Prue Cormie

Developing maximal neuromuscular power: Part 1 - Biological basis of maximal power production

This series of reviews focuses on the most important neuromuscular function in many sport performances, the ability to generate maximal muscular power. Part 1 focuses on the factors that affect maximal power production, while part 2, which will follow in a forthcoming edition of Sports Medicine, explores the practical application of these findings by reviewing the scientific literature relevant to the development of training programmes that most effectively enhance maximal power production. The ability of the neuromuscular system to generate maximal power is affected by a range of interrelated factors. Maximal muscular power is defined and limited by the force-velocity relationship and affected by the length-tension relationship. The ability to generate maximal power is influenced by the type of muscle action involved and, in particular, the time available to develop force, storage and utilization of elastic energy, interactions of contractile and elastic elements, potentiation of contractile and elastic filaments as well as stretch reflexes. Furthermore, maximal power production is influenced by morphological factors including fibre type contribution to whole muscle area, muscle architectural features and tendon properties as well as neural factors including motor unit recruitment, firing frequency, synchronization and intermuscular coordination. In addition, acute changes in the muscle environment (i.e. alterations resulting from fatigue, changes in hormone milieu and muscle temperature) impact the ability to generate maximal power. Resistance training has been shown to impact each of these neuromuscular factors in quite specific ways. Therefore, an understanding of the biological basis of maximal power production is essential for developing training programmes that effectively enhance maximal power production in the human.

Developing maximal neuromuscular power: part 2 - training considerations for improving maximal power production.

This series of reviews focuses on the most important neuromuscular function in many sport performances: the ability to generate maximal muscular power. Part 1, published in an earlier issue of Sports Medicine, focused on the factors that affect maximal power production while part 2 explores the practical application of these findings by reviewing the scientific literature relevant to the development of training programmes that most effectively enhance maximal power production. The ability to generate maximal power during complex motor skills is of paramount importance to successful athletic performance across many sports. A crucial issue faced by scientists and coaches is the development of effective and efficient training programmes that improve maximal power production in dynamic, multi-joint movements. Such training is referred to as ‘power training’ for the purposes of this review. Although further research is required in order to gain a deeper understanding of the optimal training techniques for maximizing power in complex, sportsspecific movements and the precise mechanisms underlying adaptation, several key conclusions can be drawn from this review. First, a fundamental relationship exists between strength and power, which dictates that an individual cannot possess a high level of power without first being relatively strong. Thus, enhancing and maintaining maximal strength is essential when considering the long-term development of power. Second, consideration of movement pattern, load and velocity specificity is essential when designing power training programmes. Ballistic, plyometric and weightlifting exercises can be used effectively as primary exercises within a power training programme that enhances maximal power. The loads applied to these exercises will depend on the specific requirements of each particular sport and the type of movement being trained. The use of ballistic exercises with loads ranging from 0% to 50% of one-repetition maximum (1RM) and/or weightlifting exercises performed with loads ranging from 50% to 90% of 1RM appears to be the most potent loading stimulus for improving maximal power in complex movements. Furthermore, plyometric exercises should involve stretch rates as well as stretch loads that are similar to those encountered in each specific sport and involve little to no external resistance. These loading conditions allow for superior transfer to performance because they require similar movement velocities to those typically encountered in sport. Third, it is vital to consider the individual athlete’s window of adaptation (i.e. the magnitude of potential for improvement) for each neuromuscular factor contributing to maximal power production when developing an effective and efficient power training programme. A training programme that focuses on the least developed factor contributing to maximal power will prompt the greatest neuromuscular adaptations and therefore result in superior performance improvements for that individual. Finally, a key consideration for the long-term development of an athlete’s maximal power production capacity is the need for an integration of numerous power training techniques. This integration allows for variation within power meso-/micro-cycles while still maintaining specificity, which is theorized to lead to the greatest long-term improvement in maximal power.

