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1.
J Strength Cond Res ; 36(8): 2236-2246, 2022 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-32868678

RESUMEN

ABSTRACT: Keiner, M, Kadlubowski, B, Sander, A, Hartmann, H, and Wirth, K. Effects of 10 months of speed, functional, and traditional strength training on strength, linear sprint, change of direction, and jump performance in trained adolescent soccer players. J Strength Cond Res 36(8): 2236-2246, 2022-The current study aimed to compare the effects of plyometric and sprint vs. functional vs. strength training on linear sprint (LS 20 m), change of direction (COD; i.e., turning right and left), jump (squat jump [SJ]), and maximum strength (1 repetition maximum [1RM] for a squat) performance in elite adolescent soccer players. A longitudinal design was chosen, and 48 elite male youth were recruited. The athletes were divided into 4 groups (a traditional strength training group [STG], a plyometric and sprint training group [PSTG], a functional training group [FTG], and a control group [CG]). The intervention groups trained for 10 months with additional sessions added to their regular soccer training (4-5 sessions per week); the additional training (2 sessions a week [each about 60 minutes]) consisted of plyometric and sprint training, functional training, and traditional strength training for the PSTG, FTG, and STG, respectively. Data were analyzed using analysis of variance with repeated measurements. The effect sizes were calculated using Hedges g . This study showed significantly superior performance increases with traditional strength training compared with sprint and jump training and functional training for maximum strength (compared with all other groups g = 0.98-1.61), SJ ( g = 0.52-0.87 compared with FGT and CG; not significantly different from PSTG), COD (direction of rotation right: compared with all other groups g = 1.58-2.12; direction of rotation left: no significant differences), and 20-m LS (compared with all other groups g = 0.86-1.39) performance over time. Traditional strength training is recommended to increase strength and speed-strength variables and should therefore be given high priority in athletic training programs for elite youth soccer players.


Asunto(s)
Rendimiento Atlético , Ejercicio Pliométrico , Entrenamiento de Fuerza , Carrera , Fútbol , Adolescente , Humanos , Masculino , Fuerza Muscular
2.
J Strength Cond Res ; 35(10): 2839-2845, 2021 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-31425457

RESUMEN

ABSTRACT: Keiner, M, Wirth, K, Fuhrmann, S, Kunz, M, Hartmann, H, and Haff, GG. The influence of upper- and lower-body maximum strength on swim block start, turn, and overall swim performance in sprint swimming. J Strength Cond Res 35(10): 2839-2845, 2021-Maximum strength and speed strength are 2 major factors that determine a swimmer's performance, including swim start and turn performance, which directly impacts overall swim sprint performance. Nevertheless, data regarding the relationship between swimming performance and maximum strength are not consistent. Specifically, there are minimal data examining the relationship between maximal strength levels, start and turn performances in the scientific literature. This study was designed to determine the relationship between strength and specific markers of swim performance. Therefore, 14 moderate trained swimmers (male; 17.5 ± 1.6 years; mass: 70.2 ± 4.8 kg; height: 181.9 ± 5.7 cm) were tested for maximum strength in back squat and bench press, squat and countermovement jump performance, tethered swimming and swim performance (50- and 100-m crawl sprint, where start and turn performances were also analyzed). A multiple regression analysis was performed using the maximum strength data as predictors of 15-m start performance and swimming power. Furthermore, bivariate Pearson correlation analyses were used to assess the relationship between the strength and power variables and the swim variables. Maximum strength in the bench press and squat explained 50-65% of the performance variance in swimming power and start performance and 45-62% of the performance variance in 50-/100-m swimming performance. The results of this study demonstrated that maximum strength of the upper and lower limbs and jump height were strongly related to sprint swim performance. Therefore, maximum strength in squat and bench press should be included in strength tests, and that swimmers should incorporate lower- and upper-body strength and power training into their training schedule.


