ExergamingNCT06422234
Effect of Exergame-Based Exercise on Hamstring and Quadriceps Isokinetic Muscle Parameters
A study testing Exergame and Game-free Exercise in people with Exergaming and Sedentary Behavior, run by Halic University at 1 site in Turkey (Türkiye).
Trial summary
The aim of this study is to investigate the effects of two different exercise methods (video-based game exercise group and real (non-game) exercise group) to increase knee strength in healthy individuals on muscle strength, balance and lower extremity functional parameters. Read more about this study
- Who is it for?
- Ages 18 to 25 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Exergaming, Sedentary Behavior, Muscle Strength
- What is being tested?
- Exergame and Game-free Exercise
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 45 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Apr 2024to 3 Jun 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 25 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Being a woman between the ages of 18-25
- Being a 1st or 2nd year physiotherapy and rehabilitation student or a student in any department other than sports sciences
- Being sedentary or underweight according to fit score
- Being at normal values according to body mass index
- Full knee flexion-extension joint range of motion
- Volunteering to participate in the study
Who cannot join
- Knee pain, history of injury in the last 6 months,
- Doing regular physical activity in the last 6 months,
- Neurological, cardiorespiratory, musculoskeletal, endocrine, renal, metabolic and other related disease(s) that will prevent the performance of exercises
- History of lower extremity orthopedic surgery
- Chronic use of medications or anti-inflammatory drugs
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effect of Exergame-Based Exercise on Hamstring and Quadriceps Isokinetic Muscle Parameters, Balance and Explosive Power
The aim of this study is to investigate the effects of two different exercise methods (video-based game exercise group and real (non-game) exercise group) to increase knee strength in healthy individuals on muscle strength, balance and lower extremity functional parameters. In our study, it will be revealed which technique will have what effect in the strengthening, which will be done by taking certain criteria into consideration. Participants will be randomized into three different groups. Two groups, except the control group, will exercise three times a week for 6 weeks. All participants will be assessment twice in total, at the beginning of the study and 6 weeks later. It is thought that the results obtained here will contribute to the literature.
Read the detailed description
The study was planned to include individuals studying at Halic University, who met the inclusion criteria and volunteered to participate in the study. Evaluated participants will be randomly assigned to three different groups (control group, video-based game exercise group, real game-free exercise group). The sealed envelope method will be used in randomization. All evaluations by the same physiotherapist will be performed twice, before exercise and after 6 weeks of exercise. Both exercise groups will practice under the supervision of a physiotherapist. The control group will not exercise and will only be evaluated twice. At the end of the study, those in the control group will be able to participate in any exercise group they want for 6 weeks.
- Conditions
- Exergaming, Sedentary Behavior, Muscle Strength
- Being tested
- Exergame, Game-free Exercise
- Keywords
- Exergaming, Muscle Strength Dynamometer, Physical Inactivity
- Medical subject headings
- Sedentary Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ExergameOther
Video-based game exercises will be performed 3 days a week for 6 weeks. Participants will be taught how to play the games before starting the game called Ring Fit Adventure, one of the Nintendo Switch games. Among the games within Ring Fit, games that aim to increase lower extremity muscle strength, core stabilization and balance have been selected, and game types and number of repetitions are changed every week.
Game-free ExerciseOther
All activities in the exergame group were done without games and screens. The progression of the exercises proceeds in the same way as the other group.
| Study group | Role | What they receive |
|---|---|---|
| Exergame Group | Experimental | Participants will exercise 3 days a week for 6 weeks with the Ring Fit Adventure game on Nintendo Switch. The exergames to be played are selected by the physiotherapist and become more difficult as the weeks progress. Receives: Other: Exergame |
| Game-free Exercise Group | Active comparator | The games selected for the exergame group will be held in a real environment, without games, 3 days a week for 6 weeks. Receives: Other: Game-free Exercise |
| Control Group | No intervention | Participants in this group will continue their normal life routines and the evaluations will be repeated 6 weeks after the first evaluation. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Isokinetic Evaluation-Peak Torque
Biodex System 4 device will be used to evaluate quadriceps and hamstring isokinetic muscle strength. All tests were planned to be performed on the dominant and non-dominant sides of the participants. Isokinetic muscle strength test will be performed in concentric/concentric mode at speeds of 60°/sec, 90°/sec, 240°/sec in concentric strength test. Isokinetic test will be performed at 0° extension and 90° flexion joint range of motion. Before the isokinetic test, the participant will have 2 repetitions at 60°/sec for adaptation, and then 5 repetitions for the test. After the participant rests for 120 seconds, the participant will first have 4 repetitions for adaptation and then 15 repetitions for the test at 240°/sec. During the tests, the participant will be verbally motivated by the same person. .As a result of the tests, quadriceps and hamstring peak torque (PT) values will be recorded.
