Quadriceps MuscleNCT07252635
Comparison of DNS-Based Developmental Exercise and Single Leg Squat Exercise in Fencers
A study testing EMG analysis during Single-Leg Decline Squat in people with Quadriceps Muscle, run by Saglik Bilimleri Universitesi at 1 site in Turkey (Türkiye).
Trial summary
The goal of this clinical trial is to learn how three different exercises affect quadriceps muscle activity (Vastus medialis, Vastus lateralis, and Rectus femoris) in young fencers. Read more about this study
- Who is it for?
- Ages 18 to 25 yearsHealthy volunteers can take part
- Conditions the study is for
- Quadriceps Muscle
- What is being tested?
- EMG analysis during Single-Leg Decline Squat
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 5 Aug 2024to 1 Aug 2025
- 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
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Practicing fencing for at least 5 years
- Age between 18 and 24 years
- No systemic or neurological problems
- No knee pain on the dominant side
Who cannot join
- History of knee injury in the past year
- History of surgery on the dominant lower extremity
- History of patellar tendinitis
- Previous experience with Dynamic Neuromuscular Stabilization (DNS) training
- Pain while performing exercises during the test protocol
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Gazi University Health Sciences Faculty, Sports Rehabilitation Unit
Ankara, 06010
About this study
Official title: Comparison of the DNS-Based Developmental Exercise and Single Leg Squat Exercise on Quadriceps Muscle Activation in Fencers
The goal of this clinical trial is to learn how three different exercises affect quadriceps muscle activity (Vastus medialis, Vastus lateralis, and Rectus femoris) in young fencers. The three exercises are: a single-leg decline squat, a single-leg decline squat with core activation, and a half high-kneeling exercise based on Dynamic Neuromuscular Stabilization (DNS).
The main question it aims to answer is:
Read more
- Which of these three exercises produces the highest activity in the quadriceps muscles (Vastus medialis, Vastus lateralis, and Rectus femoris)?
- Researchers will compare all three exercises to see which one best activates the quadriceps muscles.
Participants will:
- Perform all three exercises in a random order
- Have sensors (surface EMG) placed on the Vastus medialis, Vastus lateralis, and Rectus femoris muscles to record activity
- Complete each exercise with standardized timing
This information may help guide training and injury prevention programs for fencing athletes by identifying which exercises most effectively activate the quadriceps muscles.
Read the detailed description
This study aims to compare the effects of three exercises-single-leg decline squat, single-leg decline squat with core activation, and Dynamic Neuromuscular Stabilization (DNS)-based half high kneeling exercise-on quadriceps muscle activity in fencers. Fencing involves asymmetric movements that demand high neuromuscular coordination, strength, and power, particularly in the lower extremities. The lunge, a key movement, relies on horizontal peak velocity influenced by back leg extensor strength and power. Lumbopelvic stability is crucial for injury prevention and performance enhancement, as it stabilizes the body against external stresses and optimizes joint function.DNS, grounded in neurodevelopmental kinesiology, focuses on activating the integrated spinal stabilization system (ISSS), which includes intersegmental spinal muscles, deep neck flexors, diaphragm, abdominal wall, and pelvic floor muscles. This approach integrates optimal breathing patterns, improves movement quality, and ensures functional joint centration to maximize strength efficiency and minimize mechanical stress.The protocol involves electromyographic (EMG) assessment of the vastus medialis obliquus (VMO), vastus lateralis (VL), and rectus femoris (RF) muscles on the dominant side during the exercises. Participants, aged 18-24 years with at least 5 years of fencing experience and no recent knee injuries or DNS training, undergo assessments in a controlled laboratory setting.Surface EMG is recorded using an eight-channel system (Noraxon, USA) with a sampling frequency of 1500 Hz. Electrode placement follows SENIAM recommendations: VMO at 80% of the distance between the anterior border of the medial collateral ligament and the superior anterior iliac spine; VL at two-thirds along the line from the anterior superior iliac spine to the lateral patella edge; RF at the midpoint between the anterior superior iliac spine and the upper patella edge. Skin preparation ensures impedance below 2 kΩ. Maximum voluntary isometric contraction (MVIC) testing normalizes EMG data, performed seated with hips at 90° and knees at 60° flexion, involving three 5-second maximal contractions with 30-second rests.Exercises are randomized and performed with a metronome at 60 beats per minute to standardize 3-second concentric, isometric, and eccentric phases per repetition. Three trials per exercise are conducted, with 30-second rests between trials. Single-leg decline squat: Performed on a 25° decline board, dominant leg only, to 60° knee flexion, with an adjustable mechanical device for depth control.