Asunto(s)
Rendimiento Atlético , Natación , Humanos , Masculino , Fuerza Muscular , Músculo Esquelético , Postura
3.
J Strength Cond Res ; 34(7): 1999-2005, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-29863590

RESUMEN

Keiner, M, Rähse, H, Wirth, K, Hartmann, H, Fries, K, and Haff, GG. Influence of maximal strength on in-water and dry-land performance in young water polo players. J Strength Cond Res 34(7): 1999-2005, 2020-Water polo is a multifaceted sport that is characterized by explosive actions, including sprint swimming, jumping, throwing, and struggling against opponents. Based on these factors, maximal and speed strength may be important characteristics to develop in-water polo players. However, more research is needed to further understand the relationship between various strength characteristics and water polo performance. Therefore, the primary purpose of this study was to examine the relationships between strength, speed strength, and markers of water polo performance in youth water polo players. Sixty-one male youth water polo players (10-14 years, 11.9 ± 1.3 years) had their 1-repetition maximum (1RM) bench press and squat, dry-land speed-strength performance (squat jump [SJ], countermovement jump [CMJ], and medicine ball throw), in-water performance (sprint swim and water jump), and anthropometric measurements assessed. Fifty to 60% of the variance in sprint performance was explained by the 1RM bench press and arm span. The influence of the bench press 1RM was more than twice that of the anthropometric factors. Maximum strength in the squat and speed-strength (jump height in SJ, CMJ) variables explained 18-25% variance in the eggbeater kick (a leg strike technique to stay above and jump out of water), and the bench press 1RM explained the 42% of the variance in loaded throws without the influence of anthropometric factors. This study suggests that upper- and lower-body maximal strength parameters are important predictors of the performance capacity of water polo players.


Asunto(s)
Rendimiento Atlético/fisiología , Fuerza Muscular/fisiología , Músculo Esquelético/fisiología , Natación/fisiología , Adolescente , Antropometría , Niño , Terapia por Ejercicio , Humanos , Masculino , Postura , Agua
4.
Sports (Basel) ; 7(5)2019 May 14.
Artículo en Inglés | MEDLINE | ID: mdl-31091766

RESUMEN

Change of direction (COD) is a performance-limiting factor in team sports. However, there are no exact definitions describing which physical abilities limit COD performance in soccer. Nevertheless, different COD tests are used or have been recommended as being equally effective in the professional practice of measuring COD performance. Therefore, the aim of this study was to evaluate the relationship between different COD tests, and to test the independence and generalizability of these COD tests in soccer. As such, 27 elite youth soccer players were randomly recruited and were tested in different COD tests (i.e., Illinois agility test (IAT), T agility test (TT), 505 agility test (505), Gewandtheitslauf (GewT), triangle test (Tri-t), and square test (SQT)). Bivariate Pearson correlation analysis was used to assess the relationships between the COD tests. The Benjamini-Hochberg method was used to control for the false discovery rate of the study at 0.05. This investigation calculated explained variances of 10% to 55% between performances in the different COD tests. This suggested that the tests covered different aspects or task-specific characteristics of the COD. Therefore, coaches and sport scientists should review and select different tests with a logical validity, based on the requirement profiles of the corresponding sport.

5.
Sports Med ; 47(3): 401-414, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-27475953

RESUMEN

Over the last two decades, exercise of the core muscles has gained major interest in professional sports. Research has focused on injury prevention and increasing athletic performance. We analyzed the guidelines for so-called functional strength training for back pain prevention and found that programs were similar to those for back pain rehabilitation; even the arguments were identical. Surprisingly, most exercise specifications have neither been tested for their effectiveness nor compared with the load specifications normally used for strength training. Analysis of the scientific literature on core stability exercises shows that adaptations in the central nervous system (voluntary activation of trunk muscles) have been used to justify exercise guidelines. Adaptations of morphological structures, important for the stability of the trunk and therefore the athlete's health, have not been adequately addressed in experimental studies or in reviews. In this article, we explain why the guidelines created for back pain rehabilitation are insufficient for strength training in professional athletes. We critically analyze common concepts such as 'selective activation' and training on unstable surfaces.


