Skip to main content
OpenTrials
Recruiting

NCT Number: NCT07402746

Sensorimotor Training to Enhance Performance - the STEP AHEAD Program

The goal of this study is to evaluate the effects of SM/NM training in ice hockey players. The specific questions include: 1) typical performance on sensorimotor and neuromuscular (SM/NM) tests 2) evaluate SM/NM training on ice hockey skills performance and SM/NM tests, 3) evaluate SM/NM control to prevent concussions and injuries

Participants will:

Consent and complete a series of SM/NM tests. Participate in their typical training for 4 weeks. Repeat the SM/NM tests. Participate in SM/NM training for 4 weeks as part of their off season training program.

Repeat the SM/NM tests and on ice skills testing. Record any injuries and concussions that they sustain over the next season. Repeat the SM/NM tests and on ice skills tests at the start of the 2025 off season training (estimated May - July of 2025).

Recruiting

Interested in participating?

Request Info

Key information

Conditions

Age range

12 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Concussion Rehabilitation Laboratory

Calgary, Alberta, T2N1N4, Canada

Location status: Recruiting

Location contact

Clara Soligon, MSc

SUB_INVESTIGATOR

Geoff Schneider, PhD

SUB_INVESTIGATOR

Kathryn Schneider, PT, PhD

CONTACT

[email protected]

4033892245

Kerry Worbets, MSc

SUB_INVESTIGATOR

Kirsten Taylor, MSc

SUB_INVESTIGATOR

Michaela Chadder, MSc

CONTACT

[email protected]

4032205635

About this study

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:

  • 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.
  • Evaluate the effects of a sensorimotor training program on ice hockey skills performance.
  • Evaluate sensorimotor control as a means to improve safety in sport:
  • Evaluate the effect of SM/NM training on concussion and injury risk.
  • Evaluate the effect of previous concussion and injury on sensorimotor function.
  • Evaluate the effect of SM/NM training on performance of 1) system specific outcomes and 2) sport specific measures in ice hockey players.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Ice hockey players in Calgary and area who are training with Crash Conditioning for the 2024-2026 off season -

Exclusion criteria

N/A

-

Treatment and study plan

sensorimotor and neuromuscular training

Other

Sensorimotor and neuromuscular training exercises aimed at training the cervical spine neuromuscular control, vestibular system and oculomotor system in addition to ice hockey specific training the incorporates higher level integrated functional activities of these integrated systems. This will be performed at the same frequency as their typical training - four days per week in the gym, one day of yoga or recovery as well as on ice sessions.

Typical off season ice hockey training

Other

Typical training for ice hockey players off season

Primary outcomes

  1. Craniocervical flexion

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    mmHg, the ability of the participant to perform a craniovertebral flexion task in a controlled way and maintain the position for a minimum of 3 seconds.

  2. Dynamic Visual Acuity

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    logMAR, Represents the ability of the patient to see clearly with head motion as per Schneider et al 2019=8

  3. Vestibular Ocular Motor Screen (VOMS)

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    Symptom provocation on tests of vestibulo ocular and oculomotor function, rated on a scale of 0-10 where 0=no symptoms and 10= the worse imaginable, Mucha et al 2014

  4. Advanced Functional Gait Assessment

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    /48, 16 tests of dynamic balance each rated on a scale of 0-3 with 0 repress unable to complete the task and 3 is able to perfectly complete the task.

  5. Transition Agility Skate

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    Seconds, Outcome of the transition agility skate on the Hockey Canada skills test

Secondary outcomes

  1. Cervical spine range of motion

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    1=full range of motion, 0=limited range of motion

  2. Anterolateral flexion strength

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    kilograms (kg), average of three trials in a rotated position to either the right or left and defined according to the position of the head

  3. cervical flexor endurance test

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    Seconds, the length of time the participant can lift the head in craniovertebral flexion

  4. cervical flexion rotation test

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    1=positive, 0=negative, a measure of upper cervical spine dysfunction with a positive test suggesting cervicogenic headache, limited range of motion in full flexion by >20 degrees, measured to the right and left

  5. head perturbation test

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    0-8/8; ability of the individual to maintain their head in a neutral position when an external force of 5lbs is applied

  6. Head thrust test

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    Positive = 1, Negative =0, Ability of the eyes to maintain a fixed position on a target with rapid head motion

  7. Numeric Pain Rating Scale (NPRS) Headache

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    Headache 0-10 where 0=no symptoms and 10=worst symptom imaginable

  8. Numeric Dizziness Rating Scale (NDRS) Dizziness

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    dizziness 0-10 where 0=no symptoms and 10=worst symptom imaginable

  9. Numeric Pain Rating Scale (NPRS) Neck pain

    Time frame: 0 weeks, 4 weeks, 8 weeks each year, up to 2 years

    neck pain 0-10 where 0=no symptoms and 10=worst symptom imaginable

  10. Concussion

    Time frame: yearly, up to 2 years

    Defined as per the Amsterdam International Consensus on Concussion in Sport

Study contacts

Contact information is provided by the study sponsor or research team.

Kathryn Schneider, PT, PhD

CONTACT

[email protected]

4033892245

Michaela Chadder

CONTACT

[email protected]

4032205635

Sponsors and collaborators

Lead sponsor

Sport Injury Prevention Research Centre

Other

Registry information

Acronym: STEP AHEAD

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Feb 11, 2026
Registry last updated
Feb 11, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.