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Frontal Plane Knee Projection Angle and Functional Performance in Adolescent Female Volleyball Players (FPPA-DBA)

14 juli 2026 bijgewerkt door: SEFA HAKTAN HATIK, Sinop University

Investigation of the Relationship Between Frontal Plane Knee Projection Angle and Dynamic Balance, Agility, and Ankle Dorsiflexion Mobility in Adolescent Female Volleyball Players

This observational study aims to examine the relationship between frontal plane knee projection angle, dynamic balance, agility performance, and ankle dorsiflexion mobility in adolescent female volleyball players. Frontal plane knee projection angle will be assessed during a single-leg squat using two-dimensional video analysis. Dynamic balance will be evaluated with the Lower Quarter Y-Balance Test, agility with the T-Test, and ankle dorsiflexion mobility with the Weight-Bearing Lunge Test.

All measurements will be completed in a single session under standardized field conditions, and no intervention or experimental treatment will be applied. By investigating how frontal plane knee alignment is associated with functional performance measures, this study may help improve the understanding of biomechanical factors related to movement quality and injury risk in adolescent female volleyball players.

Studie Overzicht

Toestand

Voltooid

Conditie

Gedetailleerde beschrijving

This observational, cross-sectional study aims to investigate the relationship between frontal plane knee projection angle (FPPA), dynamic balance, agility performance, and ankle dorsiflexion mobility in adolescent female volleyball players. Volleyball is a sport that requires repeated jumping, landing, lateral movements, and rapid changes of direction, which place considerable biomechanical demands on the lower extremities. In adolescent female athletes, lower-limb movement patterns may be influenced by growth, maturation, and neuromuscular control, making this population important for biomechanical assessment.

The primary study variable will be frontal plane knee projection angle, assessed during a single-leg squat using two-dimensional video analysis. Secondary measures will include dynamic balance assessed with the Lower Quarter Y-Balance Test, agility assessed with the T-Test, and ankle dorsiflexion mobility assessed with the Weight-Bearing Lunge Test. All assessments will be completed in a single session under standardized field conditions. No intervention, treatment, or experimental exercise program will be applied.

The study is designed to explore whether frontal plane knee alignment is associated with functional performance measures in adolescent female volleyball players. A better understanding of these relationships may contribute to the identification of biomechanical characteristics related to lower-extremity movement quality and potential injury risk in this population.

Studietype

Observationeel

Inschrijving (Werkelijk)

70

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Turkije (Türkiye)
    • Ödemiş
      • Izmir, Ödemiş, Turkije (Türkiye), 35750
        • AB Volleyball Academy

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Kind
  • Volwassen

Accepteert gezonde vrijwilligers

Ja

Bemonsteringsmethode

Niet-waarschijnlijkheidssteekproef

Studie Bevolking

The study population consisted of adolescent female volleyball players aged 10 to 19 years who were regularly training at least 3 days per week at AB Volleyball Academy in Izmir, Türkiye. Only participants who had reached menarche and met all eligibility criteria were included.

Beschrijving

Inclusion Criteria:

  • Being female and between 10 and 19 years of age
  • Participating in regular volleyball training at least 3 days per week
  • Having reached menarche

Exclusion Criteria:

  • Having sustained a lower extremity injury within the previous 6 months
  • Having a history of lower extremity surgery
  • Using medication that could affect balance, attention, or physical performance
  • Having a neurological, orthopedic, or systemic condition that could affect performance

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

Cohorten en interventies

Groep / Cohort
Adolescent Female Volleyball Players
Adolescent female volleyball players who were regularly training at AB Volleyball Academy and participated in this observational study. All participants completed biomechanical and functional assessments in a single session, including frontal plane knee projection angle during a single-leg squat, dynamic balance, agility, and ankle dorsiflexion mobility measurements. No intervention or experimental treatment was applied.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Frontal Plane Projection Angle
Tijdsspanne: At a single assesment sessiomn
Frontal plane projection angle (FPPA) was assessed using SparkMotion software. FPPA was calculated from the angle between a line from the anterior superior iliac spine (ASIS) to the midpoint of the patella and a line from the patellar midpoint to the midpoint between the medial and lateral malleoli; this value was subtracted from 360° to obtain FPPA. Values ≥195° were descriptively classified as increased FPPA. Frontal-plane video was recorded using an iPad mounted on a tripod positioned 3 m from the participant and 1 m above the ground. Participants performed a single-leg squat with arms crossed over the chest at a metronome-paced tempo (2 s descent, 2 s ascent). FPPA was measured at the deepest squat position reached while maintaining balance. After 3 practice trials, 5 consecutive recorded squats were performed, and the third trial was used for analysis.
At a single assesment sessiomn

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Y - Balance Test
Tijdsspanne: At a single assesment session
Dynamic balance was assessed using the Lower Quarter Y-Balance Test (YBT-LQ). This standardized test evaluates reach distance in the anterior, posteromedial, and posterolateral directions while maintaining single-leg stance. Reach distances were recorded to the nearest 0.5 cm using the Y Balance Test kit. Before testing, leg length was measured from the anterior superior iliac spine (ASIS) to the distal tip of the medial malleolus, and results were normalized to leg length. Participants completed 6 practice trials before testing, followed by 3 valid trials in each direction. Invalid trials were repeated, and the mean of the 3 valid trials for each direction was used for analysis. The composite score was calculated by dividing the sum of the 3 reach distances by 3 times leg length and multiplying by 100.
At a single assesment session
T - Test
Tijdsspanne: At a single assesment session
Agility was assessed using the T-Test. The test course was set up in a T shape with 4 cones: cone A was positioned 9.14 m from the center cone B, and cones C and D were placed 4.57 m to the left and right of cone B. Participants started at cone A, sprinted to cone B, shuffled laterally to touch cone C, then shuffled to touch cone D, returned to cone B, and backpedaled to cone A to complete the test. Time was recorded using a photocell timing system. After 2 familiarization trials, participants performed 3 valid trials with 3 minutes of rest between trials, and the best time was used for analysis.
At a single assesment session
Weight - Bearing Lunge Test
Tijdsspanne: At a single assesment session
nkle dorsiflexion mobility was assessed using the Weight-Bearing Lunge Test (WBLT). Participants were positioned facing a wall in a tandem stance, with the tested foot aligned perpendicular to the wall and the non-tested rear heel lifted. They were instructed to place their hands on the wall and move the front knee toward it while keeping the tested heel in contact with the ground. The foot was moved away from the wall in 1 cm increments until the maximum distance at which the knee could still touch the wall without heel lift was identified. The farthest valid distance between the great toe and the wall was measured in centimeters. Three valid trials were recorded for each lower extremity, and the mean value was used for analysis. Trials with heel lift, marked lower-extremity compensations, or loss of proper test position were repeated.
At a single assesment session

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Sinop University

Publicaties en nuttige links

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Algemene publicaties

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

1 maart 2026

Primaire voltooiing (Werkelijk)

3 maart 2026

Studie voltooiing (Werkelijk)

1 juli 2026

Studieregistratiedata

Eerst ingediend

14 juli 2026

Eerst ingediend dat voldeed aan de QC-criteria

14 juli 2026

Eerst geplaatst (Werkelijk)

17 juli 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

17 juli 2026

Laatste update ingediend die voldeed aan QC-criteria

14 juli 2026

Laatst geverifieerd

1 juli 2026

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Andere studie-ID-nummers

  • FPPATTADF1

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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