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THE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS
EDIZIONI MINERVA MEDICA
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Strength, body composition, and functional outcomes in the
squat versus leg press exercises
Fabrício Eduardo ROSSI, Brad J SCHOENFELD, Skyler OCETNIK, Jonathan
YOUNG, Andrew D VIGOTSKY, Bret CONTRERAS, James KRIEGER, Michael
MILLER, Jason CHOLEWA
J Sports Med Phys Fitness 2016 Oct 13 [Epub ahead of print]
THE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS
Rivista di Medicina, Traumatologia e Psicologia dello Sport
pISSN 0022-4707 - eISSN 1827-1928
Article type: Original Article
The online version of this article is located at http://www.minervamedica.it
Running Head: Squat versus Leg Press
1
Strength, body composition, and functional outcomes in the squat versus leg press exercises
Fabrício E. Rossi1,2
Brad J. Schoenfeld3
Skyler Ocetnik1,
Jonathan Young1
Andrew Vigotsky4
Bret Contreras5
James W. Krieger6
Michael G. Miller7
*Jason Cholewa2
1. Institute of Bioscience, Department of Physical Education Univ. Estadual Paulista, Rio
Claro, São Paulo, Brazil.
2. Department of Kinesiology, Recreation, and Sport Studies, Coastal Carolina University,
Conway, SC, USA
3. Department of Health Sciences, CUNY Lehman College, Bronx, NY
4. Kinesiology Program, Arizona State University , Phoenix, AZ , USA
5. Sport Performance Research Institute, AUT University, Auckland, New Zealand
6. Weightology, LLC, Issaquah, WA, USA
7. Department of Human Performance and Health Education, Western Michigan University,
Kalamazoo, MI
*Corresponding author:
Jason Cholewa, PhD
Coastal Carolina University
PO Box 261954
Conway, SC 29528
P: 843-349-2041
F: 843-349-2875
jcholewa@coastal.edu
Word Count: 3864
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Running Head: Squat versus Leg Press
2
Abstract
BACKGROUND: The purpose of this study was to compare strength, body composition, and
functional outcome measures following performance of the back squat, leg press, or a
combination of the two exercises. METHODS: Subjects were pair-matched based on initial
strength levels and then randomly assigned to 1 of 3 groups: A squat-only group (SQ) that solely
performed squats for the lower body; a leg press-only group (LP) that solely performed leg
presses for the lower body, or; a combined squat and leg press group (SQ-LP) that performed
both squats and leg presses for the lower body. All other RT variables were held constant. The
study period lasted 10 weeks with subjects performing 2 lower body workouts per week
comprising 6 sets per session at loads corresponding to 8-12 RM with 90 to 120 second rest
intervals. RESULTS: Results showed that SQ had greater transfer to maximal squat strength
compared to the leg press. Effect sizes favored SQ and SQ-LP versus LP with respect to
countermovement jump while greater effect sizes for dynamic balance were noted for SQ-LP and
LP compared to SQ, although no statistical differences were noted between conditions.
CONCLUSIONS: These findings suggest that both free weights and machines can improve
functional outcomes, and that the extent of transfer may be specific to the given task.
KEYWORDS: Functional fitness; specificity of training; exercise machines; free weights
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Running Head: Squat versus Leg Press
3
Introduction
Resistance training (RT) can be carried out using a variety of implements. Two of the
most commonly used types of implements are free weights and machines. Machines can be
operationally defined as devices that contain cables, pin-loaded weight stacks, or fixed lever
arms, while free weights refer to dumbbells and plates that are loaded onto the ends of a barbell
(1). Generally, but not always, machines move in a fixed plane of motion while free weight
exercise is carried out in three-dimensional space.
It is widely believed that free weight exercise promotes better transfer to sports specific
and functional skills compared to machine-based exercises. This purported superiority has been
attributed to mechanical specificity, whereby free weights more closely replicate movement
patterns, force application, and velocities of movement during functional tasks (2). Free weight
squats have also been suggested to activate more muscles in the lower limbs than smith machine
squats (3) and induce a greater acute hormonal response than the leg press (4). Despite a sound
logical basis, however, there is a paucity of controlled research that lends support to this
hypothesis. Recently, Wirth et al. (5) randomized recreationally trained university students to
perform lower body exercise consisting of either the squat or leg press. Both groups performed 5
sets of 6-10 repetition maximum (RM) for 8 weeks. Results showed statistically greater increases
in both countermovement and squat jump performance for those performing the squat versus the
leg press. These finding suggest that free weight exercise promotes greater transfer to vertical
jump performance compared to machine-based exercise.
