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NCT Number: NCT07522398

Acute Power Training Effects in Older Adults

The goal of this clinical trial is to learn how older adults respond to power training when the level of fatigue during exercise is different. Power training means performing fast movements with moderate loads to improve strength, power and mobility.

The main questions the study aims to answer are:

* How does the level of fatigue during power training acutely affect strength, movement, and muscle function? * How does it affect recovery, muscle soreness, and how hard the exercise feels?

Researchers will compare three power-training sessions with different fatigue levels to see which approach may be safest and most effective for older adults.

Participants will be healthy older adults aged 65 to 85 years. Each participant will complete three supervised exercise sessions on a leg press machine. The sessions will take place about one week apart.

During the study, participants will:

* Perform power training on a pneumatic leg press machine * Complete strength and mobility tests before and after exercise * Provide small blood samples to measure body responses to exercise * Rate how hard the exercise feels * Report muscle soreness for up to two days after exercise

The results may help researchers design safer and more effective power-training programs to improve strength, mobility, and recovery in older adults.

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Key information

Age range

65 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

REVAL - Faculty of Rehabilitation Sciences

Diepenbeek, Flanders, 3590, Belgium

Location status: Recruiting

Location contact

Faculteit Revalidatiewetenschappen

CONTACT

[email protected]

+32(0)11 26 93 11

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Participants must:

  • Be 65 to 85 years old.
  • Be able to live independently and perform everyday activities without help.
  • Not have regularly done resistance or strength training in the past year.
  • Be able to understand study instructions and communicate in the study language.
  • Have a recent statement from their treating physician confirming that their heart and blood vessels are healthy enough to safely take part in this study.

Exclusion criteria

Participants will not be eligible if they have any of the following:

  • Unstable heart disease, neurological disease, acute infection, or fever.
  • Use of non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, in the 5 days before the study.
  • Use of whey protein, casein, or amino acid supplements in the month before the study.
  • Acute or chronic injuries to the legs or lower body muscles.
  • Any injury or condition that prevents safe leg extension exercises.
  • Recent lower-limb joint replacement (less than 6 months ago).
  • Dependence on walking aids.
  • Current participation in another interventional trial.

Treatment and study plan

Power Training at Different Fatigue Levels

Behavioral

Participants perform supervised power-training exercises on a pneumatic leg press. The sessions are designed to test different levels of fatigue:

  • In one session, participants stop the exercise set when their movement speed drops by 10%.
  • In another session, they stop when their movement speed drops by 30%.
  • In a third session, participants perform the same total work as the 30% session, but stop at 10% velocity loss.

Each session lasts a single training bout (4 sets), and is separated from the next session by one week. During and after each session, researchers measure immediate and post 24h responses to the training in neuromuscular function, physiological responses (e.g., blood markers, muscle oxygenation), functional performance, perceived effort, and muscle soreness.

This intervention is different from other exercise studies because it focuses on how varying fatigue levels during power training affect immediate performance and recovery in healthy older adults.

Other names: Power Training at Different Velocity Loss Thresholds, Power Training at Different Velocity-Based Training Doses

Primary outcomes

  1. Maximum Voluntary Contraction (MVC)

    Time frame: Measurements will be taken before exercise (baseline), 5 minutes after each training session, and 24 hours after each session.

    Maximum voluntary contraction (MVC) will be assessed to determine the maximum force-generating capacity of the leg extensors using an isokinetic dynamometer (Humac Norm). Simultaneously, muscle activity will be recorded using surface electromyography (EMG; Delsys EMG system).

    Primary outcome metric: Peak torque (Nm) obtained from three maximal isometric trials recorded on the dynamometer, combined with EMG amplitude (µV) to quantify muscle activation. Interpretation: Higher torque values indicate greater knee extensor strength. EMG amplitude reflects the level of muscle activation during maximal voluntary effort.

    Interpretation: Higher force values indicate greater leg muscle strength. EMG values indicate the level of muscle activation during the maximal effort.

Secondary outcomes

  1. Rate of Torque Development (RTD)

    Time frame: Measurements will be taken before exercise (baseline), 5 minutes after each training session, and 24 hours after each session.

    Rate of torque development (RTD) will be assessed to determine how quickly participants can generate torque with their leg extensors. This will be measured using an isokinetic dynamometer (Humac Norm), which records joint torque, alongside surface electromyography (EMG; Delsys EMG system), which measures muscle activation. This parameter provides insight into neuromuscular responses to different levels of power training-induced fatigue.

    Metric: Peak rate of torque development (Nm/s) calculated from three maximal trials, together with EMG amplitude (µV). RTD will be calculated as the slope of the torque-time curve over a specified time interval (e.g., 0-100ms, 100-200 ms).

  2. Muscle Activity

    Time frame: Measurements will be taken before exercise (baseline), during exercise session (mean value across the full session), 5 minutes post exercise, and 24 hours post exercise (3 exercise sessions, 1 week apart)

    Muscle activity will be assessed by recording the electrical signals of the leg muscles during the leg press exercise using surface electromyography (sEMG; Delsys EMG system). This method enables quantification of muscle activation and fatigue-related changes in neuromuscular function.

    Surface electrodes will be placed on three key thigh muscles: the vastus lateralis, vastus medialis, and biceps femoris.

    Metric: EMG amplitude (µV), derived from the recorded electrical signals, representing the level of muscle activation during exercise.

