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PLOS One logoLink to PLOS One
. 2023 Feb 16;18(2):e0281885. doi: 10.1371/journal.pone.0281885

Comparing the effects of dynamic and holding isometric contractions on cardiovascular, perceptual, and near-infrared spectroscopy parameters: A pilot study

Daniel Santarém 1,*, Isabel Machado 1,2, Jaime Sampaio 1,2, Catarina Abrantes 1,2
Editor: Emiliano Cè3
PMCID: PMC9934453  PMID: 36795732

Abstract

The aim of this pilot study was to assess the effect of muscle contraction type on SmO2 during a dynamic contraction protocol (DYN) and a holding isometric contraction protocol (ISO) in the back squat exercise. Ten voluntary participants (age: 26.6 ± 5.0 years, height: 176.8 ± 8.0 cm, body mass: 76.7 ± 8.1 kg, and one-repetition maximum (1RM): 112.0 ± 33.1 kg) with back squat experience were recruited. The DYN consisted of 3 sets of 16 repetitions at 50% of 1RM (56.0 ± 17.4 kg), with a 120-second rest interval between sets and 2 seconds per movement cycle. The ISO consisted of 3 sets of 1 isometric contraction with the same weight and duration as the DYN (32 seconds). Through near-infrared spectroscopy (NIRS) in the vastus lateralis (VL), soleus (SL), longissimus (LG), and semitendinosus (ST) muscles, the minimum SmO2 (SmO2 min), mean SmO2 (SmO2 avg), percent change from baseline (SmO2 Δdeoxy) and time to recovery 50% of baseline value (t SmO2 50%reoxy) were determined. No changes in SmO2 avg were found in the VL, LG, and ST muscles, however the SL muscle had lower values in DYN, in the 1st set (p = 0.002) and in the 2nd set (p = 0.044). In terms of SmO2 min and ΔSmO2 deoxy, only the SL muscle showed differences (p≤0.05) and lower values in the DYN compared to ISO regardless of the set. The t SmO2 50%reoxy was higher in the VL muscle after ISO, only in the 3rd set. These preliminary data suggested that varying the type of muscle contraction in back squat with the same load and exercise time resulted in a lower SmO2 min in the SL muscle in DYN, most likely because of a higher demand for specialized muscle activation, indicating a larger oxygen supply-consumption gap.

Introduction

The back squat is one of the most popular exercises in training sessions, being mostly constrained by the differences in body types, leg length, and ankle mobility [1]. During this exercise, the vastus lateralis (VL) muscle act as primary mover, longissimus (LG) and semitendinosus (ST) muscles act as stabilizers, and soleus (SL) muscle act as secondary capacity [24].

Differences in muscle activity during dynamic and isometric squat exercise have been poorly studied [5]. Concerning the mechanical action of the muscles, while dynamic exercise is characterised by changes in skeletal muscle length and joint movement with rhythmic contractions that raise a relatively small intramuscular force, the isometric exercise induces a relatively large intramuscular force with little or no change in skeletal muscle length or joint movement [6]. On the one hand, dynamic contractions are defined by concentric and eccentric muscle actions, with a relatively easy differentiation. On the other hand, isometric contractions can also take two forms, as holding muscle action, related to holding an inertial load, and pushing isometric muscle action, related to pushing against a stable resistance [7]. Of these two modes of isometric manifestation, holding muscle actions are the easier to apply and evaluate, however, both are rarely the subject of research study in this area. Moreover, as the dynamic strength exercise is considered the most favourable exercise mode for strength gains that will later positively influence sports related to dynamic performance [8], the isometric strength training is considered a feasible alternative mode of training that induces less fatigue, superior angle specific strength and benefit various sports related to dynamic performance [9]. Since dynamic contraction exercises are most frequently included in resistance training programs in different populations [10, 11], isometric training enables a precisely regulated application of force within pain‐free joint angles, with application in different clinical and training scenarios.

Monitoring training is becoming indispensable to fine-tune the dose-response and, ultimately, improving performance. Muscle oxygen saturation (SmO2) has been gaining emphasis as a local muscle measurement at rest and during exercise [12], not only in terms of sports performance [13] but also in terms of health [14, 15]. Near-infrared spectroscopy (NIRS) is a non-invasive method that continuously monitors information about the changes in oxygenation and haemodynamics in muscle tissue [16]. The SmO2 reflects the dynamic balance between oxygen supply and oxygen consumption in the examined muscle [17]. SmO2-derived parameters such as percentage deoxygenation (ΔSmO2 deoxy) and reoxygenation time to 50% (t SmO2 50%reoxy) may be critical aspects in training planning and monitoring, where a higher ΔSmO2 deoxy and a shorter t SmO2 50%reoxy time may be associated with better performance. During exercise, SmO2 kinetics can be different depending on several factors, including velocity and intensity of contraction [18], muscle fascicle length and fascicle angle [19], and type of fiber present in the muscle [20]. However, the effect of type of muscle contraction (dynamic and isometric) has been barely explored.

In order to solve the lack of information during resistance training and more precisely the influence of different types of muscle contraction and its effects on the balance between oxygen supply and consumption, the aim of this study was to compare the variations in SmO2 between dynamic and holding isometric contractions in the back squat exercise. As a secondary objective, we investigated the effect of muscular contraction type along the 3 sets. Thus, it was hypothesized that different types of muscle contractions would induce distinct responses in SmO2.