Measured: at baseline and at week 6
Isokinetic Evaluation-Peak Torque / Body Weight
Biodex System 4 device will be used to evaluate quadriceps and hamstring isokinetic muscle strength. All tests were planned to be performed on the dominant and non-dominant sides of the participants. Isokinetic muscle strength test will be performed in concentric/concentric mode at speeds of 60°/sec, 90°/sec, 240°/sec in concentric strength test. Isokinetic test will be performed at 0° extension and 90° flexion joint range of motion. Before the isokinetic test, the participant will have 2 repetitions at 60°/sec for adaptation, and then 5 repetitions for the test. After the participant rests for 120 seconds, the participant will first have 4 repetitions for adaptation and then 15 repetitions for the test at 240°/sec. During the tests, the participant will be verbally motivated by the same person. As a result of the tests, peak torque/body weight (PT/VA) values will be recorded.
Measured: at baseline and at week 6
Isokinetic Evaluation-Peak Torque / Hamstring/Quadriceps (H/Q)
Biodex System 4 device will be used to evaluate quadriceps and hamstring isokinetic muscle strength. All tests were planned to be performed on the dominant and non-dominant sides of the participants. Isokinetic muscle strength test will be performed in concentric/concentric mode at speeds of 60°/sec, 90°/sec, 240°/sec in concentric strength test. Isokinetic test will be performed at 0° extension and 90° flexion joint range of motion. Before the isokinetic test, the participant will have 2 repetitions at 60°/sec for adaptation, and then 5 repetitions for the test. After the participant rests for 120 seconds, the participant will first have 4 repetitions for adaptation and then 15 repetitions for the test at 240°/sec. During the tests, the participant will be verbally motivated by the same person. As a result of the tests, Hamstring/Quadriceps (H/Q) values will be recorded.
Measured: at baseline and at week 6
Isokinetic Evaluation-Peak Torque / Total Work
Biodex System 4 device will be used to evaluate quadriceps and hamstring isokinetic muscle strength. All tests were planned to be performed on the dominant and non-dominant sides of the participants. Isokinetic muscle strength test will be performed in concentric/concentric mode at speeds of 60°/sec, 90°/sec, 240°/sec in concentric strength test. Isokinetic test will be performed at 0° extension and 90° flexion joint range of motion. Before the isokinetic test, the participant will have 2 repetitions at 60°/sec for adaptation, and then 5 repetitions for the test. After the participant rests for 120 seconds, the participant will first have 4 repetitions for adaptation and then 15 repetitions for the test at 240°/sec. During the tests, the participant will be verbally motivated by the same person. As a result of the tests, total work values will be recorded.
Measured: at baseline and at week 6
Secondary outcomes (5)
Proprioception Assessment
Individuals' joint position sense of the knee joint will be evaluated at 30°, 45° and 75° knee flexion angles using the Biodex System 4 device. While the individual's eyes are closed, the knee joint will be brought to the targeted angle by the researcher, and the subject will be asked to stay in this position for 5 seconds and perceive this angular position. Afterwards, the individuals' knee angle will be flexed to 90° and they will be asked to bring the knee joint to the targeted angle. The test will be repeated three times and the average of the deviation degrees from the targeted angle in the three tests will be recorded regardless of the direction of movement. The less deviation from the target angle, the better the sense of proprioception.
Measured: at baseline and at week 6
Vertical Jump Test
It is asked to jump to maximum height from the double-leg squat position. Between jumps, 15 to 30 seconds of listening time is given for recovery. Athletes are asked to perform 3 repetitions and the average of the values is recorded. The jump height is recorded in centimeters. The EZEJUMP (vertical jump testing system) System will be used for this test.The higher the jump height, the better the performance.
Measured: at baseline and at week 6
Standing long jump
It is asked to open his legs shoulder-width apart, and without taking a step, he jumps forward, gaining momentum with his arms. The distance between the starting line and the heel closest to this line is recorded as the score. The jump distance is recorded in centimeters Three attempts are made and the best score is noted. The higher the jump distance, the better the performance.
Measured: at baseline and at week 6
Flamingo Balance Test
While the individual tries to balance on a 15 cm long, 4 cm wide wooden plate prepared in the dimensions specified in the literature, the number of times he falls in 1 minute will be recorded. He stands on the bench with his dominant foot lengthwise, bends his free foot backwards and holds it with his hand on the same side. The other arm is released to maintain balance. During this period, the stopwatch will be stopped during each fall and the individual will be waited to get into position again. As the number of falls decreases during one minute, static balance performance increases.
