CClinicalTrials.gg
CompletedNCT07386132Updated Feb 9, 2026

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?

An interventional study of Body Position During Muscle Strength Assessment in Ankle Dorsiflexor, Hallux Dorsiflexor and Plantar Flexor Strength, sponsored by Istanbul Physical Medicine Rehabilitation Training and Research Hospital. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-09.

Sponsored by Istanbul Physical Medicine Rehabilitation Training and Research Hospital · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 1 year 2 months after the study started (first participant enrolled Nov 2024, registered Jan 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
33
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study 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.

Read the 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.

02

Conditions studied

  • Ankle Dorsiflexor, Hallux Dorsiflexor and Plantar Flexor Strength

Keywords

  • Foot biomechanics, muscle strength, dorsiflexion, plantar flexion, hallux dorsiflexion, positional assessment
03

In context

Lead sponsor

Istanbul Physical Medicine Rehabilitation Training and Research Hospital is the lead sponsor of 119 studies on the registry; 27 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts 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

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
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
33 participants (actual)

Study arms

  • Experimental
    Supine Position

    Ankle dorsiflexor , hallux dorsiflexor and plantar flexor muscle strength assessed in the supine position.

    Other: Body Position During Muscle Strength Assessment

  • Experimental
    Standing Position

    Ankle dorsiflexor, hallux dorsiflexor and plantar flexor muscle strength assessed in the standing position.

    Other: Body Position During Muscle Strength Assessment

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.

06

What researchers measure

Primary outcomes

  1. Isometric Ankle Muscle Strength

    maximum voluntary isometric contraction force of ankle dorsiflexor and plantar flexor muscles measured in supine and standing positions using a custom made force plate

    Time frame: Day 1 ( Single assessment session)

Secondary outcomes

  1. Isometric Hallux Dorsiflexion Strength

    Maximum voluntary isometric contraction force of the hallux dorsiflexor muscles measured in supine and standing positions using a custom made force plate

    Time frame: Day 1 ( Single assessment session)

07

Study locations

1 site
  • Istanbul Physical Medicine And Rehabilitation Training And Research Hospital
    Istanbul, Istanbul 34180, Turkey (Türkiye)
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07386132
Lead sponsor
Istanbul Physical Medicine Rehabilitation Training and Research Hospital
Responsible party
deniz erdem yıldız (Principal Investigator, Istanbul Physical Medicine Rehabilitation Training and Research Hospital) — Principal investigator
First posted
Feb 4, 2026
Start date
Nov 25, 2024
Primary completion
Dec 17, 2024
Completion
Dec 17, 2024
Last update
Feb 9, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion