Ijspp Article p2
Ijspp Article p2
Ijspp Article p2
https://doi.org/10.1123/ijspp.2023-0066
© 2024 Human Kinetics, Inc. BRIEF REVIEW
Background: Maximal lower-body strength can be assessed both dynamically and isometrically; however, the relationship
between the changes in these 2 forms of strength following resistance training is not well understood. Purpose: To systematically
review and analyze the effects of resistance training on changes in maximal dynamic (1-repetition-maximum back squat, deadlift,
and power clean) and position-matched isometric strength (isometric midthigh pull and the isometric squat). In addition,
individual-level data were used to quantify the agreement and relationship between changes in dynamic and isometric strength.
Methods: Databases were systematically searched to identify eligible articles, and meta-analysis procedures were performed on
the extracted data. The raw results from 4 studies were acquired, enabling bias and absolute reliability measures to be calculated
using Bland–Altman test of agreement. Results: Eleven studies met the inclusion criteria, which resulted in 29 isometric–dynamic
change comparisons. The overall pooled effect was 0.13 in favor of dynamic testing; however, the prediction interval ranged from
g = −0.49 to 0.75. There was no evidence of bias (P = .825) between isometric and dynamic tests; however, the reliability
coefficient was estimated to be 16%, and the coefficient of variation (%) was 109.27. Conclusions: As a range of future effects can
be expected when comparing isometric to dynamic strength changes following resistance training, and limited proportionality
exists between changes in these 2 strength qualities, there is strong evidence that isometric and dynamic strength represent
separate neuromuscular domains. These findings can be used to inform strength-assessment models in athlete populations.
The assessment of specific fitness qualities is a key step in the strength assessment is a 1-repetition maximum (1RM) test, with
training process, as it can be used to quantify the effects of training variations involving multiple, but few, repetitions also considered
and can be associated with sport performance outcomes.1 Further- acceptable (eg, 3RM or 5RM).11 Maximal dynamic strength
more, athlete assessments can inform decisions regarding training consistently distinguishes higher from lower level athletes within
prescription and the management of fitness and fatigue across time. a range of sports and is strongly associated with other physical
For example, regular monitoring with a countermovement jump2 or qualities and key performance indicators within competition.9 The
of barbell velocity during a primary training lift3 can help identify assessment of maximal dynamic strength is highly reliable across
acute changes in fatigue state, which practitioners can consider populations,12–14 requires minimal equipment, can be conducted
when prescribing training loads. An important consideration of with large training groups, and is commonly used to prescribe
performance testing is to establish whether tests are similar or intensity for upcoming training cycles. For these reasons, it is the
distinct from each other.4 A test can be considered distinct if it key strength assessment method used by practitioners in sport.
shares limited commonality or if the responses to training or fatigue Maximal strength can also be assessed isometrically, when
are different over time when compared with other tests. Con- force is applied maximally against an immovable resistance with
versely, similar tests contain considerable overlapping information no time constraints to the duration of force application.15 Strength
when compared cross-sectionally or longitudinally.5–7 Assessment qualities are often presented along a continuum from high-velocity,
systems should be specific enough to isolate and track independent low-force expressions to high-force, low-velocity expressions.16–18
attributes while also minimizing redundant information.8 As isometric strength occurs at the extreme end of this continuum at
In many cases, the most important physical quality that zero velocity, it is often referred to as “pure” strength19 and is
requires assessment in sport is maximal strength.9 This quality therefore relevant in practice and research as it may represent an
refers to the force-generating capacity of the athlete against an individual’s ultimate strength capacity. While historically isomet-
external resistance.10 The gold standard of maximal dynamic ric measures of maximal force have held limited associations to
dynamic performance,15 when completed in a position that repli-
Weakley https://orcid.org/0000-0001-7892-4885
cates a common athletic action, such as an isometric squat or
Comfort https://orcid.org/0000-0002-1131-8626 isometric mid-thigh pull (IMTP), stronger relationships have been
Huynh https://orcid.org/0000-0001-7349-7482 reported.20 These isometric assessments of maximal strength have
James (l.james@latrobe.edu.au) is corresponding author, https://orcid.org/0000- become commonplace in strength assessment models as they are
0002-0598-5502 often simple to administer, induce less fatigue than traditional
2
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Changes in Isometric Versus Dynamic Strength 3
likely range of the true change in maximal strength in similar future and accuracy (how well the measurements align with a reference
studies. Unlike CIs that estimate the range of the true effect size, PIs value) of the measurements. The imprecision of the estimates are
account for both within-study sampling error and between-study denoted with 95% CI. To ensure that the model estimates are
heterogeneity. The borders of the PI are determined by considering robust, a sensitivity analysis was conducted using linear mixed
the estimated effect size, the standard error of the effect size, and models, with fixed effects for time (pre–post) and random effects
the desired level of confidence. Including PIs are important as they for subject ID.