Material and methods

Participants

Ten participants (age: 26.6 ± 5.0 years; body mass: 76.7 ± 8.1 kg; body height: 176.8 ± 8.0 cm) volunteered to participate in this study (Table 1) and met the following inclusion criteria: i) familiarization with back squat exercise; ii) physically active, according to the recommendations of the World Health Organization; iii) without musculoskeletal injuries that could affect the protocol procedures; and iv) apparently healthy. Exclusion criteria included: i) lower limb injuries in the last year; and ii) anterior lumbar back injury. None of them had any history or clinical signs of cardiovascular or pulmonary disease. Skinfold thickness was measured at the sites of placement of the NIRS devices, using a skinfold caliper (Slim Guide, EUA), to ensure that skinfold thickness was less than 15 mm [21]. In addition, only Caucasians were selected because melanin skin can affect the signal strength of NIRS technology [12]. Before the study started, all participants were informed about the study procedures, provided written informed consent, and completed the Physical Activity Readiness Questionnaire. The protocol was approved by the ethics committee of the University of Trás-os-Montes and Alto Douro (Doc94-CE-UTAD-2021), in accordance with the Declaration of Helsinki.

Table 1. Physical and physiological characteristics of the participants (n = 10).

Variable Mean ± standard deviation
Age (years) 26.6 ± 5.0
Body height (cm) 176.8 ± 8.0
Body weight (kg) 76.7 ± 8.1
VL skinfold (mm) 10.30 ± 3.62
SL skinfold (mm) 8.90 ± 3.60
ST skinfold (mm) 6.50 ± 1.96
LG skinfold (mm) 8.90 ± 3.31
1RM (kg) 112.0 ± 33.1
HR rest (bpm) 72.8 ± 10.3
DBP rest (mmHg · bpm) 116.0 ± 8.1
SBP rest (mmHg · bpm) 72.5 ± 7.7

The values are mean ± standard deviation. VL, vastus lateralis; SL, soleus; ST, semitendinosus; LG, longissimus; 1RM, one-repetition maximum; HR, heart rate; DBP, diastolic blood pressure; SBP, systolic blood pressure.

Test procedure

This research was conducted in a sports physiology laboratory, under controlled environmental conditions. The participants were instructed not to perform moderate-vigorous intensity physical activity during the 24h before the experiment. They were advised to avoid ingesting alcohol, caffeine, tobacco, or other stimulants and food 3h prior to the test.

Each participant went to the lab on three occasions with at least a 48-h interval between sessions, with all testing procedures performed by the same researcher. During the first session, the participants were clarified about the experimental procedures, signed the informed consent, and made a familiarisation with the exercise protocol and one-repetition maximum (1RM) test. In the second session 1RM in the back squat was determined according to Kraemer and Fry’s methodology [22]. In the third session, the two exercise protocols were randomly performed. Before the first protocol, a 10-minute rest in a seated position with back support and feet on the floor was taken and a standardized warm-up was performed (12 alternating knee elevations, 12 alternating knee flexions, 10 jumping jacks, 10 dynamic squats, 12 alternating lunges, 1 isometric squat with a duration of 10 seconds, 12 alternating lunges and 2 minutes of free warm-up). After that, a rest time of 5 minutes has been provided. Between protocols, participants take 10 minutes of passive rest, then a re-warm-up was conducted (10 dynamic squats, 12 alternating lunges, 1 isometric squat with a duration of 10 seconds, and 12 alternating lunges) and retake a seated position for 2 minutes to stabilise the physiological variables.

The dynamic contractions protocol (DYN) consisted of 3 sets of 16 repetitions at 50% of 1RM. The cadence was set at 60 beats per minute using a digital metronome at a tempo of 1 second for both concentric and eccentric contractions with a 120-second rest interval between sets. The participants assumed an initial stance position with feet placed approximately shoulder-width apart and the bar placed on the trapezius muscle (high-bar position). The squat movement started from an upright position, with knees and hips fully extended. Then, they squatted down until the knee angle was 90° measured with a digital goniometer (Halo, Daviscomms, Techpark, Singapura) placed at the knee joint, and returned to the initial position. Thus, to increase the consistency of the squat, an elastic band was hung at 90° of knee flexion so that participants know when the descent phase ended, and the ascent phase started. In the isometric contractions protocol (ISO), participants performed 3 sets of 1 isometric contraction at 50% of 1RM. The isometric contraction time was the same as DYN, corresponding to 32 seconds. The critical components for the correct movement execution were the same as DYN, with the particularity that the participants were instructed to adopt a knee angle of 90°, confirmed before every set using the goniometer. Moreover, the elastic band was also placed at that angle. For both protocols, each set was visually monitored, and verbal instructions were transmitted to ensure proper technique.

The protocol procedures of the evaluation sessions are represented in Fig 1.

Fig 1. Schematic representation of the experimental procedures.

Fig 1

DYN, dynamic contractions protocol; ISO, isometric contractions protocol; BP, blood pressure; RPE, rate of perceived exertion; HR, heart rate; NIRS, near-infrared spectroscopy.