It should be noted that there are many components of functionality – in particular,
components of dynamic balance – that have not been studied with respect to the influence of
differenttrainingmodalities.Moreover,totheauthors’knowledge,nostudiestodatehave
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Running Head: Squat versus Leg Press
4
investigated the effects of combining free weight and machine-based exercises compared to
performing either type of modality alone. The purpose of this study therefore was to compare
strength, body composition, and functional outcome measures following performance of the back
squat, leg press, or a combination of the two exercises over an 8-week study period.
Methods
Experimental Approach to the Problem
Subjects were pair-matched based on initial strength levels and then randomly assigned to
1 of 3 groups: A squat-only group (SQ) that solely performed squats for the lower body; a leg
press-only group (LP) that solely performed leg presses (Prestige Strength VRS, Cybex
International, Inc . Medway, MA,USA) for the lower body, or; a combined squat and leg press
group (SQ-LP) that performed both squats and leg presses for the lower body. All other RT
variables were held constant. The study period lasted 10 weeks with subjects performing 2 lower
body workouts per week comprising 6 sets per session at loads corresponding to 8-12 RM with
90 to 120 second rest intervals. Total training volume (reps × sets) was equated between groups.
Testing was carried out pre- and post-study for indices of muscle strength, body composition,
and functional performance.
Subjects
Subjects were a convenience sample of 26 male volunteers recruited from a university
population (age = 22.0±3.9 years; height = 175.4±7.7 cm; body mass = 80.7±17 kg). Subjects
were reported to be without any existing musculoskeletal disorders, free from consumption of
anabolic steroids or any other illegal agents known to increase muscle size for the previous year,
and had not performed any regimented resistance training for the past 6 months. Subjects were
instructed to avoid taking any performance-enhancing supplements during the study period.
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Running Head: Squat versus Leg Press
5
Participants were pair-matched according to baseline strength and then randomly
assigned to 1 of 3 groups: A squat-only group (SQ) that solely performed squats for the lower
body (n = 8); a leg press-only group (LP) that solely performed leg presses (n = 9); or a
combined squat and leg press group (SQ-LP) that performed both squats and leg presses (n = 9).
Approval for the study was obtained from the university’sInstitutional Review Board (IRB).
Informed consent was obtained from all participants.
Resistance Training Procedures
The per-session RT protocol consisted of 6 sets of squats for the SQ group, 6 sets of leg
presses for the LP group, and 3 sets of squats and 3 sets of leg presses for the SQ-LP group.
Training for each protocol consisted of 2 weekly sessions performed on non-consecutive days for
10 weeks. All groups had a target of 8-12 repetitions per set. The first 2 weeks of training
consisted of an acclimation phase, whereby sets were terminated 1 or 2 repetitions short of
failure. Thereafter, sets were carried out to the point of momentary concentric muscular failure—
the inability to perform another concentric repetition while maintaining proper form—for the
final 8 weeks of the study. Cadence of repetitions were carried out in a controlled fashion, with a
concentric action of approximately one second and an eccentric action of approximately two
seconds. Subjects were afforded 90 to 120 seconds of rest between sets. The load was adjusted
for each exercise as needed on successive sets to ensure that subjects achieved failure in the
target repetition range. All sessions were directly supervised by the research team to ensure
proper performance of the respective routines. Attempts were made to progressively increase the
loads lifted each week within the confines of maintaining the target repetition range. Initial loads
for each exercise were based on 80% of subjects’1RM, as determined during initial testing,
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Running Head: Squat versus Leg Press
6
consistent with recognized guidelines established by the National Strength and Conditioning
Association (6).
Dietary Adherence
To avoid potential dietary confounding of results, subjects were advised to maintain their
customary nutritional regimen. Attempts to monitor adherence to these instructions were
unsuccessful due to poor subject compliance in filling out and submitting food journals.
