NCT07061314

Brief Summary

This study aims to investigate the effects of barbell type (elastic vs. inelastic) and lifting speed on lower limb balance and muscle activation during the Single-Leg Deadlift (SLDL) exercise. Using a randomized crossover design, healthy adults performed SLDL at three different movement speeds while center of pressure (COP) and electromyographic (EMG) responses were measured. The study seeks to determine whether elastic barbells, which create top-down perturbations, enhance neuromuscular control and postural stability more effectively than traditional inelastic barbells.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
27

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Feb 2025

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 15, 2025

Completed
5 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 20, 2025

Completed
8 days until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2025

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

July 2, 2025

Completed
9 days until next milestone

First Posted

Study publicly available on registry

July 11, 2025

Completed
Last Updated

July 11, 2025

Status Verified

July 1, 2025

Enrollment Period

5 days

First QC Date

July 2, 2025

Last Update Submit

July 2, 2025

Conditions

Keywords

Single-Leg Deadliftelastic barbellinelastic barbellsports rehabilitationneuromuscular control

Outcome Measures

Primary Outcomes (3)

  • Center of Pressure Displacement - Anterior-Posterior (AP)

    The range of anterior-posterior (AP) sway displacement (in centimeters) will be measured using a force platform (AMTI OR6). Participants perform SLDL under both barbell conditions at three different movement speeds. Lower values indicate greater postural stability.

    During single-leg deadlift task (within single session)

  • Center of Pressure Displacement - Medial-Lateral (ML)

    The range of medial-lateral (ML) sway displacement (in centimeters) will be measured using a force platform (AMTI OR6). The COP variability is analyzed as an indicator of dynamic balance control.

    During single-leg deadlift task (within single session)

  • Muscle Activation of Lower Limb Muscles (%MVIC)

    Surface electromyography (EMG) will be used to measure muscle activation in eight lower limb muscles during single-leg deadlifts under elastic and inelastic barbell conditions at three movement speeds (normal, fast, power). The muscles assessed include gluteus medius, rectus femoris, vastus medialis, vastus lateralis, biceps femoris, semitendinosus, gastrocnemius, and tibialis anterior. EMG signals will be processed using RMS and normalized to maximum voluntary isometric contraction (%MVIC). Increased %MVIC indicates higher neuromuscular demand under perturbation.

    During single-leg deadlift task (within single session)

Study Arms (1)

Single-Group Crossover

EXPERIMENTAL

Participants will perform single-leg deadlifts under two loading conditions: an elastic barbell and an inelastic barbell. Each condition will be tested at three different movement speeds (normal, fast, and power) in randomized order. Each participant completes all conditions as part of a within-subject repeated measures design

Device: Elastic BarbellDevice: Inelastic Barbell

Interventions

A flexible plastic barbell that creates top-down perturbations during movement. Participants perform single-leg deadlifts using this elastic bar at three different speeds: normal (2 sec), fast (1 sec), and power (as fast as possible). The bar is loaded to 30% of the participant's estimated 1RM.

Single-Group Crossover

A standard rigid steel barbell with no elasticity. Participants perform single-leg deadlifts using this barbell under the same speed conditions and loading parameters as the elastic barbell.

Single-Group Crossover

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • No history of musculoskeletal disorders in the past 6 months
  • At least 1 year of experience in resistance or functional training
  • Able to perform single-leg deadlift exercise safely
  • Provided written informed consent

You may not qualify if:

  • History of lower extremity surgery or major musculoskeletal injury within the past year
  • Current pain or symptoms in the hip, knee, or ankle joints
  • Neurological, cardiovascular, or balance disorders
  • Participation in other conflicting research studies within the last 3 months
  • Inability to maintain single-leg stance for at least 5 seconds
  • Presence of skin irritation or condition at electrode placement sites

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Busan University of Foreign Studies

Busan, 46234, South Korea

Location

Related Publications (32)

  • Ditroilo M, O'Sullivan R, Harnan B, Crossey A, Gillmor B, Dardis W, Grainger A. Water-filled training tubes increase core muscle activation and somatosensory control of balance during squat. J Sports Sci. 2018 Sep;36(17):2002-2008. doi: 10.1080/02640414.2018.1431868. Epub 2018 Jan 24.