Single-leg decline squat with core activation: Identical to the above, plus abdominal bracing to enhance trunk stability, mimicking ISSS activation.
DNS-based half high kneeling: Involves forward leg at 90° hip/knee flexion with slight abduction/external rotation, contralateral knee on ground; posterior shift maintains ISSS activation, neutral pelvis, and spinal alignment, with tactile cues from the investigator.
All EMG data will be stored for offline processing. Raw EMG signals will be filtered using appropriate band-pass filters to remove movement artifacts and high-frequency noise. The filtered EMG signals will then be rectified and smoothed (for example, by calculating the root mean square over a defined moving window). For each participant, normalized EMG amplitude (%MVIC) for each muscle and each exercise will be calculated by averaging across the repetitions and across the predefined movement cycle. These normalized values for vastus medialis, vastus lateralis, and rectus femoris will form the basis of the primary analyses comparing the three exercises.
Planned statistical analyses will use within-subject methods appropriate for repeated measures (for example, repeated-measures ANOVA or non-parametric equivalents, depending on data distribution). Assumptions of the selected statistical tests (such as normality) will be checked, and corrections will be applied as needed. The comparisons of interest will focus on differences in normalized quadriceps muscle activity between the three exercises for each of the recorded muscles. Effect sizes and confidence intervals may be calculated to describe the magnitude and precision of differences. No interim analyses or long-term follow-up are planned, as this is a single-session study.
- Conditions
- Quadriceps Muscle
- Being tested
- EMG analysis during Single-Leg Decline Squat
- Keywords
- Exercise, One leg squat, DNS, EMG, Muscle activation
- Medical subject headings
- Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EMG analysis during Single-Leg Decline SquatOther
EMG analysis during Half high kneeling exercise
| Study group | Role | What they receive |
|---|---|---|
| Fencers Performing Three Exercises | Experimental | All participants are competitive fencers who will perform three different lower-extremity exercises during the study session. The exercises are:
Single-leg decline squat
Single-leg decline squat with core activation
Half high kneeling exercise based on Dynamic Neuromuscular Stabilization (DNS)
Each exercise is performed on the dominant leg, following standardized timing in three phases (eccentric, isometric, concentric). The order of exercises is randomized. Muscle activity of the quadriceps (vastus medialis obliquus, vastus lateralis, and rectus femoris) is recorded with surface electromyography (EMG) during all exercises. Receives: Other: EMG analysis during Single-Leg Decline Squat |
What is being measured
The primary outcome is the main question the study is designed to answer.
Normalized quadriceps muscle activation measured by surface electromyography (EMG)
Quadriceps muscle activation will be assessed in the dominant leg using surface electromyography (EMG) during three different exercises (single-leg decline squat, single-leg decline squat with core activation, and DNS-based half high-kneeling exercise). Bipolar surface EMG electrodes will be placed over the vastus medialis, vastus lateralis, and rectus femoris muscles according to standard recommendations.
Raw EMG signals will be filtered, rectified, and converted to root mean square (RMS) values. For each muscle and each exercise, EMG amplitudes will be normalized to the corresponding maximal voluntary isometric contraction (MVIC) and expressed as a percentage of MVIC (%MVIC). The primary outcome will be the average normalized EMG amplitude (%MVIC) recorded during the repetitions of each exercise.
Measured: Through study completion, an average of 1 year".
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Nov 2025
- Study start5 Aug 2024
- Primary completion1 Aug 2025
- Study completion1 Aug 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Quadriceps MuscleStudies 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
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Saglik Bilimleri Universitesi
- Sponsor type
- University, hospital or other
- Collaborators
- Gazi University
- Responsible party
- Principal investigator, Seda Uluşahin, Saglik Bilimleri Universitesi
- Investigators
- Seda Bicici Ulusahin, PT PhD, Principal investigator, Saglik Bilimleri Universitesi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07252635
- Sponsor's protocol ID
- 2024-1206
- Status last verified
- Nov 2025
- First submitted
- 14 Nov 2025
- Last updated
- 28 Nov 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: (%MVIC for vastus medialis obliquus, vastus lateralis, and rectus femoris during each exercise condition and contraction phase), will be shared. Data will be shared upon reasonable request to the corresponding author. Requests must include a methodologically sound proposal, and a data use agreement will be required.
