## Protocol Section
### Identification Module
**NCT ID:** NCT06415578

**Brief Title:** Effectiveness of Ergonomics Training and Exercise in Esports Players

**Official Title:** Effectiveness of Ergonomics Training and Exercise in Esports Players

#### Organization Study ID Info
**ID:** Uskudar9
#### Organization
**Class:** OTHER
**Full Name:** Uskudar University
### Status Module
#### Completion Date
**Date:** 2024-07-30

**Type:** ESTIMATED

#### Expanded Access Info
#### Last Update Post Date
**Date:** 2024-05-16

**Type:** ACTUAL

**Last Update Submit Date:** 2024-05-15

**Overall Status:** RECRUITING

#### Primary Completion Date
**Date:** 2024-07-20

**Type:** ESTIMATED

#### Start Date
**Date:** 2024-05-15

**Type:** ACTUAL

**Status Verified Date:** 2024-05

#### Study First Post Date
**Date:** 2024-05-16
**Type:** ACTUAL
**Study First Submit Date:** 2024-05-09
**Study First Submit QC Date:** 2024-05-09
### Sponsor Collaborators Module

#### Lead Sponsor

**Class:** OTHER

**Name:** Uskudar University

#### Responsible Party

**Investigator Affiliation:** Uskudar University

**Investigator Full Name:** Dr. Öğr. Üyesi Ömer Şevgin

**Investigator Title:** Asst. Prof. Dr.

**Type:** PRINCIPAL_INVESTIGATOR

### Oversight Module

**Is FDA Regulated Device:** False

**Is FDA Regulated Drug:** False

**Oversight Has DMC:** False

### Description Module

**Brief Summary:** The aim of this study is to investigate the effectiveness of ergonomics training and exercise in e-sports players.

**Detailed Description:** After detailed information about the study is given to the individuals to be included in the study, individuals who voluntarily agree to participate in the study will sign an informed consent form. Participants will be divided into 2 groups consisting of equal numbers of individuals. The groups were called control group and exercise group. All participants will be given ergonomics training. In addition to the exercise group, exercise training will be given for 8 weeks, 3 days a week and 45 minutes a day. Sociodemographic information form, Arm, Shoulder and Hand Problems Questionnaire (DASH), Neck Disability Questionnaire (NDI), Rapid Upper Extremity Assessment (RULA) and Pittsburgh Sleep Quality Index (PSQI) will be used as evaluation scales. Evaluations will be made at the beginning and end of the study. will be done once.

### Conditions Module

**Conditions:**

- Musculoskeletal Diseases

- Musculoskeletal Pain

### Design Module

#### Design Info

**Allocation:** RANDOMIZED

**Intervention Model:** PARALLEL

##### Masking Info

**Masking:** SINGLE

**Who Masked:**

- OUTCOMES_ASSESSOR

**Primary Purpose:** TREATMENT

#### Enrollment Info

**Count:** 50

**Type:** ESTIMATED

**Phases:**

- NA

**Study Type:** INTERVENTIONAL

### Arms Interventions Module

#### Arm Group 1

**Description:** Only ergonomics training will be given

**Intervention Names:**

- Other: ergonomics training

**Label:** control

**Type:** ACTIVE_COMPARATOR

#### Arm Group 2

**Description:** Exercise training will be provided along with ergonomics training.

**Intervention Names:**

- Other: ergonomics training

- Other: Exercises

**Label:** exercise

**Type:** EXPERIMENTAL

### Interventions

#### Intervention 1

**Arm Group Labels:**

- control

- exercise

**Description:** In this training; What is ergonomics, the importance of ergonomics, the purpose of ergonomics, risk factors for musculoskeletal disorders that can be seen in e-sports players, ergonomic arrangements that can be made in the working environment and methods of protection from musculoskeletal injuries, posture disorders and various ergonomic arrangements that can be made for posture disorders and chair selection, screen selection. selection and rest breaks were included. Participants will be trained twice in total, on the first day of the study and at the end of the 4th week. The training will be carried out interactively, supported by videos and visuals. Training will be done individually and will last approximately 2 hours.