Acute Effects of Whole-Body Vibration on Muscle Activity, Strength, and Power

The purpose of this study was to investigate the effects of a single bout of whole-body vibration on isometric squat (IS) and countermovement jump (CMJ) performance. Nine moderately resistance-trained men were tested for peak force (PF) during the IS and jump height (JH) and peak power (PP) during the CMJ. Average integrated electromyography (IEMG) was measured from the vastus medialis, vastus lateralis, and biceps femoris muscles. Subjects performed the 2 treatment conditions, vibration or sham, in a randomized order. Subjects were tested for baseline performance variables in both the IS and CMJ, and were exposed to either a 30-second bout of whole-body vibration or sham intervention. Subjects were tested immediately following the vibration or sham treatment, as well as 5, 15, and 30 minutes posttreatment. Whole-body vibration resulted in a significantly higher (p ≤ 0.05) JH during the CMJ immediately following vibration, as compared with the sham condition. No significant differences were observed in CMJ PP; PF during IS or IEMG of the vastus medialis, vastus lateralis, or biceps femoris during the CMJ; or IS between vibration and sham treaments. Whole-body vibration may be a potential warm-up procedure for increasing vertical JH. Future research is warranted addressing the influence of various protocols of whole-body vibration (i.e., duration, amplitude, frequency) on athletic performance.

Adaptations in Athletic Performance after Ballistic Power versus Strength Training

PURPOSE To determine whether the magnitude of improvement in athletic performance and the mechanisms driving these adaptations differ in relatively weak individuals exposed to either ballistic power training or heavy strength training. METHODS Relatively weak men (n = 24) who could perform the back squat with proficient technique were randomized into three groups: strength training (n = 8; ST), power training (n = 8; PT), or control (n = 8). Training involved three sessions per week for 10 wk in which subjects performed back squats with 75%-90% of one-repetition maximum (1RM; ST) or maximal-effort jump squats with 0%-30% 1RM (PT). Jump and sprint performances were assessed as well as measures of the force-velocity relationship, jumping mechanics, muscle architecture, and neural drive. RESULTS Both experimental groups showed significant (P < or = 0.05) improvements in jump and sprint performances after training with no significant between-group differences evident in either jump (peak power: ST = 17.7% +/- 9.3%, PT = 17.6% +/- 4.5%) or sprint performance (40-m sprint: ST = 2.2% +/- 1.9%, PT = 3.6% +/- 2.3%). ST also displayed a significant increase in maximal strength that was significantly greater than the PT group (squat 1RM: ST = 31.2% +/- 11.3%, PT = 4.5% +/- 7.1%). The mechanisms driving these improvements included significant (P < or = 0.05) changes in the force-velocity relationship, jump mechanics, muscle architecture, and neural activation that showed a degree of specificity to the different training stimuli. CONCLUSIONS Improvements in athletic performance were similar in relatively weak individuals exposed to either ballistic power training or heavy strength training for 10 wk. These performance improvements were mediated through neuromuscular adaptations specific to the training stimulus. The ability of strength training to render similar short-term improvements in athletic performance as ballistic power training, coupled with the potential long-term benefits of improved maximal strength, makes strength training a more effective training modality for relatively weak individuals.

RELATIONSHIP BETWEEN COUNTERMOVEMENT JUMP PERFORMANCE AND MULTIJOINT ISOMETRIC AND DYNAMIC TESTS OF STRENGTH

The purpose of this investigation was to determine the relationship between countermovement vertical jump (CMJ) performance and various methods used to assess isometric and dynamic multijoint strength. Twelve NCAA Division I-AA male football and track and field athletes (age, 19.83 ± 1.40 years; height, 179.10 ± 4.56 cm; mass, 90.08 ± 14.81 kg; percentage of body fat, 11.85 ± 5.47%) participated in 2 testing sessions. The first session involved 1 repetition maximum (1RM) (kg) testing in the squat and power clean. During the second session, peak force (N), relative peak force (N·kg−1), peak power (W), relative peak power (W·kg−1), peak velocity (m·s−1), and jump height (meters) in a CMJ, and peak force and rate of force development (RFD) (N·s−1) in a maximal isometric squat (ISO squat) and maximal isometric mid-thigh pull (ISO mid-thigh) were assessed. Significant correlations (P ≤ 0.05) were found when comparing relative 1RMs (1RM/body mass), in both the squat and power clean, to relative CMJ peak power, CMJ peak velocity, and CMJ height. No significant correlations existed between the 4 measures of absolute strength, which did not account for body mass (squat 1RM, power clean 1RM, ISO squat peak force, and ISO mid-thigh peak force) when compared to CMJ peak velocity and CMJ height. In conclusion, multijoint dynamic tests of strength (squat 1RM and power clean 1RM), expressed relative to body mass, are most closely correlated with CMJ performance. These results suggest that increasing maximal strength relative to body mass can improve performance in explosive lower body movements. The squat and power clean, used in a concurrent strength and power training program, are recommended for optimizing lower body power.

