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A comparison of isolated lumbar extension strength in competitive and non-competitive powerlifters, and recreationally trained males

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Low back strength has been shown to significantly impact performance in a plethora of sports. Aside from its effect on sport performance, low back strength is strongly associated with low back pain. A sport that heavily involves the lower back musculature is powerlifting. The present study looked to compare isolated lumbar extension (ILEX) strength in competitive and non-competitive powerlifters and recreationally trained males. Thirteen competitive powerlifters (CPL group; 31.9 ± 7.6 years; 173.4 ± 5.5 cm; 91.75 ± 18.7 kg), 10 non-competitive powerlifters (NCPL group; 24 ± 3.5 years; 179 ± 4.8 cm; 92.39 ± 15.73 kg, and 36 recreationally trained males (RECT group; 24.9 ± 6.5 years; 178.5 ± 5.2 cm; 81.6 ± 10.0kg) were tested for isolated lumbar extension strength (ILEX). ILEX strength was measured at every 12° throughout participant’s full range of motion and expressed as the following: ’strength index’ calculated as the area under a torque curve from multiple angle testing (SI), average torque produced across each joint angle (AVG) and maximum torque produced at a single angle (MAX). Deadlift and squat strength was measured using 1 repetition maximum (1RM) for the competitive and non-competitive powerlifters. The following powerlifting characteristics were recorded for the competitive and non-competitive powerlifters: primary deadlift stance, primary squat bar position, use of belt, use of performance enhancing drugs (PEDs) and use of exercises to target the lower back musculature. Significant between group effects were found for participant characteristics (age, stature, body mass, and range of motion). However, analysis of covariance with participant characteristics as covariates found no significant between group effects for SI (p=0.824), AVG (p=0.757), or MAX (p=0.572). In conclusion this study suggests that powerlifting training likely has little impact upon conditioning of the lumbar extensors.
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A comparison of isolated lumbar extension strength in
competitive and non-competitive powerlifters, and
recreationally trained males.
aPatroklos Androulakis-Korakakis (pak.androulakis@solent.ac.uk), bPaulo
Gentil (paulogentil@hotmail.com), aJames P. Fisher
(james.fisher@solent.ac.uk), aJames Steele (james.steele@solent.ac.uk)
Affiliations:
a School of Sport, Health, and Social Science, Southampton Solent University,
UK,
bFaculty of Physical Education, Federal University of Goiás, Brazil
ABSTRACT
Low back strength has been shown to significantly impact performance in a plethora
of sports. Aside from its effect on sport performance, low back strength is strongly
associated with low back pain. A sport that heavily involves the lower back
musculature is powerlifting. The present study looked to compare isolated lumbar
extension (ILEX) strength in competitive and non-competitive powerlifters and
recreationally trained males. Thirteen competitive powerlifters (CPL group; 31.9 ± 7.6
years; 173.4 ± 5.5 cm; 91.75 ± 18.7 kg), 10 non-competitive powerlifters (NCPL
group; 24 ± 3.5 years; 179 ± 4.8 cm; 92.39 ± 15.73 kg, and 36 recreationally trained
males (RECT group; 24.9 ± 6.5 years; 178.5 ± 5.2 cm; 81.6 ± 10.0kg) were tested for
isolated lumbar extension strength (ILEX). ILEX strength was measured at every 12°
throughout participant’s full range of motion and expressed as the following: ’strength
index’ calculated as the area under a torque curve from multiple angle testing (SI),
average torque produced across each joint angle (AVG) and maximum torque
produced at a single angle (MAX). Deadlift and squat strength was measured using 1
repetition maximum (1RM) for the competitive and non-competitive powerlifters. The
following powerlifting characteristics were recorded for the competitive and non-
competitive powerlifters: primary deadlift stance, primary squat bar position, use of
belt, use of performance enhancing drugs (PEDs) and use of exercises to target the
lower back musculature. Significant between group effects were found for participant
characteristics (age, stature, body mass, and range of motion). However, analysis of
covariance with participant characteristics as covariates found no significant between
group effects for SI (p=0.824), AVG (p=0.757), or MAX (p=0.572). In conclusion this
study suggests that powerlifting training likely has little impact upon conditioning of
the lumbar extensors.
Keywords: powerlifting; lumbar extension strength; resistance training
INTRODUCTION
It is commonplace for strength and conditioning coaches and exercise
professionals to use traditional powerlifting exercises such as the squat and deadlift
within their training, and often with a view to increasing lumbar extension strength
(18). Indeed, the squat exercise is shown to place great stress on the lumbar
musculature (3) and shows considerable activation of the lumbar muscles when
measured using electromyography (EMG; 29,13). Since the squat exercise shows a
strong relationship to athletic performance such as sprint speed (r=0.71-0.94) and
vertical jump (r=0.78; 26) it is not a surprise that this exercise is fundamental to most
strength and conditioning programs.