show a wider range of expected treatment effects compared with
CIs and, thus, may lead to different conclusions. From an applied
perspective, they allow practitioners to determine what is expected Results
to occur in future settings.31 Between-studies heterogeneity was Search Results
estimated with Cochran Q and Higgins and Thompson I2 statistics.
An initial model (intercept-only), using restricted maximum Following the removal of duplicates, 195 studies remained. Fol-
likelihood, was constructed to serve as the baseline model. To lowing title and abstract screening, 28 articles were brought
examine the effect of programming variables on maximal strength, forward for full-text screening. Once full-text assessment was
study factors were added to the baseline model as fixed effects. completed, 11 articles remained and were included in the meta-
These moderator variables included study subject (strong, recrea- analysis and review. Figure 1 describes the Preferred Reporting
tional, and collegiate); training (heavy resistance training, com- Items for Systematic Reviews and Meta-Analyses (PRISMA)
bined heavy-high velocity training, and other training); isometric process applied to this review. The 11 studies resulted in 29
test (mid-thigh pull and squat); and duration (less than 10 wk and isometric–dynamic change comparisons stemming from multiple
greater than 10 wk). groups or multiple isometric or dynamic tests within a given study.
Training type was classified as “Heavy resistance training” if In total, 229 participants were investigated (competitive athletes:
>66% of resistance training activities was at 75% 1RM or above, n = 126; recreational or resistance-trained individuals: n = 103).
“Combined heavy-high velocity training” if training consisted of Data sets from 4 studies were provided to enable analysis at the
both heavy and ballistic/plyometric training, or “Other training” for individual level (N = 94; competitive athletes: n = 61; recreational
remaining resistance training structures. Subjects were classified as or resistance-trained individuals: n = 33).
strong if their 1RM back squat or deadlift was >1.90 × body mass, or
1RM power clean was >1.5 × body mass,32,33 otherwise they were Outcome of Assessment of Reporting Quality
classified as collegiate if they were university or college athletes or
Study quality assessment scores ranged from 15 to 20 on the 20-
recreational for the remaining participant groups. Training duration
point scale with a mean and SD of 17.2 (1.4), indicating a high
was stratified as <10 weeks or ≥10 weeks, while the isometric test
methodological quality of included articles based on this scale.
type was classified as either the IMTP or isometric squat.
Most common criteria not met was “use of a control group” (met in
The effects of each moderator were estimated (along with
3/12 studies), as it is typically not feasible to use control groups in
95% CIs and PIs, where appropriate), with all other factors held
athlete populations, and “inclusion criteria clearly stated” (fully
constant. Cohen’s d effect sizes were used to describe the magni-
met in 8/12 studies).
tude of the observed pairwise differences in standardized units and
interpreted with the following descriptors: trivial (<0.2), small
(0.2–0.59), moderate (0.6–1.19), large (1.2–1.99), and very large Study Characteristics
(2.0–4.0).34 The IMTP featured across 15 comparisons in 5 studies, while the
Finally, we were able to collate the raw results from 4 studies isometric squat was present in 14 comparisons within 6 studies.
and conduct a validity analysis of the participant’s isometric and The 1RM back squat was featured in 9 studies, each containing 2
dynamic test results, specifically the change between pretest and groups, representing 18 comparisons. Three studies, each with 2
posttest. To evaluate the variability of the measurements, we groups, contained the 1RM deadlift, resulting in 6 comparisons.
