Characteristics of motor unit recruitment in boys and men at maximal and submaximal force levels

Motor unit discharge behavior in human muscles throughout force gradation: a systematic review and meta-analysis with meta-regression

The analysis of motor unit (MU) discharge behavior provides an effective way of assembling information about the generation and control of movement. In this systematic review and meta-analysis, we identified and summarized the literature investigating MU discharge rate and discharge rate variability (CoV-ISI) during voluntary isometric contractions at various force levels. Databases were searched up to January 7, 2025, and a total of 262 studies were included. The meta-means of MU discharge rate and CoV-ISI were estimated and compared across human muscles. The influence of contraction intensity on MU discharge behavior was assessed through linear meta-regressions. At low-to-moderate forces [<60% maximal voluntary contraction (MVC)], the first dorsal interosseous, biceps brachii (BB), and forearm extensors (FEs) had the highest discharge rate, whereas the soleus had the lowest. At high force levels (>60% MVC), the tibialis anterior (TA) had the highest mean discharge rate compared with all other muscles, with the soleus maintaining the lowest. Regarding CoV-ISI results at low forces (<30% MVC), the TA had the lowest CoV-ISI values, except in comparison with the vastii. In addition, the vastii had lower CoV-ISI values than the FE, gastrocnemius medialis, and soleus. Contraction intensity was positively associated with the mean discharge rates in all muscles investigated, although some muscles showed steeper slopes than others. Similar results were observed for CoV-ISI meta-regressions, with muscle-specific differences in slope. These findings suggest potential variations in neural control strategies across muscles during force gradation, such as differences in the relative contribution of rate coding to facilitate increasing force demands.

Neuromuscular electrical stimulation producing low evoked force elicits the repeated bout effect on muscle damage markers of the elbow flexors

This study examined the repeated bout effect (RBE) on muscle damage markers following two bouts of neuromuscular electrical stimulation (NMES) in untrained individuals. Following familiarization, participants received 45 consecutive NMES to the biceps brachii at an intensity that produced low evoked force for the elbow flexors. Muscle damage markers (maximal voluntary isometric contraction [MVIC], elbow range of motion [ROM], muscle soreness via visual analogue scale [VAS] scores, pressure pain threshold [PPT], and muscle thickness) were measured before (PRE), after (POST), 1 day after (24 POST), and 2 days after (48 POST) NMES. Following 1 week of rest, procedures were replicated. Separate repeated measures two-way ANOVAs examined each measure. There were no interactions or bout main effects for MVIC or ROM. Time main effects indicated PRE MVIC was greater than POST (p ​= ​0.002) and 24-POST (p ​= ​0.024), and PRE ROM was greater than POST (p ​= ​0.036). There was no interaction for muscle thickness. Respective time and bout main effects indicated muscle thickness at PRE was less than POST (p ​= ​0.017), and second-bout muscle thickness (p ​= ​0.050) was less compared to the initial-bout. For PPT, there was an interaction (p ​= ​0.019). Initial-bout PRE PPT was less than POST (p ​= ​0.033). Initial-bout 48-POST PPT was less than second-bout 48-POST (p ​= ​0.037). There was a significant interaction for VAS (p ​= ​0.009). Initial-bout PRE VAS was less than POST (p ​= ​0.033) and 24-POST (p ​= ​0.015). Initial-bout POST and 24-POST VAS were greater than second-bout POST (p ​= ​0.023) and 24-POST (p ​= ​0.006), respectively. The results support RBE on muscle damage markers related to inflammation, but not MVIC and ROM.

Sex-related differences in motor unit firing rate and pennation angle

Motor unit firing rate (MUFR) and pennation angle were measured concurrently in males and females from submaximal to maximal intensities. Thirty participants, (16 female, 14 male) performed isometric dorsiflexion contractions at 20%, 40%, 60%, 80%, and 100% of maximal voluntary contraction (MVC). During each contraction, measures of MUFR were obtained via surface electromyography decomposition, and muscle fiber pennation angle and fascicle length were obtained via ultrasound. There was no significant interaction effect of sex and contraction intensity present for mean MUFR (p = 0.24), pennation angle (p = 0.98), or fascicle length (p = 0.81). Males had greater mean MUFR (p < 0.001), pennation angle (p = 0.02), and fascicle length (p = 0.03) compared to females. In general, mean MUFR (p < 0.001) and pennation angle (p < 0.02) increased with increasing contraction intensity; however, fascicle length (p = 0.30) was similar across contraction intensities. There were no significant relationships between mean MUFR and pennation angle for males (r = 0.18, p = 0.13) or females (r = 0.20, p = 0.09), nor between mean MUFR and fascicle length for males (r = 0.20, p = 0.10) or females (r = 0.21, p = 0.07). Although sex-related differences in MUFR, pennation angle, and fascicle length were present, there were no relationships between MUFR and the muscle properties. These results suggest that sex-related differences in mean MUFR may not be associated with the sex-related differences in the muscle architectural properties currently investigated.