Asunto(s)
Atletas , Rendimiento Atlético , Ejercicio Físico , Músculo Esquelético/fisiología , Entrenamiento de Fuerza , Humanos
6.
J Hum Kinet ; 53: 201-210, 2016 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-28149424

RESUMEN

The aim of this study was to evaluate the effectiveness of free-weight and machine-based exercises to increase different strength and speed-strength variables. One hundred twenty male participants (age: 23.8 ± 2.5 years; body height: 181.0 ± 6.8 cm; body mass: 80.2 ± 8.9 kg) joined the study. The 2 experimental groups completed an 8 week periodized strength training program that included 2 training sessions per week. The exercises that were used in the strength training programs were the parallel barbell squat and the leg press. Before and after the training period, the 1-repetition-maximum in the barbell squat and the leg press, the squat jump, the countermovement jump and unilateral isometric force (maximal isometric force and the rate of force development) were evaluated. To compare each group pre vs. post-intervention, analysis of variance with repeated measures and Scheffé post-hoc tests were used. The leg press group increased their 1-repetition-maximum significantly (p < 0.001), while in the squat group such variables as 1-repetition-maximum, the squat jump and the countermovement jump increased significantly (p < 0.001). The maximal isometric force showed no statistically significant result for the repeated measures factor, while the rate of force development of the squat group even showed a statistically significant decrease. Differences between the 2 experimental groups were detected for the squat jump and the countermovement jump. In comparison with the leg press, the squat might be a better strength training exercise for the development of jump performance.

7.
J Strength Cond Res ; 30(5): 1205-12, 2016 May.
Artículo en Inglés | MEDLINE | ID: mdl-26439782

RESUMEN

Strength training-induced increases in speed strength seem indisputable. For trainers and athletes, the most efficient exercise selection in the phase of preparation is of interest. Therefore, this study determined how the selection of training exercise influences the development of speed strength and maximal strength during an 8-week training intervention. Seventy-eight students participated in this study (39 in the training group and 39 as controls). Both groups were divided into 2 subgroups. The first training group (squat training group [SQ]) completed an 8-week strength training protocol using the parallel squat. The second training group (leg-press training group [LP]) used the same training protocol using the leg press (45° leg press). The control group was divided in 2 subgroups as controls for the SQ or the LP. Two-factorial analyses of variance were performed using a repeated measures model for all group comparisons and comparisons between pretest and posttest results. The SQ exhibited a statistically significant (p ≤ 0.05) increase in jump performance in squat jump (SJ, 12.4%) and countermovement jump (CMJ, 12.0%). Whereas, the changes in the LP did not reach statistical significance and amounted to improvements in SJ of 3.5% and CMJ 0.5%. The differences between groups were statistically significant (p ≤ 0.05). There are also indications that the squat exercise is more effective to increase drop jump performance. Therefore, the squat exercise increased the performance in SJ, CMJ, and reactive strength index more effectively compared with the leg-press in a short-term intervention. Consequently, if the strength training aims at improving jump performance, the squat should be preferred because of the better transfer effects.


Asunto(s)
Ejercicio Físico/fisiología , Fuerza Muscular , Músculo Esquelético/fisiología , Entrenamiento de Fuerza/métodos , Adulto , Prueba de Esfuerzo , Femenino , Humanos , Pierna , Masculino , Adulto Joven
8.
Sports Med ; 45(10): 1373-86, 2015 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-26133514