Measured: at baseline and at week 6
Modified Star Balance Test
The maximum distance that a person can travel while balancing on one leg in three directions is recorded in centimeters. At the furthest point they lie down, the person is asked to lightly touch the ground and balance standing again. The test is completed by moving clockwise or counterclockwise. While stretching, your hands are asked to be on the iliac crests. A trial tour is conducted before the test. The average of the subject's three attempts in each direction is taken, the result is divided by the leg length and multiplied by 100. Increasing the distance a person can reach with the other leg while remaining in balance indicates that dynamic balance performance increases.
Measured: at baseline and at week 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 May 2024
- Study start1 Apr 2024
- Primary completion27 May 2024
- Study completion3 Jun 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ExergamingStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 45 participants (actual)
Sponsor and investigators
- Lead sponsor
- Halic University
- Sponsor type
- University, hospital or other
- Collaborators
- Medipol University
- Responsible party
- Sponsor
- Investigators
- Ayşenur Çetinkaya, MSc, Principal investigator, Halic University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06422234
- Sponsor's protocol ID
- ACetinkaya001
- Status last verified
- Apr 2025
- First submitted
- 8 May 2024
- Last updated
- 16 Apr 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Exergame-Based Exercise on Hamstring and Quadriceps Isokinetic Muscle Parameters, Balance and Explosive Power
- ClinicalTrials.gov ID
- NCT06422234
- Acronym / sponsor ID
- ACetinkaya001
- Conditions
- Exergaming, Sedentary Behavior, Muscle Strength
- Keywords
- Exergaming, Muscle Strength Dynamometer, Physical Inactivity
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 45 participants (actual)
- Lead sponsor
- Halic UniversityUniversity, hospital or other
- Collaborators
- Medipol University
- Study start
- 1 Apr 2024 (actual)
- Primary completion
- 27 May 2024 (actual)
- Study completion
- 3 Jun 2024 (actual)
- First posted
- 20 May 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to investigate the effects of two different exercise methods (video-based game exercise group and real (non-game) exercise group) to increase knee strength in healthy individuals on muscle strength, balance and lower extremity functional parameters. In our study, it will be revealed which technique will have what effect in the strengthening, which will be done by taking certain criteria into consideration. Participants will be randomized into three different groups. Two groups, except the control group, will exercise three times a week for 6 weeks. All participants will be assessment twice in total, at the beginning of the study and 6 weeks later. It is thought that the results obtained here will contribute to the literature.
Detailed description
The study was planned to include individuals studying at Halic University, who met the inclusion criteria and volunteered to participate in the study. Evaluated participants will be randomly assigned to three different groups (control group, video-based game exercise group, real game-free exercise group). The sealed envelope method will be used in randomization. All evaluations by the same physiotherapist will be performed twice, before exercise and after 6 weeks of exercise. Both exercise groups will practice under the supervision of a physiotherapist. The control group will not exercise and will only be evaluated twice. At the end of the study, those in the control group will be able to participate in any exercise group they want for 6 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Exergame Group | Experimental | Other: ExergameParticipants will exercise 3 days a week for 6 weeks with the Ring Fit Adventure game on Nintendo Switch. The exergames to be played are selected by the physiotherapist and become more difficult as the weeks progress. |
| Game-free Exercise Group | Active comparator | Other: Game-free ExerciseThe games selected for the exergame group will be held in a real environment, without games, 3 days a week for 6 weeks. |
| Control Group | No intervention | –Participants in this group will continue their normal life routines and the evaluations will be repeated 6 weeks after the first evaluation. |
Who may qualify
- Ages
- 18 to 25 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Being a woman between the ages of 18-25
- Being a 1st or 2nd year physiotherapy and rehabilitation student or a student in any department other than sports sciences
- Being sedentary or underweight according to fit score
- Being at normal values according to body mass index
- Full knee flexion-extension joint range of motion
Key exclusion criteria (5 listed)
- Knee pain, history of injury in the last 6 months,
- Doing regular physical activity in the last 6 months,
- Neurological, cardiorespiratory, musculoskeletal, endocrine, renal, metabolic and other related disease(s) that will prevent the performance of exercises
- History of lower extremity orthopedic surgery
- Chronic use of medications or anti-inflammatory drugs
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ExergameVideo-based game exercises will be performed 3 days a week for 6 weeks. Participants will be taught how to play the games before starting the game called Ring Fit Adventure, one of the Nintendo Switch games. Among the games within Ring Fit, games that aim to increase lower extremity muscle strength, core stabilization and balance have been selected, and game types and number of repetitions are changed every week. | Other | Exergame Group |
| Game-free ExerciseAll activities in the exergame group were done without games and screens. The progression of the exercises proceeds in the same way as the other group. | Other | Game-free Exercise Group |
Primary outcome
Isokinetic Evaluation-Peak Torque
Time frame: at baseline and at week 6
Biodex System 4 device will be used to evaluate quadriceps and hamstring isokinetic muscle strength. All tests were planned to be performed on the dominant and non-dominant sides of the participants. Isokinetic muscle strength test will be performed in concentric/concentric mode at speeds of 60°/sec, 90°/sec, 240°/sec in concentric strength test. Isokinetic test will be performed at 0° extension and 90° flexion joint range of motion. Before the isokinetic test, the participant will have 2 repetitions at 60°/sec for adaptation, and then 5 repetitions for the test. After the participant rests for 120 seconds, the participant will first have 4 repetitions for adaptation and then 15 repetitions for the test at 240°/sec. During the tests, the participant will be verbally motivated by the same person. .As a result of the tests, quadriceps and hamstring peak torque (PT) values will be recorded.
