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NCT Number: NCT07696026

Isometric vs. Dynamic Squat Pre-Loading: Acute PAPE Responses

This randomized crossover study compared the acute post-activation performance responses to isometric and dynamic squat-based preconditioning protocols performed with and without electromyostimulation (EMS). Participants completed five randomized experimental conditions: maximal voluntary isometric contraction (MVIC), dynamic contraction (DC), MVIC+EMS, DC+EMS, and EMS only (O-EMS). Baseline and post-intervention assessments included countermovement jump (CMJ), countermovement jump with arm swing (CMJWH), zig-zag agility, and shooting speed, with post-tests conducted after a 4-minute recovery period. Perceptual responses, including ratings of perceived exertion (RPE), perceived discomfort (RPD), and fatigue (VAS), were recorded immediately after each protocol. All sessions were conducted between 14:00 and 16:00 under standardized conditions, with protocol order randomized and participants instructed to avoid strenuous exercise and food intake before testing.

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Key information

Age range

18 year–25 year

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

Karabuk University

Karabük, Turkey, 78200, Turkey (Türkiye)

Location contact

Andre Filipovic, Prof.Dr.

SUB_INVESTIGATOR

Cem Sofuoğlu

SUB_INVESTIGATOR

Erşan Arslan, Prof.Dr.

SUB_INVESTIGATOR

Metehan Yana, Doctorate

SUB_INVESTIGATOR

Neslihan Akçay, Doctorate

CONTACT

[email protected]

+905468426671

Neslihan Akçay, Doctorate

PRINCIPAL_INVESTIGATOR

Wolfgang Kemmler, Prof.Dr.

SUB_INVESTIGATOR

About this study

This study aimed to compare the acute post-activation performance responses to isometric and dynamic squat-based preconditioning protocols, with and without EMS. All testing sessions were conducted between 14:00 and 16:00 to minimize the potential effects of circadian rhythms and fatigue on performance. The study was conducted using a randomized, crossover design. On the remaining five experimental days, the order of the protocols was randomized for each participant using a computer-generated randomization sequence (randomizer.org) to reduce order effects. During the first session, participants' anthropometric measurements were recorded, their one-repetition maximum (1RM) back squat loads were determined, and they were familiarized with the equipment and testing procedures. Participants completed five separate experimental sessions consisting of the following conditions: [A] Isometric Contraction + EMS (MVIC-EMS), [B] Dynamic Contraction + EMS (DC-EMS), [C] Dynamic Contraction (DC), [D] Isometric Contraction (MVIC), and [E] Only EMS (O-EMS). Before each experimental protocol, baseline measurements were obtained using countermovement jump (CMJ), CMJ with hands (CMJWH), zig-zag agility test, and shooting speed assessments. After each protocol, all tests were repeated after a 4-minute rest period (Chen et al., 2023). Under all conditions, the electrodes were placed identically by the same experienced researcher. Subsequently, players' shooting speeds were measured using a radar gun, with two trials performed and the highest value recorded. Immediately after each experimental protocol, ratings of perceived exertion (RPE), perceived discomfort (RPD), and perceived fatigue level were assessed using a visual analog scale (VAS) and recorded. Participants were instructed to refrain from food intake for 1.5 hours before testing, to avoid resistance training throughout the study period, and were verbally encouraged during all testing sessions.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Being healthy
  • Male volleyball athletes
  • Willing to maintain the intervention for all sessions

Exclusion criteria

  • Being under 18 years old
  • Having a chronic disease
  • Contraindications for exercise

Treatment and study plan

dynamic conraction

Other

Participants performed a dynamic back squat conditioning protocol on a Smith machine consisting of five sets of one repetition at 90% of one-repetition maximum (1RM), with 1 min of passive recovery between sets. Each repetition included a controlled descent to approximately 90° of knee flexion, an explosive concentric phase, a 2-s isometric hold at full knee extension, and a slow, controlled eccentric phase (Pincivero et al.). All repetitions were supervised to ensure proper technique. The protocol was selected based on previous evidence supporting high-intensity resistance exercise as an effective conditioning activity for inducing PAPE responses (Dobbs et al.).