Muscle oxygen saturation measurement

During the tests, data was collected continuously using a validated and reliable portable wireless NIRS device (MOXY, Fortiori Design LLC, Hutchinson, MN, USA), which applies continuous light from near-infrared wavelength spectrum (light from about 680–810 nm). The distance between the emitter and the two detectors is 12.5 and 25.0 mm. With resource to both Beer-Lambert Law and spatial resolution method, the Moxy Monitor estimates SmO2 and total hemoglobin (tHb) levels in muscle capillaries below its point of position. By default, the NIRS data is acquired with a frequency of 0.5 Hz. Four NIRS sensors were placed on the muscles on the dominant side of the participants: in LG, at 2 finger width lateral from the spinous process of L1; in SL, at 2/3 of the line between the medial condyle of the femur to the medial malleolus; in ST, at 50% on the line between the ischial tuberosity and the medial epicondyle of the tibia; and in VL, at 2/3 on the line from the anterior superior iliac spinae to the lateral side of the patella, according to the SENIAM project for electromyography measurements [23] and were marked with a permanent marker to record and replicate for the consequent sessions. The emitter and detectors were placed parallel to the direction of muscle fibers. To attach and protect from environmental light intrusion, the NIRS sensors were fixed with the material suggested by the manufacturer and an athletic tape.

The NIRS devices and heart rate belt were connected to a computer via ANT+ technology for data visualization, with the use of SPro software (RealTrack Systems, Almería, Spain). An inertial device WIMU PRO (RealTrack Systems, Almería, Spain) was used to synchronise the data from NIRS devices and the heart rate belt.

Muscle oxygen saturation parameters assessment

SmO2 parameters were determined through SPro software and Microsoft Excel for Windows, and are presented in Fig 2.

Fig 2. Representative example of SmO2-derived parameters, based on information from the author.

Fig 2

SmO2 baseline, baseline of muscle oxygen saturation; ΔSmO2 deoxy, amplitude of muscle oxygen deoxygenation; SmO2 min, minimum of muscle oxygen saturation; t SmO2 50%reoxy, time to recover 50% of muscle oxygen saturation; SmO2 50%reoxy, 50% of muscle oxygen reoxygenation.

SmO2 baseline was calculated using the average of the last 20 seconds preceding the exercise. The minimum SmO2 value (SmO2 min) was defined as the minimum value achieved after the implementation of the stimulus. SmO2 average (SmO2_avg) represented the average value during the set. ΔSmO2 deoxy was set as the difference between baseline SmO2 and SmO2 min. t SmO2 50%reoxy was defined as the time from SmO2_min up to 50% of the baseline value. The minimum tHb value (tHb min) was defined as the minimum value achieved after the implementation of the stimulus, and the average tHb (tHb avg) represented the average value during the set.

Blood pressure (BP)

BP was measured once, immediately after each set, using an electronic blood pressure monitor (Omron 705IT, Healthcare CO., Ukyoku, Kioto, Japan). This measurement was done in a seated position with the back supported, and with the left arm supported at heart level. Mean arterial pressure (MAP) is defined as the average arterial pressure over one cardiac cycle, systole, and diastole, and was calculated using the following formula: MAP = ((2(DBP)+SBP)/3, where DBP represents the diastolic blood pressure and SBP the systolic blood pressure.

Heart rate (HR)

HR was monitored continuously from a heart rate belt (Garmin, Soft Strap Premium, Lenetsa, KS, USA). Rate pressure product (RPP) was calculated by multiplying the values for HR and SBP measured after each set.

Perceived exertion (RPE)

The 15-point Rate of Perceived Exertion 6–20 (Borg RPE scale 6–20) Portuguese version was used to determine the perceived exertion [24]. Participants were asked to report an overall (RPEove) and local lower limbs (RPEmus) perceived exertion after each set. A rating of 6 was correspondent with no exertion at all and a rating of 20 was correspondent with maximal exertion.

Statistical analysis

The Shapiro-Wilk test was used to test the distribution of the data. Paired samples t‑test and related samples Wilcoxon signed‑rank test (the corresponding non-parametric test) were used to compare the outcomes between both testing protocols. The effect of type of muscle contraction over the 3 sets was assessed by repeated measures ANOVA and Friedman test (the equivalent non-parametric test), followed by the Bonferroni post hoc test to identify significant differences between each pairwise (p≤0.05). Effect size (ES) values of ≤0.2, between 0.21, and 0.8, and >0.8 were classified as small, moderate, and large, respectively, in paired samples t-test, repeated measures ANOVA and Friedman test [25], and in Wilcoxon signed‑rank test, ES values of ≤0.147, between 0.147, and 0.330, between 0.330 and 0.474, and ≥0.474 were classified as negligible, small, medium, and large, respectively [26]. Analyses were performed using SPSS software V27.0 (IBM SPSS Statistics for Windows, Armonk, NY: IBM Corp.) and the results were presented as means ± standard deviation (SD) when they presented normal distribution, or median (25th - 75th percentiles) when those assumptions failed.

Results

SmO2 responses between muscle contraction types and between the 3 sets

The SmO2 avg, SmO2 min, ΔSmO2 deoxy and t SmO2 50%reoxy values in response to both types of muscle contractions are shown in Fig 3.

Fig 3.

Fig 3

SmO2 avg (a), SmO2 min (b), ΔSmO2 deoxy (c) and t SmO2 50%reoxy (d) results. DYN, dynamic contraction protocol; ISO, isometric contraction protocol; VL, vastus lateralis; SL, soleus; LG, longissimus; ST, semitendinosus. * p≤0.05.