    PMID: 29364062BACKGROUND
  • Saeterbakken AH, Fimland MS. Muscle force output and electromyographic activity in squats with various unstable surfaces. J Strength Cond Res. 2013 Jan;27(1):130-6. doi: 10.1519/JSC.0b013e3182541d43.

    PMID: 22450254BACKGROUND
  • Badier M, Guillot C, Lagier-Tessonnier F, Burnet H, Jammes Y. EMG power spectrum of respiratory and skeletal muscles during static contraction in healthy man. Muscle Nerve. 1993 Jun;16(6):601-9. doi: 10.1002/mus.880160605.

    PMID: 8502257BACKGROUND
  • Rutherford DJ, Hubley-Kozey CL, Stanish WD. Maximal voluntary isometric contraction exercises: a methodological investigation in moderate knee osteoarthritis. J Electromyogr Kinesiol. 2011 Feb;21(1):154-60. doi: 10.1016/j.jelekin.2010.09.004.

    PMID: 20926310BACKGROUND
  • Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000 Oct;10(5):361-74. doi: 10.1016/s1050-6411(00)00027-4.

    PMID: 11018445BACKGROUND
  • Lafond D, Corriveau H, Hebert R, Prince F. Intrasession reliability of center of pressure measures of postural steadiness in healthy elderly people. Arch Phys Med Rehabil. 2004 Jun;85(6):896-901. doi: 10.1016/j.apmr.2003.08.089.

    PMID: 15179642BACKGROUND
  • Lopez-de-Celis C, Sanchez-Alfonso N, Rodriguez-Sanz J, Romani-Sanchez S, Labata-Lezaun N, Canet-Vintro M, Aiguade R, Perez-Bellmunt A. Quadriceps and gluteus medius activity during stable and unstable loading exercises in athletes. A cross-sectional study. J Orthop Res. 2024 Feb;42(2):317-325. doi: 10.1002/jor.25680. Epub 2023 Aug 27.

    PMID: 37593805BACKGROUND
  • Morrissey MC, Harman EA, Johnson MJ. Resistance training modes: specificity and effectiveness. Med Sci Sports Exerc. 1995 May;27(5):648-60.

    PMID: 7674868BACKGROUND
  • Hutchison RE, Caterisano A. Comparison of Peak Ground Reaction Force, Joint Kinetics and Kinematics, and Muscle Activity Between a Flexible and Steel Barbell During the Back Squat Exercise. J Hum Kinet. 2019 Aug 21;68:99-108. doi: 10.2478/hukin-2019-0059. eCollection 2019 Aug.

    PMID: 31531136BACKGROUND
  • Glass SC, Wisneski KA. Effect of Instability Training on Compensatory Muscle Activation during Perturbation Challenge in Young Adults. J Funct Morphol Kinesiol. 2023 Sep 15;8(3):136. doi: 10.3390/jfmk8030136.

    PMID: 37754969BACKGROUND
  • Mansfield A, Wong JS, Bryce J, Knorr S, Patterson KK. Does perturbation-based balance training prevent falls? Systematic review and meta-analysis of preliminary randomized controlled trials. Phys Ther. 2015 May;95(5):700-9. doi: 10.2522/ptj.20140090. Epub 2014 Dec 18.

    PMID: 25524873BACKGROUND
  • Pai YC, Bhatt T, Yang F, Wang E. Perturbation training can reduce community-dwelling older adults' annual fall risk: a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2014 Dec;69(12):1586-94. doi: 10.1093/gerona/glu087. Epub 2014 Jun 24.

    PMID: 24966227BACKGROUND
  • Smania N, Corato E, Tinazzi M, Stanzani C, Fiaschi A, Girardi P, Gandolfi M. Effect of balance training on postural instability in patients with idiopathic Parkinson's disease. Neurorehabil Neural Repair. 2010 Nov-Dec;24(9):826-34. doi: 10.1177/1545968310376057.