Isokinetic Evaluation-Peak Torque / Body Weight
Time frame: at baseline and at week 6
Biodex System 4 device will be used to evaluate quadriceps and hamstring isokinetic muscle strength. All tests were planned to be performed on the dominant and non-dominant sides of the participants. Isokinetic muscle strength test will be performed in concentric/concentric mode at speeds of 60°/sec, 90°/sec, 240°/sec in concentric strength test. Isokinetic test will be performed at 0° extension and 90° flexion joint range of motion. Before the isokinetic test, the participant will have 2 repetitions at 60°/sec for adaptation, and then 5 repetitions for the test. After the participant rests for 120 seconds, the participant will first have 4 repetitions for adaptation and then 15 repetitions for the test at 240°/sec. During the tests, the participant will be verbally motivated by the same person. As a result of the tests, peak torque/body weight (PT/VA) values will be recorded.
Isokinetic Evaluation-Peak Torque / Hamstring/Quadriceps (H/Q)
Time frame: at baseline and at week 6
Biodex System 4 device will be used to evaluate quadriceps and hamstring isokinetic muscle strength. All tests were planned to be performed on the dominant and non-dominant sides of the participants. Isokinetic muscle strength test will be performed in concentric/concentric mode at speeds of 60°/sec, 90°/sec, 240°/sec in concentric strength test. Isokinetic test will be performed at 0° extension and 90° flexion joint range of motion. Before the isokinetic test, the participant will have 2 repetitions at 60°/sec for adaptation, and then 5 repetitions for the test. After the participant rests for 120 seconds, the participant will first have 4 repetitions for adaptation and then 15 repetitions for the test at 240°/sec. During the tests, the participant will be verbally motivated by the same person. As a result of the tests, Hamstring/Quadriceps (H/Q) values will be recorded.
Isokinetic Evaluation-Peak Torque / Total Work
Time frame: at baseline and at week 6
Biodex System 4 device will be used to evaluate quadriceps and hamstring isokinetic muscle strength. All tests were planned to be performed on the dominant and non-dominant sides of the participants. Isokinetic muscle strength test will be performed in concentric/concentric mode at speeds of 60°/sec, 90°/sec, 240°/sec in concentric strength test. Isokinetic test will be performed at 0° extension and 90° flexion joint range of motion. Before the isokinetic test, the participant will have 2 repetitions at 60°/sec for adaptation, and then 5 repetitions for the test. After the participant rests for 120 seconds, the participant will first have 4 repetitions for adaptation and then 15 repetitions for the test at 240°/sec. During the tests, the participant will be verbally motivated by the same person. As a result of the tests, total work values will be recorded.
5 secondary outcomes
Proprioception Assessment
Time frame: at baseline and at week 6
Vertical Jump Test
Time frame: at baseline and at week 6
Standing long jump
Time frame: at baseline and at week 6
Flamingo Balance Test
Time frame: at baseline and at week 6
Modified Star Balance Test
Time frame: at baseline and at week 6
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Apr 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ayşenur Çetinkaya, MSc principal investigator
Halic University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Exergame and Game-free Exercise in people with Exergaming and Sedentary Behavior, run by Halic University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Isokinetic Evaluation-Peak Torque (time frame: at baseline and at week 6). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Apr 2025.