RESUMEN

Dividing training objectives into consecutive phases to gain morphological adaptations (hypertrophy phase) and neural adaptations (strength and power phases) is called strength-power periodization (SPP). These phases differ in program variables (volume, intensity, and exercise choice or type) and use stepwise intensity progression and concomitant decreasing volume, converging to peak intensity (peaking phase). Undulating periodization strategies rotate these program variables in a bi-weekly, weekly, or daily fashion. The following review addresses the effects of different short-term periodization models on strength and speed-strength both with subjects of different performance levels and with competitive athletes from different sports who use a particular periodization model during off-season, pre-season, and in-season conditioning. In most periodization studies, it is obvious that the strength endurance sessions are characterized by repetition zones (12-15 repetitions) that induce muscle hypertrophy in persons with a low performance level. Strictly speaking, when examining subjects with a low training level, many periodization studies include mainly hypertrophy sessions interspersed with heavy strength/power sessions. Studies have demonstrated equal or statistically significant higher gains in maximal strength for daily undulating periodization compared with SPP in subjects with a low to moderate performance level. The relatively short intervention period and the lack of concomitant sports conditioning call into question the practical value of these findings for competitive athletes. Possibly owing to differences in mesocycle length, conditioning programs, and program variables, competitive athletes either maintained or improved strength and/or speed-strength performance by integrating daily undulating periodization and SPP during off-season, pre-season and in-season conditioning. In high-performance sports, high-repetition strength training (>15) should be avoided because it does not provide an adequate training stimulus for gains in muscle cross-sectional area and strength performance. High-volume circuit strength training performed over 2 years negatively affected the development of the power output and maximal strength of the upper extremities in professional rugby players. Indeed, meta-analyses and results with weightlifters, American Football players, and throwers confirm the necessity of the habitual use of ≥80% 1 RM: (1) to improve maximal strength during the off-season and in-season in American Football, (2) to reach peak performance in maximal strength and vertical jump power during tapering in track-and-field, and (3) to produce hypertrophy and strength improvements in advanced athletes. The integration and extent of hypertrophy strength training in in-season conditioning depend on the duration of the contest period, the frequency of the contests, and the proportion of the conditioning program. Based on the literature, 72 h between hypertrophy strength training and strength-power training should be provided to allow for adequate regeneration times and therefore maximal stimulus intensities in training. This conclusion is only valid if the muscle is not trained otherwise during this regeneration phase. Thus, rotating hypertrophy and strength-power sessions in a microcycle during the season is a viable option. Comparative studies in competitive athletes who integrated strength training during pre-season conditioning confirm a tendency for gains in explosive strength and statistically significant improvements in medicine ball throw through SPP but not through daily undulating periodization. These findings indicate that to maximize the speed-strength in the short term (peaking), elite athletes should perform strength-power training twice per week. It is possible to perform a single strength-power session with the method of maximum explosive strength actions moving high-weight loads (90% 1 repetition maximum [RM]) at least 1-2 days before competition because of the shorter regeneration times and potentiation effects. Compared with ballistic strength training (30% 1 RM), this method has been shown to provide statistically superior gains in maximal strength, peak power, impulse size, and explosive strength during tapering in track-and-field throwers. The speed-strength performance in drop jumps of strength-trained subjects showed potentiation effects 48-148 h after a single strength-power training session. Regarding neuromuscular performance, plyometric exercises can even be performed after strength-power training on the same day if a minimum rest period of 3 h is provided.


Asunto(s)
Rendimiento Atlético/fisiología , Fuerza Muscular/fisiología , Educación y Entrenamiento Físico/métodos , Adaptación Fisiológica , Conducta Competitiva/fisiología , Humanos , Entrenamiento de Fuerza/métodos , Estaciones del Año , Factores de Tiempo
9.
J Strength Cond Res ; 29(7): 1837-45, 2015 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24832973

RESUMEN

The aim of this investigation was to analyze the effects of an eccentric strength training protocol using supramaximal loads (>1 repetition maximum [1RM]) on different maximal and explosive strength parameters of the lower extremity. The eccentric maximal strength (EX max), maximal isometric strength ("maximal voluntary contraction" [MVC]), 1RM, explosive strength ("rate of force development" [RFD]), countermovement jump, and squat jump height were tested before and after a training period of 6 weeks. The training group was composed of 15 individuals with low-weight training experience and a control group of 13 subjects, also with a low-weight training experience. The lower extremities were trained 3 days per week using a 45° leg press. Each training session comprised 5 sets of 3 repetitions with a 6-minute rest between each set. The training weights were adjusted continuously during each training session and between training sessions. In each case, a load was chosen that could be lowered unilaterally in a controlled manner by the subjects. For the concentric part of the exercise, 2 investigators lifted the weight to the starting position. After 6 weeks, strength training with supramaximal loads showed a significant increase in EX max (28.2%, p < 0.001) and 1RM (31.1%, p < 0.001). The increases observed in the control group were not significant. Changes in MVC, RFD, and vertical jump heights were not significant in both groups. The results of this study suggest that in untrained subjects, unilateral eccentric strength training in the leg press generates equal and significant improvements in unilateral eccentric and bilateral eccentric-concentric maximal strength, with a nonsignificant transfer to vertical jump performances and unilateral isometric force production.