Motor unit firing rates during slow and fast contractions in boys and men

BACKGROUND

Motor unit (MU) activation during maximal contractions is lower in children compared with adults. Among adults, discrete MU activation differs, depending on the rate of contraction. We investigated the effect of contraction rate on discrete MU activation in boys and men.

METHODS

Following a habituation session, 14 boys and 20 men completed two experimental sessions for knee extension and wrist flexion, in random order. Maximal voluntary isometric torque (MVIC) was determined before completing trapezoidal isometric contractions (70%MVIC) at low (10%MVIC/s) and high (35%MVIC/s) contraction rates. Surface electromyography was captured from the vastus lateralis (VL) and flexor carpi radialis (FCR) and decomposed into individual MU action potential (MUAP) trains.

RESULTS

In both groups and muscles, the initial MU firing rate (MUFR) was greater (p < 0.05) at high compared with low contraction rates. The increase in initial MUFR at the fast contraction in the VL was greater in men than boys (p < 0.05). Mean MUFR was significantly lower during fast contractions only in the FCR (p < 0.05). In both groups and muscles, the rate of decay of MUFR with increasing MUAP amplitude was less steep (p < 0.05) during fast compared with slow contractions.

CONCLUSION

In both groups and muscles, initial MUFRs, as well as MUFRs of large MUs were higher during fast compared with slow contractions. However, in the VL, the increase in initial MUFR was greater in men compared with boys. This suggests that in large muscles, men may rely more on increasing MUFR to generate torque at faster rates compared with boys.

Resistance training effects on pubertal children with a risk of developing pediatric dynapenia

PURPOSE

Many modern-day children are at risk of pediatric dynapenia (muscle weakness). We examined the effects of a 12-week resistance training (RT) program on neuromuscular function and body composition parameters in pubertal children with a risk of dynapenia.

METHODS

Twelve children (13.4 ± 0.9 y) with dynapenia performed a progressive RT program consisting of knee extension and flexion, bench press, abdominal crunch, back extension, lateral pull-down, elbow flexion, and upright row (1-2 sets of 10-15 repetitions/exercise) twice/week for 12 weeks. Outcome measures included one-repetition maximum (1-RM) strength, maximal voluntary isometric contraction (MVIC) torque, rate of torque development (RTD), electromyographic (EMG) activity, muscle thickness (MT), muscle quality (MQ) assessed by echo intensity (MQEI) of the knee extensors and specific tension of MVIC torque to thigh fat-free mass (MQST), and total and regional body and bone composition assessed by dual-energy X-ray absorptiometry. Changes in the measures before and after the 12-week RT and associations among the measures were analyzed by linear mixed models.

RESULTS

Significant (p < 0.05) increases in 1-RM (63.9 ± 4.5%), MVIC torque (16.3 ± 17.8%), MT (18.8 ± 5.5%) and MQ (MQEI: -25.9 ± 15.2%; MQST: 15.1 ± 18.8%;) were evident from pre- to post-training. Total fat-free mass (FFM) increased by 2.3 ± 3.2% from baseline (p = 0.01), but no changes (p > 0.05) in the other measures were observed. Significant (p < 0.05) associations between the changes in 1-RM and/or MVIC torque and the changes in quadriceps MT, MQEI, MQST and total body FFM were evident.

CONCLUSIONS

The 12-week RT was effective for improving neuromuscular and body composition parameters, and thereby reversed the risk of pediatric dynapenia.

