Reliability and validity of a low-cost, wireless sensor and smartphone app for measuring force during isometric and dynamic resistance exercises

The aim of this study was to investigate the reliability and validity of an affordable wireless force sensor in measuring mean and peak forces during resistance training.A Suiff Pro wireless force sensor (Suiff, Spain) and a MuscleLab force platform (Ergotest, Norway) were used concurrently to assess tensile load and the ground reaction force resulting from an upright row exercise. Thirteen participants (28.2 ± 5.7 years, 76.2 ± 9.6 kg, 178.2 ± 9.2 cm) performed the exercise under three velocity conditions and isometrically. Each condition involved three sets of exercise. Mean (Fmean) and peak (Fpeak) force values from both sensors were collected and compared.Suiff Pro exhibited excellent reliability for Fmean and Fpeak (ICCs = 0.99). When compared to the criterion measures, Suiff Pro showed trivial standardized bias for Fmean (Mean = 0.00 [CI 95% = 0.00 to 0.01]) and Fpeak (-0.02 [-0.04 to 0.00]). The standardized typical error was also trivial for Fmean (0.03 [0.02 to 0.03]) and Fpeak (0.07 [0.05 to 0.09]). Correlations with the MuscleLab force platform were nearly perfect: Fmean (0.97 [0.94 to 0.98]; p<0.001); Fpeak (0.96 [0.92 to 0.97]; p<0.001).The findings demonstrate that the Suiff Pro sensor is reliable and valid device for measuring force during isometric and dynamic resistance training exercises. Therefore, practitioners can confidently use this device to monitor kinematic variables of resistance training exercises and to obtain real-time augmented feedback during a training session.

Effects of Different Isometric Training Programs on Muscle Size and Function in the Elbow Flexors

It remains unknown whether a regimen of a combination of high- and low-intensity resistance training increases muscle size and maximal voluntary isometric contraction (MVC) simultaneously. This study aimed to clarify the effect of the combination of high- and low-intensity resistance training on muscle size and neuromuscular function in the elbow flexors. Sixteen male adults participated in a 9-week isometric training regimen in elbow joint flexion of each arm. We randomly assigned two different training regimens to left and right arms: one aiming to strengthen maximal strength (ST) and the other aiming to develop muscle size as well as maximal strength, which consists of one contraction to volitional failure with 50% of MVC added to ST (COMB). Following the 3-week training to volitional failure as familiarization, the participants conducted the 6-week ST and COMB training in each arm. Before the intervention, and at the third (Mid) and ninth (Post) weeks, MVC and muscle thickness in the anterior part of the upper arm (ultrasound) were measured. Muscle cross-sectional area (mCSA) was derived from the obtained muscle thickness. From Mid to Post, the relative change in MVC was similar in both arms. The COMB regimen increased muscle size, but no significant change was found in ST. Following the 3-week isometric training to volitional failure, the 6-week training regimen for developing maximal voluntary and muscle hypertrophy increased MVC, with increasing mCSA, and the training-induced change in MVC was similar to that for developing maximal voluntary strength alone.

Six-Week Joint-Specific Isometric Strength Training Improves Serve Velocity in Young Tennis Players

PURPOSE

Evaluate the effects of 6 weeks of specific-joint isometric strength training on serve velocity (SV), serve accuracy (SA), and force-time curve variables.

METHODS

Sixteen young competition tennis players were divided into an intervention (n = 10) or control group (n = 6). SV, SA, maximal voluntary isometric contraction, peak rate of force development, rate of force development, and impulse (IMP) at different time frames while performing a shoulder internal rotation (SHIR) or flexion were tested at weeks 0, 3, and 6.

RESULTS

The intervention group showed significant increases in SV from pretest to posttest (7.0%, effect size [ES] = 0.87) and no variations in SA. Moreover, the intervention group showed significant increases from pretest to posttest in shoulder-flexion rate of force development at 150 (30.4%, ES = 2.44), 200 (36.5%, ES = 1.26), and 250 ms (43.7%, ES = 1.67) and in SHIR IMP at 150 (35.7%, ES = 1.18), 200 (33.4%, ES = 1.19), and 250 ms (35.6%, ES = 1.08). Furthermore, significant increases were found in shoulder-flexion rate of force development from intertest to posttest at 150 ms (24.5%, ES = 1.07) and in SHIR IMP at 150 (13.5%, ES = 0.90), 200 (19.1%, ES = 0.98), and 250 ms (27.2%, ES = 1.16). SHIR IMP changes from pretest to intertest were found at 150 ms (25.6%, ES = 1.04). The control group did not show changes in any of the tested variables.

