Introduction
Sport climbing, a highly technical activity, places significant stress on the forearm flexors. Extensive research has emphasized the critical role of maximal finger-flexor strength and endurance as reliable predictors of climbing ability (Langer et al.
2023; Stien et al.
2022). Notably, research has shown that climbing-specific tests, including both whole-body climbing and isolated finger-flexor tests, demonstrate high predictability for sport climbing performance (Baláš et al.
2021). Various tests involving continuous and intermittent finger-flexor contractions at different intensities have been proposed (Fryer et al.
2015; Limonta et al.
2016; Michailov et al.
2018; Vigouroux and Quaine
2006). Despite efforts to explore the metabolic contributions of sustained and intermittent contractions (Maciejczyk et al.
2022), these tests face limitations in their transferability to prescribing training intensity, as they do not allow for the determination of intensities in metabolic steady and non-steady states.
Understanding maximal exercise intensity steady state is an important threshold concept in exercise performance. The concept of critical power (CP) directly addresses this exercise state defined as the highest exercise intensity that can be sustained for a significant duration of time or physiologically as the highest metabolic rate that can be maintained by supplied oxygen (O
2) consumption (Poole et al.
2016). Recent developments in climbing research have introduced the concept of critical force (CF) as a metabolic threshold between steady and non-steady state conditions, and an extension of the CP paradigm for sport climbing (Baláš et al.
2022; Giles et al.
2019,
2021). The application of multisession three tasks to failure and the 4 min all-out test has been employed to determine CF on a hangboard (Giles et al.
2019,
2021). In addition, exhaustive climbs at varying wall angles aimed to establish the critical angle as a parallel concept to CP (Baláš et al.
2022). Climbers performing the ascent 2° under critical angle sustained the task for 20 min with moderate perceived exertion, while those climbing 2° above critical angle failed approximately 16 min with higher perceived exertion. Notably, these validations have not been conducted for CF determined from hangboard tests, with only criterion validity against self-reported climbing ability reported. Given the integral role of hangboard training in climbing-specific strength training (Levernier and Laffaye
2019; Medernach et al.
2015), the prescription of appropriate intensity based on a simple diagnostic like the 4 min all-out test becomes crucial. Therefore, the determination of whether CF from the all-out test represents a boundary between localized steady and non-steady conditions is yet to be elucidated.
The 3 min all-out substitute for conventional CP determination was first introduced by Burnley et al. (
2006) providing valid estimate of the maximal steady state in cycling. Most participants managed to complete 30 min of exercise at 15 W below the end-test power. In contrast, exercising at 15 W above the end-test power, blood lactate and O
2 uptake rose inexorably until exhaustion, which occurred in approximately 13 ± 7 min. At a localized level, intermittent handgrip contractions at 15% and 30% under CF from the 5 min all-out test were sustained for 15 min, maintaining an apparent steady state of muscle-O
2 saturation (StO
2) (Hammer et al.
2020). Conversely, contractions at 15% and 30% above the CF led to time failure in 602 s and 342 s, respectively, accompanied by a progressive drop in StO
2 (Hammer et al.
2020). However, conflicting research suggests that the 3 min all-out test either fails to provide accurate estimates of CP (Kalva et al.
2017), with a general tendency to overestimates (Bartram et al.
2017; Karsten et al.
2014). The reason for this discrepancy, likely rooted in the impossibility of sustaining maximal effort for extended periods (Dotan
2022), remains unexplored. Recent discussions ponder whether the CP concept reflects the upper boundary of metabolic steady state (Jones et al.
2019) or if it represents a distinct entity, deviating from the original theory that CP is the highest work rate sustainable without fatigue for an extended duration (Dotan
2022).
The boundary between the heavy and severe exercise intensity domain is considered to represent the transition between sustainable and unsustainable exercise intensity. Various concepts like maximal lactate steady state, respiratory compensation point, deoxy [heme] and StO
2 localized threshold, and CP serve as markers for this transition. While these concepts share mechanistic principles, their alignment is often lacking. The proposed gray zone (Ozkaya et al.
2022) addresses the gap between commonly used maximal intensity thresholds with CP at the top end and maximal lactate steady state at the bottom end. While these thresholds all are correlated (Caen et al.
2022), they are not interchangeable. To address the boundary between sustainable and unsustainable exercise intensity in climbing-specific conditions, systemic variables (maximal lactate steady state, respiratory compensation point) have not proved valid (Baláš et al.
2021), and assessing localized muscle-O
2 supply and metabolic O
2 demands using NIRS (Hammer et al.
2020; Kirby et al.
2021) appears to be the only method to delineate forearm exercise intensity except for CF.
The use of the all-out test to determine CF of finger flexors in climbing is appealing due to its simplicity, however, this test differs from previous forearm all-out tests (Hammer et al.