Asunto(s)
Extremidad Inferior/fisiología , Fuerza Muscular/fisiología , Entrenamiento de Fuerza/métodos , Adulto , Humanos , Masculino , Levantamiento de Peso/fisiología , Soporte de Peso/fisiología , Adulto Joven
10.
Sports Med ; 43(10): 993-1008, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23821469

RESUMEN

It has been suggested that deep squats could cause an increased injury risk of the lumbar spine and the knee joints. Avoiding deep flexion has been recommended to minimize the magnitude of knee-joint forces. Unfortunately this suggestion has not taken the influence of the wrapping effect, functional adaptations and soft tissue contact between the back of thigh and calf into account. The aim of this literature review is to assess whether squats with less knee flexion (half/quarter squats) are safer on the musculoskeletal system than deep squats. A search of relevant scientific publications was conducted between March 2011 and January 2013 using PubMed. Over 164 articles were included in the review. There are no realistic estimations of knee-joint forces for knee-flexion angles beyond 50° in the deep squat. Based on biomechanical calculations and measurements of cadaver knee joints, the highest retropatellar compressive forces and stresses can be seen at 90°. With increasing flexion, the wrapping effect contributes to an enhanced load distribution and enhanced force transfer with lower retropatellar compressive forces. Additionally, with further flexion of the knee joint a cranial displacement of facet contact areas with continuous enlargement of the retropatellar articulating surface occurs. Both lead to lower retropatellar compressive stresses. Menisci and cartilage, ligaments and bones are susceptible to anabolic metabolic processes and functional structural adaptations in response to increased activity and mechanical influences. Concerns about degenerative changes of the tendofemoral complex and the apparent higher risk for chondromalacia, osteoarthritis, and osteochondritis in deep squats are unfounded. With the same load configuration as in the deep squat, half and quarter squat training with comparatively supra-maximal loads will favour degenerative changes in the knee joints and spinal joints in the long term. Provided that technique is learned accurately under expert supervision and with progressive training loads, the deep squat presents an effective training exercise for protection against injuries and strengthening of the lower extremity. Contrary to commonly voiced concern, deep squats do not contribute increased risk of injury to passive tissues.


Asunto(s)
Articulación de la Rodilla/fisiología , Pierna/fisiología , Postura/fisiología , Columna Vertebral/fisiología , Levantamiento de Peso/fisiología , Atletas , Fenómenos Biomecánicos , Humanos , Estrés Mecánico
11.
J Strength Cond Res ; 26(12): 3243-61, 2012 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-22344055

RESUMEN

It is unclear if increases in 1 repetition maximum (1RM) in quarter squats result in higher gains compared with full depth squats in isometric force production and vertical jump performance. The aim of the research projects was to compare the effects of different squat variants on the development of 1RM and their transfer effects to Countermovement jump (CMJ) and squat jump (SJ) height, maximal voluntary contraction (MVC), and maximal rate of force development (MRFD). Twenty-three women and 36 men (mean age: 24.11 ± 2.88 years) were parallelized into 3 groups based on their CMJ height: deep front squats (FSQ, n = 20), deep back squats (BSQ, n = 20), and quarter back squats (BSQ», n = 19). In addition, a control group (C, n = 16) existed (mean age: 24.38 ± 0.50 years). Experimental groups trained 2 d·wk for 10 weeks with a strength-power block periodization, which produced significant (p ≤ 0.05) gains of the specific squat 1RM. The FSQ and BSQ attained significant (p ≤ 0.05) elevations in SJ and CMJ without any interaction effects between both groups (p ≥ 0.05). The BSQ» and C did not reveal any significant changes of SJ and CMJ. The FSQ and BSQ had significantly higher SJ scores over C (p ≤ 0.05). The BSQ did not feature any significant group difference to BSQ» (p = 0.116) in SJ, whereas FSQ showed a trend toward higher SJ heights over BSQ» (p = 0.052). The FSQ and BSQ presented significantly (p ≤ 0.05) higher CMJ heights over BSQ» and C. Posttest in MVC and MRFD demonstrated no significant changes for BSQ. Significant declines in MRFD for FSQ in the right leg (p ≤ 0.05) without any interaction effects for MVC and MRFD between both FSQ and BSQ were found. Training of BSQ» resulted in significantly (p ≤ 0.05) lower MRFD and MVC values in contrast to FSQ and BSQ. Quarter squat training elicited significant (p ≤ 0.05) transfer losses into the isometric maximal and explosive strength behavior. These findings therefore contest the concept of superior angle-specific transfer effects. Deep front and back squats guarantee performance-enhancing transfer effects of dynamic maximal strength to dynamic speed-strength capacity of hip and knee extensors compared with quarter squats.