Study at a glance
From the registry record, last updated by the sponsor on 28 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of the DNS-Based Developmental Exercise and Single Leg Squat Exercise on Quadriceps Muscle Activation in Fencers
- ClinicalTrials.gov ID
- NCT07252635
- Acronym / sponsor ID
- 2024-1206
- Conditions
- Quadriceps Muscle
- Keywords
- Exercise, One leg squat, DNS, EMG, Muscle activation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Saglik Bilimleri UniversitesiUniversity, hospital or other
- Collaborators
- Gazi University
- Study start
- 5 Aug 2024 (actual)
- Primary completion
- 1 Aug 2025 (actual)
- Study completion
- 1 Aug 2025 (actual)
- First posted
- 28 Nov 2025 (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 goal of this clinical trial is to learn how three different exercises affect quadriceps muscle activity (Vastus medialis, Vastus lateralis, and Rectus femoris) in young fencers. The three exercises are: a single-leg decline squat, a single-leg decline squat with core activation, and a half high-kneeling exercise based on Dynamic Neuromuscular Stabilization (DNS).
The main question it aims to answer is:
- Which of these three exercises produces the highest activity in the quadriceps muscles (Vastus medialis, Vastus lateralis, and Rectus femoris)?
- Researchers will compare all three exercises to see which one best activates the quadriceps muscles.
Participants will:
- Perform all three exercises in a random order
- Have sensors (surface EMG) placed on the Vastus medialis, Vastus lateralis, and Rectus femoris muscles to record activity
- Complete each exercise with standardized timing
This information may help guide training and injury prevention programs for fencing athletes by identifying which exercises most effectively activate the quadriceps muscles.
Detailed description
This study aims to compare the effects of three exercises-single-leg decline squat, single-leg decline squat with core activation, and Dynamic Neuromuscular Stabilization (DNS)-based half high kneeling exercise-on quadriceps muscle activity in fencers. Fencing involves asymmetric movements that demand high neuromuscular coordination, strength, and power, particularly in the lower extremities. The lunge, a key movement, relies on horizontal peak velocity influenced by back leg extensor strength and power. Lumbopelvic stability is crucial for injury prevention and performance enhancement, as it stabilizes the body against external stresses and optimizes joint function.DNS, grounded in neurodevelopmental kinesiology, focuses on activating the integrated spinal stabilization system (ISSS), which includes intersegmental spinal muscles, deep neck flexors, diaphragm, abdominal wall, and pelvic floor muscles. This approach integrates optimal breathing patterns, improves movement quality, and ensures functional joint centration to maximize strength efficiency and minimize mechanical stress.The protocol involves electromyographic (EMG) assessment of the vastus medialis obliquus (VMO), vastus lateralis (VL), and rectus femoris (RF) muscles on the dominant side during the exercises. Participants, aged 18-24 years with at least 5 years of fencing experience and no recent knee injuries or DNS training, undergo assessments in a controlled laboratory setting.Surface EMG is recorded using an eight-channel system (Noraxon, USA) with a sampling frequency of 1500 Hz. Electrode placement follows SENIAM recommendations: VMO at 80% of the distance between the anterior border of the medial collateral ligament and the superior anterior iliac spine; VL at two-thirds along the line from the anterior superior iliac spine to the lateral patella edge; RF at the midpoint between the anterior superior iliac spine and the upper patella edge. Skin preparation ensures impedance below 2 kΩ. Maximum voluntary isometric contraction (MVIC) testing normalizes EMG data, performed seated with hips at 90° and knees at 60° flexion, involving three 5-second maximal contractions with 30-second rests.Exercises are randomized and performed with a metronome at 60 beats per minute to standardize 3-second concentric, isometric, and eccentric phases per repetition. Three trials per exercise are conducted, with 30-second rests between trials. Single-leg decline squat: Performed on a 25° decline board, dominant leg only, to 60° knee flexion, with an adjustable mechanical device for depth control.
