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CTRI Number  CTRI/2025/06/089820 [Registered on: 30/06/2025] Trial Registered Prospectively
Last Modified On: 27/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   How the strength of the back thigh muscles, the amount the knee bends during landing, and the inward collapse of the knee are related in volleyball players comparing those with and without this inward knee movement. 
Scientific Title of Study   Association of hamstring torque, knee flexion angle during landing and dynamic balance in volleyball athletes with and without dynamic knee valgus.  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Swapnika Sanjay Satam  
Designation  student  
Affiliation  ALVAS COLLEGE OF PHYSIOTHERAPY AND RESEARCH CENTRE 
Address  Out patient department, Department of physiotherapy, Alvas health centre, Alvas health centre complex, Alvas health centre road, Mudbidri, Dakshina kannada, Karnataka
Out patient department, Department of physiotherapy, Alvas health centre, Alvas health centre complex, Alvas health centre road, Mudbidri Dakshina Kannada, Karnataka
Dakshina Kannada
KARNATAKA
574227
India 
Phone  9975315771  
Fax    
Email  swapnikasatam2002@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Kshama Susheel Shetty  
Designation  Professor  
Affiliation  ALVAS COLLEGE OF PHYSIOTHERAPY AND RESEARCH CENTRE 
Address  Out patient department, Department of physiotherapy, Alvas health centre, Alvas health centre complex, Alvas health centre road, Mudbidri, Dakshina Kannada, Karnataka
Out patient department, Department of physiotherapy, Alvas health centre, Alvas health centre complex, Alvas health centre road, Mudbidri, Dakshina Kannada, Karnataka
Dakshina Kannada
KARNATAKA
574227
India 
Phone  9591593863  
Fax    
Email  poonjakshama@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Kshama Susheel Shetty  
Designation  Professor  
Affiliation  ALVAS COLLEGE OF PHYSIOTHERAPY AND RESEARCH CENTRE 
Address  Out patient department, Department of physiotherapy, Alvas health centre, Alvas health centre complex, Alvas health centre road, Mudbidri, Dakshina Kannada, karnataka
Out patient department, Department of physiotherapy, Alvas health centre, Alvas health centre complex, Alvas health centre road, mudbidri, Dakshina Kannada, Karnataka Mudbidri Karnataka
Dakshina Kannada
KARNATAKA
574227
India 
Phone  9975315771  
Fax    
Email  poonjakshama@gmail.com  
 
Source of Monetary or Material Support  
Alvas College of Physiotherapy and Research Centre  
 
Primary Sponsor  
Name  Alvas College of Physiotherapy and Research Centre 
Address  Out patient department, Deaprtment of physiotherapy, Alvas health centre, Alvas health centre complex, Alvas health centre road, Mudbidri, Dakshina kannada, Karnataka 
Type of Sponsor  Other [Physiotherapy college ] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Swapnika Satam  Alvas College of Physiotherapy and Research Centre  Outpatient Physiotherapy department Alvas health centre road Mudbidri, Karnataka 574227
Dakshina Kannada
KARNATAKA 
9975315771

swapnikasatam2002@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ALVAS COLLEGE OF PHYSIOTHERAPY ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Dynamic Knee Valgus  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Male 
Details  Athletes with and without dynamic knee valgus; Athletes who are frequently training at least three times per week; Athletes ranging between training age at least 2 years; Athletes who have participated in university level high jump competition within the past two years.  
 
ExclusionCriteria 
Details  History of lower limb injury or surgery in past 6 months; Athletes reports of pain or discomfort in the lower limb while assessing; Inconsistent participation of sports- athletes who are not active for past 3 months; history of any systemic illness, neurological condition, and intellectual disability 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Dynamic Knee Valgus  15 mins  
 
Secondary Outcome  
Outcome  TimePoints 
Hamstring Torque   10 mins  
Knee Flexion Angle   10 mins  
Dynamic Balance   15 mins  
 
Target Sample Size   Total Sample Size="88"
Sample Size from India="88" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   22/07/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The proposed study investigates the association between hamstring torque, knee flexion angle during landing, and dynamic balance in male volleyball athletes with and without dynamic knee valgus. volleyball involves repetitive jumping and landing, exposing players to a high risk of lower limb musculoskeletal injuries, particularly at the knee joints. Dynamic knee valgus, characterized by an inward collapse of the knee, has been identified as a biomechanical risk factor linked to anterior cruciate ligament injuries, patellofemoral pain and other knee pathologies. The study emphasizes the importance of hamstring strength especially eccentric torque - in maintaining knee stability and counter acting anterior tibial shear forces during landing. Reduced hamstring activation, coupled with decreased with knee flexion angle during landing, has been associate with stiff landing, increasing the load on passive structure and raising injury risk. Further more, dynamic balance, an indicator of neuromuscular control, plays a crucial role in shock absorption and joint alignment during athletic task. The research aims to explore how these three variables correlates and differ between athletes with and without dynamic knee valgus. It adopts a cross sectional design involving 88 male volleyball player age 18 to 25 years , dividing equally into two groups. Outcome measures includes eccentric hamstring torque (assessed by Nordic hamstring curls), knee flexion angle and dynamic knee valgus(measured during drop jump by motion analysis application) and  dynamic balance (evaluated using Y balance test). The finding of this study aims to inform the targeted training and rehabilitation strategies such as eccentric hamstring strengthening and neuromuscular balance training. These intervention could mitigate injury risk, enhance athletic performance, and promote long term joint health in volleyball players. The  result are expected to provide a scientific basis for early  screening, injury prevention program and biomechanically informed training strategies.   
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