assessed on a scale from 0 to 3, where 3 meant the proper execution of the locomotor pattern; 2 meant the execution of the locomotor pattern with elements of compensation; 1 meant the inability to perform the motor pattern; 0 indicating pain during movement. Each trial was performed twice, and the better of the two results was registered for further analysis. Specific comments should be noted defining why a score of three was not obtained. Each test was performed 2 times, and the best score for the two runs was recorded for subsequent analyzes [24]. Score 21 was the maximum score earned. Stabilization training was conducted in the gym, following a 15 min warm-up. The exercises were performed in strictly predetermined order, in closed kinematic chains using slings attached to the gym horizontal bar and ladders. The stabilization exercises, which lasted about 20 min, were conducted on a normal training day, always with a prior warm-up and before the subsequent futsal workout [31]. The control group performed only routine training during the research period (six weeks) that included futsal specialist training and tactical workout, but the intervention group performed a planned training program instead of a part of their routine training program. Details of the training are presented in table 1. Suspension training The FMS measurements were performed in both groups before (pre-test) and after (post-test) for the six-week period of sling training. All variables were normally distributed (Shapiro Wilks test). Data are presented as means with Standard Deviation (SD). Paired t-tests were used to identify differences Pre/Post-test results for FMS between control and intervention groups. Statistically significant differences were assumed at P ≤ 0.05. RESULTS The descriptive characteristics of the research samples, including height, weight, age, Body Mass Index (BMI) are presented in table 2. As shown in table 3, the results of the functional movement screen indicate that after performing the training program between the intervention and control groups Significant changes were observed in the Deep squat (p = 0.01), Hurdle step (p = 0.01), In-line lunge (p = 0.04), Trunk rotary stability (p = 0.021) and total score of the FMS (p = 0.002). Discussion The aim of this study was to assess does TRX training reduce injury rates in futsal athletes, as measured by the Functional Movement Screening Test? The results of this study showed that the performing of TRX training significantly improves the scores of participants in the FMS. The results of the present study, confirm the conducted study by Peate et al. [32] who reported that the use of prevention training in people with a score of less than 14 in the FMS would improve the score obtained in the test and also reduce the probability of injury [32]. It also confirms the results of the Frost study, which reported that after completing the exercise program in the training group, improved FMS test scores compared with the control group [33]. Also in another study, Wright et al., used functional exercises in adolescents for four weeks and reported that Table 1: Training program. Training Program Saturday Monday Wednesday Warm-up Running 15min Running 15min Running 15min Exercise Type Pike, Crunch (on hands), mountain climber, Oblique Crunch, Lunge, Plank, Hamstring Cruel, Squat Pike, Crunch (on hands), mountain climber, Oblique Crunch, Lunge, Plank, Hamstring Cruel, Squat Pike, Crunch (on hands), mountain climber, Oblique Crunch, Lunge, Plank, Hamstring Cruel, Squat Exercise Method 1 Wks 2sets, 9reps, 2sets, 9sec 30sec rest (exercise), 2-3min rest (set) 2 Wks 2sets, 9reps, 2sets, 9sec 30sec rest (exercise), 2-3min rest (set) 3 Wks 2sets, 12reps, 2sets, 12sec 30sec rest (exercise), 2-3min rest (set) 4 Wks 2sets, 15reps, 2sets, 15sec 30sec rest (exercise), 2-3min rest (set) 5 Wks 3sets, 15reps, 3sets, 15sec 30sec rest (exercise), 2-3min rest (set) 6 Wks 2sets, 9reps, 2sets, 9sec 30sec rest (exercise), 2-3min rest (set) Table 2: General characteristics of subjects (Mean ± SD). Group Number Age(year) Height (cm) Weight (kg) BMI CON 12 22.40 ± 1.24 174.52 ± 4.30 65.80 ± 6.66 21.12 ± 2.18 INT 12 2.44 ± 21.80 173.25 ± 4.04 66.40 ± 4.67 21.35 ± 1.55
  • 4. International Journal of Sports Science & Medicine SCIRES Literature - Volume 3 Issue 2 - www.scireslit.com Page -063 ISSN: 2640-0936 performing 4 weeks of the training program in adolescents did not improve the scores obtained from the FMS [34]. The results of the present study are not consistent with the results of Wright et al. this difference can be attributed to the fact that in the present study, the training was completed within six weeks, but in the study of Wright et al. The study period was four weeks, which suggests that perhaps utilizing Such a short-term training program can individually affect components of physical fitness, but will not affect the FMS results, because a suitable training program is a program that coordinates all the core components of the body for a univalent action and has the correct execution order. After completing the suspended training, the subjects scored a mean score of FMS 16.60, slightly higher than the score of the adult FMS results, with an average score of 15.8 [35]. In the study of male athletes between the ages of 8-14, the average score FMS was 15.2 [36]. This amount was also lower than the average obtained in the present study. This difference in the results can be due to the difference in age between those surveyed in this study and other studies, as well as differences in training program and physical activity level. The core region of the body as an interface, with the effective transfer of forces produced from the lower extremity to the upper limb, helps in perform the training [21]. Therefore, instability in the pelvic region during the running leads to a weak technique and an ineffective use of force [37]. Lumbar-pelvic muscle region plays an important role in flexion, extension, and resistance to shear force in the spine and perform a complete activity in the trunk movements. For a good performing in sports activity, core stability is needed for resistance to shear forces in the spine, which occurs in several directions [17]. Due to the movement of the vertebral column at the same time in three dimensions, many stresses on passive bone structures-spinal ligaments carry a lot of stress; therefore, the spine is susceptible to injury. As a result, it is necessary to control the movement of the lumbar and abdominal muscles by providing the optimal stiffness against the loads on the lumbar spine and preventing excessive damage. The main purpose of the vertebra stabilization exercises is to create a physical capacity to maintain normal position in the spinal column during daily activities; it does this by increasing the endurance and coordination of the vertebrate stabilizer muscles [38]. However, suspended training, which are a new form of core stabilization training, practice the whole body in an unstable condition, the ability to enhance the activity of the roots of the nerves, to establish coordination between the trunk and the hip joint, and to reduce abnormalities and asymmetry in the limb during the execution of the movement to be [15]. Also, these trainings have a positive effect on the muscular reactions in the closed kinematic chain and improve the ability to control the balance. CONCLUSION Regarding the results of this study, suspension training lead to improving the scores of FMS Futsal athlete’s players. Research has shown that continuous training in suspended exercises can potentially improve the body’s core body region by improving the use of motor units and creating coherence in the core body region. These exercises strengthen the core muscles of the body by improving the performance of the FMS scores and thus TRX training can reduce injury rates in futsal players. ACKNOWLEDGMENT We would like to thank all the participants who helped us with this research and thank the University of Guilan for providing the groundwork for the study. REFERENCES 1. Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007; 42: 311-319. https://bit.ly/2lDsDHZ 2. Schmikli SL, Backx FJ, Kemler HJ, van Mechelen W. National survey on sports injuries in the Netherlands: target populations for sports injury prevention programs. Clin J Sport Med. 2009; 19: 101-106. https://bit.ly/2m8fl6B 3. Junge A, Dvorak J. Injury risk of playing football in Futsal World Cups. Br J Sports Med. 2010; 44: 1089-1092. https://bit.ly/2knfrGV 4. Hamid MS, Jaafar Z, Mohd Ali AS. 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