Developmental changes in motor unit activity patterns: child-adult comparison using discrete motor unit analysis

Using global surface electromyography (sEMG) and the sEMG threshold it has been suggested that children activate their type-II motor unit (MU) to a lesser extent compared with adults. However, when age-related differences in discrete MU activation are examined using sEMG decomposition this phenomenon is not observed. Furthermore, findings from these studies are inconsistent and conflicting. Therefore, the purpose of this study was to examine differences in discrete MU activation of the vastus lateralis (VL) between boys and men during moderate-intensity knee extensions. Seventeen boys and 20 men completed two laboratory sessions. Following a habituation session, maximal voluntary isometric knee extension (MVIC) torque was determined before completing trapezoidal contractions at 70% MVIC. sEMG of the VL was captured and mathematically decomposed into individual MU action potential trains. Motor unit action potential amplitude (MUAPamp), recruitment threshold (RT), and MU firing rates (MUFR) were calculated. We observed that MUAPamp-RT slope was steeper in men compared with boys (p < 0.05) even after accounting for fat thickness and quadriceps muscle depth. The mean MUFR and y-intercept of the MUFR-RT relationship were significantly (p < 0.001) lower in boys than in men. The slope of the MUFR-RT relationship tended to be steeper in men, but the differences did not reach statistical significance (p = 0.056). Overall, our results suggest that neural strategies used to produce torque are different among boys and men. Such differences may be related, in part, to boys' lower MUFR and lesser ability to activate their higher-threshold MUs. Although, other factors (e.g., muscle composition) likely also play a role.

Different discrete motor-unit activation patterns in the flexor carpi radialis in boys and men

BACKGROUND

Lower activation of higher threshold (type-II) motor units (MUs) has been suggested in children compared with adults. We examined child-adult differences in discrete MU activation of the flexor carpi radialis (FCR).

METHODS

Fifteen boys (10.2 ± 1.4 years), and 17 men (25.0 ± 2.7 years) completed 2 laboratory sessions. Following a habituation session, maximal voluntary isometric wrist flexion torque (MVIC) was determined before completing trapezoidal isometric contractions at 70%MVIC. Surface electromyography was captured by Delsys Trigno Galileo sensors and decomposed into individual MU action potential trains. Recruitment threshold (RT), and MU firing rates (MUFR) were calculated.

RESULTS

MVIC was significantly greater in men (10.19 ± 1.92 Nm) than in boys (4.33 ± 1.47 Nm) (p < 0.05), but not statistically different after accounting for differences in body size. Mean MUFR was not different between boys (17.41 ± 7.83 pps) and men (17.47 ± 7.64 pps). However, the MUFR-RT slope was significantly (p < 0.05) steeper (more negative) in boys, reflecting a progressively greater decrease in MUFR with increasing RT. Additionally, boys recruited more of their MUs early in the ramped contraction.

CONCLUSION

Compared with men, boys tended to recruit their MUs earlier and at a lower percentage of MVIC. This difference in MU recruitment may explain the greater decrease in MUFR with increasing RT in boys compared with men. Overall, these findings suggest an age-related difference in the neural strategy used to develop moderate-high torque in wrist flexors, where boys recruit more of their MUs earlier in the force gradation process, possibly resulting in a narrower recruitment range.

Post-activation potentiation and potentiated motor unit firing patterns in boys and men

BACKGROUND

Post-activation potentiation (PAP) describes the enhancement of twitch torque following a conditioning contraction (CC) in skeletal muscle. In adults, PAP may be related to muscle fibre composition and is accompanied by a decrease in motor unit (MU) firing rates (MUFRs). Muscle fibre composition and/or activation is different between children and adults. This study examined PAP and MU firing patterns of the potentiated knee extensors in boys and men.

METHODS

Twenty-three boys (10.5 ± 1.3 years) and 20 men (23.1 ± 3.3 years) completed familiarization and experimental sessions. Maximal isometric evoked-twitch torque and MU firing patterns during submaximal contractions (20% and 70% maximal voluntary isometric contraction, MVIC) were recorded before and after a CC (5 s MVIC). PAP was calculated as the percent-increase in evoked-twitch torque after the CC. MU firing patterns were examined during submaximal contractions before and after the CC using Trigno Galileo surface electrodes (Delsys Inc) and decomposition algorithms (NeuroMap, Delsys Inc). MU action potential amplitudes (MUAPamp) and MUFRs were calculated for each MU and exponential MUFR-MUAPamp relationships were calculated for each participant and trial.

RESULTS

PAP was higher in men than in boys (98.3 ± 37.1% vs. 68.8 ± 18.3%, respectively; p = 0.002). Following potentiation, the rate of decay of the MUFR-MUAPamps relationship decreased in both contractions, with a greater decrease among boys during the high-intensity contractions.

