Upper Versus Lower Limb Cycling Exercise With Electrical Muscle Stimulation on Perceptual Responses, Energy Feelings

March 15, 2026 updated by: Ahmed Mohamed Ahmed Abd El hady El Fahl,ph.d, MTI University

Upper Versus Lower Limb Cycling Exercise With Electrical Muscle Stimulation on Perceptual Responses, Energy Feelings in Young Adults

In comparing the two types of cycling exercises, the perceptual responses, such as perceived exertion and fatigue, as well as subjective feelings of energy, are crucial metrics. Lower limb cycling is traditionally associated with higher levels of exertion due to the larger muscle groups involved. However, when EMS is applied, both upper and lower limb cycling might exhibit altered perceptions of effort and energy levels, with EMS potentially equalizing the exertional differences. This research is significant for designing exercise programs that optimize energy expenditure and enhance performance, particularly in rehabilitative settings or for individuals looking to diversify their physical training regimens.

Study Overview

Detailed Description

Perceptual responses, such as perceived exertion and enjoyment, play a critical role in exercise adherence and overall experience. By examining the differences in these responses between upper and lower limb cycling combined with EMS, we can identify which modality might be more favorable for maintaining motivation and engagement in young adults. This demographic is particularly crucial as they transition into lifelong fitness habits. Exploring how EMS impacts these perceptual responses can provide insights into optimizing exercise regimens for enhanced user experiences, potentially leading to better adherence and improved fitness outcomes.

Study Type

Interventional

Enrollment (Actual)

120

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Cairo, Egypt, 11311
        • faculty of physical therapy ,Cairo University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Adults aged 18-45 years
  • No history of cardiovascular or musculoskeletal disorders
  • Physically active individuals with a minimum of 150 minutes of moderate exercise per week

Exclusion Criteria:

  • Current use of medications affecting muscle function
  • Pregnant or lactating individuals
  • Involvement in other structured exercise programs

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Upper Limb Cycling with EMS
Participants will perform cycling exercises using an arm ergometer combined with EMS applied to the upper limbs,Upper Limb Cycling with EMS: Participants will perform cycling exercises using an arm ergometer combined with EMS applied to the upper limbs. (Biceps, triceps, and deltoids) Jones et al., 2011
Upper Limb Cycling with EMS: Participants will perform cycling exercises using an arm ergometer combined with EMS applied to the upper limbs. (Biceps, triceps, and deltoids) Jones et al., 2011
Experimental: Lower Limb Cycling with EMS
Participants will engage in traditional cycling exercises using a stationary bike with EMS applied to the lower limbs,Lower Limb Cycling with EMS: Participants will engage in traditional cycling exercises using a stationary bike with EMS applied to the lower limbs. (Quadriceps, hamstrings, and calf muscles) Bax et al., 2005
Lower Limb Cycling with EMS: Participants will engage in traditional cycling exercises using a stationary bike with EMS applied to the lower limbs. (Quadriceps, hamstrings, and calf muscles)
Experimental: EMS upper and lower
electrical stimulation upper and lower
EMS applied to the lower limbs. (Quadriceps, hamstrings, and calf muscles) and EMS applied to the upper limbs. (Biceps, triceps, and deltoids)
No Intervention: Control group
No exercises or intervention

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Perceptual Responses
Time Frame: at baseline and at 8 weeks
Assessed using the Rate of Perceived Exertion (RPE) scale.
at baseline and at 8 weeks
Self-Perceived Energy Feeling
Time Frame: at baseline and at 8 weeks
(All participants will fill a short questionnaire (from 1 to 5 points) about their perception of energy before every training. Energy Feeling will be assessed (Evergy level, Fatigue Level, Feeling of Alertness, and Feeling of Focus for the task, valued from 1 = low energy to 5 = high energy).
at baseline and at 8 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Perception of Effort during Endurance Training
Time Frame: at baseline and at 8 weeks
(Borg Scale (6-20) will be used to collect the perception of effort during endurance training (every 5 minutes) and 15-20 minutes after each session).
at baseline and at 8 weeks
Blood lactate concentration
Time Frame: at baseline and at 8 weeks
measured using capillary puncture during submaximal and maximal incremental exercise
at baseline and at 8 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 2, 2026

Primary Completion (Actual)

March 2, 2026

Study Completion (Actual)

March 3, 2026

Study Registration Dates

First Submitted

January 30, 2026

First Submitted That Met QC Criteria

January 30, 2026

First Posted (Actual)

February 6, 2026

Study Record Updates

Last Update Posted (Actual)

March 17, 2026

Last Update Submitted That Met QC Criteria

March 15, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • IRB # 29/7/2024-2025

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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