calculated the coefficient of variation (CV) for each variable of The 1RM power clean occurred in 2 studies, with one containing 2
interest. The CV was obtained by dividing the standard deviation of groups and the other with 3 groups, resulting in 5 comparisons.
the measurements by their mean and multiplying by 100. A lower There were no studies in the final analysis that contained multiple
CV indicates lower relative variability and greater precision in the RM testing or the front squat. A summary of studies included in the
measurements. To assess the reliability of the measurements, we analysis is presented in Table 2.
computed the standard error of measurement (SEM). The SEM The 4 studies for which individual values were obtained (and
provides an estimate of the typical amount of measurement error therefore brought forward for Bland–Altman tests) contained 9
associated with individual test scores. It was calculated by multi- study effects. The IMTP and isometric squat featured on 5 and 4
plying the standard deviation of the measurements by the square occasions, respectively. With regard to the dynamic strength tests,
root of one minus the reliability coefficient. A smaller SEM value the 1RM back squat occurred 4 times, while the 1RM power clean
indicates higher reliability and greater precision in the measure- was included on 5 occasions.
ments. To evaluate the agreement between 2 measurement meth-
ods, we performed a Bland–Altman analysis. This involved
plotting the differences between the measurements obtained from
Meta-Analysis
method A and method B against their average. We then assessed The between-study heterogeneity variance for the baseline model
the presence of any systematic bias or limits of agreement. was estimated at τ2 = .09 (95% CI, .03 to .20), with an I2 value of
Relative reliability was examined with the concordance cor- 62.7% (95% CI, 44.3% to 75.0%). The overall pooled effect
relation coefficient (CCC). The CCC is a statistical measure used to comparing the magnitude of change in isometric and dynamic
assess the agreement or concordance between 2 sets of measure- strength was estimated to be 0.13 in favor of dynamic testing;
ments. It takes into account both the precision (closeness of values) however, the PI ranged from g = −0.49 to 0.75, indicating
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Changes in Isometric Versus Dynamic Strength 5
Identification
Web of Science (n = 111) Records removed before
SPORTDiscus (n = 111) screening:
MEDLINE (n = 228) Duplicate records removed
PubMed (n = 100) (n = 355)
Registers (n = 0)
Figure 1 — PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram describing the selection processes for
eligible articles.
uncertainty in the magnitude of change between isometric and the initial test. This demonstrates that the model estimates from the
dynamic tests for future studies (Figure 2). Bland–Altman test were robust and consistent across different
Subgroup analyses (Table 3) indicated that the pooled effects methods.
are significant across several factors. These include heavy resis-
tance training (SMD = 0.27; 95% PI, 0.10 to 0.45); duration less
than 10 weeks (SMD = 0.15; 95% PI, 0.05 to 0.24); and recrea- Discussion
tional subjects (SMD = 0.27; 95% PI, 0.14 to 0.40). Figures for the
subgroup analysis can be found in Supplementary Materials S1, S2, The primary aim of this investigation was to systematically review
S3, and S4 (available online). the evidence and analyze the effect of, and association between,
training-induced changes in maximal dynamic strength with
Bland–Altman Analysis respect to changes in maximal isometric strength. In addition, this
study sought to quantify the agreement and relationship between
There was no evidence of bias (P = .825) between isometric and changes in the 2 forms of strength. The final aim was to examine the
dynamic tests; however, the reliability coefficient (as assessed by effect at several subgroup levels, including training type, test type,
concordance correlation) was estimated to be only 16%, indicating training duration, and participant characteristics. Eleven studies
poor agreement between measurements on the same subject, with were included in the final review and analysis, with the results of
95% limits of agreement (from Bland–Altman tests) estimated as the meta-analysis revealing that following resistance training there
−27.03 to 27.66. Based on a reliability analysis, the SEM was 9.82, are trivial differences yet wide PIs when changes in isometric and
with a large CV (%) of 109.27 and a poor CCC of .16. dynamic strength are compared. This indicates that the magnitude
The results of the sensitivity analysis (conducted via a linear of change in these different forms of strength test can be expected to
mixed model) also found no evidence of bias between the 2 tests vary dramatically following future resistance training interven-
(F1,93 = 0.05, P = .0825), with a mean difference of 0.32 units tions. A similar pattern was generally seen across most subgroups.
