Isometric training is used in the rehabilitation and physical preparation of athletes, special populations, and the general public. However, little consensus exists regarding training guidelines for a variety of desired outcomes. Understanding the adaptive response to specific loading parameters would be of benefit to practitioners. The objective of this systematic review, therefore, was to detail the medium‐ to long‐term adaptations of different types of isometric training on morphological, neurological, and performance variables. Exploration of the relevant subject matter was performed through MEDLINE, PubMed, SPORTDiscus, and CINAHL databases. English, full‐text, peer‐reviewed journal articles and unpublished doctoral dissertations investigating medium‐ to long‐term (≥3 weeks) adaptations to isometric training in humans were identified. These studies were evaluated further for methodological quality. Twenty‐six research outputs were reviewed. Isometric training at longer muscle lengths (0.86%‐1.69%/week, ES = 0.03‐0.09/week) produced greater muscular hypertrophy when compared to equal volumes of shorter muscle length training (0.08%‐0.83%/week, ES = −0.003 to 0.07/week). Ballistic intent resulted in greater neuromuscular activation (1.04%‐10.5%/week, ES = 0.02‐0.31/week vs 1.64%‐5.53%/week, ES = 0.03‐0.20/week) and rapid force production (1.2%‐13.4%/week, ES = 0.05‐0.61/week vs 1.01%‐8.13%/week, ES = 0.06‐0.22/week). Substantial improvements in muscular hypertrophy and maximal force production were reported regardless of training intensity. High‐intensity (≥70%) contractions are required for improving tendon structure and function. Additionally, long muscle length training results in greater transference to dynamic performance. Despite relatively few studies meeting the inclusion criteria, this review provides practitioners with insight into which isometric training variables (eg, joint angle, intensity, intent) to manipulate to achieve desired morphological and neuromuscular adaptations.

The inter-unit reliability of most movement indicators were deemed as good regardless of processing method, suggesting that practitioners can have confidence within systems. Standardized data processing methods are recommended, due to the large differences between data outputs from various manufacturer-derived software.

Ingesting 23 g of protein with 5 g of added leucine achieved near-maximal FSR after endurance exercise, an effect unlikely attributable to mTORC1-S6K-rpS6 signaling, insulin, or amino acids. Translating the effects of protein-leucine quantity on protein synthesis to optimizing adaptation and performance requires further research.

Purpose: Regional muscle-architecture measures are reported widely; however, little is known about the variability of these measurements in the rectus femoris, vastus lateralis, and anterior and lateral vastus intermedius. The aim of this study was to quantify this variability. Methods: Regional muscle thickness, pennation angle (PA), and calculated and extended-field-of-view–derived fascicle length (FL) were quantified in 26 participants using ultrasonography across 51 limbs on 3 occasions. To quantify variability, the typical error of measurement (TEM) was multiplied by 2, and thresholds of 0.2–0.6 (small), 0.6–1.2 (moderate), 1.2–2.0 (large), 2.0–4.0 (very large), and >4.0 (extremely large) were applied. In addition, variability was deemed large when the intraclass correlation coefficient (ICC) was <.67 and coefficient of variation (CV) >10%, moderate when ICC > .67 or CV < 10% (but not both), and small when both ICC > .67 and CV < 10%. Results: Muscle thickness of all muscles and regions had low to moderate variability (ICC = .88–.98, CV = 2.4–9.3%, TEM = 0.15–0.47). PA of the proximal and distal vastus lateralis had low variability (ICC = .85–.96, CV = 3.8–8%) and moderate to large TEM (TEM = 0.42–0.83). PA of the rectus femoris was found to have moderate to very large variability (ICC = .38–.74, CV = 11.4–18.5%, TEM = 0.61–1.29) regardless of region. Extended-field-of-view–derived FL (ICC = .57–.94, CV = 4.1–11.5%, TEM = 0.26–0.88) was superior to calculated FL (ICC = .37–.84, CV = 7.4–17.9%, TEM = 0.44–1.33). Conclusions: Variability of muscle thickness was low in all quadriceps muscles and regions. Only rectus femoris PA and FL measurements were highly variable. The extended-field-of-view technique should be used to assess FL where possible. Inferences based on rectus femoris architecture should be interpreted with caution.