Measurements
Pre intervention body composition was assessed prior to the strength training
familiarization sessions. At least 72 hours following familiarization, balance and jump testing
was assessed on day one, and 48 hours later strength testing was assessed on day two. Post
testing body composition was assessed at least 24 hours following the completion of all
resistance training on a Friday. Subjects then reported to the lab on the following Monday for
balance and jump testing, and then 48 hours later for strength testing.
Muscle Strength: Lower body strength was assessed by 1RM testing in the parallel back
squat (1RMSQUAT) and the leg press (1RMLEGPRESS) exercises, in that order. Subjects reported to
the lab having refrained from any exercise other than activities of daily living for at least 48
hours prior to baseline testing and at least 48 hours prior to testing at the conclusion of the study.
RM testing was consistent with recognized guidelines established by the National Strength and
Conditioning Association (6). Two familiarization sessions separated by at least 48 hours were
performed prior to 1 RM testing. Subjects performed a general warm-up prior to testing that
consisted of light cardiovascular exercise lasting approximately 5-10 minutes. A specific warm-
up set of the given exercise of 5 repetitions was performed at ~50% 1RM followed by one to two
sets of 2-3 repetitions at a load corresponding to ~60-80% 1RM. Subjects then performed sets of
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Running Head: Squat versus Leg Press
7
1 repetition of increasing weight for 1RM determination. Three to 5 minutes of rest was provided
between each successive attempt. All 1RM determinations were made within 5 attempts.
Subjects were required to reach parallel in the 1RMSQUAT for the attempt to be considered
successful as determined by the research team. For the 1RMLEGPRESS a goniometer was used to
ensure that all subjects began the movement with a 90-degree angle at the knee and a 60-degree
angle at the hip. The attempt was deemed successful when subjects were able to fully extend at
the knee while maintaining contact between the hips and the seat. Two members of the research
team supervised all testing sessions and an attempt was only deemed successful when a
consensus was reached between the two. Based on results of a small pilot study (n=5), the test-
retest intraclass correlation coefficient (ICC) from our lab for the 1RMLEGPRESS and 1RMSQUAT
was 0.961 and 0.969, respectively.
Dynamic Balance: The Star Excursion Balance Test (SEBT) was used to assess changes
in dynamic balance. The SEBT was selected because of its high reliability and validity as a non-
instrumented dynamic balance test for physically active people (7, 8). Testing was carried out as
follows: The floor was marked with a star pattern in 8 directions, 45° apart from each other:
anterior, posterior, medial, lateral, posterolateral, posteromedial, anterolateral, and anteromedial.
Subjects placed one foot in the center of the star pattern and then reached as far as possible with
the other foot in clockwise fashion in all eight directions. The subject lightly tapped the floor,
and then returned the leg to the center of the star after each tap. The trial was repeated if the
subject made any of the following errors: rested his foot on the ground, tapped the floor heavily,
lost balance, or was unable to return to the starting position in a controlled manner (7). The order
of limb performance was randomized to help prevent confounding issues from adverse effects of
fatigue on balance. Measurements were obtained from the distance from the center of the star to
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Running Head: Squat versus Leg Press
8
the tap. Subjects performed 3 trials and the results from these trials were averaged. Excursion
values were normalized to leg length, as measured from the anterior superior iliac spine to the
medial malleolus, to account for the significant correlation between SEBT and leg length (9).
Four practice trials were provided to subjects prior to actual testing in order to diminish any
effects of motor learning (10).
Vertical Jump: Jump height was determined by performance of a countermovement jump
(CMJ) as assessed by Just Jump! Mat (Probotics Inc: Huntsville, AL). Prior to testing, subjects
engaged in a brief, general warm-up consisting of several minutes of light cardiovascular
exercise, followed by 6 submaximal jumps to heighten neural responses. Vertical jumps were
measured in inches using the Just Jump! mat. Subjects were instructed to perform a rapid lower
body eccentric contraction followed immediately by a maximal intensity concentric contraction.
Subjects were instructed to jump straight up and minimize any in-air hip flexion. The movement
was completed by landing on both feet at the same time while maintaining balance on the mat.
The best of the three trials was recorded as vertical jump height.
