Effect of eccentric and concentric squat exercise on quadriceps thickness and lower extremity performance in healthy young males

Background: In clinical practice, resistance training, which includes concentric and eccentric dynamic muscle movements, is widely used by physiotherapists to strengthen the quadriceps muscle. However, although eccentric training is assumed to induce greater hypertrophy compared to concentric contractions, there are also studies reporting that similar increases in muscle thickness can be seen in both eccentric and concentric training.Objective: This study aims to assess the effect of the eccentric and concentric squat exercise on quadriceps thickness, and lower extremity performance during jumping and walking in healthy young sedentary males. Methods: Participants were randomly divided into three groups: concentric exercise group (CE; n = 19), eccentric exercise group (EE; n = 13) and control group (CG; n = 16). Both exercises were performed seven days a week, for eight weeks with a gradual strength increase. The CG was not given any exercise. Ultrasound assessment of quadriceps muscle thickness, performance in Six-Minute Walk Test and vertical jump was measured. Results: Thickness of dominant side of rectus femoris (p = .008) and vastus lateralis (p = .021) differed significantly among the three groups; post hoc analysis revealed the thickness of rectus femoris in CG was significantly lower than in the CE (p = .046) and EE (p = .006) and the thickness of vastus lateralis in the EE was significantly higher than in the CG (p = .018). Six-Minute Walk Test score in the EE was significantly higher than in the CG (p = .025) and the vertical jump score in the CG significantly lower than in the EE (p = .002) and CE (p < .001). Conclusions: Eccentric and concentric training both benefits muscle hypertrophy and lower extremity functional performance. However, eccentric training also appears to offer a small advantage over concentric training.