Sports Medicine: Just the Facts

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CHAPTER 93 • WEIGHTLIFTING 545


  • The overload principle states that when a muscle is
    exposed to a stress or load that is greater than what it
    usually experiences, it will adapt so that it is able to
    handle the greater load (Lorenz and Campello, 2001;
    Wathen and Roll, 1994; Kraemer et al, 2002).

  • Similarly, the SAID principle (specific adaptations to
    imposed demands) states that a muscle or body tissue
    will adapt to the specific demands imposed on it. For
    example, if a muscle is overloaded its fibers will grow
    in size so it is able to produce enough force to over-
    come the imposed load (Lorenz and Campello, 2001;
    Wathen and Roll, 1994).

  • Observed strength gains within the first few weeks of
    a weightlifting program are mostly due to neuromus-
    cular adaptations (Deschenes and Kraemer, 2002). As
    exercise intensity increases and muscles begin to
    fatigue, the nervous system recruits larger motor units
    with higher frequencies of stimulation to provide the
    force necessary to overcome the imposed resistance
    (Lorenz and Campello, 2001).

  • Early strength gains and increased muscle tension
    production from training result from a more efficient
    neural recruitment process as well as more densely
    packed muscle filaments within the skeletal muscle
    (Narci et al, 1996).


MUSCLE HYPERTROPHY



  • Human muscle hypertrophy occurs when the cross-
    sectional area of a muscle group increases (Narci et al,
    1996; Conroy and Earle, 1994). As a skeletal muscle
    hypertrophies contractile proteins are synthesized
    (Deschenes and Kraemer, 2002) and is therefore
    capable of producing more force.
    •Type IIA fibers exhibit the greatest growth while
    types IIB and I exhibit the least amount of growth in
    response to resistance training (Deschenes and Kraemer,
    2002). Muscle hypertrophy is more common in fast
    twitch than slow twitch muscles.

  • Strength training leads to muscle hypertrophy,
    increasing muscle mass (Narci et al, 1996).

  • Muscle hypertrophy is typically observed with resist-
    ance training after 6–7 weeks of strength training
    (Kraemer et al, 2002; Deschenes and Kraemer, 2002).

  • There appears to be a gender difference in the rate at
    which muscles hypertrophy favoring males (Ivey et
    al, 2000). Additionally, females lose muscle mass
    quicker than males when detrained (Ivey et al,
    2000).

  • Resistance-trained muscles hypertrophy in order to
    adapt to greater imposed loads (Kraemer, 1994).
    Hypertrophy of individual muscle fibers contributes
    to changes in muscle cross sectional area (McCall
    et al, 1996). Muscle fiber hyperplasia does not appear


to play a role in increased muscle cross sectional area
or strength gains in resistance trained men (McCall
et al, 1996).

BASIC WEIGHTLIFTING PROGRAMS


  • There are several different weightlifting programs that
    can be customized to an individual or their strength
    training and athletic goals. An effective program bal-
    ances muscle overloading with recovery time to facil-
    itate strength gains. Sample weightlifting sets based
    on the DeLorme and DAPRE methods are presented
    in Table 93-1.


THE DELORME METHOD


  • The DeLorme method is a progressive resistance exer-
    cise program based on the overload principle
    (Deschenes and Kraemer, 2002; Stamford, 1998). This
    method is based on the 10 rep max(RM). First, a weight
    that the athlete is able to lift 10 times (with the desired
    muscle group(s)) is determined. A total of three sets of
    10 repetitions are performed per session for each muscle
    at 50, 75, and 100% of the 10 RM. The athlete is encour-
    aged to perform more than 10 repetitions during the
    third set to serve as an overload to the muscle group
    being trained. As the athlete’s 10 RM increases, so does
    the resistance in each set respectively (Table 93-1).


DAILY ADJUSTED PROGRESSIVE
RESISTANCE EXERCISE


  • The daily adjusted progressive resistance exercise
    (DAPRE) method of strength training guides the athlete
    through four sets of exercise per muscle group or other
    desired task. DAPRE guidelines provide recommenda-
    tions for when to increase resistance and how much
    added resistance is appropriate based on individual per-
    formance (Table 93-1). This method is described more
    thoroughly by Knight (Knight, 1979; 1985).


TABLE 93-1 Weight Lifting Programs
DELORME DAPRE
Set 1 50% 10 RM*×10 reps 50% 6 RM†×10 reps
Set 2 75% 10 RM ×10 reps 75% 6 RM ×6 reps
Set 3 100% 10 RM ×10 reps 100% 6 RM to failure
Set 4 — Adjusted‡weight to failure
*10 rep max =weight with which one can perform 10 consecutive
repetitions
†6 rep max =weight with which one can perform 6 consecutive
repetitions
‡Adjusted weight: Add 5 lb if >7 reps in third set; subtract 5 lb if < 5
reps in third set; no change if 5–7 reps performed in third set
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