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Lower Limb Strength and Power as Predictors of Brain Blood Flow During Exercise

Lower Limb Muscle Strength and Power Predict Exercise-Induced Prefrontal Hemodynamic Response: An Interpretable Machine Learning Study Using fNIRS Data

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07575802
Acronym
LLSPP
Enrollment
256
Registered
2026-05-08
Start date
2025-03-01
Completion date
2025-03-15
Last updated
2026-05-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Muscle Strength, Physical Performance, Prefrontal Hemodynamics

Keywords

functional near-infrared spectroscopy, prefrontal cortex, lower-limb power, muscle strength

Brief summary

This study aims to investigate the predictive value of lower limb muscle strength and explosive power on exercise-induced prefrontal hemodynamic responses. Using an interpretable machine learning framework (GCAT-Net), the research analyzes how various physical performance indicators-such as isokinetic muscle strength, 1RM leg press, and vertical jump metrics-can predict oxygenated hemoglobin (ΔHbO) changes in the bilateral dorsolateral prefrontal cortex (DLPFC) during moderate-intensity cycling.

Interventions

OTHERStandardized Lower-Limb Physical Performance Assessment and Aerobic Exercise Task

Participants undergo a comprehensive physiological and biomechanical assessment protocol divided into three phases. First, demographic and morphological data (Age, Sex, BMI, and Body Fat %) are collected, followed by a maximal oxygen consumption (VO\_2max) test using a Bruce-modified ramp protocol on a cycle ergometer. Second, participants complete a standardized lower-limb neuromuscular battery, including isokinetic strength testing at 60°/s (peak torque for knee, hip, and ankle) via a Biodex System 4 Pro, a 1RM leg press, and explosive power assessments comprising Countermovement Jumps (CMJ), Squat Jumps (SJ), and 30m sprints. Finally, cortical hemodynamic activity is monitored using a 16-channel fNIRS system (NIRSport2) over the bilateral dorsolateral prefrontal cortex (DLPFC) during a 6-minute constant-load cycling task at 60% VO\_2max.

Sponsors

Lincoln University College
Lead SponsorOTHER
Wuhan Technical University
CollaboratorUNKNOWN

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes

Inclusion criteria

1. Healthy adults aged between 18.00 and 60.00 years. 2. Must be able to perform standardized lower-limb physical assessments, including isokinetic strength testing and explosive power tests (e.g., CMJ, SJ, and 30m sprints). 3. Capability to complete a 6-minute aerobic cycling task at a moderate intensity (60% VO\_2max). 4. Physically cleared for exercise as determined by a Physical Activity Readiness Questionnaire (PAR-Q). 5. Willingness to undergo functional near-infrared spectroscopy (fNIRS) monitoring with a Scalp Coupling Index (SCI) ≥ 0.7.

Exclusion criteria

1. History of musculoskeletal injuries to the lower limbs within the past 6 months that would impede maximum voluntary contraction (MVC) or high-intensity efforts. 2. Known cardiovascular, respiratory, or neurological conditions that contraindicate maximal exercise testing (VO\_2max ramp protocol). 3. Body Mass Index (BMI) or health status that prevents the safe completion of high-impact explosive power tests like the 30cm drop jump (RSI assessment). 4. Presence of excessive motion artifacts or poor fNIRS signal quality, specifically a Signal-to-Noise Ratio (SNR) \< 5 dB or motion artifact frame ratio ≥$ 10%.

Design outcomes

Primary

MeasureTime frameDescription
Area Under the Curve of Oxygenated Hemoglobin (Δ HbO AUC) during Aerobic ExerciseMeasured during the 6-minute constant-load cycling task (60%VO_2max), which occurs approximately 120 minutes after the start of the experimental session.Cortical hemodynamics are measured using the NIRSport2 fNIRS system over the bilateral dorsolateral prefrontal cortex (DLPFC).

Secondary

MeasureTime frameDescription
Demographic and Morphological Baseline ProfileBaseline (Minutes 0-20 of the session).Collection of foundational participant data including Age, Height (InBody H20N), Weight, BMI, and Body Fat % (InBody 770 via multi-frequency bioelectrical impedance). Resting Heart Rate (RHR) is recorded after 5 minutes of quiet rest.
Isokinetic Neuromuscular Strength BatteryPost-baseline assessment (Minutes 30-60 of the session).Evaluation of lower-limb strength using a Biodex System 4 Pro at an angular velocity of 60°/s. Metrics include peak torque for knee extension/flexion, hip extension, and ankle plantarflexion, as well as the 1RM leg press and Hamstring/Quadriceps (H:Q) ratio.
Explosive Power and Functional Performance MetricFollowing isokinetic testing (Minutes 70-90 of the session).Assessment of neuromuscular power through Countermovement Jump (CMJ), Squat Jump (SJ), Reactive Strength Index (RSI via 30cm drop jump), 30m sprint time, and standing long jump. Functional strength is measured using the Five Times Sit-to-Stand (FiveTSTS) test.
Peak Cardiorespiratory Capacity (VO_2max)Final physical assessment before the hemodynamic task (Minutes 100-120 of the session).Maximal oxygen consumption determined through a Bruce-modified ramp protocol (25 W starting load, increasing 25 W/min) on a cycle ergometer until volitional exhaustion.

Countries

Russia

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 9, 2026