CONCLUSIONS

Six weeks of upper-limb specific-joint isometric strength training alongside habitual technical-tactical workouts results in significant increases in SV without SA detriment in young tennis players.

Acute neuromuscular and hormonal responses to 20% vs 40% velocity-loss in males and females before and after 8 weeks of velocity-loss resistance training

NEW FINDINGS

What is the central question of this study? Do males and females differ in fatiguability during dynamic loadings, and what are the acute neuromuscular and hormonal responses to 20% versus 40% velocity-loss resistance loadings? How does an 8-week velocity-loss resistance training period modify acute neuromuscular and hormonal responses in males and females? What is the main finding and its importance? Utilizing resistance training methods that regulate the within-set fatigue limit, males appeared to be more susceptible to fatigue than females before the training period. This between-sex difference was diminished after training. The predominant mechanisms of fatigue from 20% and 40% velocity-based resistance training appears to be within the musculature.

ABSTRACT

Scientific examination of velocity-based resistance training (VBRT) has increased recently, but how males and females respond to different VBRT protocols or how these acute responses are modified after a period of training is unknown. Habitually resistance-trained males and females followed either a 20% or 40% velocity-loss program for 8 weeks. Acute squat loading tests (5 sets, 70% 1-RM load, 3 minutes rest) were performed before and after the training period. Tests of maximum neuromuscular performance and blood sampling were conducted prior to, within 10 minutes of completion (POST) and 24 hours after each acute loading test. Testing included countermovement jump, resting femoral nerve electrical stimulation, and bilateral isometric leg press. Blood samples were analysed for whole-blood lactate, serum testosterone, cortisol, growth hormone and creatine kinase concentrations. Countermovement jump height, maximum isometric bilateral leg press force, and force from 10 Hz doublet decreased in all groups at POST after 20% and 40% velocity-loss. Only males showed reduced force from 100 Hz doublet and voluntary force over 100 ms at POST before training. 40% velocity-loss led to increased blood lactate and growth hormone responses before training in both males and females. After training, more systematic and equivalent responses in force over 100 ms, force from 100 Hz doublet and blood lactate were observed regardless of sex/VBRT protocol. Overall, acute responses were greater from 40% VBRT and males were more susceptible to acute loss in force production capacity before the training period. These VBRT protocol- and sex-related differences were diminished after training. This article is protected by copyright. All rights reserved.

Validity and Test-Retest Reliability of a Novel Push Low-Cost Hand-Held Dynamometer for Knee Strength Assessment during Different Force Ranges

The objective was to assess the instrumental validity and the test–retest reliability of a low-cost hand-held push dynamometer adapted from a load-cell based hanging scale (tHHD) to collect compressive forces in different ranges of compressive forces. Three independent raters applied 50 pre-established compressions each on the tHHD centered on a force platform in three distinct ranges: ~70 N, ~160 N, ~250 N. Knee isometric strength was also assessed on 19 subjects in two sessions (48 h apart) using the tHHD anchored by an inelastic adjustable strap. Knee extension and flexion were assessed with the participant seated on a chair with the feet resting on the floor, knees, and hips flexed at 90°. The isometric force peaks were recorded and compared. The ICC and the Cronbach’s α showed excellent consistency and agreement for both instrumental validity and test–retest reliability (range: 0.89–0.99), as the correlation and determination coefficients (range: 0.80–0.99). The SEM and the MDC analysis returned adequate low values with a coefficient of variation less than 5%. The Bland–Altman results showed consistency and high levels of agreement. The tHHD is a valid method to assess the knee isometric strength, showing portability, cost-effectiveness, and user-friendly interface to provide an effective form to assess the knee isometric strength.

Validity of a portable hanging scale to assess the isometric muscle strength during knee movement

Inexpensive and practical equipment to assess muscle strength can disseminate objective measures, which can provide valid information to implement effective treatment and exercise training. The purpose of the study was to examine the instrumental validity of the hanging scale (HS) to assess the muscle strength during knee flexion and extension by comparing the peak force values to a standard equipment (laboratory-grade load cell [LLC]). Knee isometric strength was assessed on thirty-two subjects (16 women and 16 men, 22 [5] years, 171 [9] cm, 69 [15] kg, 23 [4] kg/m²). The knee flexion was tested by placing the volunteer's body in prone with the knee flexed at 90°. Knee extension was assessed with the volunteer seated on a chair with the feet resting on the floor, knees, and hips flexed at 90°. No differences were observed comparing the isometric peak forces between a laboratory-grade load cell and a HS (p > 0.05). The intraclass correlation coefficient (ICC)_1,1 returned values above 0.90. The Cronbach's α test also returned values above 0.90 for all comparisons. Bland-Altman results showed high levels of agreement with low risk of bias. The HS appears to be a valid method to assess the knee isometric strength. The portability, the cost-effectiveness and the simple user-friendly system provides an effective way to assess the knee isometric strength.