2020; Kellawan and Tschakovsky
2014) by incorporating longer static contractions in the work:relief cycles and involving upper limb positions overhead, which may limit blood flow and O
2 delivery. Moreover, during repeated 7 s contractions, fatigue associated with partial vascular occlusion may lead to a continuous drop in applied force within each contraction (Sadamoto et al.
1983), and the mean end-force might not represent the best estimate of CF.
Therefore, the study aimed to verify the concept of CF for finger flexors determined from the 4 min all-out test as a boundary for highest sustainable work intensity in sport climbers. In addition, the study seeks to explore, whether NIRS derived muscle oxygenation is useful in delineating this boundary. We hypothesized that CF, determined as the mean force from the last three contractions of the 4 min all-out test, overestimates the highest sustainable intensity in sport climbers. Furthermore, we expected that muscle-O2 dynamics would clearly delineate sustainable and non-sustainable exercise intensities of finger flexors.
Discussion
The study reveals several key findings: 1) CF determined as the mean force from the last three contractions of the 4 min all-out test fails to predict the highest sustainable work rate of forearm flexors; 2) CFmin determined as the end-force of the last three contractions shows a stronger correlation with sustainable work rate and better predicts sport climbing ability; 3) the initial-StO2 rate during the all-out test is closely related to CF and inversely related to the fatigue index; 4) mean values or delayed slope of StO2 are not sensitive enough to discriminate intermittent finger-flexor contractions at intensities ranging from ~ 0–40% below CF in a sport-specific setting.
Despite the widespread use of the 4 min all-out test, our study does not support its predictive validity for sustainable exercise intensity, aligning with current research trends (Bartram et al.
2017; Bergstrom et al.
2013; Karsten et al.
2014). Research indicates that exercises at CP /speed intensity typically last from 15 to 25 min, occasionally extending to 45–60 min (Dotan
2022; Jones et al.
2019). In our study, the mean exercise time to exhaustion at CF was ~ 7 min. However, Jones et al. (
2019) discourage the verification of the CP concept by exercising at CP intensity due to potential reliability errors in CP determination. Therefore, we employed four intensities at and below CF, using 2 kg as minimal, practically distinguishing intensity steps to monitor exercise sustainability, RPE, and muscle-O
2 dynamics. This choice was based on previous reliability data for the forearm flexor 4 min all-out test (Giles et al.
2021; McClean et al.
2023).
Initially, Giles et al. (
2021) reported excellent test–retest reliability (ICC = 0.96, limits of agreement = −2.45 to 2.4 kg) for a small sample size. However, a recent study by McClean et al. (
2023) with a similar population to ours, revealed lower consistency (ICC = 0.848, CV = 21%) The precision of the test for determining CF was questioned due to significant interindividual variability in the latter study. The only divergence from the initial Giles et al. study (
2021) was the allowance of lowering the arm during relief periods, similar to our study, enhancing blood flow, muscle-O
2 recovery, and performance (Baláš et al.
2016). This modification likely increased CF during the all-out test, however, the effect on reliability is not obvious. The high-interindividual variability in determining CF may be attributed to low hangboarding experience in participants with substantial test–retest CF variability. Familiarization with the exhaustive protocol seems necessary for obtaining reliable data. Although all participants in our study were familiar with the all-out test, we acknowledge the potential reliability error in data interpretation. Considering an ICC of 0.848 and an SD of CF in our sample (SD = 5.7 kg), the standard error of measurement is 2.2 kg, implying that the all-out test may over- or underestimate CF with this value within ~ 68% of the population.
Our results reveal no underestimation of CF. The participant who completed the 720 s CF trial was nearly exhausted at the end. Even considering the reliability error, the intensity of CF −4 kg should be sustainable for nearly all participants, yet only 69% completed the 720 s trial, and the mean RPE was only slightly lower than during the CF trial (18.3 vs 16.3). A significant drop in RPE was observed at CF −6 kg (RPE = 13.8). RPE is generally lower for localized than for whole-body exercise, and research indicates the RPE for the transition between sustainable and non-sustainable climbing to be ~ 14 on the 6–20 scale (Baláš et al.
2022). This suggests that CF, calculated as the mean force from the end of the test, overestimates CF as an indicator of the transition between sustainable and non-sustainable hangboard exercise. Our findings contradict previous forearm studies using the 10 min and 5 min all-out tests to determine CF, which clearly distinguished sustainable and non-sustainable tasks (Hammer et al.
2020; Kellawan and Tschakovsky
2014).
The length of the all-out protocol, particularly the ratio of work-relief cycles, may contribute to these discrepancies. Previous studies utilized short isometric contractions with 1:2 s and 1.5:1.5 s work:relief cycles, respectively (Hammer et al.
2020; Kellawan and Tschakovsky
2014). In such short contractions, there is no force decrease within a contraction, and blood flow restriction is likely smaller compared to longer contraction as showed previously (Broxterman et al.
2014). Partial vascular occlusion begins at ~ 20% of MVC, while full blood occlusion is observed at ~ 50–75% of MVC during handgrip sustained contractions (Barnes
1980; Bergua et al.
