Evidence map›Paper›PMID 41630124›Full record

ArticleMedicine and science in sports and exercise2026

Hypertrophic Effects of Single- versus Multi-Joint Exercise: A Direct Comparison between Knee Extension and Leg Press.

Momoka Kinoshita, Sumiaki Maeo, Yuuto Kobayashi, Yuuri Eihara, Naoya Nishizawa, Yuki Kusagawa, Takashi Sugiyama, Taku Wakahara, Hiroaki Kanehisa, Tadao Isaka

Abstract readComparative Study
In one paragraph

Article in Medicine and science in sports and exercise, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Momoka KinoshitaFaculty of Sport and Health Science, Ritsumeikan University, Shiga, JAPAN.
Sumiaki MaeoFaculty of Sport and Health Science, Ritsumeikan University, Shiga, JAPAN.
Yuuto KobayashiFaculty of Sport and Health Science, Ritsumeikan University, Shiga, JAPAN.
Yuuri EiharaFaculty of Sport and Health Science, Ritsumeikan University, Shiga, JAPAN.
Naoya NishizawaFaculty of Sport and Health Science, Ritsumeikan University, Shiga, JAPAN.
Yuki KusagawaFaculty of Sport and Health Science, Ritsumeikan University, Shiga, JAPAN.
Takashi SugiyamaInstitute of Advanced Research for Sport and Health Science, Ritsumeikan University, Shiga, JAPAN.
Taku WakaharaFaculty of Health and Sports Science, Doshisha University, Kyoto, JAPAN.
Hiroaki KanehisaInstitute of Advanced Research for Sport and Health Science, Ritsumeikan University, Shiga, JAPAN.
Tadao IsakaFaculty of Sport and Health Science, Ritsumeikan University, Shiga, JAPAN.

Funding

Yamaha Motor Foundation for Sports 2023-13
6 · The paper itself

Abstract

introductionSingle-joint knee extension (KE) and multi-joint leg press (LP) are commonly used exercises to train the quadriceps femoris (QF), the largest muscle group in humans. However, their comparative effectiveness for inducing QF hypertrophy remains unclear. Furthermore, the specific muscles hypertrophied by LP are not well characterized. This study compared the hypertrophic effects of KE and LP on the QF and other lower-limb muscles.

methodsSeventeen untrained adults performed KE with one leg and LP with the contralateral leg at 70% of one-repetition maximum, 10 reps/set, 5 sets/session, 2 sessions/week for 12 wk. Magnetic resonance imaging was used to assess pre- and post-training muscle volumes of 17 individual muscles, including the four QF heads, gluteus muscles, hamstrings, and adductors.

resultsMuscle volumes of the individual and whole QF significantly increased in both conditions ( P ≤ 0.026), except for the rectus femoris in the LP condition ( P = 0.379). Rectus femoris volume gains were greater for KE than LP (+13.2% vs +1.1%, P ≤ 0.001), but gains in the vasti muscles (+5.0%-7.2% vs +4.4%-6.2%) and whole QF (+7.1% vs +4.9%) were comparable between conditions ( P ≥ 0.319). LP, but not KE, increased volumes of the gluteus maximus (+15.4%) and the adductor magnus (+6.2%) ( P ≤ 0.001). A follow-up experiment using surface electromyography showed that muscle excitation patterns during KE and LP generally mirrored the between-condition hypertrophic differences and similarities observed after the training intervention.

conclusionsLP induces significant hypertrophy in the gluteus maximus and adductor magnus while producing similar vasti and overall QF growth as KE, indicating that LP is a highly time-efficient exercise. However, KE is essential for effectively targeting the rectus femoris, which may have clinical relevance given its high susceptibility to strain injuries.

Indexed as

Knee JointQuadriceps MuscleResistance TrainingAdultFemaleHumansHypertrophyLegMagnetic Resonance ImagingMaleYoung AdultADDUCTOR MAGNUSGLUTEUS MAXIMUSQUADRICEPS FEMORIS

Identifiers

PMID41630124
PMCPMC13215645

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.