Body Composition: Height was measured using standard anthropometry and body mass
was measured using a calibrated scale. Body composition was measured pre- and post-treatment
as determined by whole body densitometry using Air Displacement Plethysmography (Bod
Pod®, Cosmed, Concord, CA USA). All testing was performed in accordance with the
manufacturer’sinstructions.Briefly,subjectswere tested while wearing only tight fitting
compression shorts and an acrylic swim cap. The subjects wore the exact same clothing for all
testing. Thoracic gas volume was estimated for all subjects using a predictive equation integral to
the Bod Pod® software. The calculated value for body density used the Siri equation to estimate
body composition. Data obtained from the Bod Pod® included body weight, percent body fat, fat
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Running Head: Squat versus Leg Press
9
free mass, and fat mass. All testing was done with each subject at approximately the same time
of day.
Statistical Analyses
Pre- and post-intervention data were modeled using a linear mixed model for repeated
measures, estimated by a restricted maximum likelihood algorithm. Training intervention (leg
press, squat, or combination) was included as the between-subject factor, time was included as
the repeated within-subjects factor, time × intervention was included as the interaction, and
subject was included as a random effect. In cases where statistical interactions were present,
post-hoc analyses on within-subject changes were carried out using t-tests with a Holm-
Bonferroni adjustment. Effect sizes were calculated as the mean pre-post change divided by the
pooled pretest standard deviation (11) and 95% confidence intervals (CI) were reported for all
primary outcomes. All analyses were performed using R version 3.2.3 (The R Foundation for
Statistical Computing, Vienna, Austria). A priori alpha level was set to P≤0.05,andtrendswere
declared at 0.05 > P≤0.10.Effect sizes were defined as small, medium, and large for 0.20, 0.50,
and 0.80, respectively. Data are reported as
x
± SD, unless otherwise specified.
Results
Body Composition
There were significant increases in body mass and fat-free mass from pre- to post- in all 3
groups, with no differences in changes between groups (Table 1). Effect sizes were small,
ranging from 0.10 to 0.15. There was a trend for fat mass to increase in all 3 groups (P = 0.06),
with no differences between groups; effect sizes were very small (0.08 to 0.09). There were no
significant main effects or interactions for percent body fat.
Insert Table 1 About Here
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Running Head: Squat versus Leg Press
10
Performance
For the squat, there was a significant group by time interaction (P = 0.0004, Table 2). All
3 groups improved over time (P < 0.0001), but the increase was largest in the squat group (+76.2,
CI 54.3, 98.2, ES 1.35), followed by the combination group (+53.9, CI 33.2, 74.6, ES 0.95), and
lastly the leg press group (+21.1, CI 0.38, 41.8, ES 0.37). For the leg press, all 3 groups
improved over time (P < 0.0001), with no differences in improvements between groups; effect
sizes ranged from 1.45 to 1.49 (Table 2). For the vertical jump, all 3 groups improved over time
(P < 0.0001), with no significant differences in changes between groups (P = 0.15, Table 2).
Effect sizes were largest for the squat group (0.62), followed by the combo group (0.49) and the
leg press group (0.24).
Insert Table 2 About Here
Balance
SEBT outcomes by group are shown in Table 3. There were significant improvements
over time for all measures (P < 0.05), with no significant group by time interactions. Effect sizes
favored the combo group in most metrics, followed by the leg press group, with the lowest effect
sizes in the squat group. There was a significant effect of group for left anterior (P = 0.02), with
the combo group showing a significantly greater value compared to the squat group collapsed
over pre- and post (Difference: 7.4, CI 1.0, 13.8, P = 0.02). There was a significant group effect
for the left leg sum (P = 0.04), with the combo group showing a significantly greater value
compared to the squat group collapsed over pre- and post (Difference: 26.7, CI 0.8, 52.6, P =
0.05). There was a significant group effect for the right anterior (P = 0.004), with the squat
showing a significantly greater value than the leg press group (Difference: 5.7, CI: 0.2, 11.3, P =
0.03), as well as the combo showing a significantly greater value than the leg press group
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Running Head: Squat versus Leg Press
11
(Difference: 7.9, CI 2.5, 13.2, P = 0.004). For right posteriolateral, there was a significant group
effect (P = 0.01), with the combo showing a significantly greater value than the leg press group
(Difference: 11.5, CI 2.4, 20.5, P = 0.01). There was also a significant group effect for the right
leg sum (P = 0.01), with the combo group showing a significantly greater value compared to the
squat group collapsed over pre- and post (Difference: 28.1, CI 6.2, 49.9, P = 0.01). Since there
were no significant group by time interactions, SEBT outcomes were collapsed across groups.
