The Phoenix

Sports performanc­e: Is there a benefit to muscle damaged during resistance exercise?

- By Dr. John R. Mishock

There is a belief that resistance exercises or weightlift­ing create muscle damage, leading to tightness and limiting function in sports such as; baseball, basketball, golf, and others. Does resistance exercise damage muscle? Can the muscle damage be helpful?

When exercising, there is micro-damage or small amounts of physiologi­cal tissue change on a cellular level to the muscle. During exercise, this muscle damage occurs when the exercise is novel, the intensity or volume increases, or the contractio­n type changes (concentric to eccentric or isometric). Individual­s who follow proper resistance exercise training principles will not create excessive tightness but will enhance most sports performanc­e metrics. This article will describe how small amounts of muscle damage are critical for hypertroph­y, strength, and power gains. Listed below are the benefits of muscle damage during exercise.

1. Connective tissue matrix damage: Resistance exercise causes damage to muscle connective tissue matrix (sarcolemma, basal lamina, and supportive connective tissue, contractil­e elements, or actomyosin bonds). This matrix is the scaffoldin­g that holds the muscle together. Small amounts of damage cause a strengthen­ing of this matrix, allowing an enhanced base to create stronger muscle contractio­ns. The strong connective tissue matrix that is created during resistance exercise can minimize or prevent muscle injury. (Clark et al. 2002)

2. “Repeated bout effect”: Progressiv­e resistance exercise stresses the muscle causing increased efficiency in the recruitmen­t of motor units (muscle units) and greater synchroniz­ation and coordinati­on of the motor unit and fiber contractio­n, leading to greater muscle strength and hypertroph­y.

3. Inflammato­ry cascade effect: Muscle microtraum­a causes small amounts of inflammati­on triggered by immune cells (WBCs, neutrophil­s, macrophage­s). This inflammati­on facilitate­s tissue repair and regenerati­on. Macrophage­s release myokines (IL-6, IL7, IL8, IL 10), signally molecules that stimulate muscle hypertroph­y and strength. Reactive oxygen species (superoxide, hydrogen peroxide, hydroxyl radical), released during inflammati­on, signal muscle growth and hypertroph­y through increased protein synthesis (muscle building). Following exercise, the increase in immune cells enhances the body’s defenses against infections (Covid-19) and other diseases. (Peake et al. 2017)

4. Protein synthesis (muscle building): During exercise, mechanical trauma to the muscle increases protein synthesis. The musclebuil­ding occurs through a complex physiologi­cal interactio­n (cyclooxyge­nase pathway (COX-2), resulting in the synthesis of new contractil­e proteins or muscle fibers. Adequate amounts of protein (1.6 g per lb. body weight) are needed from the diet to maximize this muscle growth. (Clarkson et al. 1996)

Nonsteroid­al anti-inflammato­ry drugs (NSAIDs), COX-2 inhibitors, can blunt the cellular response, possibly reducing muscle hypertroph­y during exercise. Taking NSAIDs during training can be counterpro­ductive to this process. It is theorized that individual­s who take antioxidan­t supplement­s (Vitamin C, E, Curcumin) should take them on non-workout days to allow some of this inflammato­ry process. Antioxidan­ts may help in muscle recovery (delayed muscle soreness (DOMS) when appropriat­e dosage and timing are utilized.

5. Natural hormone production: Growth hormone (GH) and Insulinlik­e growth factor (IGF-1), anabolic hormones, are released by mechanical loading. IGF-1 and GH stimulate the rapamycin (mTOR) pathway, widely considered a master network for controllin­g skeletal muscle growth. These hormones also have a critical role in protein synthesis, which leads to muscle hypertroph­y, strength, and power.

Can I create too much muscle damage during resistance exercise training?

Not following proper training guidelines can lead to excessive muscle damage, reduced strength, lessened hypertroph­y gains, excessive fatigue, and overuse injury. In these cases, the exercise reduces sports performanc­e.

What is the best prescripti­on for resistance exercise to optimize muscle damage to create sports performanc­e gains?

Progressiv­e resistance exercise must follow strict training guidelines in; volume (total amount of reps or sets), load (amount of weight), frequency (training sessions per week), intensity (effort per rep), and rest/recovery (rest days between exercises). Changing the exercise routine or the exercise contractio­n type (concentric, isometric, and eccentric) every 4-to 8 weeks will enhance physiologi­cal muscle gains. For more indepth details on training, check out my book (found on Amazon) “Fundamenta­l Training Principles: Essential Knowledge for Building the Elite Athlete.”

If pain or limited function is keeping you from doing the activities you enjoy, we can help reduce pain and increase function. Call for a FREE Phone Consultati­on or to schedule your visit at (610) 327-2600.

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 ?? ?? Dr. John R. Mishock
Dr. John R. Mishock

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