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OpenTrials
Completed

NCT Number: NCT07665138

Sequence-Dependent Performance Adaptations Following Myofascial Chain Training in Youth Football Players

This study looked at whether the order of two different types of muscle-and-connective-tissue ("myofascial chain") training affects how young football players improve their jumping power and balance.

Forty male football players, aged 15 to 16, took part. Players were split into two groups by chance. One group did "posterior chain" training first, then switched to "spiral chain" training. The other group did the trainings in the opposite order. Each training phase lasted six weeks, and players kept doing their normal team practice at the same time.

Jumping power and balance were measured four times: before training started, after the first six weeks, after the second six weeks, and again four weeks after training ended.

The goal was to find out if starting with one type of training instead of the other leads to bigger, faster, or longer-lasting improvements. This information may help coaches design better training programs for young athletes.

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Key information

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

Mersin University

Mersin, 33343, Turkey (Türkiye)

About this study

Myofascial chains are interconnected lines of muscle and connective tissue that transmit force across body segments, contributing to movement efficiency, joint stability, and elastic energy storage. Among the chains described in fascial anatomy literature, the posterior chain is considered a primary contributor to explosive force production, while the spiral chain contributes to rotational control and dynamic balance. Despite growing interest in fascia-informed training approaches, no prior study has examined whether the sequence in which these chains are trained influences the magnitude, time-course, or persistence of performance adaptations in youth athletes.

To address this gap, the study employed a randomized crossover design. Participants were randomly allocated in a 1:1 ratio to one of two sequence groups: the Posterior Chain First Group (PCFG) or the Spiral Chain First Group (SCFG). Both groups continued their regular club training throughout the entire study period.

The intervention consisted of two consecutive six-week training blocks separated by a mid-test assessment. In the first block, each group performed their assigned myofascial chain protocol; following the crossover, groups switched protocols for the second block. Each training session lasted 30 minutes and was completed in addition to routine club practice. Outcomes were assessed at four time points - baseline, after the first block, after the second block, and at a four-week follow-up - to capture both the progression and persistence of adaptations.

The primary aim was to determine whether initiating training with the posterior chain versus the spiral chain produces differential adaptation trajectories, which may inform evidence-based sequencing decisions in youth athlete development programs.

Who can participate

Healthy volunteers accepted: Yes

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

IInclusion Criteria:

  • Male, aged 15-16 years (U15-U16 category)
  • Holding an active football player license and currently competing with a club team
  • Regularly participating in routine club training sessions
  • Free from any injury or musculoskeletal condition that could affect performance testing at the time of enrollment
  • Parental/legal guardian consent and participant assent obtained

Exclusion criteria

  • Presence of any musculoskeletal injury, recent surgery, or medical condition affecting lower-limb function within the past 6 months
  • Inability to attend the required training sessions or assessment time points
  • Unwillingness or inability of parents/legal guardians to provide informed consent

Treatment and study plan

Posterior chain myofascial training

Other

A 6-week, twice-weekly structured training protocol targeting the posterior myofascial chain, consisting of a warm-up, five functional exercises, and a cool-down phase, delivered in addition to routine club training.

Spiral chain myofascial training

Other

A 6-week, twice-weekly structured training protocol targeting the spiral myofascial chain, consisting of a warm-up, five functional exercises, and a cool-down phase, delivered in addition to routine club training.

Primary outcomes

  1. Countermovement Jump (CMJ) Height

    Time frame: Measured at baseline (pre-test), 6 weeks (mid-test), 12 weeks (post-test), and 4 weeks post-test (follow-up)

    Lower-limb explosive power was assessed using the countermovement jump, measured with a photocell device (SE-JP1). Each participant performed three non-consecutive jumps with hands on hips, and the mean of the three trials was used for analysis.

Secondary outcomes

  1. Dynamic Balance - YBT

    Time frame: Measured at baseline (pre-test), 6 weeks (mid-test), 12 weeks (post-test), and 4 weeks post-test (follow-up)

    Dynamic balance was assessed using the Y-Balance Test with the right/left leg as the stance leg, measuring reach distance (cm) in the anterior, posteromedial, and posterolateral directions, normalized to leg length.

Sponsors and collaborators

Lead sponsor

Mersin University

Other

Registry information

Official study title

Sequence-Dependent Performance Adaptations Following Myofascial Chain Training in Youth Football Players: An Integrated Statistical and Knowledge Graph Approach

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jun 24, 2026
Registry last updated
Jun 29, 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.

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