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Internal factors are often associated with medical conditions such as varicocele or hormonal abnormalities

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At the onset of therapy, all patients were evaluated in outcome measures, which included the Sensory Organization Test (SOT) by Computerized Dynamic Posturography (CDP), the Dynamic Gait Index (DGI), the Activities Balance Confidence (ABC) scale, the Dizziness Handicap Index (DHI), the Vestibular Disorders Activities of Daily Living (VADL) score, and the Balance Scoring System (BESS) test

Additionally, anatomical features such as the Q-angle, which measures the alignment of the knee in relation to the hip and ankle, can impact the distribution of forces across the knee joint