Changes over time for SEBT outcomes are shown in figure 1. Fifteen out of 18 outcomes
showed significant improvements (P < 0.05).
Insert Table 3 About Here
Insert Figure 1 About Here
Discussion
Totheauthors’knowledge,thisisthefirststudytoinvestigatetheeffectsoftrainingona
machine versus free weights as well as a combination of the two modalities. In addition, we are
aware of no other studies that have investigated the effects of different training modalities on
dynamic balance. As such, the study helps to fill gaps in the literature on this important topic.
Wirth et al. (5) demonstrated that the squat was superior to the leg press for improving
countermovement jump performance. Although our findings suggest this to be the case given the
increasing effect sizes from LP (0.24), to SQ-LP (0.49), to SQ (0.62), it cannot be said that this
group × time interaction is not due to chance alone. And while Wirth et al. (5) also did not
observe an increase in countermovement jump height in the leg press group, Correa et al. (12)
recently found that a machine-based program (including the leg press) improved
countermovement jump in older women. While the literature on leg press is equivocal, the
literature suggesting that squats increase vertical jump performance is compelling, and that
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Running Head: Squat versus Leg Press
12
deeper is better (13, 14). These apparent advantages to the squat may be attributed to a number
of reasons. For one, the knee moved through a greater range of motion in the squat than it did in
the leg press. As with previous studies that examined the effects of squat depth on performance
(13, 14), the subjects in this study were untrained or detrained, and were therefore conceivably
more likely to realize greater adaptations from greater ranges of motion. Furthermore, it appears
that the largest mechanical demands from the hip during the countermovement jump occur close
to 45º (15), which is where the leg press movement was completed. It may be that greater hip
range of motion and net extension moment requisites are required in order to maximize and
optimize hip extensor strength adaptations for the vertical jump, as the squat effectively moved
through this range of motion (hip flexion < 45º) with resistance. Lastly, it is possible that the
differential angular velocities and displacement of the hip and knee during the leg press and
squat have implications for transference, in that the triple extension pattern in the squat more
closely mimics the vertical jump than does the leg press.
The changes in strength reported by Wirth et al. (5) applied only to the lift that each
respective group trained; that is, the LP and SQ groups were only tested in the leg press and
squat, respectively, and there were no evaluations of transference. However, in this study, a
statistical group × time interaction was observed for the squat, with, increasing effect sizes from
LP (0.37), to SQ-LP (0.95), to SQ (1.35), just as was the case with the vertical jump. This
reinforces the principle of specificity. Despite the seemingly similar biomechanics of the squat
and leg press, in that both involve triple extension and have somewhat similar net knee extension
moment requisite-angle relationships (16), the net hip extension moment requisite-angle
relationship in the leg press is different from that in the squat. This is in part due to the 45º-angle
of the hip in the leg press at lockout (0º knee flexion), while during the squat, when one is in 45º
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Running Head: Squat versus Leg Press
13
of hip flexion during the concentric phase, they are at approximately 35º of knee flexion (17).
Simplistically, the differential hip-to-knee angles inherent to the squat and leg press necessitate
unique muscle recruitment strategies for the distinct interjoint, or intersegmental, dynamic
interaction of each movement for the purposes of dynamic optimization (18). An example of
such a recruitment strategy is the greater electromyography amplitude of the biceps femoris
observed in the concentric phase of squat over that in the leg press (16). Moreover, the knee
range of motion utilized during the squat was approximately 30º more (33.3%) than during the
leg press (19). It is therefore likely that those performing the squat experienced range of motion-
specific adaptations (90–120º knee flexion), for which the leg press group did not train. Lastly, it
is possible that self-efficacy played a role in these outcomes, as self-efficacy is task-specific (20)
and may have a significant effect on strength capacity (21-23).
Unlike the squat, no statistical differences were observed between the SQ, LP or SQ-LP
groups, which suggests that leg press strength is not as specific as squat strength; that is,
increasing hip and knee extensor strength will increase leg press strength no matter how it is
accomplished. However, unlike the squat, the leg press was completed within a range of motion
that all groups utilized throughout the trial, in that the knees moved through 90º flexion and
extension and the hips did not extend past 45º flexion; however, during a parallel squat, the
knees flex to about 120º and the hips well past 45º flexion, to about 20º (17, 19).