Power-time, force-time, and velocity-time curve analysis of the countermovement jump: impact of training.

Cormie, P, McBride, JM, and McCaulley, GO. Power-time, force-time, and velocity-time curve analysis of the CMJ: impact of training. J Strength Cond Res 23(1): 177-186, 2009-The purpose of this investigation was to examine the impact of training on the power-, force-, and velocity-time curves of the countermovement jump (CMJ) through both cross-sectional and longitudinal comparisons. The most novel aspect of this study was the analysis of these curves for the entire movement at a sampling frequency of 386-506 Hz averaged across 30 subjects. Thirty subjects, all men, participated in this investigation and included 12 athletes and 18 untrained men. Two major comparisons were conducted: 1) an acute, cross-sectional examination comparing experienced jumpers (jump height > 0.50 m; n = 12 mens athletes) with nonjumpers (jump height < 0.50 m; n = 14 untrained men), and 2) a longitudinal examination comparing performance before and after 12 weeks of power training (training group n = 10 untrained men; control group n = 8 untrained men). Data obtained from the baseline testing session of 14 subjects involved in the longitudinal study were used for the cross-sectional examination to represent the nonjumper group. The cross-sectional examination revealed significant (p ≤ 0.05) differences between jumpers and nonjumpers in peak performance variables (i.e., peak power, force, velocity, displacement) as well as over a range of time points throughout the power-, force-, velocity-, and displacement-time curves of the CMJ. Similar results were observed in the longitudinal examination, with power training eliciting significant changes to peak performance variables as well as significant changes to the power-, force-, velocity-, and displacement-time curves over a range of time points throughout the CMJ. This study illustrates that training status not only influences the peak performance variables of the countermovement jump but also impacts the shape of the power-, force-, velocity-, and displacement-time curves throughout the movement. Because analysis of peak performance variables offers little insight into how adaptations have occurred after training, examination of the changes to the power-, force-, velocity-, and/or displacement-time curves offers a simple yet powerful monitoring technique that practitioners can use to gain insight into the precise nature and timing of adaptations to training.

Influence of Strength on Magnitude and Mechanisms of Adaptation to Power Training

PURPOSE To determine whether the magnitude of performance improvements and the mechanisms driving adaptation to ballistic power training differ between strong and weak individuals. METHODS Twenty-four men were divided into three groups on the basis of their strength level: stronger (n = 8, one-repetition maximum-to-body mass ratio (1RM/BM) = 1.97 +/- 0.08), weaker (n = 8, 1RM/BM = 1.32 +/- 0.14), or control (n = 8, 1RM/BM = 1.37 +/- 0.13). The stronger and weaker groups trained three times per week for 10 wk. During these sessions, subjects performed maximal-effort jump squats with 0%-30% 1RM. The impact of training on athletic performance was assessed using a 2-d testing battery that involved evaluation of jump and sprint performance as well as measures of the force-velocity relationship, jumping mechanics, muscle architecture, and neural drive. RESULTS Both experimental groups showed significant (P < or = 0.05) improvements in jump (stronger: peak power = 10.0 +/- 5.2 W.kg, jump height = 0.07 +/- 0.04 m; weaker: peak power = 9.1 +/- 2.3 W.kg, jump height = 0.06 +/- 0.04 m) and sprint performance after training (stronger: 40-m time = -2.2% +/- 2.0%; weaker: 40-m time = -3.6% +/- 2.3%). Effect size analyses revealed a tendency toward practically relevant differences existing between stronger and weaker individuals in the magnitude of improvements in jump performance (effect size: stronger: peak power = 1.55, jump height = 1.46; weaker: peak power = 1.03, jump height = 0.95) and especially after 5 wk of training (effect size: stronger: peak power = 1.60, jump height = 1.59; weaker: peak power = 0.95, jump height = 0.61). The mechanisms driving these improvements included significant (P < or = 0.05) changes in the force-velocity relationship, jump mechanics, and neural activation, with no changes to muscle architecture observed. CONCLUSIONS The magnitude of improvements after ballistic power training was not significantly influenced by strength level. However, the training had a tendency toward eliciting a more pronounced effect on jump performance in the stronger group. The neuromuscular and biomechanical mechanisms driving performance improvements were very similar for both strong and weak individuals.

