journal article·2025-10-18Open access

Eccentric Quasi-Isometric Exercise Produces Greater Impulse with Less Pain than Isokinetic Heavy–Slow Resistance Exercise in Ankle Plantar Flexors: Quasi-Randomized Controlled Trial

Luka Križaj, Žiga Kozinc, Nejc Šarabon

Applied Sciences· Volume 15· Issue 20

Abstract

Recently, there has been growing interest in optimizing exercise protocols in sports training and rehabilitation, with particular attention to eccentric quasi-isometric (EQI) contractions, which involve maintaining joint position until isometric failure and then resisting the subsequent eccentric phase. Evidence directly comparing EQI with other contraction modes remains scarce. This quasi-randomized controlled trial examined the short-term effects of EQI versus isokinetic heavy–slow resistance (IHSR) exercises on ankle plantar flexors, focusing on pain, range of motion (RoM), and strength performance. Thirty-two physically active participants were allocated to EQI (n = 16) or IHSR (n = 16) groups and assessed at baseline, immediately post-exercise, and 24 and 48 h later. Both groups performed three exercise sets with 3 min breaks. The protocols were designed to approximate matched loading, based on preliminary testing. Nevertheless, the EQI group achieved a significantly greater total impulse (p = 0.028), a shorter time under tension (p = 0.001), and lower effort scores (p < 0.001). Group × time analysis revealed less decline in maximal voluntary isometric contraction torque (p = 0.002; η2 = 0.16), as well as lower general (p < 0.001; η2 = 0.32) and activity-related pain (p < 0.001; η2 = 0.32) in the EQI group, with no significant differences in dorsiflexion RoM (p = 0.893). In conclusion, EQI produced a higher torque impulse while inducing less fatigue and post-exercise pain than IHSR, suggesting it may be a more efficient loading strategy for the ankle plantar flexors. The results contribute to the understanding of contraction-specific efficiency, and may inform the design of future training and rehabilitation protocols targeting the ankle plantar flexors.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Sports injuries and prevention · Tendon Structure and Treatment · Foot and Ankle Surgery

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Faculty of Health Sciences, University of Primorska, 6310 Izola, Slovenia

Ludwig Boltzmann Institute for Rehabilitation Research, 3100 St. Pölten, Austria

Funding

the Slovenian Research Agency

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