In DYN, the SL muscle SmO2 avg (54.5 ± 18.3%) was lower compared to the ISO (67.4 ± 18.0%) in 1st set, t(9) = -4.342, p = 0.002, ES = -1.37, and in the 2nd set (55.2 ± 19.0% vs. 62.8 ± 18.2%), t(9) = -2.341, p = 0.044, ES = -0.74. No differences were observed on SmO2 avg in the VL, LG and ST muscles between protocols. No significant differences were seen between sets in each protocol.

The SL muscle SmO2 min was lower in DYN when compared to the ISO in the 1st set (31.3 ± 11.8% vs. 43.1 ± 9.4%), t(9) = -2.563, p = 0.031, ES = -0.81, in the 2nd set (27.6 ± 11.5% vs. 40.9 ± 15.1%), t(9) = -3.786, p = 0.004, ES = -1.20, and in the 3rd (27.5 ± 13.3% vs. 41.1 ± 14.8%), t(9) = -3.423, p = 0.008, ES = -1.08. It means that the DYN promotes lower values in this muscle. No differences were observed on SmO2 min in the VL, LG and ST muscles, neither between sets.

In the ΔSmO2 deoxy, the DYN presented lower values compared to the ISO in all sets in SL muscle: 1st set, 32.6 ± 25.4% vs. 20.6 ± 15.2%, t(8) = 2.995, p = 0.017, ES = 1.00; 2nd set, 31.9 ± 25.1% vs. 13.2 ± 6.2%, t(8) = 2.947, p = 0.019, ES = 0.98; and 3rd, 34.6 ± 25.8% vs. 13.5 ± 7.7%, t(8) = 2.412, p = 0.042, ES = 0.80. No differences were observed in the other muscles or between sets.

The t SmO2 50%reoxy in VL of the ISO was higher compared with the DYN in the 3rd set (34.2 ± 14.4 s vs. 26.1 ± 12.2 s), t(9) = -2.565, p = 0.030, ES = -0.81. No differences were identified in the other muscles. No differences were observed in tHb avg and tHb min between the two exercise modes.

Cardiovascular, haemodynamic, and subjective responses to back squat exercise

Exercise and post-exercise HR, MAP, RPP, RPEove, and RPEmus main findings are shown in Table 2.

Table 2. Cardiovascular, haemodynamic and perceived exertion responses to dynamic contraction protocol (DYN) and isometric contraction protocol (ISO).

1st set 2nd set 3rd set
DYN ISO DYN ISO DYN ISO
HR (bpm) 120.3 ± 15.9 115.9 ± 12.6 120.4 ± 15.1 114.5 ± 12.7 119.6(114.0–130.7)#$ 107.8(105.8–125.5)*
MAP (mmHg) 99.0 ± 10.7 96.1 ± 8.7 99.7 ± 9.2 93.0 ± 3.4* 99.1 ± 8.2 93.9 ± 8.9*
RPP (mmHg·bpm) 14026.0 ± 2396.2 13634.5 ± 2147.7 1583.7 ± 2764.1# 13869.0 ± 2579.3* 15606.7 ± 3410.7 14534.7 ± 1819.4
RPEove (a.u.) 13.5 ± 2.2 13.7 ± 2.2 13.0(13.3–15.0) 15.0(13.3–16.0) 14.2 ± 1.9# 14.4 ± 2.1
RPEmus (a.u.) 13.0(13.0–15.8) 15.1(14.3–16.8) 14.5 ± 2.1 15.3 ± 2.3 14.0(13.3–14.8) 16.0(15.3–17.5)*

The values are mean ± standard deviation and median (25th - 75th percentiles). HR, heart rate; MAP, mean arterial pressure; RPP, rate pressure product; RPEove, overall perceived exertion; RPEmus, muscular perceived exertion; * different from DYN (p≤0.05); # different from 1st set (p≤0.05); $ different from 2nd set (p≤0.05).

In DYN, HR was significantly higher when compared to ISO during the 3rd set, Z = -2.397, p = 0.017, ES = 0.86. There was a statistically significant effect of sets on HR in DYN, F(2,9) = 4.88, p = 0.041, η2 = 0.011, presenting lower values on the 1st set in relation to the 3rd set (120.3 ± 15.9 bpm vs. 123.6 ± 16.2 bpm, p = 0.048) and on the 2nd set in relation to the 3rd set (120.4 ± 15.1 bpm vs. 123.6 ± 16.2 bpm, p = 0.09). MAP was significantly higher in DYN compared to ISO in the 2nd set, t(8) = 3.195, p = 0.013, ES = 1.07 and in the 3rd set, t(8) = 2.909, p = 0.020, ES = 0.97. No significant differences were found between sets in each protocol. MAP is related to the overall perfusion pressure. RPP was significantly higher in DYN when compared to ISO in the 2nd, t(8) = 2.468, p = 0.039, ES = 0.82. There was significant main effect of sets on RPP in DYN, F(2,8) = 5.36, p = 0.016, η2 = 0.063, exhibiting lower values on the 1st set compared to the 2nd set (14026.0 ± 2396.2 mmHg · bpm vs. 1583.7 ± 2764.1 mmHg · bpm, p = 0.002). Although no significant differences were observed in RPEove between protocols, there was a statistically significant effect of sets in DYN, χ2(2) = 6.65, p = 0.036, presenting lower values on the 1st set in relation to the 3rd set (13.5 [12.0–14.8] vs. 14.0 [13.0–15.0] a.u., p = 0.009). RPEmus was significantly higher in ISO compared to DYN in the 3rd, Z = -2.388, p = 0.017, ES = -1.00. No significant differences were seen between sets in each protocol. Still, the ISO showed a trend of higher RPE values compared to the DYN, in all sets.

