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OpenTrials
Completed

NCT Number: NCT06743074

Effectiveness of Different Exercise Programmes in Individuals With Dynamic Knee Valgus

Dynamic knee valgus (DDV) is an erroneous movement pattern of the lower limb that occurs in multiple planes. It results from a combination of hip joint adduction, femoral anteversion, knee abduction and external tibial torsion .

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Key information

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

bahcesehır University

Istanbul, None Selected, 34353, Turkey (Türkiye)

About this study

Dynamic knee valgus (DDV) is an erroneous movement pattern of the lower limb that occurs in multiple planes. It results from a combination of hip joint adduction, femoral anteversion, knee abduction and external tibial torsion . DDV is also referred to as a mechanism in which the knee joint moves medially relative to the hip and foot with the centre fixed to the ground.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age between 18-50 years.
  • Absence of any lower extremity pain.
  • Having a frontal plane projection angle of 10 and above in the descent phase of squatting on one leg.
  • Having active or regular physical activity.
  • Volunteering to participate in the study.

Exclusion criteria

  • Active knee pain.
  • History of patellar instability.
  • Presence of rheumatic diseases such as osteoarthritis, rheumatoid arthritis.
  • History of trauma or injury causing ligament laxity in the ankle, hip or knee.
  • Having a neurological disease that may impair the ability to perform any lower limb movement.
  • Having undergone any lower extremity surgery before.
  • Having received physiotherapy from hip, knee and ankle in the last 6 months.
  • To be benefiting from another treatment during the study.

Treatment and study plan

Foot exercise

Other

foot exercise

hip exercise

Other

hip exercise

Control

Other

control

Primary outcomes

  1. Frontal Plane Projection Angle (FPPA)

    Time frame: 6 weeks

    FPPA is measured as the angle between a line drawn from the marked point on the proximal thigh to the knee joint and another line extending from the knee joint to the ankle during maximum knee flexion. A 2D analysis is performed through single-leg squat (SLS), vertical jump (VJ), and single-leg landing (SLL). An increase of 10° or more in FPPA during a single-leg squat is categorized as "Observable Dynamic Knee Valgus (DKV)."

  2. Lower Extremity Clinical Measurements

    Time frame: 6 weeks

    Clinical measurements help assess the functional performance of the lower extremities and prevent injuries. Key parameters include Q-angle, hip anteversion angle, tibial torsion, ankle dorsiflexion, and rearfoot angle. Standardized tests such as goniometer-based Q-angle measurement, Craig's test for hip anteversion, and subtalar joint neutral positioning for dorsiflexion are utilized.

  3. Balance Evaluation

    Time frame: 6 weeks

    Static balance was assessed with the Single Leg Stance Test (SLST), while dynamic balance was evaluated using the Y Balance Test (YBT) in three directions: anterior, posteromedial, and posterolateral.

  4. Proprioception Assessment

    Time frame: 6 weeks

    Proprioception was evaluated using the Active Joint Position Sense (AJPS) test, which measures the ability to replicate a target angle. Measurements were conducted with a Baseline digital goniometer, and angular deviation was recorded to determine accuracy.

Sponsors and collaborators

Lead sponsor

hazal genc

Other

Registry information

Important dates

Study start
2024
Primary completion
2024
Study completion
2025
First posted
Dec 19, 2024
Registry last updated
Aug 12, 2025

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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