CONCLUSION

Lower PAP in the boys did not coincide with smaller changes in potentiated MU firing patterns, as boys had greater reductions in MUFRs with potentiation compared with men in high-intensity contractions.

Boys-men mean-power-frequency differences in progressive exercise to exhaustion, confounded by variability and adiposity

BACKGROUND

Only scant research has compared children's mean power frequency (MPF) to adults', with a clear overview still lacking. A significant obstacle has been MPF's high variability, which this study aimed to overcome by elucidating the MPF characteristics distinguishing boys from men in progressive exhaustive exercise.

METHODS

Electromyographic (EMG) data of 20 men (23.5 ± 2.5yrs) and 17 boys (10.2 ± 1.0 yrs), who performed progressively exhausting, intermittent isometric knee extensions, were subjected to secondary MPF analysis. Participants' vastus lateralis MPF data series were transformed to third-order polynomial regressions and expressed as percentages of the peak polynomial MPF values (%MPFpeak). The resulting curves were compared at 5-% time-to-exhaustion (TTE) intervals, using repeated-measures ANOVA. Raw MPFpeak values were adiposity corrected to 0% fat and used to convert the %MPFpeak data back to absolute MPF values (Hz) for estimating muscle-level MPF.

RESULTS

No overall interaction or group effects could be shown between the %MPFpeak plots, but pairwise comparisons revealed significantly higher men's values at 50-70%TTE and lower at 100%TTE, i.e. boys' shallower MPF rise and decline. The adiposity-corrected boys' and men's composite MPF values peaked at 125.7 ± 2.5 and 166.0 ± 2.4 Hz, respectively (110.7 ± 1.7 and 122.5 ± 2.1 Hz, uncorrected), with a significant group effect (p < 0.05) and pairwise differences at all %TTE points.

CONCLUSIONS

The boys were lower than the men in both the observed and, more so, in the adiposity-corrected MPF values that presumably estimate muscle-level MPF. The boys' shallower MPF rise and decline conform to children's claimed type-II motor-unit activation and/or compositional deficits and their related known advantage in muscular endurance.

Increase in Volitional Muscle Activation from Childhood to Adulthood: A Systematic Review and Meta-analysis

INTRODUCTION

Children's maximal muscle strength is consistently lower than adults', even when normalized to body size. Lower volitional muscle activation (VA) in children is often considered one of the main reasons for age-related differences in muscular performance. However, some recent studies have reported similar VA in children and adults, bringing into question whether there is indeed an age-related increase in VA. The purpose of this review was to determine the effect of age on VA during maximal isometric contractions.

METHODS

Literature examining VA differences, using twitch interpolation in children (7-14 yr) and adults (16-28 yr), was systematically reviewed. Of the 1915 studies initially identified, 19 data sets were eligible for inclusion in the qualitative analysis and 14 in the quantitative meta-analysis (comprising 207 children and 193 adults).

RESULTS

Significantly lower VA in children was reported in 9/19 (47%) studies. A random-effects meta-analysis found a strong effect of age on VA, supporting lower VA in children compared with adults (Hedges' g = 1.55; confidence interval: 0.9-2.13). Moderator analysis included muscle group, sex, children's age, stimulation number (singlet, multiple), type (electric, magnetic), and location (muscle, nerve), of which only muscle group was significant (P < 0.001). A significant Egger's regression test and asymmetrical funnel plot suggest that publication bias may be present.

CONCLUSIONS

Overall, these findings suggest that compared with adults, children activate their motor-unit pool less compared with adults. Moreover, that the degree of VA increase with age may be influenced by the muscle examined (upper vs lower extremity). However, more research is needed to elucidate the influence of this possible factor, as the current review contains limited data from upper body muscles. The developmental mechanism responsible for children's lower VA requires further research.

Comparisons of muscle strength, size, and voluntary activation in pre- and post-pubescent males and females

PURPOSE

The purpose of this study was to compare measurements of muscle strength, size, and activation of the forearm flexors in pre- and post-pubescent males and females.

METHODS

Forty pre-pubescent (mean ± 95% confidence interval, age = 9.79 ± 0.35 years, n = 10 males, n = 10 females) and post-pubescent (age = 17.23 ± 0.58 years, n = 10 males, n = 10 females) youth participated. Subjects completed maximal voluntary isometric contractions (MVICs) of the forearm flexors, and submaximal isometric step muscle actions at 30, 50, and 70% of the peak MVIC. Percent voluntary activation (VA) was quantified during all isometric muscle actions. Forearm flexor (biceps brachii and brachialis) muscle cross-sectional area (CSA) was quantified from ultrasound images.