Discussion

This study provided preliminary data and evidence about the effect of the type of contraction on SmO2-derived parameters, through a 3 sets back squat strength protocol, in four muscle groups simultaneously: VL, SL, ST, and LG. Cardiovascular, haemodynamic, and subjective responses were also compared between the dynamic and isometric contractions and between the sets. The main findings of the present study were that (i) SmO2 avg showed significantly lower values during DYN compared to ISO in the SL muscle during the 1st and the 2nd set; (ii) SmO2 min was significantly lower during DYN compared to ISO in SL muscle in all sets; (iii) ΔSmO2 deoxy presented also significant differences in all sets, being higher in DYN compared to ISO; (iv) t SmO2 50%reoxy after ISO was significantly longer compared to DYN in the VL muscle after the 3rd set; (v) in cardiovascular and haemodynamic parameters, i.e., HR and MAP, the DYN induced higher values in comparison to the ISO in the 3rd set and in MAP it was also in the 2nd set, while in RPP was in the 2nd set; and (vi) RPEmus, was higher in ISO vs. DYN in every set.

At a physiological level, the use of different contraction modes can induce distinct SmO2-derived parameters behaviour. Whereas a dynamic contraction is characterised by contraction-relaxation cycles, with blood flow being affected in the contraction phase and increasing in the relaxation phase, isometric contraction induces a constant intramuscular pressure [2730] which, depending on the load magnitude, may partially or totally restrict blood flow. Taking this into account and that the contribution of these 4 muscles to the back squat performance is different, so do the SmO2 response, which reflects the balance between oxygen delivery and oxygen demand [17]. Within isometric contraction, the two existing forms can manifest different cardiovascular and muscular responses. For example, holding muscle action induces higher mean arterial pressure when compared with pushing muscle action [31]. The amplitude of variation of the mechanical muscular oscillations seems to be greater during holding muscle action in relation to pushing muscle action in muscles that present stabilizing function [32] and in prime movers it is the inverse.

The SmO2 avg only showed differences in the SL muscle when contraction type is compared. These results may be due to innumerable factors, highlighting inter-individual muscle recruitment, which could only be accessed through electromyography (a method not used in our study). As in previous studies [33], these differences were observed in the first sets, probably due to a hyperemic response and an overshoot of SmO2 factors that influence the response in subsequent sets [34].

Regarding SmO2 min, the SL muscle presented lower values in DYN, suggesting that this muscle is sensitive to contraction types in this variable during the back squat. The increase in intramuscular pressure which occurs at the expense of dynamic contractions can reduce blood flow, leading to a state of transient muscular hypoxia [35]. This reduction in blood flow which decreases the transport of oxygen to the muscle, in accordance with the greater energy expenditure by dynamic contractions in relation to isometric contractions with an equivalent load [36], produced lower minimum values. Although it was not the focus of our investigation, the SL muscle was the only one to show statistically significant differences and this may be due to several factors. The SL muscle, in relation to the VL and ST muscles, has higher penation angles [37], and a higher penation angle will increase the intramuscular pressure, decreasing the blood flow and consequently decreasing the value of SmO2. On the other hand, the muscle fibers recruitment also seems to affect the SmO2, with the recruitment of type I fibers reaching lower values of SmO2 in relation to the recruitment of the other muscle fibers [20]. Since the SL muscle is the one with the highest number of type I fibers [3841] this may be another explanation for the difference between muscles, however, only speculative.

The ΔSmO2 deoxy showed higher values in DYN, due to the fact that this variable it is closely related to the SmO2 min value. Some authors argue that this variable, in line with others, i.e., HR, and blood lactate, can provide additional information regarding improvements in athlete performance [4145]. This means that after an intervention program, the increase in deoxygenation is a favourable indicator. Only two studies compared this variable with the increment of dynamic and isometric contractions, using an equivalent load, and one of the studies did not show differences [36] while the other did [46], the latter corroborated by the results obtained in this study.

The calculation of the recovery time from SmO2 can provide valuable information to define the interval time until the exercise is started again. This is because, although not evaluated directly, the phosphocreatine system has been related to SmO2, both at the level of depletion and re-synthesis [34, 47]. In the 3rd set, the VL muscle showed a recovery time up to 50% of the baseline value which was significantly longer after the implementation of ISO. In training and performance context, a longer recovery time for VL and ST with dynamic contractions, and for SL and LG with isometric contractions could be usefull, until the beginning of the next sets.

Regarding tHb, it is important to know that it is not a valid indicator for assessing blood flow and its interpretation should be done carefully [12]. In a previous study [46], no significant differences were also observed between types of muscle contraction.

