Practical Guide to Hip and Knee Strengthening: Difference between revisions

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General principles to consider with progressive overload:
General principles to consider with progressive overload:


* Remember TWO things when dealing with a patient who requires strengthening<ref>Herrington, L. Practical Guide to Hip and Knee Strengthening. Course. Plus. 2024</ref>:
** Establish the level of load they can currently cope with
** Keep reassessing the situation as patient progresses
* Progressively expose an individual to load at a tissue and system level<ref>Taberner M, Allen T, Cohen DD. Progressing rehabilitation after injury: consider the ‘control-chaos continuum’. British journal of sports medicine. 2019 Sep 1;53(18):1132-6.</ref>
* Progressively expose an individual to load at a tissue and system level<ref>Taberner M, Allen T, Cohen DD. Progressing rehabilitation after injury: consider the ‘control-chaos continuum’. British journal of sports medicine. 2019 Sep 1;53(18):1132-6.</ref>
* Maximum tolerated loads are necessary to generate supraphysiological stress and low level of micro failure to create adaptation<ref>Herrington, L. General Principles of Exercise Rehabilitation Course. Plus. 2022.</ref>
* Maximum tolerated loads are necessary to generate supraphysiological stress and low level of micro failure to create adaptation<ref>Herrington, L. General Principles of Exercise Rehabilitation Course. Plus. 2022.</ref>
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** Adaptations produced by training are highly specific to the nature of the stimulus or overload applied<ref>Schoenfeld BJ, Grgic J, Van Every DW, Plotkin DL. [[/www.ncbi.nlm.nih.gov/pmc/articles/PMC7927075/pdf/sports-09-00032.pdf|Loading recommendations for muscle strength, hypertrophy, and local endurance: a re-examination of the repetition continuum.]] Sports. 2021 Feb 22;9(2):32.</ref>
** Adaptations produced by training are highly specific to the nature of the stimulus or overload applied<ref>Schoenfeld BJ, Grgic J, Van Every DW, Plotkin DL. [[/www.ncbi.nlm.nih.gov/pmc/articles/PMC7927075/pdf/sports-09-00032.pdf|Loading recommendations for muscle strength, hypertrophy, and local endurance: a re-examination of the repetition continuum.]] Sports. 2021 Feb 22;9(2):32.</ref>
** Adaptations are specific to strength, power, endurance, functional activity, joint angle, sequence of muscle activations, energy systems and virtually all other variables present
** Adaptations are specific to strength, power, endurance, functional activity, joint angle, sequence of muscle activations, energy systems and virtually all other variables present
* Remember TWO things when dealing with a patient who requires strengthening:
** SAID principle is impacted by:
** Establish the level of load they can currently cope with
*** Position or length of the muscle (length-tension relationship)
** Keep reassessing the situation as patient progresses
*** Speed of contraction (force - velocity relationship)
*** Muscle contraction type (isometric, concentric, eccentric)
*** Percentage (%) repetition maximum


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Introduction[edit | edit source]

Progressive Overload for Strength Development[edit | edit source]

General principles to consider with progressive overload:

  • Remember TWO things when dealing with a patient who requires strengthening[1]:
    • Establish the level of load they can currently cope with
    • Keep reassessing the situation as patient progresses
  • Progressively expose an individual to load at a tissue and system level[2]
  • Maximum tolerated loads are necessary to generate supraphysiological stress and low level of micro failure to create adaptation[3]
  • Allow sufficient recovery time to enable adaptation
  • Application of the appropriate load to drive the required adaptation
  • Specific Adaptation to Imposed Demand (SAID) principle
    • Adaptations produced by training are highly specific to the nature of the stimulus or overload applied[4]
    • Adaptations are specific to strength, power, endurance, functional activity, joint angle, sequence of muscle activations, energy systems and virtually all other variables present
    • SAID principle is impacted by:
      • Position or length of the muscle (length-tension relationship)
      • Speed of contraction (force - velocity relationship)
      • Muscle contraction type (isometric, concentric, eccentric)
      • Percentage (%) repetition maximum

Sub Heading 2[edit | edit source]

Sub Heading 3[edit | edit source]

Resources[edit | edit source]

  • bulleted list
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  1. numbered list
  2. x

References[edit | edit source]

  1. ↑ Herrington, L. Practical Guide to Hip and Knee Strengthening. Course. Plus. 2024
  2. ↑ Taberner M, Allen T, Cohen DD. Progressing rehabilitation after injury: consider the ‘control-chaos continuum’. British journal of sports medicine. 2019 Sep 1;53(18):1132-6.
  3. ↑ Herrington, L. General Principles of Exercise Rehabilitation Course. Plus. 2022.
  4. ↑ Schoenfeld BJ, Grgic J, Van Every DW, Plotkin DL. Loading recommendations for muscle strength, hypertrophy, and local endurance: a re-examination of the repetition continuum. Sports. 2021 Feb 22;9(2):32.
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