Rowlands DS, Nelson AR, Raymond F, Metairon S, Mansourian R, Clarke J, Stellingwerff T, Phillips SM. Protein-leucine ingestion activates a regenerative inflammo-myogenic transcriptome in skeletal muscle following intense endurance exercise.

Postexercise protein-leucine supplementation saturates BCAA metabolism and attenuates tissue damage, but effects on subsequent intense endurance performance may be inconsequential under conditions of positive daily nitrogen balance.

Measurements of isometric force, rate of force development (RFD) and impulse are widely reported. However, little is known about the variability and reliability of these measurements at multiple angles, over repeated testing occasions in a homogenous, resistance-trained population. Thus, understanding the intersession variability of multi-angle isometric force-time characteristics provides the purpose of this paper. Three sessions of isometric knee extensions at 40º, 70º and 100º of flexion were performed by 26 subjects across 51 limbs. All assessments were repeated on three occasions separated by 5-8 days. Variability was qualified by doubling the typical error of measurement (TEM), with thresholds of 0.2-0.6 (small), 0.6-1.2 (moderate), 1.2-2.0 (large), 2.0-4.0 (very large) and >4.0 (extremely large). Additionally, variability was deemed large when the intraclass correlation coefficient (ICC) was <0.67 and coefficient of variation (CV)>10%; moderate when ICC>0.67 or CV<10% (but not both); and small when both ICC>0.67 and CV<10%. Small to moderate between-session variability (ICC=0.68-0.95, CV=5.2-18.7%, TEM=0.24-0.49) was associated with isometric peak force, regardless of angle. Moderate to large variability was seen in early-stage (0-50 ms) RFD and impulse (ICC=0.60-0.80, CV=22.4-63.1%, TEM=0.62-0.74). Impulse and RFD at 0-100 ms, 0-200 ms and 100-200 ms were moderately variable (ICC=0.71-0.89, CV=11.8-42.1%, TEM=0.38-0.60) at all joint angles. Isometric peak force and late-stage isometric RFD and impulse measurements were found to have low intersession variability regardless of joint angle. However, practitioners need to exercise caution when making inferences about early-stage RFD and impulse measures due to moderate-large variability.

Introduction:Psychological distress and depression are risk factors for cardiovascular disease (CVD). As such, a reduction in psychological distress and increase in positive well-being may be important to reduce the risk for future development of CVD. Exercise training may be a good strategy to prevent and assist in the management of psychological disorders. The psychological effects of the initial exercise sessions may be important to increase exercise adherence. The aims of this systematic review were (a) to examine whether acute aerobic, resistance, or a combination of the 2 exercises improves psychological well-being and reduces psychological distress in individuals with healthy weight and those who are overweight/obese but free from psychological disorders, and (b) if so, to examine which form of exercise might yield superior results.Methods:The online database PubMed was searched for articles using the PICO (patient, intervention, comparison, and outcome) framework for finding scientific journals based on key terms.Results:Forty-two exercise studies met the inclusion criteria. A total of 2187 participants were included (age: 18-64 years, body mass index [BMI]: 21-39 kg/m2). Only 6 studies included participants with a BMI in the overweight/obese classification. Thirty-seven studies included aerobic exercise, 2 included resistance exercise, 1 used a combination of aerobic and resistance, and 2 compared the effects of acute aerobic exercise versus the effects of acute resistance exercise. The main findings of the review were that acute aerobic exercise improves positive well-being and have the potential to reduce psychological distress and could help reduce the risks of future CVD. However, due to the limited number of studies, it is still unclear which form of exercise yields superior psychological benefits.Conclusions:Obese, overweight, and healthy weight individuals can exhibit psychological benefits from exercise in a single acute exercise session, and these positive benefits of exercise should be used by health professionals as a tool to increase long-term participation in exercise in these populations.