RESULTS

MVIC strength was expressed in absolute terms and normalized to CSA. Post-pubertal males were 130% stronger, had 101% greater CSA, and 17% greater maximal VA than pre-pubertal males, while post-pubertal females were 72% stronger, had 54% greater CSA, and 23% greater maximal VA than pre-pubertal females. When MVIC strength was normalized to CSA, the post-pubertal males were still 15% stronger than the pre-pubertal males, while the post-pubertal females were only 12% stronger than the pre-pubertal females. The responses for VA across intensity reflected differences in muscle activation strategies between pre- and post-pubertal males and females.

CONCLUSION

These results suggest that muscle size may account for a greater proportion of the growth and development-related differences in strength among males, while females may be more affected by changes in muscle activation. Regardless of sex, changes in muscle size and neuromuscular function influence strength increases during growth and development.

Differential Changed Excitability of Spinal Motor Neurons Innervating Tibialis Anterior and Peroneus Muscles Cause Foot Inversion After Stroke

Objective: To study differential post-stroke changes of excitability of spinal motor neurons innervating a group of antagonist muscles of ankle and their effects on foot inversion.

Methods: F waves in tibialis anterior (TA) and peroneus muscles (PN) were recorded. The condition of spasticity and foot inversion in stroke patients were also evaluated. The differences of F wave parameters between patients and healthy controls (HC), as well as TA and PN, were investigated.

Results: There were natural differences in the persistence of the F waves (Fp) and F/M amplitude ratio (F/M) between TA and PN in HC. Stroke patients showed significantly higher F/M in TA and PN, while there was no difference in Fp comparing to HC. The natural differences in F wave parameters between TA and PN were differentially retained after stroke. The natural difference of the two muscles in Fp remained unchanged and the F/M difference disappeared in those without spasticity or foot inversion, while the Fp difference disappeared and the F/M difference remained in those with spasticity or foot inversion.

Conclusion: Based on the natural difference of the number and size of spinal motor neurons innervating TA and PN, their excitability may change differently according to the severity of the stroke, which may be the reason of foot inversion.

Comparing the torque- and power-velocity relationships between children and adolescents during isokinetic leg extension muscle actions

The purpose of this study was to use polynomial regression analyses to examine the torque- and power-velocity relationships and calculate and compare the vertices of these nonlinear models, and how they relate to measurements of muscle size and maximal strength, between male and female children and adolescents during maximal isokinetic leg extension muscle actions. Sixteen children (n = 8 males, n = 8 females) and 22 adolescents (n = 11 males, n = 11 females) participated in this study. Measurements of growth included age, maturity offset, height, body mass, fat-free mass, and quadriceps femoris muscle cross-sectional area (CSA). Participants completed maximal voluntary isometric contractions (MVICs) of the leg extensors and maximal voluntary isokinetic leg extensions at 60, 120, 180, 240, and 300°·s^-1. Variables calculated during all leg extension muscle actions included peak torque (PT, Nm) and mean power (MP, W). Polynomial regression analyses determined the model of best fit for the PT- and MP-velocity relationships. For each participant, the vertex from the PT- and MP-velocity quadratic models were quantified as the predicted maximum velocity of last measurable torque (V_PT) and the predicted velocity of maximum mean power (V_MP), respectively. Measurements of growth, PT and MP at all velocities, V_PT, and V_MP were greater in the adolescents than children. When normalized to CSA, V_PT and V_MP remained greater for adolescents than children, and exhibited low to very high relationships with measurements of growth. When normalized to MVIC strength, V_PT and V_MP were no longer different between children and adolescents and exhibited negligible to low relationships with measurements of growth. The results of the present study suggest that the ability to produce torque and power at high velocities may be more dependent on muscle strength than muscle size, which suggests that mechanisms other than muscular hypertrophy affect torque and power production at high velocities in young males and females.

Non-invasive assessment of motor unit activation in relation to motor neuron level and lesion location in stroke and spinal muscular atrophy

BACKGROUND

Neuromuscular disorders e.g. spinal muscular atrophy and stroke have a negative impact on functional movement capability. These disorders affect lower and upper motor neurons respectively.