The SEBT is a reliable and valid measure of dynamic balance for physically active
people (7, 8), and may also be an accurate predictor of lower extremity injury (24). SEBT scores
in all three groups statistically increased over the course of the study, with no differences noted
between groups. Interestingly, the effect sizes for SQ were much lower than that observed in the
SQ-LP and LP groups, suggesting that the leg press, or a combination of exercises, may be more
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Running Head: Squat versus Leg Press
14
beneficial than squatting alone. These findings are contradictory to Furlong et al. (25), who
found no increases in SEBT scores following 12-week training program that incorporated the leg
press. Alternatively, Pamukoff et al. (26) found that performance of the leg press, in combination
with a number of lower-body focused machine exercises, improved balance recovery in an aging
population. Nevertheless, the finding that increasing lower body strength, regardless of mode,
appears to increase scores in a test that is predictive of lower-extremity injury. Such findings are
supported by meta-analysis showing that strength training helps to prevent injury (27). Further
research is warranted to identify whether or not one or multiple mediums (i.e., SQ vs. LP vs. SQ-
LP) is more efficacious for enhancing balance and preventing injury.
Conclusion
The results of our study indicate that both free weights and machines can improve
functional outcomes, and that the extent of transfer may be specific to the given task. From a
practical standpoint, these findings serve two primary functions: First, results reinforce to
coaches and athletes the importance of specificity. Back squat training significantly improved
back squat strength and tended to improve vertical jump more so than leg press alone or a
combination thereof. That said, all of the conditions employed had positive effects on functional
outcomes, indicating that functional transfer exists on a continuum and simply improving
strength will enhance various measures of function regardless of the modality (28). Second, this
study underscores the importance of strength training to improve balance and thereby reduce
injury risk. The data demonstrates that, contrary to popular suggestion, strength training
exercises that rely exclusively on or include machines are able to enhance dynamic balance in
non-athletes, perhaps to an even greater extent than free weight exercise. As such, coaches and
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Running Head: Squat versus Leg Press
15
practitioners shouldconsidertheindividualclientand/orathlete’sneedswhenselecting
resistance training movements.
Disclosure Statement: The authors declare no conflicts of interest associated with this
manuscript.
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Running Head: Squat versus Leg Press
16
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the electronic c opy of the article thr ough online internet an d/or intranet file s haring systems, electronic mailing or any other means which may allow acces s to the Article. The use of all or any
part of the Article for any Commercial Us e is not p ermitted. The creatio n of derivative works from the Article is not permitted. T he production of reprints f or personal or commercial us e is not
permitted. It is not permitted to remove, cover, overlay, obscure, block, or change any copyright notices or term s of us e which the Publisher may post on the A rticle. It is not permitted to
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Running Head: Squat versus Leg Press
17
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Running Head: Squat versus Leg Press
18
27. Lauersen JB, Bertelsen DM, Andersen LB. The effectiveness of exercise interventions to
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6.
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Running Head: Squat versus Leg Press
19
Figure Captions
Figure 1: Graphical representation of pre- and post-intervention changes over time for SEBT
outcomes, mean (±SD).