However, Fisher, et al. (9) reported that following a 10-week intervention
trained males performing the Romanian deadlift (RDL) exercise showed no increase
in isolated lumbar extension (ILEX) strength despite significant increases to their
RDL 1-repetition maximum (RM). In contrast, a group training using ILEX showed
significant increases in ILEX strength as well as in RDL 1RM. Low back strength is
evidenced to impact performance across a variety of sports (including golf,
weightlifting, powerlifting, soccer, ballet, etc.; 19). Furthermore, since deconditioning
of the lumbar extensor musculature appears closely related to low-back pain (25), it
might be important for competitive athletes and coaches who are looking to maximize
performance and minimize risk of injury to consider lumbar extension strength. As
such it is important to elucidate the relationship between exercises such as the squat
and deadlift, and ILEX-strength.
Athletes competing in the sport of powerlifting represent a unique population
group whose aim is to develop maximal strength in the back squat, deadlift, and
bench press exercises. Powerlifters often use derivatives of the 3 powerlifts to
address movement specific weaknesses as well as exercises to specifically target
the lower back musculature (eg: good mornings, trunk extensions etc). Most
powerlifters use a stiff weightlifting belt in order to perform a breathing technique
called the valsava maneuver which allows them to increase intra-abdominal pressure
by pushing against the belt with their abdominal muscles. Using a stiff belt for squats
and deadlifts has been shown to increase strength as well as increasing activation in
different muscle groups (lumbar erectors, quadriceps etc) (16). It is important to note
that powerlifters perform the squat with two different techniques, “high bar” and “low
bar”. The two different squat techniques are concerned with the placement of the bar
on the back. The “high bar” squat requires the lifter to place the bar centered across
the shoulders whereas the “low bar” squat requires the lifter to place the bar further
down on the back across the spine of the scapula (28). Most competitive powerlifters
utilize the “low bar” squat as their main primary squat technique due to its influence
on squat kinematics and kinetics, which allows them to be more efficient in lifting a
load (10). Studies investigating the “low bar” squat have noted that the forward tilt of
the torso, due to the lower placement of the bar on the back, increases the forces in
the lumbar muscles and ligaments (10). Powerlifters perform the deadlift with two
different stances, conventional and sumo. The main difference between conventional
and sumo deadlifts are that the feet are positioned further apart and pointed out in
the sumo stance, while the arms are placed between the knees for the sumo stance
and outside the knees for the conventional stance. Further, EMG data also shows
that many of the typical deadlift variations performed by powerlifters (e.g.
conventional, sumo, or Romanian) also all involve considerable, and similar, EMG
amplitudes in the lumbar musculature (8,13).
However, there are several limitations to using and interpreting EMG data as
discussed by De Luca (6) who explained that, amongst other things, EMG signals
often include readings from synergist muscles. Further, EMG data does not enable
inference that an adaptive response is likely to occur (12). As such it might be more
prudent to consider population groups who have excelled in these exercises. Both
squat and deadlift exercises heavily recruit the posterior chain and are often trained
with high load, large volume and, in some cases, with very high frequency (26). As
such, if the squat and deadlift exercises produce a meaningful training effect in ILEX
strength it would be most evident in a cross sectional comparison including this
population group. Therefore, the aim of this study was to investigate ILEX strength in
competitive and non-competitive powerlifters, in addition to a recreationally
resistance trained population.
METHODS
Experimental approach to the problem
A cross sectional, between group comparative design was utilized. In order to
compare ILEX strength in competitive and non-competitive powerlifters, in addition to
recreationally trained males, all participants underwent ILEX strength testing. All non-
competitive powerlifters underwent 1RM testing for the squat and the deadlift as did
competitive powerlifters unless they had competed at an official powerlifting
competition up to 3 weeks prior to the week of ILEX strength testing where this was
used as their 1RM instead. Participants took part in two ILEX testing sessions; a
familiarization session and a strength testing session. A plethora of training variables
(primary deadlift stance, primary bar placement for the squat, use of specific
exercises to target the lower back musculature etc) were recorded for the competitive
and non-competitive powerlifters.
Participants
Approval by the relevant ethics committee at the researcher’s institution was
initially obtained (Health, Exercise, and Sport Science Ethics Committee Id No. 769).