2020). Consequently, O
2 delivery is highly limited during all-out contractions and predominantly occurs in the short relief periods between contractions.
The primary limitation of intermittent hangboard performance appears to be O
2 delivery rather than O
2 extraction, as suggested in handgrip exercise with varying work:relief cycles and intensities (Broxterman et al.
2014; Hammer et al.
2020). Enhanced O
2 extraction likely compensates for reduced O
2 delivery even during low-intensity exercise, explaining the lack of significant differences in StO
2 dynamics between all-out tests and verification trials with decreasing intensity in our study. For instance, the StO
2-delayed slope could not distinguish exhaustive from non-exhaustive trials. Arm movement during relief periods was allowed, and participants, with fatigue, could instinctively change their grip and arm position, affecting forearm flexor involvement (Schweizer and Hudek
2011). These factors are inherent in real climbing conditions and challenging to control even in a standardized setting. Consequently, we observed more or less pronounced waves during the StO
2-delayed slope (Fig.
2), making the interpretation of StO
2 data less straightforward. Moreover, the placement of optodes on small forearm muscles may pose an additional challenge compared to voluminous muscles like the vastus lateralis, and even slight rotations of forearm muscles may alter muscle architecture under optodes and StO
2 responses.
Although StO
2 end did not differ between all-out tests and exhaustive verification trials at CF, suggesting that the lowest StO
2 values can predict exhaustion, caution should be exercised due to large intraindividual variability. This is likely attributed to the low reliability of StO
2 end during exhaustive forearm flexor tasks (ICC = 0.437, CV = 23.5%) (Baláš et al.
2018). On the other hand, there was a consistent increase in StO
2 end from CF to CF−6 kg trials, reaching statistical and practical significance at CF−6 kg (+ 6.6% StO2
end increase). CF−6 kg might represent a group threshold for sustainable and non-sustainable exercise based on O
2 dynamics. However, individual increases of StO
2 end are not as evident as the whole group means. In summary, due to numerous confounding factors, NIRS may not be sensitive enough to distinguish between steady and non-steady state conditions in climbing-specific conditions at intensities up to 40% below CF.
Another NIRS indicator, the StO
2 rate from the beginning of the all-out test, exhibited a close association with CF and an inverse relationship with the fatigue index, calculated as the percentage of force decrease during the test. The rapid decrease in StO
2 implies a higher rate of muscle-O
2 extraction, given the absence of changes in blood volume expected during the initial maximal forearm contraction overhead, leading to vascular occlusion. Faster O
2 extraction is possibly linked to increased mitochondrial respiration capacity, justifying its association with CF, even though it lacks the O
2 delivery component (Cardinale et al.
2019). Therefore, we propose considering the initial-StO
2 rate during the all-out test as an additional variable when assessing CF and localized endurance of finger flexors.
The force decrease during each contraction is another factor differing from previous handgrip all-out tests, where no decrease during short contractions was reported (Broxterman et al.
2014; Hammer et al.
2020; Kellawan and Tschakovsky
2014). We observed an ~ 8 kg-force decrease during the last three contractions. Therefore, we tested whether the end-force might better estimate sustainable intensity. It was shown that CF
min was in excellent agreement with CF
720. Moreover, it more precisely predicted lead climbing ability and was more related to StO
2 rate than CF. All this suggests that the end-force from the last contractions likely more precisely reflects the threshold between sustainable and non-sustainable isometric exercise. However, larger sample size is needed to verify this hypothesis.
RFD significantly decreases during the all-out test, with the initial RFD dropping to half of its values by the end. While this information was not initially part of the objectives and was analyzed to monitor the length and course of each contraction, it is interesting to note. Although not presented, the drop in RFD was not associated with any O
2 dynamics variables, and due to the low sample size, no assessment of the effect of training status or ability could be performed. Both RFD and force variation during contraction have been linked to specific forearm muscle adaptations in boulder and lead climbers (Fanchini et al.
2013; Limonta et al.
2016). Therefore, these parameters may be further explored to assess neuromuscular fatigue in various ability groups of climbers.
Several limitations and strengths need to be acknowledged. First, the recruited sample size was limited, raising questions about the generalizability of the findings. In addition, testing was conducted throughout different menstrual cycles in two female climbers, which may have contributed to higher variability in strength outcomes (Weidauer et al.
2020). However, within this heterogeneous group of climbers, both time to exhaustion and NIRS responses consistently indicated an overestimation of CF. Furthermore, verification trials employed an absolute load of 2 kg, representing the minimal step, resulting in a slightly varied relative individual intensity under CF for different participants. This pragmatic approach aligns with the feasibility of the study and common practices in hangboard training, where intensity is adjusted by adding or subtracting free weight (Torr et al.
2022). The handgrip contractions were conducted in an ecological setting, enhancing ecological validity while reducing control over all variables (Michailov et al.
2018). This may have contributed to the fluctuation of NIRS signal and reliability of the tests.
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