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CompletedNCT07532980Updated Jul 14, 2026

Quadriceps and Hamstring Activation Timing

An observational study in Anterior Cruciate Ligament Reconstruction, Knee Injury and Neuromuscular Control, sponsored by KTO Karatay University. Completed at 1 site in Turkey (Türkiye). Open to male participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-07-14.

Sponsored by KTO Karatay University · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
30
Ages
18 Years to 45 Years
Sex
Male
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Study summary

The anterior cruciate ligament (ACL) plays a crucial role in maintaining knee stability and enabling dynamic movement. ACL injuries are common, especially among athletes, and reconstruction surgery is frequently performed to restore knee function. Despite rehabilitation, neuromuscular deficits-particularly in muscle activation timing-may persist. This study will aim to evaluate the activation timing of quadriceps and hamstring muscles during a functional task in individuals who have undergone ACL reconstruction.

Read the detailed description

This study will be conducted as a cross-sectional, quantitative investigation involving male participants who have undergone ACL reconstruction using semitendinosus and gracilis tendon grafts. Electromyographic (EMG) signals will be collected using the Noraxon Ultium EMG system and analyzed with Noraxon MyoResearch XP software. Muscle activation onset timing will be assessed for the vastus medialis oblique (VMO), vastus lateralis (VL), semimembranosus (SM), semitendinosus (ST), and biceps femoris (BF). Participants will perform a standardized single-leg squat task, during which EMG-based activation timing will be recorded. The findings are expected to provide insight into neuromuscular control strategies and inform rehabilitation approaches following ACL reconstruction.

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Conditions studied

  • Anterior Cruciate Ligament Reconstruction
  • Knee Injury
  • Neuromuscular Control

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Keywords

  • ACL reconstruction
  • Electromyography
  • Muscle activation
  • Neuromuscular training
  • Rehabilitation
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In context

Knee Injuries

249 studies on the registry are indexed under Knee Injuries; 48 are open to participants now.

This study's enrollment of 30 is below the median of 90 across 79 observational studies indexed under Knee Injuries.

Browse Knee Injuries studies →

Lead sponsor

KTO Karatay University is the lead sponsor of 126 studies on the registry; 16 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population will consist of male individuals aged 18-45 years who have undergone anterior cruciate ligament (ACL) reconstruction using semitendinosus and gracilis tendon grafts.

Inclusion criteria

  • participants must be males between 18 and 45 years old
  • must have undergone ACL repair surgery and be within 6 months to 2 years post-surgery
  • should have completed a standard rehabilitation program post-surgery
  • must provide written informed consent to participate in the study
  • should be in generally good health, without any other significant medical conditions that could affect the study outcomes;
  • must have returned to a moderate level of physical activity post-surgery

Exclusion criteria

Exclusion Criteria:

  • participants with any neurological disorders affecting lower limb function or any other musculoskeletal disorders or injuries that could affect the lower limb, apart from the ACL injury
  • those with cardiovascular conditions that contraindicate participation in physical activity
  • those with contraindications to kinesiological electromyography, such as skin conditions or allergies to electrodes
  • those who are unable or unwilling to comply with study procedures and follow-ups
  • those who have had multiple ACL surgeries on the same knee
  • participants involved in ongoing litigation related to their ACL injury
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Study design

Observational model
Other
Time perspective
Prospective
Enrollment
30 participants (actual)
Target follow-up
1 Day
Patient registry
Yes

Interventions

  • Diagnostic testElectromyography

    Electromyographic (EMG) data will be collected using the Noraxon Ultium EMG sensor system (Noraxon USA, Inc., Scottsdale, Arizona; sampling frequency: 4000 Hz per channel; gain: 1000 \[signal-to-noise ratio: 1 μV RMS\]; common mode rejection rate \[CMRR\]: -100 dB; input impedance: \>100 MΩ). Prior to electrode placement, any hair on the skin will be removed, and the skin will be cleansed with an alcohol swab to ensure optimal signal quality. Participants will be instructed to cross their arms over their chest and perform the squat slowly and in a controlled manner while maintaining balance. The knee flexion angle will be standardized at 60°, and this angle will be monitored and adjusted using an inclinometer integrated into the EMG system. A metronome will be used to control the squatting speed. Participants will be instructed to reach the squat position within 3 beats of the metronome, maintain the squat position for 3 beats, and return to the starting position within 3 beats.

    Also known as: Single-leg-squat protocol

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What researchers measure

Primary outcomes

  1. Electromyography

    Muscle Activation Timing (%MVIC)

    Time frame: Single session (approximately 15-20 minutes per participant)

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Study locations

1 site
  • Kto Karatay University
    Konya, Karatay 42030, Turkey (Türkiye)
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References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared to protect participant privacy and confidentiality.

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07532980
Lead sponsor
KTO Karatay University
Responsible party
Sponsor
First posted
Apr 16, 2026
Start date
Apr 20, 2026
Primary completion
May 2, 2026
Completion
Jun 15, 2026
Last update
Jul 14, 2026

Oversight

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

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

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