Following this a total of 52 males with at least 2 years resistance training experience,
either identifying as being ‘powerlifting style training’ or merely ‘recreational
resistance training’, were recruited. Those participants performing ‘powerlifting style
training’ also reported whether they competed in powerlifting meets and if so at what
level. The differentiation between competitive and non-competitive powerlifters was
made as competitive powerlifters tend to deviate less from the powerlifts (the squat,
the bench press and the deadlift) and often train them and their derivatives
throughout the whole duration of their macrocycle. Non-competitive powerlifters may
often train the powerlifts with less volume or for less amount of time throughout a
macrocycle as they are not required to optimize their performance for competition.
Powerlifting participants
Ten non-competitive powerlifters (NCPL group) and 13 competitive
powerlifters (CPL group) were recruited through word of mouth by one of the study’s
researchers who is a competitive powerlifter. The CPL groups competitive
experience varied; most participants had competed at a national level (n=6), some at
the divisional level (n=4) and a few at the international level (n=3; i.e. IPF/GPA
Greek/British nationals & GPA/IPF worlds).
Recreationally trained participants
Thirty-six recreationally trained males (RECT group) were recruited through
an advertisement within a University environment that requested participants who
were not suffering from any low back pain. Prior to participation, all participants
received a participant information sheet describing the procedures to be completed
and were asked to provide signed informed consent. These participants were part of
a previous investigation (9).
Procedures
Testing
1. ILEX strength testing
Participants were seated in the ILEX device (Lumbar Extension Machine,
MedX Corporation, Ocala, FL). The ILEX device utilizes restraints in order to limit
unwanted pelvic involvement in an upright position with their thighs at an angle of 15°
to the seat in the testing (see figure 1) in addition to a counterweight to neutralize the
effects of gravitational forces on the head, torso, and upper extremities. The set-up
and testing using the ILEX device has been described in detail previously (5). In brief,
range of motion (ROM) was established by placing the participants in full extension
and full flexion. Participants then completed a slow, controlled dynamic warm-up
lasting approximately 1 minute, then a practice isometric test at 50% of perceived
maximal effort at 3 angles (full flexion, mid-ROM, and full extension), before finally
completing a maximal voluntary isometric effort at 5-7 angles throughout their full
ROM (0, 12, 24, 36, 48, 60, and 72 degrees). Participants were asked to build up
maximal effort over 2-3 seconds and to maintain that effort for a further 2-3 seconds.
Between each effort a 10 second rest period was provided where participants were
rocked gently back and forth through their ROM. ILEX torque measurements show
very high test and retest reliability for both asymptomatic participants and patients
with low back pain (11,20).
2. Powerlifting strength testing
The competitive powerlifters that had competed in an official powerlifting
competition up to 3 weeks away from the ILEX strength testing session were
excluded from the squat and deadlift 1RM testing. Their latest competitions lifts were
used as their 1RM results. All other powerlifters, competitive and non-competitive,
were required to take part in 2 different 1RM testing sessions. The first testing
session tested the participants’ 1RM for the squat and the second session tested the
participants’ 1RM for the deadlift. Initially the participants prepared for the 1RM
attempt by following a warm up protocol. They started by performing 5-10 repetitions
with an empty bar for 2 sets, 5 repetitions at 30% and 50% of their most recent 1RM,
followed by 3 repetitions at 70% and 80%. Each participant was then given 3
attempts to perform a maximal lift with approximately 3-5 minutes of rest in between
to allow for adequate recovery. The 2 sessions were 48 hours apart to allow for
proper fatigue management.
Powerlifting Characteristics
Competitive and non-competitive powerlifters were required to give
information on the following powerlifting characteristics during their ILEX strength
testing session: primary squat bar position, primary deadlift stance, use of belt during
working sets for the squat and deadlift, use of performance enhancing drugs (PEDs)
in the last 2 years, and whether they used specific exercises to target the lower back
musculature (LBex) in the last 3 years.
Statistical Analysis
Analysis was conducted using JASP (version 0.8.2, Amsterdam,
Netherlands). Descriptive statistics (means and SDs) were derived for demographic
data and strength variables. Strength was examined as a strength index (SI),
calculated as the area under the strength curve using the trapezoidal method thus
incorporating strength at all tested angles, in addition to the average of all angles
tested (AVG), and the maximum torque produced at a single angle (MAX).