**Name:** ergonomics training

**Type:** OTHER

#### Intervention 2

**Arm Group Labels:**

- exercise

**Description:** The exercise training program will be implemented for 8 weeks, 3 days a week, lasting an average of 45 minutes. All participants will be given information about the exercises before the exercise training. The exercise protocol was designed as 3 parts: warm-up, exercise and cool-down. Stretching exercises, mobility and strength exercises will be applied. A rest period of 30-45 seconds was given between sets and 2-3 minutes between exercises. Participants will be given dynamic and static stretching, nerve stretching, postural strength and functional exercises for the upper extremity. Relevant movements will be modified according to the exercise capacity of the participants. Exercise content will also include median, ulnar and radial nerve stretching, neck and thoracic mobility exercises, and functional strength exercises for the shoulder, arm, hand and wrist. Exercise tracking will be checked regularly through online conversations.

**Name:** Exercises

**Type:** OTHER

### Outcomes Module

#### Primary Outcomes

**Description:** This index evaluates sleep quality and disturbance over the past month. It contains a total of 24 questions. 19 of these questions are answered by the person's self-assessment, and 5 of them are answered by the roommate who shares the same room with the person. The 5 questions answered by the person's roommate are not included when calculating the score. In scoring, the lowest (0) and the highest (21) points are obtained. A score of 4 and above indicates poor sleep quality.

**Measure:** Pittsburgh Sleep Quality Index

**Time Frame:** 8 weeks

**Description:** It is an ergonomics risk assessment method that quickly analyzes the employee's upper extremity from an ergonomic perspective. It evaluates upper extremity movements in 14 separate steps. 8 of these steps are scored for arm and hand position, and 6 for neck and trunk position, according to the table. The minimum Rapid Upper Limb Assessment Score = 1, and the maximum Rapid Upper Limb Assessment Score = 7. A high score means high risk.

**Measure:** Rapid Upper Limb Assessment

**Time Frame:** 8 weeks

**Description:** It was developed to evaluate functional status and symptoms by focusing on physical function in upper extremity injuries. According to the results of the survey; a result from 0-100 is obtained from each part; 0-no apology 100-maximum apology.

**Measure:** Disabilities of the Arm, Shoulder and Hand Questionnaire

**Time Frame:** 8 weeks

**Description:** There are 10 parameters in the Neck disability index, each with 6 answer choices. These; The severity of neck pain is personal care, lifting loads, reading, headache, concentration, business life, driving, sleep and leisure activities. It is scored between 0 (no pain or functional limitation) and 5 (maximum pain and maximum limitation). The subjects were asked to choose the most appropriate option for themselves from each parameter. At the end of the survey, the total score was determined by adding up the scores of the selected options. In the Neck disability index, 35 points and above were defined as complete apology, 25 to 34 points as severe apology, 15 to 24 points as moderate apology, 5 to 14 points as mild apology, and 0 to 4 points as no apology.

**Measure:** Neck disability index

**Time Frame:** 8 weeks

### Eligibility Module

**Eligibility Criteria:** Inclusion Criteria:

* those who signed the voluntary consent form
* Having actively participated in E-sports organizations and tournaments within 16 months
* not having a chronic disease that will affect the musculoskeletal system
* Not having any health problems that prevent him from exercising and not having had a surgical operation in the last 6 months.

Exclusion Criteria:

* Players under 18 years of age
* have a chronic disease that affects the musculoskeletal system
* Having had a surgical operation in the last 6 months that would prevent him from being interested in e-sports games

**Healthy Volunteers:** True

**Maximum Age:** 30 Years

**Minimum Age:** 18 Years

**Sex:** ALL

**Standard Ages:**

- ADULT

### Contacts Locations Module

#### Central Contacts

**Contact 1:**

**Email:** omer.sevgin@uskudar.edu.tr

**Name:** ŞEVGİN

**Phone:** +905069787535

**Role:** CONTACT

#### Locations

**Location 1:**

**City:** Istanbul

**Contacts:**

***Contact 1:***

- **Name:** Ömer ŞEVGİN

- **Role:** CONTACT

**Country:** Turkey

**Facility:** Uskudar Üniversity

**Status:** RECRUITING

#### Overall Officials

**Official 1:**

**Affiliation:** Uskudar University

**Name:** Atakan GÜRGAN

**Role:** STUDY_CHAIR

### IPD Sharing Statement Module

**IPD Sharing:** NO

### References Module

#### References

**Citation:** Monteiro Pereira A, Costa JA, Verhagen E, Figueiredo P, Brito J. Associations Between Esports Participation and Health: A Scoping Review. Sports Med. 2022 Sep;52(9):2039-2060. doi: 10.1007/s40279-022-01684-1. Epub 2022 Apr 29.

**PMID:** 35486374

**Citation:** Ketelhut S, Martin-Niedecken AL, Zimmermann P, Nigg CR. Physical Activity and Health Promotion in Esports and Gaming-Discussing Unique Opportunities for an Unprecedented Cultural Phenomenon. Front Sports Act Living. 2021 Sep 16;3:693700. doi: 10.3389/fspor.2021.693700. eCollection 2021.

**PMID:** 34604743

**Citation:** DiFrancisco-Donoghue J, Balentine J, Schmidt G, Zwibel H. Managing the health of the eSport athlete: an integrated health management model. BMJ Open Sport Exerc Med. 2019 Jan 10;5(1):e000467. doi: 10.1136/bmjsem-2018-000467. eCollection 2019.

**PMID:** 30792883

**Citation:** Seffah KD, Salib K, Dardari L, Taha M, Dahat P, Toriola S, Satnarine T, Zohara Z, Adelekun A, Ahmed A, Gutlapalli SD, Patel D, Khan S. Health Benefits of Esports: A Systematic Review Comparing the Cardiovascular and Mental Health Impacts of Esports. Cureus. 2023 Jun 20;15(6):e40705. doi: 10.7759/cureus.40705. eCollection 2023 Jun.

**PMID:** 37485153

**Citation:** Eltayeb SM, Staal JB, Hassan AA, Awad SS, de Bie RA. Complaints of the arm, neck and shoulder among computer office workers in Sudan: a prevalence study with validation of an Arabic risk factors questionnaire. Environ Health. 2008 Jun 27;7:33. doi: 10.1186/1476-069X-7-33.

**PMID:** 18588691

## Derived Section

### Condition Browse Module - Ancestors

- ID: D000009135

- Term: Muscular Diseases

- ID: D000010146

- Term: Pain

- ID: D000009461

- Term: Neurologic Manifestations

### Condition Browse Module - Browse Branches

- Abbrev: BC23

- Name: Symptoms and General Pathology

- Abbrev: All

- Name: All Conditions

- Abbrev: BC05

- Name: Musculoskeletal Diseases

- Abbrev: BC10

- Name: Nervous System Diseases

### Condition Browse Module - Browse Leaves

- ID: M13066

- Name: Pain

- Relevance: LOW

- As Found: Unknown

- ID: M29444

- Name: Musculoskeletal Pain

- Relevance: HIGH

- As Found: Musculoskeletal Pain

- ID: M12097

- Name: Musculoskeletal Diseases

- Relevance: HIGH

- As Found: Musculoskeletal Diseases

- ID: M12092

- Name: Muscular Diseases

- Relevance: LOW

- As Found: Unknown

- ID: M12404

- Name: Neurologic Manifestations

- Relevance: LOW

- As Found: Unknown

### Condition Browse Module - Meshes

- ID: D000059352

- Term: Musculoskeletal Pain

- ID: D000009140

- Term: Musculoskeletal Diseases

### Misc Info Module

- Version Holder: 2024-05-31