Single-leg decline squat with core activation: Identical to the above, plus abdominal bracing to enhance trunk stability, mimicking ISSS activation.
DNS-based half high kneeling: Involves forward leg at 90° hip/knee flexion with slight abduction/external rotation, contralateral knee on ground; posterior shift maintains ISSS activation, neutral pelvis, and spinal alignment, with tactile cues from the investigator.
All EMG data will be stored for offline processing. Raw EMG signals will be filtered using appropriate band-pass filters to remove movement artifacts and high-frequency noise. The filtered EMG signals will then be rectified and smoothed (for example, by calculating the root mean square over a defined moving window). For each participant, normalized EMG amplitude (%MVIC) for each muscle and each exercise will be calculated by averaging across the repetitions and across the predefined movement cycle. These normalized values for vastus medialis, vastus lateralis, and rectus femoris will form the basis of the primary analyses comparing the three exercises.
Planned statistical analyses will use within-subject methods appropriate for repeated measures (for example, repeated-measures ANOVA or non-parametric equivalents, depending on data distribution). Assumptions of the selected statistical tests (such as normality) will be checked, and corrections will be applied as needed. The comparisons of interest will focus on differences in normalized quadriceps muscle activity between the three exercises for each of the recorded muscles. Effect sizes and confidence intervals may be calculated to describe the magnitude and precision of differences. No interim analyses or long-term follow-up are planned, as this is a single-session study.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Fencers Performing Three Exercises | Experimental | Other: EMG analysis during Single-Leg Decline SquatAll participants are competitive fencers who will perform three different lower-extremity exercises during the study session. The exercises are: Single-leg decline squat Single-leg decline squat with core activation Half high kneeling exercise based on Dynamic Neuromuscular Stabilization (DNS) Each exercise is performed on the dominant leg, following standardized timing in three phases (eccentric, isometric, concentric). The order of exercises is randomized. Muscle activity of the quadriceps (vastus medialis obliquus, vastus lateralis, and rectus femoris) is recorded with surface electromyography (EMG) during all exercises. |
Who may qualify
- Ages
- 18 to 25 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Practicing fencing for at least 5 years
- Age between 18 and 24 years
- No systemic or neurological problems
- No knee pain on the dominant side
Key exclusion criteria (5 listed)
- History of knee injury in the past year
- History of surgery on the dominant lower extremity
- History of patellar tendinitis
- Previous experience with Dynamic Neuromuscular Stabilization (DNS) training
- Pain while performing exercises during the test protocol
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 |
|---|---|---|
| EMG analysis during Single-Leg Decline SquatEMG analysis during Half high kneeling exercise | Other | Fencers Performing Three Exercises |
Primary outcome
Normalized quadriceps muscle activation measured by surface electromyography (EMG)
Time frame: Through study completion, an average of 1 year".
Quadriceps muscle activation will be assessed in the dominant leg using surface electromyography (EMG) during three different exercises (single-leg decline squat, single-leg decline squat with core activation, and DNS-based half high-kneeling exercise). Bipolar surface EMG electrodes will be placed over the vastus medialis, vastus lateralis, and rectus femoris muscles according to standard recommendations. Raw EMG signals will be filtered, rectified, and converted to root mean square (RMS) values. For each muscle and each exercise, EMG amplitudes will be normalized to the corresponding maximal voluntary isometric contraction (MVIC) and expressed as a percentage of MVIC (%MVIC). The primary outcome will be the average normalized EMG amplitude (%MVIC) recorded during the repetitions of each exercise.
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 28 Nov 2025.
- Individual participant dataSharing planned: Yes. (%MVIC for vastus medialis obliquus, vastus lateralis, and rectus femoris during each exercise condition and contraction phase), will be shared. Data will be shared upon reasonable request to the corresponding author. Requests must include a methodologically sound proposal, and a data use agreement will be required.
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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.
Seda Bicici Ulusahin, PT PhD principal investigator
Saglik Bilimleri Universitesi
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing EMG analysis during Single-Leg Decline Squat in people with Quadriceps Muscle, run by Saglik Bilimleri Universitesi 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 4 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 28 Nov 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?
Normalized quadriceps muscle activation measured by surface electromyography (EMG) (time frame: Through study completion, an average of 1 year".). 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 28 Nov 2025; AzTrials last refreshed its copy on 31 Oct 2026.