Concerning cardiovascular responses, namely, HR, there were higher values with the implementation of the DYN, as well as described elsewhere [46]. The higher values of HR evidenced during dynamic contractions may be explained by the higher cost of muscle activation and energy requirements [48, 49]. The different blood flow patterns between modes of contractions, the higher oxygen consumption, and the lower peripheral resistance with dynamic contractions are some of the factors that influence blood pressure response [50] presenting higher values in dynamic contractions in our study. RPP, also known as double product, was lower during ISO in consonance with previous studies [46] implying less myocardial effort and oxygen consumption.

The Borg scale was created to fill the existing gap of nonlinearity between perceptual ratings and both heart rate and power output observed with the 21-graded scale [51]. Even though there is a linear relationship, mainly in cardiovascular exercises, between RPE and heart rate using the 15-graded scale, and the prediction of heart rate from this scale prediction is facilitated (HR = RPE × 10), the response may be different depending on numerous factors. The subjective perceived exertion was assessed in two ways: overall and muscular. The RPEove is one of the most common methods for monitoring the intensity and is related to feelings that are simple and easy to comprehend for the majority of individuals. Furthermore, RPEmus [52], which provides additional and specific information on the muscle groups that are having the most intervention. Both RPEove and RPEmus showed higher values during the execution of isometric contractions, being significant in the RPEmus. A possible explanation may be the effect of changes in blood flow on external perceptions. With a change of the blood flow, the intensity of the external perceptions of the individual intensifies, when compared to without occlusion [53, 54], and since during an isometric contraction this process occurs continuously, the participants may have felt a higher effort. Other factors that were not effectively analysed in this study, and that can influence the response in the RPE are exercise motivation [55], mental references [56], sensory experience [57], and comfort [58].

The study presents some limitations that cannot be dismissed. One of them is the non-use of an instrument that could equalize the workload between the two contraction types (i.e., strain gauge sensor, digital force transducer). Although both protocols were performed with the same exercise duration, interval rest between sets, and load lifted (kg), the 50% of 1RM represent a different relative intensity in the isometric protocol and the responses for the chosen angle of the isometric contraction cannot be extended to other angles.

The interpretation and practical translation of the data collected from the NIRS portable device is apparently the biggest challenge when this type of technology is applied, most probably because it is still a relatively new area. The present study highlights the advantage of monitoring in real-time the SmO2-derived parameters together with other physiological variables, assuming a preponderant role in what is a localized muscular effort in exercise and recovery, particularly in the recovery time between sets.

Conclusions

The findings of this study demonstrate that regardless of the type of contraction, the back squat exercise at 50% of 1RM does not seem to promote great changes in SmO2 in the studied muscles, except for soleus muscle when referring to the minimum value and the amplitude of deoxygenation reached in exercise. In fact, the biggest changes seem to be related to cardiovascular parameters, having a more accentuated alteration with the imposition of dynamic contractions. On the other hand, perceived exertion responses to exercise were higher in isometric contractions. This may be an interesting aspect regarding the training load monitoring, as the load perception was higher with the isometric contractions, but effectively it was the dynamic contractions that had the greatest effect on the studied variables.

Acknowledgments

The authors would like to thank the participants who gave up their time to participate in this study.

Data Availability

All relevant data are within the paper.

Funding Statement

HEALTH-UNORTE: Setting-up biobanks and regenerative medicine strategies to boost research in cardiovascular, musculoskeletal, neurological, oncological, immunological and infectious diseases (NORTE-01-0145-FEDER-000039), financed by Fundo Europeu de Desenvolvimento Regional (FEDER) by NORTE 2020 (Programa Operacional Regional do Norte 2014/2020).

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Decision Letter 0

Emiliano Cè

5 Dec 2022

PONE-D-22-26930The effect of dynamic and isometric contraction type on cardiovascular, perceptual and near-infrared spectroscopy parameters: A pilot studyPLOS ONE

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Reviewer #1: General:

The writing is generally excellent, and the study is interesting and unique.

Of course, the most obvious issue with the paper is the sample size of 7. Even if this is a ‘pilot’, I often suggest to authors to simply ‘keep going’ and collect more data. The introduction and methods section would not have to change, and depending on the ‘new’ results, the discussion may only change slightly. Since this is not a training/longitudinal study, I see little reason why the study cannot/should not be continued until a more suitable sample size is achieved. If for whatever reason, this is not possible, then the authors should clearly state why collection was stopped after only 7 participants.

Title:

The title could be clearer. At present, readers may be unsure if you are testing different kinds of isometric contraction (holding vs pushing, for example. I suggest the title be changes to something like:

“A comparison of dynamic and holding isometric contractions on cardiovascular, perceptual and near-infrared spectroscopy parameters: A pilot study”

Abstract:

The abstract is well written, and makes me want to read more.

The first thing that comes to mind is that it seems odd that sig differences were only seen for select measure and sets, instead of after each set. This makes me think that finding were potentially random chance, which is of course an issue with small samples/’pilot’ studies. I hope the authors address these questions in the body of the article.

Introduction:

Line 32: remove the period before reference 1.

Lines 32-33: I do not believe that the semitendinosus is a prime mover, but is more of a synergist. Feel free to argue the point, but perhaps move the semitendinosus with the other muscles as a synergist, or stabilizer etc.

Paragraph 2 is excellent. However, it would be valuable to briefly mention the difference between holding and pushing isometrics, and how holding are particularly understudies, despite arguably being more practical/easy to do in a typical weightroom setting.