between isometric and dynamic testing. The intraclass correlation Furthermore, the very small CI, wide limits of agreement, and
coefficient was estimated to be equivalent to the CCC (.16) from absence of consistent bias revealed by the Bland–Altman analysis
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6
Table 2 Characteristics of Resistance-Training-Intervention Studies Containing Both Isometric and Dynamic Maximal Strength Assessment
of the Lower Body
Isometric Dynamic Duration, Group 1 demographics Group 2 demographics Group 2 training
Study authors test test wk (body mass) (body mass) Group 1 training type type
Banaszek et al35 Midthigh Back squat 8 7 recreational CrossFit males 8 recreational CrossFit males CrossFit training (whey CrossFit training (pea
pull and females (83.9 [18.9]) and females (78.4 [11.6]) supplementation) supplementation)
Banaszek et al35 Midthigh Deadlift 8 7 recreational CrossFit males 8 recreational CrossFit males CrossFit training (whey CrossFit training (pea
pull and females (83.9 [18.9]) and females (78.4 [11.6]) supplementation) supplementation)
Bartolomei et al36 Squat Back squat 10 10 experienced, resistance- 11 experienced, resistance- Heavy resistance training Heavy resistance
trained men (78.7 [11.3]) trained men (79.2 [9.5]) (full body) training (split body)
Bazyler et al37 Squat Back squat 7 9 recreationally trained males 8 recreationally trained males Heavy resistance training Heavy resistance
(84.9 [10.9]) (84.6 [8.4] kg) (full range of motion) training (partial range of
motion)
Comfort et al38 Midthigh Power 10 16 collegiate athletes and 18 collegiate athletes and Combined heavy-high Combined heavy-high
pull clean professional youth soccer professional youth soccer velocity training (catch velocity training (pull
players (71.14 [11.79]) players (66.43 [10.13]) phase) phase only)
Cormie et al39 Squat Back squat 12 10 recreationally trained males 8 recreationally trained males High velocity training Combined heavy-high
(81.6 [18.8]) (79.6 [15.4]) velocity training
Cormie et al40 Squat Back squat 10 8 recreationally trained males 8 recreationally trained males Heavy resistance training High velocity training
(82.2 [13.7]) (79.9 [14.5])
James et al32 Squat Back squat 10 8 strong males (76.82 [6.27]) 8 recreationally active males Combined heavy-high Combined heavy-high
(82.03 [14.7]) velocity training (stronger velocity training (weaker
participants) participants)
Painter et al41 Midthigh Back squat 11 14 collegiate track athletes 12 collegiate track athletes Combined heavy-high Combined heavy-high
pull (86.1 [30.9]) (80.7 [18.1]) velocity training (block velocity training (DUP)
demonstrate limited agreement and proportionality between the warranted to better understand the sensitivity of the IMTP and
isometric and dynamic strength change scores. Consequently, isometric squat to different forms of dynamic resistance training.