  3. Strength Training Data: Mean Movement Velocity

    Time frame: During each exercise session (mean values across the full session) (3 Sessions ; ~1 week apart)

    Mean concentric movement velocity (meter per second (m/s)) recorded during each leg press (exercise) repetition using the Keiser A400 Leg Press.

  4. Strength Training Data: Power

    Time frame: During each exercise session (mean value across the full session) (3 Sessions ; ~1 week apart)

    Mean mechanical power (Watts (W)) produced during each leg press repetition recorded by the Keiser A400 Leg Press.

  5. Strength Training Data: Total Number of Repetitions

    Time frame: During each exercise session (mean value across the full session) (3 Sessions ; ~1 week apart)

    Total number of repetitions (count) completed during each exercise session on the leg press.

  6. Muscle Oxygenation

    Time frame: Baseline (pre-exercise), continuously during each exercise session, 5 minutes post-exercise, and 24 hours post-exercise (for each of the 3 sessions, 1 week apart)

    Muscle oxygenation will be assessed to determine oxygen availability in the thigh muscle (vastus lateralis) during and after exercise using near-infrared spectroscopy (NIRS). In addition, a vascular occlusion test will be performed to evaluate muscle oxygen extraction and the recovery kinetics of oxygenation following transient blood flow restriction.

    Metric: Muscle oxygen saturation (%; e.g., SmO₂), as well as reoxygenation rate and amplitude following occlusion.

  7. Blood Lactate

    Time frame: Measurements will be taken at baseline and immediately post exercise session (3 sessions, 1 week apart)

    Small blood sample will be taken to measure lactate, in millimoles per liter analysed through standard laboratory tests, including Enzyme-Linked Immunosorbent Assay (ELISA).

  8. Blood Gas

    Time frame: Measurements will be taken at baseline and immediately post exercise session (3 sessions, 1 week apart).

    A Small blood sample will be taken to measure blood gas levels (blood oxygen/carbon dioxide levels) using standard laboratory tests, including Enzyme-Linked Immunosorbent Assay (ELISA).

  9. Creatine Kinase (CK)

    Time frame: Measurements will be taken at Baseline and 24 hours after each exercise session.

    Small blood samples will be taken to measure creatine kinase (CK), an enzyme that increases in the blood when muscles are damaged or stressed.

    Metric: CK concentration in units per liter (U/L).

  10. Functional Performance: Five-Repetition Sit-to-Stand Test

    Time frame: Measurements will be taken at Baseline, immediate post exercise and 24 hours after each exercise session.

    Five-Repetition Sit-to-Stand (5xSTS) test: Participants stand up from a chair repeatedly. An inertial measurement unit (DynaPort MoveTest, McRoberts, The Hague, NL) measures speed (meters per second (m/s)), movement duration (s) , and power (W).

  11. Functional Performance: Counter Movement Jump

    Time frame: Measurements will be taken at Baseline, immediate post exercise and 24 hours after each exercise session.

    Countermovement Jump (CMJ): Participants jump vertically from a standing position. Jump height (cm), force (Nm), and power (W) are measured using KINVENT force plates.

  12. Functional Performance: Stair Ascent test

    Time frame: Measurements will be taken at Baseline, immediate post exercise and 24 hours after each exercise session.

    Stair Ascent Test (SA): Participants climb a set of stairs while wearing an inertial measurement unit (DynaPort MoveTest, McRoberts, The Hague, NL), which measures speed (m/s), movement duration (s), distance (cm), and power (W).

  13. Functional Performance: 30-s Sit-to-Stand Test

    Time frame: Measurements will be taken at Baseline, immediate post exercise and 24 hours after each exercise session.

    30-Second Sit-to-Stand (30sSTS) Tests: Participants stand up from a chair repeatedly. An inertial measurement unit (DynaPort MoveTest, McRoberts, The Hague, NL) measures speed (m/s), movement duration (s), and power (W).

  14. Perceived Exertion

    Time frame: Assessed after each exercise set during each exercise session (mean value across the full session) (3 Sessions ; ~1 week apart)

    Perceived exertion will be assessed using the OMNI Resistance Exercise Scale (OMNI-RES). Participants will rate their level of effort after each exercise set during the leg press sessions. The scale ranges from 1 (no exertion at all) to 10 (maximum effort), with higher scores indicating greater perceived exertion.

  15. Delayed Onset Muscle Soreness (DOMS)

    Time frame: Ratings will be collected at baseline, 24 hours after exercise, and 48 hours after exercise using a remote survey.

    Delayed onset of muscle soreness (DOMS) will be assessed using a Visual Analog Scale (VAS). Participants will rate perceived soreness in the leg muscles on a scale from 0 (no soreness) to 10 (worst possible soreness), with higher scores indicating greater muscle soreness.

Study contacts

Contact information is provided by the study sponsor or research team.

Evelien Van Roie, PhD

CONTACT

[email protected]

+3211269062

Max Riesbeck, Master of Science

CONTACT

[email protected]

+32 11 26 84 93

Sponsors and collaborators

Lead sponsor

Hasselt University

Other

Registry information

Official study title

Acute Neuromuscular and Physiological Responses to Different Velocity Loss Thresholds During Power Training in Older Adults

Acronym: APTE-OA

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Apr 13, 2026
Registry last updated
Apr 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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