Isometric Squat Force Output and Muscle Activity in Stable and Unstable Conditions

The purpose of this study was to assess the effect of stable vs. unstable conditions on force output and muscle activity during an isometric squat. Nine men involved in recreational resistance training participated in the investigation by completing a single testing session. Within this session subjects performed isometric squats either while standing directly on the force plate (stable condition, S) or while standing on inflatable balls placed on top of the force plate (unstable condition, U). Electromyography (EMG) was recorded during both conditions from the vastus lateralis (VL), vastus medialis (VM), biceps femoris (BF), and medial gastrocnemius (G) muscles. Results indicated peak force (PF) and rate of force development (RFD) were significantly lower, 45.6% and 40.5% respectively, in the U vs. S condition (p < 0.05). Average integrated EMG values for the VL and VM were significantly higher in the S vs. U condition. VL and VM muscle activity was 37.3% and 34.4% less in U in comparison to S. No significant differences were observed in muscle activity of the BF or G between U and S. The primary finding in this investigation is that isometric squatting in an unstable condition significantly reduces peak force, rate of force development, and agonist muscle activity with no change in antagonist or synergist muscle activity. In terms of providing a stimulus for strength gain no discernable benefit of performing a resistance exercise in an unstable condition was observed in the current study.

Can supervised exercise prevent treatment toxicity in patients with prostate cancer initiating androgen-deprivation therapy: a randomised controlled trial

To determine if supervised exercise minimises treatment toxicity in patients with prostate cancer initiating androgen‐deprivation therapy (ADT). This is the first study to date that has investigated the potential role of exercise in preventing ADT toxicity rather than recovering from established toxicities.

A multicentre year-long randomised controlled trial of exercise training targeting physical functioning in men with prostate cancer previously treated with androgen suppression and radiation from TROG 03.04 RADAR.

BACKGROUND Long-term prostate cancer (PCa) survivors are at increased risk for comorbidities and physical deconditioning. OBJECTIVE To determine the effectiveness of a year-long randomised controlled trial of exercise training in PCa survivors >5 yr postdiagnosis on physical functioning. DESIGN, SETTING, AND PARTICIPANTS Between 2010 and 2011, 100 long-term PCa survivors from Trans-Tasman Radiation Oncology Group 03.04 Randomised Androgen Deprivation and Radiotherapy previously treated with androgen-deprivation therapy and radiation therapy were randomly assigned to 6 mo of supervised exercise followed by 6 mo of a home-based maintenance programme (n=50) or printed educational material about physical activity (n=50) for 12 mo across 13 university-affiliated exercise clinics in Australia and New Zealand. INTERVENTION Supervised resistance and aerobic exercise or printed educational material about physical activity. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS The primary end point was a 400-m walk as a measure of cardiovascular fitness. Secondary end points were physical function, patient-reported outcomes, muscle strength, body composition, and biomarkers. Analysis of covariance was used to compare outcomes for groups at 6 and 12 mo adjusted for baseline values. RESULTS AND LIMITATIONS Participants undergoing supervised exercise showed improvement in cardiorespiratory fitness performance at 6 mo (-19 s [p=0.029]) and 12 mo (-13 s [p=0.028]) and better lower-body physical function across the 12-mo period (p<0.01). Supervised exercise also improved self-reported physical functioning at 6 (p=.006) and 12 mo (p=0.002), appendicular skeletal muscle at 6 mo (p=0.019), and objective measures of muscle strength at 6 and 12 mo (p<0.050). Limitations included the restricted number of participants undertaking body composition assessment, no blinding to group assignment for physical functioning measures, and inclusion of well-functioning individuals. CONCLUSIONS Supervised exercise training in long-term PCa survivors is more effective than physical activity educational material for increasing cardiorespiratory fitness, physical function, muscle strength, and self-reported physical functioning at 6 mo. Importantly, these benefits were maintained in the long term with a home-based programme with follow-up at 12 mo. CLINICAL TRIAL REGISTRY The effect of an exercise intervention on cardiovascular and metabolic risk factors in prostate cancer patients from the RADAR study, ACTRN: ACTRN12609000729224.