    PMID: 21045119BACKGROUND
  • Nairn BC, Sutherland CA, Drake JD. Motion and Muscle Activity Are Affected by Instability Location During a Squat Exercise. J Strength Cond Res. 2017 Mar;31(3):677-685. doi: 10.1519/JSC.0000000000001745.

    PMID: 27930445BACKGROUND
  • Drinkwater EJ, Pritchett EJ, Behm DG. Effect of instability and resistance on unintentional squat-lifting kinetics. Int J Sports Physiol Perform. 2007 Dec;2(4):400-13. doi: 10.1123/ijspp.2.4.400.

    PMID: 19171958BACKGROUND
  • Behm DG, Anderson KG. The role of instability with resistance training. J Strength Cond Res. 2006 Aug;20(3):716-22. doi: 10.1519/R-18475.1.

    PMID: 16937988BACKGROUND
  • Dominguez-Navarro F, Casana J, Perez-Dominguez B, Ricart-Luna B, Cotoli-Suarez P, Calatayud J. Dynamic balance and explosive strength appears to better explain single leg hop test results among young elite female basketball athletes. Sci Rep. 2023 Apr 4;13(1):5476. doi: 10.1038/s41598-023-31178-7.

    PMID: 37016001BACKGROUND
  • Gonzalo-Skok O, Tous-Fajardo J, Suarez-Arrones L, Arjol-Serrano JL, Casajus JA, Mendez-Villanueva A. Single-Leg Power Output and Between-Limbs Imbalances in Team-Sport Players: Unilateral Versus Bilateral Combined Resistance Training. Int J Sports Physiol Perform. 2017 Jan;12(1):106-114. doi: 10.1123/ijspp.2015-0743. Epub 2016 Aug 24.

    PMID: 27140680BACKGROUND
  • Speirs DE, Bennett MA, Finn CV, Turner AP. Unilateral vs. Bilateral Squat Training for Strength, Sprints, and Agility in Academy Rugby Players. J Strength Cond Res. 2016 Feb;30(2):386-92. doi: 10.1519/JSC.0000000000001096.

    PMID: 26200193BACKGROUND
  • Makaruk H, Winchester JB, Sadowski J, Czaplicki A, Sacewicz T. Effects of unilateral and bilateral plyometric training on power and jumping ability in women. J Strength Cond Res. 2011 Dec;25(12):3311-8. doi: 10.1519/JSC.0b013e318215fa33.

    PMID: 22076090BACKGROUND
  • Gholami F, Letafatkar A, Moghadas Tabrizi Y, Gokeler A, Rossettini G, Ghanati HA, Schollhorn WI. Comparing the Effects of Differential and Visuo-Motor Training on Functional Performance, Biomechanical, and Psychological Factors in Athletes after ACL Reconstruction: A Randomized Controlled Trial. J Clin Med. 2023 Apr 13;12(8):2845. doi: 10.3390/jcm12082845.

    PMID: 37109182BACKGROUND
  • Correa RV, Verhagen E, Resende RA, Ocarino JM. Performance in field-tests and dynamic knee valgus in soccer players psychologically ready and not ready to return to sports after ACL reconstruction. Knee. 2023 Jun;42:297-303. doi: 10.1016/j.knee.2023.04.011. Epub 2023 Apr 27.

    PMID: 37119602BACKGROUND
  • van Dyk N, Behan FP, Whiteley R. Including the Nordic hamstring exercise in injury prevention programmes halves the rate of hamstring injuries: a systematic review and meta-analysis of 8459 athletes. Br J Sports Med. 2019 Nov;53(21):1362-1370. doi: 10.1136/bjsports-2018-100045. Epub 2019 Feb 26.