Reliability and Sensitivity of Reaction Time Measurements During Quasi-Realistic Soccer Situations

Reliability and sensitivity of reaction time (RT) during quasi-realistic soccer situations was explored in 10 professional soccer players (skilled; age = 20.9 ± 3.6 years) and 10 males without soccer experience (nonskilled; age = 23.4 ± 0.5 years). The participants were instructed to react as fast as possible to a stimulus presented via the video-based method while standing on force platforms. RT was computed as the difference between the instant when the rate of force development of any leg reaches 5% of its maximal value and the instant of stimulus presentation. The results revealed acceptable to high reliability of RT (intraclass correlation coefficient median = .90; coefficient of variation ≤ 5.83%), and shorter RT for skilled compared with nonskilled participants in three out of eight comparisons (effect size range = 1.00-1.41). The video-based methods can be confidently used to assess the RT in soccer players.

Validity of an Inexpensive Hanging Scale During Isometric Shoulder Movements

CONTEXT

Strength assessment is essential to prescribe exercise in sports and rehabilitation. Low-cost valid equipment may allow continuous monitoring of training.

OBJECTIVE

To examine the validity of a very low-cost hanging scale by comparing differences in the measures of peak force to a laboratory grade load cell during shoulder abduction, flexion, extension, and internal and external rotations.

DESIGN

Analytical study.

PARTICIPANTS

Thirty-two healthy subjects (18 women, age 26 [10] y, height 172 [8] cm, mass 69 [13] kg, body mass index 23 [4] kg/m2).

MAIN OUTCOME MEASURES

The dependent variable was the maximal peak force (in kilogram-force). The independent variable was the instrument (laboratory grade load cell and hanging scale).

RESULTS

No differences were observed while comparing the results. The intraclass correlation coefficients1,1 ranged from .96 to .99, showing excellent results. The Cronbach alpha test also returned >.99 for all comparisons. The SEM ranged from 0.02 to 0.04 kgf, with an averaged SD from 0.24 to 0.38 kgf. The correlation was classified as high for all tested movements (r > .99; P < .001), with excellent adjusted coefficients of determination (.96 < r2 < .99). Bland-Altman results showed high levels of agreement with bias ranging from 0.27 to 0.48.

CONCLUSIONS

Hanging scale provides valid measures of isometric strength with similar output measures as laboratory grade load cell.

Acute Neuromuscular and Hormonal Responses to Different Exercise Loadings Followed by a Sauna

Rissanen, JA, Häkkinen, A, Laukkanen, J, Kraemer, WJ, and Häkkinen, K. Acute neuromuscular and hormonal responses to different exercise loadings followed by a sauna. J Strength Cond Res 34(2): 313-322, 2020-The purpose of this study was to investigate acute responses of endurance (E + SA), strength (S + SA), and combined endurance and strength exercise (C + SA) followed by a traditional sauna bath (70° C, 18% relative humidity) on neuromuscular performance and serum hormone concentrations. Twenty-seven recreationally physically active men who were experienced with taking a sauna participated in the study. All the subjects performed a sauna bath only (SA) first as a control measurement followed by S + SA and E + SA (paired matched randomization) and C + SA. Subjects were measured PRE (before exercise), MID (immediately after exercise and before sauna), POST (after sauna), POST30min (30 minutes after sauna), and POST24h (24 hours after PRE). Maximal isometric leg press (ILPFmax) and bench press (IBPFmax) forces, maximal rate of force development (RFD) and countermovement vertical jump (CMVJ), serum testosterone (TES), cortisol (COR), and 22-kD growth hormone (GH22kD) concentrations were measured. All exercise loadings followed by a sauna decreased ILPFmax (-9 to -15%) and RFD (-20 to -26%) in POST. ILPFmax, RFD, and CMVJ remained at significantly (p ≤ 0.05) lowered levels after S + SA in POST24h. IBPFmax decreased in POST in S + SA and C + SA and remained lowered in POST24h. SA decreased ILPFmax and IBPFmax in POST and POST30min and remained lowered in ILPFmax (-4.1%) at POST24h. GH22kD, TES, and COR elevated significantly in all loadings measured in the afternoon in MID. SA only led to an elevation (15%) in TES in POST. The strength exercise followed by a sauna was the most fatiguing protocol for the neuromuscular performance. Traditional sauna bathing itself seems to be strenuous loading, and it may not be recommended 24 hours before the next training session. A sauna bath after the loadings did not further change the hormonal responses recorded after the exercise loadings.

