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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).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in Turkey (Türkiye)

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.

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 groups in NCT07252635
Study groupRoleWhat they receive
Fencers Performing Three ExercisesExperimentalAll 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.

  1. 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.

  1. First posted28 Nov 2025
  2. Study start5 Aug 2024
  3. Primary completion1 Aug 2025
  4. Study completion1 Aug 2025

Resources

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)
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.

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.

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