Paragraph 3 is to technical, and brings up too many points that are not particularly relevant to the study/paper as a whole (i.e., melanin). I suggest simplifying this paragraph, and sticking to the points that are critical, such as deoxy, and re-oxy, and why those might be things practitioners may care about.

I also suggest making the purpose statement, and hypothesis its own small paragraph.

Methods:

The methods seem good, though to be honest, MOXY and other tools like that are far from my expertise. I hope the other reviewer(s) is knowledgeable in this regard.

Good work using the Bonferroni post hoc. I often see underpowered studies skipping the correction at all, or using more lenient corrections such as Tukey’s etc.

It should be clear why/when means vs medians were used for reporting. Did this have to do with distribution/the Shapiro-Wilk results?

Results:

Remove the spaces between numbers and the ‘%’ sign. I.e., ‘47.7 %’ should be ’47.7%’.

Some interesting results, esp the perceived exertion and HR going opposite directions between the two conditions. Since the SL is not a prime mover, perhaps relating back to some of the literature comparing pushing vs holding isometrics could be valuable to the reader. Ie., scientist such as Schaefer and Bittmann, and Roger Enoka’s group have generally found more activation and/or hemodynamic response in the supporting/synergist muscles during holding contractions, whereas the prime mover is more active/affected in the pushing isometrics.

Discussion:

Generally I wish the authors tried to better explain why some of the response differences were only seen in one set.

First and second paragraphs can be combined.

The small paragraph on lines 252-255 can be combined with the paragraph above it. The authors make good points about needing EMG etc. to further uncover the findings.

Generally try to avoid paragraphs that are 2 sentences or less, and try to incorporate them into other paragraphs.

While I understand that is difficult to understand fully, it would be interesting for the authors to try and explain why the ISO resulted in higher RPE, whereas the dynamic resulted in higher HR; esp since the 6-20 RPE scale was created to corelate with heartrate (60-200 BPM). Anecdotally/in my experience, participants tend to feel almost ‘board’, or even believe they are not doing anything useful during ISO contractions, and therefore may feel less motivated. Where it is clear they are ‘accomplishing’ something during DYN contractions. This may play into perceptions.

The most important limitation is missing. SAMPLE SIZE. Please be VERY clear about this, even so, I highly recommend continuing this study until the sample is into the double digits.

Figures/Tables:

Nice, no need for change or additional figures or tables.

**********

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Reviewer #1: Yes: Dustin J Oranchuk

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PLoS One. 2023 Feb 16;18(2):e0281885. doi: 10.1371/journal.pone.0281885.r002

Author response to Decision Letter 0


19 Jan 2023

Reviewer #1: General:

The writing is generally excellent, and the study is interesting and unique.

Of course, the most obvious issue with the paper is the sample size of 7. Even if this is a ‘pilot’, I often suggest to authors to simply ‘keep going’ and collect more data. The introduction and methods section would not have to change, and depending on the ‘new’ results, the discussion may only change slightly. Since this is not a training/longitudinal study, I see little reason why the study cannot/should not be continued until a more suitable sample size is achieved. If for whatever reason, this is not possible, then the authors should clearly state why collection was stopped after only 7 participants.

- The sample size was increased to 10 participants.

Title:

The title could be clearer. At present, readers may be unsure if you are testing different kinds of isometric contraction (holding vs pushing, for example. I suggest the title be changes to something like:

“A comparison of dynamic and holding isometric contractions on cardiovascular, perceptual and near-infrared spectroscopy parameters: A pilot study”

- The title was improved and is clearer now. “Comparing the effects of dynamic and holding isometric contractions on cardiovascular, perceptual, and near-infrared spectroscopy parameters: A pilot study”. Please see lines 1-4.

Abstract:

The abstract is well written, and makes me want to read more.

The first thing that comes to mind is that it seems odd that sig differences were only seen for select measure and sets, instead of after each set. This makes me think that finding were potentially random chance, which is of course an issue with small samples/’pilot’ studies. I hope the authors address these questions in the body of the article.

- We have edited the text accordingly. The concept of holding was added to the text, as well as some minor changes in the sample description data and statistical results. Please see the Abstract.

Introduction:

Line 32: remove the period before reference 1.

- We have edited the text accordingly. Please see line 33.

Lines 32-33: I do not believe that the semitendinosus is a prime mover, but is more of a synergist. Feel free to argue the point, but perhaps move the semitendinosus with the other muscles as a synergist, or stabilizer etc.

- We have edited the text accordingly. During this exercise, the vastus lateralis (VL) muscle act as primary mover, longissimus (LG) and semitendinosus (ST) muscles act as stabilizers, and soleus (SL) muscle act as secondary capacity. Please see lines 33-35.

Paragraph 2 is excellent. However, it would be valuable to briefly mention the difference between holding and pushing isometrics, and how holding are particularly understudies, despite arguably being more practical/easy to do in a typical weightroom setting.

- We have edited the text accordingly and we had to add new references related to the characterisation of the different modes of isometric contractions. In fact, we completely agree that the information clarifying what type of isometric contraction is being studied is extremely relevant. Please see lines 40-45.

Paragraph 3 is to technical, and brings up too many points that are not particularly relevant to the study/paper as a whole (i.e., melanin). I suggest simplifying this paragraph, and sticking to the points that are critical, such as deoxy, and re-oxy, and why those might be things practitioners may care about.