Acute Neuromuscular Electrical Stimulation (NMES) With Blood Flow Restriction: The Effect of Restriction Pressures

CONTEXT

Neuromuscular electrical stimulation (NMES) combined with blood flow restriction (BFR) has been shown to improve muscular strength and size better than NMES alone. However, previous studies used varied methodologies not recommended by previous NMES or BFR research.

OBJECTIVE

The present study investigated the acute effects of NMES combined with varying degrees of BFR using research-recommended procedures to enhance understanding and the clinical applicability of this combination.

DESIGN

Randomized crossover.

SETTING

Physiology laboratory.

PARTICIPANTS

A total of 20 healthy adults (age 27 [4] y; height 177 [8] cm; body mass 77 [13] kg).

INTERVENTIONS

Six sessions separated by at least 7 days. The first 2 visits served as familiarization, with the experimental conditions performed in the final 4 sessions: NMES alone, NMES 40% BFR, NMES 60% BFR, and NMES 80% BFR.

MAIN OUTCOME MEASURES

Maximal voluntary isometric contraction, muscle thickness, blood pressure, heart rate, rating of perceived exertion, and pain were all recorded before and after each condition.

RESULTS

The NMES 80% BFR caused greater maximal voluntary isometric contraction decline than any other condition (-38.9 [22.3] N·m, P < .01). Vastus medialis and vastus lateralis muscle thickness acutely increased after all experimental conditions (P < .05). Pain and ratings of perceived exertion were higher after NMES 80% BFR compared with all other experimental conditions (P < .05). No cardiovascular effects were observed between conditions.

CONCLUSION

The NMES combined with 80% BFR caused greater acute force decrement than the other conditions. However, greater perceptual ratings of pain and ratings of perceived exertion were observed with NMES 80% BFR. These acute observations must be investigated during chronic interventions to corroborate any relationship to changes in muscle strength and size in clinical populations.

Effects of remote limb ischemic conditioning on muscle strength in healthy young adults: A randomized controlled trial

Remote limb ischemic conditioning (RLIC) is a clinically feasible method in which brief, sub-lethal bouts of ischemia protects remote organs or tissues from subsequent ischemic injury. A single session of RLIC can improve exercise performance and increase muscle activation. The purpose of this study, therefore, was to assess the effects of a brief, two-week protocol of repeated RLIC combined with strength training on strength gain and neural adaptation in healthy young adults. Participants age 18–40 years were randomized to receive either RLIC plus strength training (n = 15) or sham conditioning plus strength training (n = 15). Participants received RLIC or sham conditioning over 8 visits using a blood pressure cuff on the dominant arm with 5 cycles of 5 minutes each alternating inflation and deflation. Visits 3–8 paired conditioning with wrist extensors strength training on the non-dominant (non-conditioned) arm using standard guidelines. Changes in one repetition maximum (1 RM) and electromyography (EMG) amplitude were compared between groups. Both groups were trained at a similar workload. While both groups gained strength over time (P = 0.001), the RLIC group had greater strength gains (9.38 ± 1.01 lbs) than the sham group (6.3 ± 1.08 lbs, P = 0.035). There was not a significant group x time interaction in EMG amplitude (P = 0.231). The RLIC group had larger percent changes in 1 RM (43.8% vs. 26.1%, P = 0.003) and EMG amplitudes (31.0% vs. 8.6%, P = 0.023) compared to sham conditioning. RLIC holds promise for enhancing muscle strength in healthy young and older adults, as well as clinical populations that could benefit from strength training.

Exercise and Osteoarthritis

Osteoarthritis (OA) is a degenerative disease of the articular cartilage with subchondral bone lesions. Osteoarthritis etiologies are mainly related to age, obesity, strain, trauma, joint congenital anomalies, joint deformities, and other factors. Osteoarthritis seriously affects the quality of life; however, there is no effective way to cure osteoarthritis. Aerobic exercise refers to a dynamic rhythmic exercise involving the large muscle groups of the body with aerobic metabolism. More and more evidence shows that exercise has become a useful tool for the treatment of osteoarthritis. This chapter will discuss the role of exercise in the prevention and treatment of osteoarthritis.