    PMID: 30808663BACKGROUND
  • Maniar N, Cole MH, Bryant AL, Opar DA. Muscle Force Contributions to Anterior Cruciate Ligament Loading. Sports Med. 2022 Aug;52(8):1737-1750. doi: 10.1007/s40279-022-01674-3. Epub 2022 Apr 18.

    PMID: 35437711BACKGROUND
  • Biscarini A, Benvenuti P, Botti FM, Brunetti A, Brunetti O, Pettorossi VE. Voluntary enhanced cocontraction of hamstring muscles during open kinetic chain leg extension exercise: its potential unloading effect on the anterior cruciate ligament. Am J Sports Med. 2014 Sep;42(9):2103-12. doi: 10.1177/0363546514536137. Epub 2014 Jun 10.

    PMID: 24918112BACKGROUND
  • Begalle RL, Distefano LJ, Blackburn T, Padua DA. Quadriceps and hamstrings coactivation during common therapeutic exercises. J Athl Train. 2012 Jul-Aug;47(4):396-405. doi: 10.4085/1062-6050-47.4.01.

    PMID: 22889655BACKGROUND
  • Llurda-Almuzara L, Perez-Bellmunt A, Lopez-de-Celis C, Aiguade R, Seijas R, Casasayas-Cos O, Labata-Lezaun N, Alvarez P. Normative data and correlation between dynamic knee valgus and neuromuscular response among healthy active males: a cross-sectional study. Sci Rep. 2020 Dec 2;10(1):17206. doi: 10.1038/s41598-020-74177-8.

    PMID: 33268811BACKGROUND
  • Llurda-Almuzara L, Perez-Bellmunt A, Labata-Lezaun N, Lopez-de-Celis C, Canet-Vintro M, Cadellans-Arroniz A, Moure-Romero L, Aiguade-Aiguade R. Relationship between lower limb EMG activity and knee frontal plane projection angle during a single-legged drop jump. Phys Ther Sport. 2021 Nov;52:13-20. doi: 10.1016/j.ptsp.2021.07.007. Epub 2021 Jul 29.

    PMID: 34365085BACKGROUND
  • Sahrmann S, Azevedo DC, Dillen LV. Diagnosis and treatment of movement system impairment syndromes. Braz J Phys Ther. 2017 Nov-Dec;21(6):391-399. doi: 10.1016/j.bjpt.2017.08.001. Epub 2017 Sep 27.

    PMID: 29097026BACKGROUND
  • Distefano LJ, Blackburn JT, Marshall SW, Padua DA. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther. 2009 Jul;39(7):532-40. doi: 10.2519/jospt.2009.2796.

    PMID: 19574661BACKGROUND
  • Mo RCY, Ngai DCW, Ng CCM, Sin KHS, Luk JTC, Ho IMK. Effects of loading positions on the activation of trunk and hip muscles during flywheel and dumbbell single-leg Romanian deadlift exercises. Front Physiol. 2023 Nov 29;14:1264604. doi: 10.3389/fphys.2023.1264604. eCollection 2023.

    PMID: 38093908BACKGROUND
  • Diamant W, Geisler S, Havers T, Knicker A. Comparison of EMG Activity between Single-Leg Deadlift and Conventional Bilateral Deadlift in Trained Amateur Athletes - An Empirical Analysis. Int J Exerc Sci. 2021 Apr 1;14(1):187-201. doi: 10.70252/MVFY4610. eCollection 2021.

    PMID: 34055137BACKGROUND

Study Officials

  • Ji Hwan Jeong, MSc

    Department of Sports and Health Convergence

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Crossover Assignment
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

July 2, 2025

First Posted

July 11, 2025

Study Start

February 15, 2025

Primary Completion

February 20, 2025

Study Completion

February 28, 2025

Last Updated

July 11, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will share

De-identified individual participant data (IPD) will be shared via Figshare. The data will include demographic information, raw data from the assessments, and any other relevant data collected during the study.

Shared Documents
SAP
Time Frame
The data will be available immediately after the publication of the study results and will be accessible for at least 5 years
Access Criteria
The data will be openly available via Figshare without the need for a data access request

Locations