- We have edited the text accordingly. Some relevant information related to NIRS has been moved to the methodology chapter. Please see lines 59-61 and 81-82.

I also suggest making the purpose statement, and hypothesis its own small paragraph.

- We have edited the text accordingly. Please see lines 66-71.

Methods:

The methods seem good, though to be honest, MOXY and other tools like that are far from my expertise. I hope the other reviewer(s) is knowledgeable in this regard.

Good work using the Bonferroni post hoc. I often see underpowered studies skipping the correction at all, or using more lenient corrections such as Tukey’s etc.

It should be clear why/when means vs medians were used for reporting. Did this have to do with distribution/the Shapiro-Wilk results?

- We have edited the text accordingly. We could not agree more that it should be explained why averages and medians appear, since the averages are when the data has a normal distribution and the medians are when the data does not have a normal distribution. Please see lines 182-186 and 190-193.

Results:

Remove the spaces between numbers and the ‘%’ sign. I.e., ‘47.7 %’ should be ’47.7%’.

- We have edited the text accordingly. Please see lines 204, 205, 208, 209, 210, 214, 215.

Some interesting results, esp the perceived exertion and HR going opposite directions between the two conditions. Since the SL is not a prime mover, perhaps relating back to some of the literature comparing pushing vs holding isometrics could be valuable to the reader. Ie., scientist such as Schaefer and Bittmann, and Roger Enoka’s group have generally found more activation and/or hemodynamic response in the supporting/synergist muscles during holding contractions, whereas the prime mover is more active/affected in the pushing isometrics.

- We have edited the text accordingly. Some differences between holding and pushing were emphasized. The amplitude of variation of the mechanical muscular oscillations seems to be greater during holding muscle action in relation to pushing muscle action in muscles that present stabilizing function and in prime movers it is the inverse. Please see lines 262-267.

Discussion:

Generally I wish the authors tried to better explain why some of the response differences were only seen in one set.

- We have edited the text accordingly. According to the available literature, the physiological rational is related to hyperaemia in response to exercise. Please see lines 270-272.

First and second paragraphs can be combined.

- We have edited the text accordingly. Please see line 244-254.

The small paragraph on lines 252-255 can be combined with the paragraph above it. The authors make good points about needing EMG etc. to further uncover the findings.

- Since additional information has been included, we did not consider it necessary to add it to the paragraph above. We await feedback.

Generally try to avoid paragraphs that are 2 sentences or less, and try to incorporate them into other paragraphs.

- We have edited the text accordingly.

While I understand that is difficult to understand fully, it would be interesting for the authors to try and explain why the ISO resulted in higher RPE, whereas the dynamic resulted in higher HR; esp since the 6-20 RPE scale was created to corelate with heartrate (60-200 BPM). Anecdotally/in my experience, participants tend to feel almost ‘board’, or even believe they are not doing anything useful during ISO contractions, and therefore may feel less motivated. Where it is clear they are ‘accomplishing’ something during DYN contractions. This may play into perceptions.

- We have edited the text accordingly. Effectively, changes in blood flow can affect external perceptions. Please see lines 312-317 and 321-326.

The most important limitation is missing. SAMPLE SIZE. Please be VERY clear about this, even so, I highly recommend continuing this study until the sample is into the double digits.

- The sample size was increased to 10 participants.

Figures/Tables:

Nice, no need for change or additional figures or tables.

Additional information from the authors:

Abstract

- The results, in descriptive and numerical terms, were rectified for all variables.

Material and methods | Participants

- The results, in numerical terms, were rectified for all variables.

- One information that was in the introduction was changed for this topic. Please see lines 81-82.

Results

- The results, in descriptive and numerical terms, were rectified for all variables.

Discussion

- The results, in descriptive terms, were rectified.

References

- New references have been added, duly marked.

Figures

- Figure 3 was elaborated again, changing only the results.

Attachment

Submitted filename: ResponseToReviewers.docx

Decision Letter 1

Emiliano Cè

2 Feb 2023

Comparing the effects of dynamic and holding isometric contractions on cardiovascular, perceptual, and near-infrared spectroscopy parameters: A pilot study

PONE-D-22-26930R1

Dear Dr. Santarém,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org.

If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Emiliano Cè

Academic Editor

PLOS ONE

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

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Reviewer #1: All comments have been addressed

**********

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Reviewer #1: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

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Reviewer #1: Yes

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Reviewer #1: Yes

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Reviewer #1: I am impressed with the alterations to the article! Esp the increase in sample size from 7 to 10, which was my major concern.

The text is more clear, and the paper is excellent.

I require no additional edits, and fully endorse publication.

Well done!

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Reviewer #1: Yes: Dustin J Oranchuk

**********

Acceptance letter

Emiliano Cè

8 Feb 2023

PONE-D-22-26930R1

Comparing the effects of dynamic and holding isometric contractions on cardiovascular, perceptual, and near-infrared spectroscopy parameters: A pilot study

Dear Dr. Santarém:

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department.

If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org.

If we can help with anything else, please email us at plosone@plos.org.

Thank you for submitting your work to PLOS ONE and supporting open access.

Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Professor Emiliano Cè

Academic Editor

PLOS ONE

Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Supplementary Materials

    Attachment

    Submitted filename: ResponseToReviewers.docx

    Data Availability Statement

    All relevant data are within the paper.


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