Which leg exercise you choose matters: leg extensions grow the front thigh muscle more, squats grow the lower outer thigh more and make you stronger at squats—but both help you get stronger at leg extensions.
Scientific Claim
Exercise selection—specifically back squat versus leg extension—significantly influences regional muscle hypertrophy and strength adaptations in untrained young women over an 8-week period, with leg extensions favoring rectus femoris growth and back squats favoring distal vastus lateralis growth and squat-specific strength gains.
Original Statement
“Based on our results, the leg extension induce greater rectus femoris hypertrophy, while the back squat promotes greater vastus lateralis hypertrophy, particularly at the distal site. The back squat training seems to be more effective for increasing squat strength, but both exercises are likely similarly effective for increasing leg extension strength.”
Evidence Quality Assessment
Claim Status
appropriately stated
Study Design Support
Design supports claim
Appropriate Language Strength
probability
Can suggest probability/likelihood
Assessment Explanation
The abstract uses definitive language ('induce', 'promotes', 'more effective'), but given the lack of blinding confirmation, probabilistic language ('likely', 'seems to') is more appropriate under conservative EBM standards.
More Accurate Statement
“Exercise selection—specifically back squat versus leg extension—likely significantly influences regional muscle hypertrophy and strength adaptations in untrained young women over an 8-week period, with leg extensions likely favoring rectus femoris growth and back squats likely favoring distal vastus lateralis growth and squat-specific strength gains.”
Evidence from Studies
Supporting (1)
Comparison of Muscle Hypertrophy and Strength Adaptations Induced by Back Squat and Leg Extension Resistance Exercises.
This study found that doing leg extensions makes the front thigh muscle (rectus femoris) grow more, while doing squats makes the lower part of the outer thigh muscle (vastus lateralis) grow more and makes you stronger at squats specifically.