isometric contraction

Other

The isometric contraction protocol was conducted as described by Koźlenia and Domaradzki (2023) and Lim and Kong (2013). Participants assumed a squat position in a squat rack with the barbell fixed in place and the knee joint positioned at approximately 90° of flexion (Profitness 1030, Türkiye). The barbell was secured to the rack using safety pins, and participants were instructed to exert maximal force against the immovable bar to produce a MVIC. Each contraction lasted 3 seconds, and a total of 3 repetitions were performed with 2 min of rest between repetitions (Koźlenia & Domaradzki, 2023; Lim & Kong, 2013).

dynamic and EMS contraction

Other

Participants performed a dynamic back squat conditioning protocol on a Smith machine consisting of five sets of one repetition at 90% of one-repetition maximum (1RM), with 1 min of passive recovery between sets. In the DC-EMS condition, electromyostimulation (EMS) was applied simultaneously throughout the conditioning protocol. Each repetition included a controlled descent to approximately 90° of knee flexion, an explosive concentric phase, a 2-s isometric hold at full knee extension, and a slow, controlled eccentric phase (Pincivero et al.). All repetitions were supervised to ensure proper technique. The protocol was selected based on previous evidence supporting high-intensity resistance exercise as an effective conditioning activity for inducing PAPE responses (Dobbs et al.).

isometric and EMS conraction

Other

The isometric contraction protocol was conducted as described by Koźlenia and Domaradzki (2023) and Lim and Kong (2013). Participants assumed a squat position in a squat rack with the barbell fixed in place and the knee joint positioned at approximately 90° of flexion (Profitness 1030, Türkiye). The barbell was secured to the rack using safety pins, and participants were instructed to exert maximal force against the immovable bar to produce an MVIC. Each contraction lasted 3 seconds, and a total of three repetitions were performed with 2 min of rest between repetitions (Koźlenia & Domaradzki, 2023; Lim & Kong, 2013). In the MVIC-EMS condition, electromyostimulation (EMS) was applied simultaneously during each maximal voluntary isometric contraction.

ems contraction

Other

EMS was delivered bilaterally to the quadriceps using a portable stimulator (Compex Rehab 400, Compex Medical SA, Switzerland) with a biphasic symmetrical rectangular waveform (75 Hz, 450 μs). Four self-adhesive electrodes were placed over the vastus medialis and vastus lateralis muscles of both legs. Participants remained seated for 10 min with the knees flexed at approximately 90° and the hips flexed at approximately 110°, while receiving EMS without performing any voluntary contractions. Stimulation intensity was gradually increased to the highest level tolerated by each participant and maintained throughout the intervention (Paillard et al., 2008; Sofuoğlu et al., 2025).

Primary outcomes

  1. Countermovement Jump (CMJ) Height

    Time frame: aseline and 4 minutes after each experimental condition

    Change in countermovement jump (CMJ) height (cm) from baseline to 4 minutes after each conditioning protocol, measured using a jump assessment system.

  2. Countermovement Jump with Arm Swing (CMJWH) Height

    Time frame: Baseline and 4 minutes after each experimental condition

    Change in countermovement jump with arm swing (CMJWH) height (cm) from baseline to 4 minutes after each conditioning protocol.

  3. Zig-Zag Agility Performance

    Time frame: Baseline and 4 minutes after each experimental condition

    Change in zig-zag agility performance time (s) from baseline to 4 minutes after each conditioning protocol.

  4. Shooting Speed

    Time frame: Baseline and 4 minutes after each experimental condition

    Change in maximal shooting speed (km/h) from baseline to 4 minutes after each conditioning protocol, measured using a radar gun.

Secondary outcomes

  1. Rating of Perceived Exertion (RPE)

    Time frame: Immediately after each experimental condition

    Rating of perceived exertion assessed immediately after each conditioning protocol using the Borg CR-10 scale.

  2. Rating of Perceived Discomfort (RPD)

    Time frame: Immediately after each experimental condition

    Rating of perceived discomfort assessed immediately after each conditioning protocol using the Borg CR-10 scale.

  3. Perceived Fatigue

    Time frame: Immediately after each experimental condition

    Perceived fatigue assessed immediately after each conditioning protocol using a visual analog scale (VAS).

Study contacts

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

Neslihan Akçay, Doctorate

CONTACT

[email protected]

+905468426671

Neslihan Akçay, Doctorate

CONTACT

Sponsors and collaborators

Lead sponsor

Karabuk University

Other

Registry information

Official study title

Acute Post-Activation Performance Responses to Isometric and Dynamic Squat Pre-Loading Protocols: A Randomized Crossover Trial

Acronym: IPP vs DPP

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Jul 10, 2026
Registry last updated
Jul 10, 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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