Quantifying the Generality of Strength Adaptation: A Meta-Analysis

• Published in: Sports medicine (Auckland) 2023-03, Vol.53 (3), p.637-648
• Main Authors: Spitz, Robert W., Kataoka, Ryo, Dankel, Scott J., Bell, Zachary W., Song, Jun Seob, Wong, Vickie, Yamada, Yujiro, Loenneke, Jeremy P.
• Format: Article
• Language: English
• Subjects: Acclimatization; Adaptation; Adaptation, Physiological - physiology; Adult; Cancer; Cohen's d; Diabetes; Hand Strength; Humans; Medicine; Medicine & Public Health; Meta-analysis; Middle Aged; Muscle contraction; Muscle strength; Muscle Strength - physiology; Muscle, Skeletal - physiology; Physical training; Rehabilitation; Resistance Training - methods; Reviews; Sports Medicine; Sports training; Strength training; Stroke; Systematic Review
• ISSN: 0112-1642; 1179-2035
• DOI: 10.1007/s40279-022-01790-0

Background Isotonic exercise is the most common mode of strength training. Isotonic strength is often measured in the movement that was exercised, but isometric and isokinetic movements are also commonly used to quantify changes in muscular strength. Previous research suggests that increasing strength in one movement may not lead to an increase in strength in a different movement. Quantifying the increase in strength in a movement not trained may be important for understanding strength training adaptations and making recommendations for resistance exercise and rehabilitation programs. Objective To quantify changes in non-specific strength relative to a control. Design A systematic review and random effects meta-analysis was conducted investigating the effects of isotonic strength training on isotonic and isokinetic/isometric strength. Search and Inclusion This systematic review was conducted in Google scholar, PubMed, Academic Search Premier, and MENDELEY. To be included in this review paper the article needed to meet the following criteria: (1) report sufficient data for our variables of interest (i.e., changes in isotonic strength and changes in isokinetic or isometric strength); (2) include a time-matched non-exercise control; (3) be written in English; (4) include healthy human participants over the age of 18 years; (5) the participants had to train and test isotonically; (6) the participants had to be tested isokinetically or isometrically on a device different from that they trained on; (7) the non-specific strength task had to test a muscle involved in the training (i.e., could not have trained chest press and test handgrip strength); and (8) the control group and the experimental group had to perform the same number of strength tests. Results We completed two separate searches. In the original search a total of 880 papers were screened and nine papers met the inclusion criteria. In the secondary search a total of 2594 papers were screened and three additional papers were added (total of 12 studies). The overall effect of resistance training on changes in strength within a movement that was not directly trained was 0.8 (Cohen’s d ) with a standard error of 0.286. This overall effect was significant ( t  = 2.821, p  = 0.01) and the 95% confidence interval (CI) is 0.22–1.4. The overall effect of resistance training on strength changes within a movement that was directly trained was 1.84 (Cohen’s d ) with a standard error of 0.296. This overall effect