NCT07696026

Brief Summary

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.

Trial Health

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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
22

participants targeted

Target at below P25 for not_applicable

Timeline
1mo left

Started Aug 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress1%
Aug 2026Sep 2026

First Submitted

Initial submission to the registry

July 6, 2026

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 10, 2026

Completed
22 days until next milestone

Study Start

First participant enrolled

August 1, 2026

Completed
29 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2026

Expected
6 days until next milestone

Study Completion

Last participant's last visit for all outcomes

September 5, 2026

Last Updated

July 10, 2026

Status Verified

July 1, 2026

Enrollment Period

29 days

First QC Date

July 6, 2026

Last Update Submit

July 6, 2026

Conditions

Keywords

isometric contractiondynamic contractionsquatPAPE

Outcome Measures

Primary Outcomes (4)

  • Countermovement Jump (CMJ) Height

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

    aseline and 4 minutes after each experimental condition

  • Countermovement Jump with Arm Swing (CMJWH) Height

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

    Baseline and 4 minutes after each experimental condition

  • Zig-Zag Agility Performance

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

    Baseline and 4 minutes after each experimental condition

  • Shooting Speed

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

    Baseline and 4 minutes after each experimental condition

Secondary Outcomes (3)

  • Rating of Perceived Exertion (RPE)

    Immediately after each experimental condition

  • Rating of Perceived Discomfort (RPD)

    Immediately after each experimental condition

  • Perceived Fatigue

    Immediately after each experimental condition

Study Arms (5)

Condition 1

EXPERIMENTAL

Dynamic contraction

Other: dynamic conraction

Condition 2

EXPERIMENTAL

isometric contraction

Other: isometric contraction

Condition 3

EXPERIMENTAL

Dynamic + EMS contraction

Other: dynamic and EMS contraction

Condition 4

EXPERIMENTAL

Isometric + EMS Contraction

Other: isometric and EMS conraction

Condition 5

EXPERIMENTAL

EMS contraction

Other: ems contraction

Interventions

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.).

Condition 1

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).

Condition 2

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.).

Condition 3

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.

Condition 4

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).

Condition 5

Eligibility Criteria

Age18 Years - 25 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

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

You may not qualify if:

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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Karabuk University

Karabük, Turkey, 78200, Turkey (Türkiye)

Location

Related Publications (2)

  • Sofuoglu C, Fujita RA, Keskin K, Kamis O, Akcay N. Acute electrical muscle stimulation effects on strength and anaerobic power in soccer players. Int J Sports Med. 2025 Jun;46(7):501-509. doi: 10.1055/a-2563-9289. Epub 2025 Mar 20.

  • Keskin K, Akcay N, Ozmen T, Contarli N, Yildiz KC, Sofuoglu C, Kamis O, Rolnick N, de Queiros VS, Montoye A. Effects of different pre-exercise strategies on jumping performance in female volleyball players. J Sports Med Phys Fitness. 2025 Jan;65(1):59-68. doi: 10.23736/S0022-4707.24.16196-8. Epub 2024 Oct 3.

MeSH Terms

Interventions

Isometric Contraction

Intervention Hierarchy (Ancestors)

Muscle ContractionMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Study Officials

  • Neslihan Akçay, Doctorate

    Karabuk University

    STUDY CHAIR

Central Study Contacts

Neslihan Akçay, Doctorate

CONTACT

Neslihan Akçay, Doctorate

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Triple (Participant, Care Provider, Outcomes Assessor) Participants were strictly separated and think their intervention is the main intervention. The same is true for care providers. Outcome assessors were unaware of participant group status and were not allowed to ask correspondingly
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assoc. Prof. Dr.

Study Record Dates

First Submitted

July 6, 2026

First Posted

July 10, 2026

Study Start

August 1, 2026

Primary Completion (Estimated)

August 30, 2026

Study Completion (Estimated)

September 5, 2026

Last Updated

July 10, 2026

Record last verified: 2026-07

Locations