Asunto(s)
Contracción Isométrica/fisiología , Pierna/fisiología , Músculo Esquelético/fisiología , Entrenamiento de Fuerza/métodos , Análisis de Varianza , Antropometría , Femenino , Humanos , Estudios Longitudinales , Masculino , Fuerza Muscular/fisiología , Análisis y Desempeño de Tareas , Adulto Joven
12.
Hemodial Int ; 16(1): 11-9, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22098689

RESUMEN

Once-monthly administration of CERA, a continuous erythropoietin receptor activator, has shown equivalent efficacy to shorter-acting erythropoiesis-stimulating agents (ESAs) that require more frequent dosing, but data on routine use of once-monthly CERA in hemodialysis patients are lacking. Study on Efficacy, Safety and Applicability of Mircera (SESAM) was a prospective, multicenter, noninterventional trial with a duration of up to 9 months (month 0-5 "titration phase"; month 6-8 "evaluation phase") to test the stability of Hb control in hemodialysis patients under routine conditions. Patient selection, Hb targets and CERA dosing were at the discretion of the local nephrologist. 918 patients from 92 German nephrology centers were included. Ninety-three percent were on ESA treatment prior to study entry. The mean number of CERA dose changes during the study was 1.9 ± 1.9 per patient. Mean Hb level was 11.4 ± 1.2 g/dL at baseline and 11.7 ± 1.4 g/dL at the end of the 8-month study. During the evaluation phase (months 6-8), 15.6%, 40.3%, and 66.0% of patients had stable Hb (i.e., at least two values) in the ranges 11-12, 10-12, and 10-13 g/dL, respectively. The mean intra-individual fluctuation in Hb was 1.4 ± 0.7 g/dL during the study (0.5 ± 0.4 g/dL during the 3-month evaluation phase). More than 90% of patients, and > 80% of physicians, rated CERA therapy as "very good" or "good" throughout the study. Four patients (0.4%) discontinued prematurely due to adverse drug reactions. Once-monthly CERA therapy maintains stable Hb values with low intra-individual variability and few dose adaptations in hemodialysis patients when administered entirely according to local practice, and the regimen was well-tolerated.


Asunto(s)
Eritropoyetina/administración & dosificación , Hemoglobinas/análisis , Polietilenglicoles/administración & dosificación , Diálisis Renal , Anciano , Anciano de 80 o más Años , Eritropoyetina/efectos adversos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Polietilenglicoles/efectos adversos , Estudios Prospectivos
13.
J Strength Cond Res ; 23(7): 1921-32, 2009 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-19855316

RESUMEN

The purpose of our study was to compare the effects of 2 different periodization models on strength and power variables under dynamic and static conditions in the bench press. Participants of the experimental groups were male sport students experienced in weight training (age: 23.98 +/- 3.14 yr). Subjects were tested for the 1 repetition maximum (1RM) in the bench press, maximal movement velocity (Vmax) in the bench press throw (16.9 kg), maximal voluntary contraction (MVC), and maximal rate of force development (MRFD) in 90 degrees elbow and shoulder angle in the isometric bench press. According to their 1RM, subjects were parallelized and assigned to 1 of either 2 training groups: strength-power periodization (SPP, n = 13) or daily undulating periodization (DUP, n = 14). Subjects trained for 14 weeks, 3 days per week. In the strength-power sessions, both groups were instructed to lift the weight as explosively as possible. In addition, a control group (n = 13) was used for comparison. One repetition maximum and Vmax improved significantly through training (p

Asunto(s)
Fuerza Muscular , Educación y Entrenamiento Físico/métodos , Extremidad Superior/fisiología , Levantamiento de Peso , Adulto , Humanos , Masculino
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