METHODS

In this study high spatial resolution electromyography was used to record the motor unit activity in 3 groups: healthy subjects, a spinal muscular atrophy group and a stroke group. 7 clinically sensitive parameters were used to analyze the activation patterns of a few motor units.

FINDINGS

In the case of spinal muscular atrophy there was no effect on motor unit activation but on their number. Stroke was characterized by fewer active motor units and a significantly reduced firing rate with low variability.

INTERPRETATION

The results suggest, that for stroke, information from the brain is modified thereby resulting in motor units firing at their natural frequency. Thus, high spatial resolution electromyography and the chosen parameters facilitate non-invasive, objective differentiation and analysis of the activation patterns of motor units in neuromuscular disorders.

Differences in the firing rate versus recruitment threshold relationships of the vastus lateralis in children ages 7-10 years and adults

Motor unit (MU) firing rates of the vastus lateralis in children and adults were examined. Seven healthy adult males (mean ± SD, age = 21 ± 2.6 yrs) and six healthy male children (mean ± SD age = 8.8 ± 1.7) volunteered. Surface electromyography (EMG) signals were recorded from 20% and 60% maximal voluntary contractions (MVC). Surface EMG signals were decomposed into firing events of individual MUs and slopes and y-intercepts were calculated for the mean firing rate (MFR, pps) at steady torque vs. recruitment thresholds (RT) relationships for each subject. Muscle cross-sectional area (mCSA) was measured, via ultrasonography, with specific torque calculated (MVC/mCSA). Adults possessed greater mCSA (p = .002; children = 11.5 ± 2.1 cm²; adults = 31.80 ± 12.15 cm²) and greater specific torque (p = .018; children = 4.63 ± 1.4 Nm/cm²; adults = 7.1 ± 1.8 Nm/cm²) compared to children. The y-intercepts were significantly (p < .001) greater during the 60% (28.91 ± 4.56 pps) than the 20% MVC (23.5 ± 4.9 pps) collapsed across groups while the children had significantly (p = .036) lower y-intercepts (23.9 ± 5.4 pps) than the adults (28.2 ± 4.8 pps) when collapsed across intensities. Slopes of the MFR vs RT relationships were greater for the 60% (-0.342 ± 0.127 pps/%MVC) contraction than the 20% (-0.50 ± 0.159 pps/%MVC) MVC when collapsed across groups. Adults had greater firing rates regardless of recruitment threshold than children. This may be due to lower recruitment potential and overall excitation to the motoneuron pool of children as indicated with differences in specific torque and/or differences in antagonist co-activation.

Peak Torque Explains More Unique Variability in Growth Measurements than Rate of Torque Development in Young Boys and Girls

Gillen, ZM, Shoemaker, ME, McKay, BD, Bohannon, NA, Gibson, SM, and Cramer, JT. Peak torque explains more unique variability in growth measurements than rate of torque development in young boys and girls. J Strength Cond Res 34(9): 2507-2514, 2020-This study reported test-retest reliability and evaluated collinearity for isometric leg extension and flexion peak torque (PT) and rate of torque development (RTD) in young boys and girls. Measurements of growth included height, body mass, fat-free mass, maturity offset, and leg extensor and flexor muscle cross-sectional area. Maximal isometric contractions quantified PT and RTD. Intraclass correlation coefficients (ICCs), SEM, coefficients of variation, and minimum detectable changes quantified test-retest reliability. Zero-order correlations and first-order partial correlations evaluated collinearity. Peak torque from leg extension and flexion exhibited ICCs ≥ 0.90, RTD from leg extension and flexion exhibited ICCs ≥ 0.38. Partialing out leg flexion PT reduced the relationships between leg extension PT and growth (rPText, growth.PTflex = 0.392-0.605). Partialing out leg extension PT eliminated the relationships between leg flexion PT and growth (rPTflex, growth.PText = 0.098-0.263). Partialing out leg extension RTD reduced the relationships between PT and growth (rPText, growth.RTDext = 0.516-0.775). Partialing out leg extension PT eliminated the relationships between RTD and growth (|rRTDext, growth.PText| = 0.001-0.148). Leg extension PT was more reliable and explained the most unique variability in growth among young boys and girls. In contrast, RTD was less reliable and was fully accounted for by PT, indicating that RTD may be an unnecessary measurement in studies of young boys and girls.