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Comparative Study
. 2025 Jan 1:50:1-17.
doi: 10.1139/apnm-2025-0039.

Isotonic resistance exercise outperforms eccentric quasi-isometric resistance exercise for increasing elbow flexor muscle thickness and estimated one-repetition maximum in untrained individuals: exploring the influence of sex and volume

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Comparative Study

Isotonic resistance exercise outperforms eccentric quasi-isometric resistance exercise for increasing elbow flexor muscle thickness and estimated one-repetition maximum in untrained individuals: exploring the influence of sex and volume

Zachariah J Henderson et al. Appl Physiol Nutr Metab. .

Abstract

As a novel, low-velocity resistance exercise method, eccentric quasi-isometric resistance exercise (EQI-RE) results in greater time under tension than traditional isotonic resistance exercise (TRD-RE) and is surmised to increase muscle mass and strength. However, females may be more fatigue-resistant than males when performing acute EQI-RE, which could lead to long-term differences in time under tension and resistance exercise volume. At present, studies have yet to compare muscle hypertrophy or strength improvements following TRD-RE and EQI-RE training, and whether sex differences exist in these outcomes. Twenty-two (n = 13 females) untrained individuals completed ∼8 weeks of effort matched unilateral TRD-RE and EQI-RE of the elbow flexors. Muscle thickness and estimated one-repetition maximum (E-1RM) were evaluated before and after training. TRD-RE produced significantly larger relative increases in muscle thickness (6.7% ± 3.9% vs. 4.0% ± 3.3%, p = 0.004) and E-1RM (19.6 ± 8.5% vs. 12.8 ± 6.2%, p = 0.001) than EQI-RE. Although females accrued greater resistance exercise volume than males across the TRD-RE and EQI-RE training, there were no relative sex differences in muscle thickness or E-1RM improvements (p > 0.25). Sex differences in fatiguability may therefore manifest in differences in resistance exercise volume between males and females after 8 weeks of TRD-RE and EQI-RE of the elbow flexors, but this does not lead to relative differences in muscle thickness or E-1RM improvements. Although EQI-RE did produce significant increases, TRD-RE of the elbow flexors appears more effective at increasing muscle thickness and E-1RM.

Keywords: b-mode ultrasound; bicep curls; hypertrophy; resistance training; strength.

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Conflict of interest statement

SMC is the Chair of Scientific Advisory and Partnerships Committee for Canadian Society for Exercise Physiology (CSEP), and has received honoraria for educational materials, as well as guest lectures at the University of Regina.

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