practitioners should be wary of what measure of strength is
implemented following resistance training interventions, as this Agreement Between Isometric and Dynamic
may alter the interpretation of the training intervention’s effective-
ness. Furthermore, due to the substantial variance and lack of
Strength Changes Following Resistance
agreement in change between these tests following training inter- Training
ventions, practitioners must be careful not to conflate changes in The second aim of this investigation was to determine the longitu-
isometric strength with dynamic strength, or vice versa. dinal association between isometric and dynamic assessments of
maximal lower body strength. The agreement metrics revealed very
Effect of Resistance Training on Isometric poor levels of agreement (CCC = .16) and high levels of variation
Versus Dynamic Strength (CV% = 109.27), between changes in isometric versus dynamic
strength following resistance training. Based on these findings,
While there is a considerable body of literature demonstrating practitioners and researchers should not use isometric and dynamic
isolated relationships between isometric and dynamic strength,20,45 strength assessments interchangeably or infer that changes in the 2
the difference in the change between forms of strength following forms of assessment are proportional. Although individual level
training has received less attention.46,47 The findings of the overall data were obtained from only 4 studies, this resulted in pairs of
meta-analysis demonstrate that the difference between isometric change scores from 94 subjects. These data provide greater insight
and dynamic strength changes should be expected to vary dramati- into the interrelationship between strength qualities than relation-
cally. The resulting heterogeneity contrasts the generally moderate ships assessed at a single time point.46,47 The results of this present
to strong cross-sectional relationships between the 2 forms of investigation agree with previous reports of considerably weaker
strength and indicates why it is important that cross-sectional relationships between different forms of strength and power-ori-
findings are not assumed to hold true when examined across time. ented tests when tracked longitudinally rather than cross-section-
Indeed, the issue of transfer between isometric and dynamic ally.46,47 However, the notable finding of this investigation is that
strength was noted in a review by Wilson and Murphy,15 who both tests are considered forms of maximal strength, yet no
concluded that the vast weight of evidence suggested that changes predictable longitudinal relationship exists between the 2 qualities
in dynamic strength performance did not align with changes in in response to resistance training.
maximal isometric strength. From an applied perspective, the There are several differences in the underpinning mechanisms
findings of this present analysis provide strong evidence that it that drive force production in isometric versus dynamic actions that
is not possible to accurately estimate a change in 1RM back squat, may explain the limited agreement revealed by the Bland–Altman
power clean, or deadlift from a change in isometric squat or IMTP analysis. Muscle activation strategies vary between isometric and
maximal strength following future training. Furthermore, both dynamic actions,52 while intramuscular and intermuscular motor
isometric and dynamic assessments should be considered if a unit recruitment change based on joint angle and the direction of
holistic strength diagnosis of the individual is required. Alterna- force application.53–56 In addition, dynamic actions are often
tively, a needs analysis can be employed to decide which strength influenced by the stretch-shortening cycle; however, this mecha-
quality is of greatest relevance and therefore prioritized in a nism is absent from isometric tasks.57,58 It has been suggested that
strength assessment battery. However, other factors should also musculoskeletal stiffness also has a greater contribution to force
be considered when selecting appropriate strength tests. For exam- production within isometric tasks59 and may in part explain
ple, rapid force production (eg, rate of force development, collo- differences between the 2 types of strength. Regardless of the
quially referred to as “explosive strength”) can also be evaluated mechanisms responsible, the findings of this present study provide
via the same isometric tests,25,48 which may be more important than strong evidence that these 2 forms of maximal strength represent
maximal isometric strength in identifying training priorities.49-51 In separate neuromuscular domains. It is important to note that the
addition, 1RM testing also permits the objective selection of loads vast majority of the subjects in this analysis (n = 77) undertook
for subsequent phases of training. combined heavy-high velocity training. Further research is needed
Only 2 interventions in a single study38 possessed a trivial to understand how the agreement between isometric and dynamic
difference alongside a CI that did not envelop ±0.30. Two com- strength change scores is impacted by different training interven-
parisons exhibited a significantly greater change in isometric versus tions and across training phases.
dynamic strength,41,42 while a significantly greater change in
dynamic strength occurred in 5 comparisons,36,40,43 which suggests Effect of Resistance Training Type on Isometric
that the isometric tests are likely to be less responsive to dynamic
resistance training. It should be acknowledged that the significantly
Versus Dynamic Strength
greater improvements in isometric strength in the aforementioned The type of training appears to have some influence on the
studies may have been influenced by the limited use of full-range magnitude of changes between isometric and dynamic strength.
