Research Article
Comparative Effects of Isokinetic Training and Virtual Reality
Training on Sports Performances in University Football
Players with Chronic Low Back Pain-Randomized
Controlled Study
Gopal Nambi ,
1
Walid Kamal Abdelbasset ,
1,2
Shereen H. Elsayed ,
3
SaudM.Alrawaili ,
1
AhmedM.Abodonya,
4,5
AymanK.Saleh,
5,6
andTamerE.Elnegamy
1
1
Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University,
Al-Kharj, Saudi Arabia
2
Department of Physical erapy, Kasr Al-Aini Hospital, Cairo University, Giza, Egypt
3
Department of Rehabilitation Sciences, Faculty of Health and Rehabilitation Sciences,
Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
4
Department of Anesthesia and Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
5
College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
6
Department of Orthopedics, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt
Correspondence should be addressed to Gopal Nambi; Physio_gopal@rediffmail.com
Received 5 March 2020; Revised 15 May 2020; Accepted 30 May 2020; Published 16 June 2020
Academic Editor: Carmen Mannucci
Copyright © 2020 Gopal Nambi et al. is 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.
Objective. e objective of this study is to find and compare the effects of isokinetic training and virtual reality training on sports
performances in university football players with chronic low back pain. Design. is is a randomized, double-blinded controlled
study. Methods. e study was conducted on 45LBP participants at university hospital. First group (n � 15) received isokinetic
training, second group (n � 15) received virtual reality training, and the control group (n � 15) received conventional training
exercises for four weeks. Clinical (pain intensity and player wellness) and sports performance (40 m sprint, 4 × 5 m sprint,
submaximal shuttle running, countermovement jump, and squat jump) scores were measured at baseline, after 4 weeks, 8 weeks,
and 6 months. Results. Four weeks following training VRT group shows more significant changes in pain intensity and player
wellness scores than IKT and control groups (p ≤ 0.001). Sports performance variables (such as 40 m sprint, 4 × 5 m sprint,
submaximal shuttle running, countermovement jump, and squat jump) scores also show significant improvement in VRTgroup
than the other two groups (p ≤ 0.001). Conclusion. Overall, our study suggests that strength training through virtual reality
training protocol improves pain and sports performances than isokinetic training and other conventional trainings in university
football players with chronic low back pain.
1. Introduction
Football has become one of the world’s leading team events;
according to FIFA’s survey, there are 265 million people
actively participating in this game around the world. In-
crease of the number of players also increases the number of
sports injuries, which was noted especially in the lower back
region (47%) [1]. Low back pain (LBP) is considered to be
the major disability affecting this game and the pain is as-
sociated with trunk balance control [2]. Recent studies re-
port that an injury to the muscles and proprioceptors in the
trunk during the sports activities affects the trunk balance
control mechanisms [3]. e decline in trunk balance
control may occur due to technological development, ab-
normal physical activity, pathological changes, and poor
training in sports. ese factors finally lead to low back pain
Hindawi
Evidence-Based Complementary and Alternative Medicine
Volume 2020, Article ID 2981273, 10 pages
https://doi.org/10.1155/2020/2981273