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Effect of Position on Ankle Dorsiflexor, Hallux Dorsiflexor and Plantar Flexor Muscle Strength: Are Ankle Dorsiflexor and Plantar Flexor Muscle Strengths Greater in the Standing Position Compared to the Supine Position?

Effect of Position on Ankle Dorsiflexor, Hallux Dorsiflexor and Plantar Flexor Muscle Strength

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07386132
Enrollment
33
Registered
2026-02-04
Start date
2024-11-25
Completion date
2024-12-17
Last updated
2026-02-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Ankle Dorsiflexor, Hallux Dorsiflexor and Plantar Flexor Strength

Keywords

Foot biomechanics, muscle strength, dorsiflexion, plantar flexion, hallux dorsiflexion, positional assessment

Brief summary

The purpose of this study is to investigate whether there is a difference in ankle dorsiflexor, hallux dorsiflexion and plantar flexor muscle strength measured in the supine position compared with the standing position. Muscle strength assessments are commonly performed in different body positions; however, the effect of weight-bearing and postural demands on ankle muscle strength measurements remains unclear. Understanding the influence of testing position may improve the standardization and clinical interpretation of muscle strength assessments.

Detailed description

Ankle dorsiflexor and plantar flexor muscles play a crucial role in gait, balance, and postural control. Muscle strength measurements of these muscle groups are widely used in both clinical practice and research to evaluate functional capacity and rehabilitation outcomes. Traditionally, strength assessments are performed in non-weight-bearing positions such as supine; however, standing assessments may better reflect functional and postural demands due to the involvement of balance control and weight-bearing. In this study, ankle dorsiflexor, hallux dorsiflexion and plantar flexor muscle strength will be assessed in both supine and standing positions using standardized measurement procedures. Measurements will be performed under controlled conditions to minimize variability related to posture, stabilization, and examiner influence. The primary objective is to compare muscle strength values obtained in the two positions and to determine whether standing assessments yield significantly different results compared with supine assessments. The findings of this study are expected to contribute to the optimization of clinical muscle strength evaluation protocols and to provide insight into the role of functional loading and postural control in ankle muscle strength measurements.

Interventions

OTHERBody Position During Muscle Strength Assessment

Muscle strength was assessed in both supine and standing positions using standardized isometric testing. The order of testing positions and movement directions was randomized, and no visual feedback of force output was provided to participants.

Sponsors

Istanbul Physical Medicine Rehabilitation Training and Research Hospital
Lead SponsorOTHER_GOV

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Healthy adults aged 18 years and older * No history or clinical diagnosis of lumbar disc herniation * Ability to stand independently and perform isometric muscle strength testing * Voluntary participation with written informed consent

Exclusion criteria

* History or clinical diagnosis of lumbar disc herniation * Professional or elite athletes * History of lower extremity surgery or neurological disease affecting muscle strength * Acute musculoskeletal injury at the time of assessment

Design outcomes

Primary

MeasureTime frameDescription
Isometric Ankle Muscle StrengthDay 1 ( Single assessment session)maximum voluntary isometric contraction force of ankle dorsiflexor and plantar flexor muscles measured in supine and standing positions using a custom made force plate

Secondary

MeasureTime frameDescription
Isometric Hallux Dorsiflexion StrengthDay 1 ( Single assessment session)Maximum voluntary isometric contraction force of the hallux dorsiflexor muscles measured in supine and standing positions using a custom made force plate

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 10, 2026