lower body exercises in the final block of training. Indeed, within Tests of maximal dynamic strength were more sensitive to heavy
their respective final training period, 5 of 6 lower body lifts in one strength training interventions with 7 of the 9 comparisons dem-
study41 and all 7 lower body lifts in the other investigation42 onstrating at least a “small” effect or greater in its favor, while the
utilized a reduced range of motion at the hip and knee (eg, from remaining 2 comparisons were trivial. However, a considerable
the hang, ¼ squats). As such, these actions may have achieved amount of within-comparison variation was present. The interven-
greater specificity to the IMTP test when compared with lifts tions in these 7 studies included a greater volume of resistance
performed through larger ranges of motion. It is also possible that training that was similar to the dynamic strength test, which may
greater changes in isometric strength could be due to the lack of have contributed to the outcome by way of specificity.60,61 It is
familiarization leading up to baseline testing. Further exploration is worth noting that the back squat was both a training task throughout
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Changes in Isometric Versus Dynamic Strength 9
the intervention and a dynamic strength assessment in each of the interventions in full, making it challenging to identify the cause
heavy resistance training comparisons, which likely facilitated a of the observed effect.
greater transfer effect compared with the isometric assessment.62
Population
Test Type
While considerable within-study variation existed, the dynamic
When compared with the IMTP, the relatively narrow PI in the strength assessment was more sensitive to training than isometric
isometric squat subgroup indicates a more predictable relationship tests within recreationally trained individuals when studies were
with maximal dynamic strength assessment. Practitioners can; pooled, albeit to a small but consistent extent. Less trained in-
therefore, be somewhat confident that dynamic strength testing dividuals have less exposure to dynamic strength activities and,
is consistently more sensitive to training than the isometric squat to therefore, likely possess a greater capacity for dynamic strength
a small extent. The markedly wide PI in the IMTP subgroup adaptation than those who are more trained.65,66 Furthermore, in the
analysis demonstrates that considerable variation in the change early stages of training, more general adaptations can be ex-
score differences between IMTP performance and measures of pected67,68 leading to a homogenous response across studies within
dynamic strength can be expected in future settings. Despite similar this population, regardless of training. A range of potential true
lower limb positions, there are notable differences between the differences between isometric and dynamic strength changes was
IMTP and the isometric squat. A feature of the isometric squat that revealed in strong populations and may indicate that the type of
may not be present to the same extent in the IMTP is the high axial strength response may be specific to the within-study character-
compressive forces that likely require different contributions from istics (eg, the resistance training intervention) and not generalizable
the trunk musculature.63 In addition, unlike the isometric squat, the across situations. However, as only 2 studies containing partici-
IMTP may incorporate a meaningful shoulder extension moment. pants whose 1RM back squat was >1.90 × body mass,32,44 it is
These factors contribute to a cross-sectional unexplained variance challenging to draw meaningful conclusions, and future investiga-
of 43% between the 2 tests and differences in peak force ranging tions with strong individuals are therefore recommended.
from 9.5% to 28.5%.48,64 One possible explanation for the results The wide PI for the collegiate athletes subanalysis demon-
is that the studies incorporating the isometric squat included its strates that practitioners working with this population would be
dynamic equivalent (ie, 1RM back squat) as the strength test more uncertain of what differences would be present in isometric versus
often (12/14 comparisons) than the IMTP was included alongside dynamic strength changes. A range of factors such as long-term
its dynamic equivalent (1RM power clean or deadlift) as the training history,69 sport,70 and the presence of other training tasks71
strength assessment (9/15 comparisons). The increased specificity potentially contributed to this divergent response. What is clear,
between isometric and dynamic tests in the isometric squat sub- however, is that changes in isometric strength do not consistently
group might have enabled a more consistent association to be represent changes in dynamic strength, particularly within colle-
revealed. giate populations.
impact on the observed effect. A key outcome of this investigation 17. Suchomel TJ, Comfort P, Lake JP. Enhancing the force–velocity
was the absence of agreement and proportionality between changes profile of athletes using weightlifting derivatives. Strength Cond J.
in isometric and dynamic strength, which provides strong evidence 2017;39(1):10–20. doi:10.1519/SSC.0000000000000275
that these 2 forms of strength represent separate neuromuscular 18. Cronin JB, McNair PJ, Marshall RN. Force-velocity analysis of
domains. strength-training techniques and load: implications for training
strategy and research. J Strength Cond Res. 2003;17(1):148–155.
PubMed ID: 12580670
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