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Table 1: Body Composition
Variables
Time
Leg Press
(n=9)
%Δ (ES)
Squat
(n=8)
%Δ (ES)
Leg Press +
Squat
(n=9)
%Δ (ES)
FFM (Kg)
Pre
64.9 ± 12.3
1.4%
(0.10)
62.6 ± 10.6
2.2%
(0.15)
62.4 ± 4.8
1.9%
(0.13)
Post
65.8 ± 13.2
64.0 ± 10.4
63.6 ± 4.9
FFM (%)
Pre
81.6±8.4
-0.5%
(0.06)
79.8±8.7
-0.5%
(0.06)
83.4±8.7
-0.5%
(0.06)
Post
81.1±9.0
79.3±8.4
82.9±9.2
FM (Kg)
Pre
15.6±9.9
5.1%
(0.08)
17.4±11.4
4.6%
(0.09)
13.3±9.0
5.3%
(0.08)
Post
16.4±11.2
18.3±11.5
14.1±9.8
FM (%)
Pre
18.4±8.4
0.4%
(0.05)
20.2±8.7
0.5%
(0.06)
16.6±8.7
0.5%
(0.06)
Post
18.8±9.0
20.7±8.4
17.1±9.2
Body Mass (Kg)
Pre
80.6±18.2
2.1%
(0.10)
80.0±20.5
2.8%
(0.14)
75.7±10.9
2.5%
(0.12)
Post
82.2±19.8
82.3±20.4
77.7±11.4
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Table 2: Strength and Power
Variables
Time
Leg Press
(n=9)
Δ (ES)
Squat
(n=8)
Δ (ES)
Leg Press +
Squat
(n=9)
Δ (ES)
Squat (Kg)
Pre
121.0±23.7
7.9%
(0.37)
109.7±32.0
31.5% *
(1.35)
124.0±22.1
19.8% *
(0.95)
Post
130.6±29.8
144.3±38.5
148.5±16.8
Leg Press
(Kg)
Pre
188.6±45.1
34.2%
(1.45)
202.5±54.3
34.0%
(1.50)
220.9±37.3
31.1%
(1.49)
Post
255.0±73.5
271.3±94.8
289.6±40.5
Power (cm)
Pre
61.5±8.6
3.3%
(0.24)
57.4±8.4
8.9%
(0.62)
62.0±7.9
6.5%
(0.49)
Post
63.5±11.4
62.5±9.9
66.0±7.6
* = Significantly different compared to the leg press group.
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Table 3: Balance
Variables
Time
Leg Press
(n=9)
%Δ
(ES)
Squat
(n=8)
%Δ
(ES)
Leg Press +
Squat
(n=9)
%Δ(ES)
Left Anterior
Pre
60.2 ± 7.7
7.3%
(0.60)
63.6 ± 7.8
1.4%
(0.13)
66.4 ± 5.7
10.2%
(0.93)
Post
64.6 ± 3.5
64.5 ± 4.4
73.2 ± 7.0
Left
Posteriolateral
Pre
65.5 ± 12.6
10.4%
(0.61)
69.0 ± 9.9
5.8%
(0.36)
75.0 ± 9.5
12.1%
(0.83)
Post
72.3 ± 8.1
73.0 ± 9.6
84.1 ± 9.3
Left
Posteriomedial
Pre
61.8 ± 12.0
11.0%
(0.66)
63.6 ± 9.3
12.1%
(0.75)
69.0 ± 8.4
14.1%
(0.95)
Post
68.6 ± 9.9
71.3 ± 8.7
78.7 ± 10.4
Left Sum
Pre
187.5 ± 29.9
9.5%
(0.68)
196.2 ± 25.8
6.4%
(0.48)
210.3 ± 19.2
12.2%
(0.98)
Post
205.4 ± 18.9
208.8 ± 20.3
236.0 ± 24.0
Right Anterior
Pre
56.9 ± 6.5
7.2%
(0.56)
64.6 ± 9.0
0.3%
(0.03)
64.2 ± 4.0
8.1%
(0.69)
Post
61.0 ± 2.2
64.8 ± 2.3
69.4 ± 4.9
Right
Posteriolateral
Pre
60.4 ± 11.6
14.7%
(0.85)
69.5 ± 10.3
8.5%
(0.56)
72.6 ± 5.8
10.5%
(0.71)
Post
69.3 ± 6.8
75.4 ± 8.2
80.1 ± 6.4
Right
Posteriomedial
Pre
55.3 ± 12.2
14.3%
(0.82)
62.3 ± 9.7
5.9%
(0.38)
62.7 ± 4.5
16.6%
(1.08)
Post
63.2 ± 10.8
66.0 ± 8.2
73.1 ± 8.1
Right Sum
Pre
172.5 ± 27.5
12.2%
(0.83)
196.4 ± 26.6
4.9%
(0.39)
199.5 ± 12.0
11.6%
(0.9
Post
193.5 ± 18.5
206.1 ± 16.1
222.6 ± 16.5
Scores reported as normalized % of leg length
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-10
-5
0
5
10
15
20
25
Anterior Anteriolateral Lateral Posteriolateral Posterior Posteriomedial Medial Anteriomedial Sum
Left Right
**
**
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