Dependent strength variables met assumptions of normality of distributions when
examined using a Shapiro-Wilk test. A one-way analysis of variance (ANOVA) test
was used to examine between groups effects for participant characteristics including
age, stature, body mass and ROM. An independent t-test was used to examine
between groups differences for the NCPL and CPL group for powerlifting strength
(squat & deadlift 1RM). Powerlifting characteristics (primary squat bar position,
primary deadlift stance, belt use, PEDs use and use of specific exercises to target
the lower back musculature) were examined using a chi-squared test and presented
in a contingency table. A one-way analysis of co-variance (ANCOVA) test was used
to examine between groups effects for ILEX strength (SI, AVG, and MAX) with the
participants’ height, weight, age and ROM as covariates. Assumptions of linear
relationships and homogeneity of regression slopes was confirmed visually. Age was
included as a covariate as it known to significantly impacts upon muscular strength;
bodyweight was also included as a covariate as it can have a significant effect upon
strength and muscle mass; height was included as a covariate as due to differences
in moment arms resulting from it may impact the torque. ROM was included as a
covariate as it has a significant effect on the SI and AVG values. A one-way analysis
of co-variance (ANCOVA) test was used to examine between groups effects for the
NCPL and CPL group for ILEX strength (SI, AVG, MAX) with the participants’ squat
1RM, deadlift 1RM, PED use, primary squat bar position, primary deadlift stance, belt
use and use of exercises to target the lower back musculature as covariates. Post
hoc Tukey’s HSD was used to compare between groups where any significant
between groups effects were observed. Significance was set at an α of 0.05.
RESULTS
1. Participant Characteristics:
TABLE 1 HERE
Participant characteristics are shown in Table 1. A one-way ANOVA test
revealed a significant between groups effect for age (F(2,56) = 6.475, p= 0.003). Post
hoc Tukey’s HSD revealed a significant difference for age between NCPL and CPL
(p= 0.015), and between RECT and CPL (p= 0.003). There was no significant
difference for age between NCPL and RECT (p= 0.950).
A one-way ANOVA test revealed a significant between groups effect for
stature (F(2,56) = 5.316, p= 0.008). Post hoc Tukey’s HSD revealed a significant
difference for stature between NCPL and CPL (p= 0.027), and between RECT and
CPL (p= 0.009). There was no significant difference for stature between NCPL and
RECT (p= 0.934).
A one-way ANOVA test revealed a significant between groups effect for body
mass (F(2,56) = 4.274, p= 0.003). Post hoc Tukey’s HSD revealed a significant
difference for body mass between NCPL and RECT (p= 0.069), and between CPL
and RECT (p= 0.057). There was no significant difference for body mass between
CPL and NCPL (p=0.993).
A one-way ANOVA test revealed a significant between groups effect for ROM
(F(2,56) = 15.96, p= 0.001). Post hoc Tukey’s HSD revealed a significant difference for
ROM between NCPL and RECT (p=0.005), and between CPL and RECT (p=0.001).
There was no significant difference for ROM between CPL and NCPL (p=0.420).
2. Powerlifting Characteristics
TABLE 2 HERE
Powerlifting characteristics are shown in Table 2. A chi-square test revealed no
significant difference for deadlift stance between NCPL (70% conventional, 30%
sumo) and CPL (69.3% conventional, 30.7% sumo), (X2 (1, n=23) = 0.002, p=0.968).
A chi-square test revealed no significant difference for squat bar position between
NCPL (60% low bar, 40% high bar) and CPL (77% low bar, 23% high bar), X2 (1,
n=23) = 0.765, p=0.382). A chi-square test revealed no significant difference for PED
use between NCPL (30% used PEDs, 70% did not use PEDs) and CPL (8% used
PEDs, 92% did not use PEDs), (X2 (1, n=23) = 1.958, p=0.162). A chi-square test
revealed a significant difference for belt use between CPL (40% used a belt, 60% did
not use a belt) and NCPL (92% used a belt, 8% did not use a belt), (X2 (1, n=23) =
7.304, p=0.007). A chi-square test revealed a significant difference between NCPL
(40% used LBex, 60% did not use LBex) and CPL for use of LBex (85% used LBex,
15% did not use LBex), (X2 (1, n=23) = 4.960, p=0.026).
3. Powerlifting Strength
TABLE 3 HERE
Powerlifting strength values are shown in Table 3. An independent t-test revealed
no significant difference for squat 1RM between CPL and NCPL (t(21)=-2.068,
p=0.051). An independent t-test revealed no significant difference for deadlift 1RM
between CPL and NCPL (t(21)=-1.68, p=0.108).
4. Isolated Lumbar Extension Strength:
TABLE 4 HERE
ILEX Strength variables are shown in Table 4. A one-way ANCOVA test
revealed no statistically significant between group effects for SI, AVG, and MAX
values (F(2,52) = 0.195, p=0.824, F(2,52) = 0.280, p=0.757, F(2,52) = 0.564, p=0.572
respectively) when controlling for height, age, stature, mass, and ROM as covariates.
The covariate that had a statistically significant effect on SI, AVG and MAX was
mass (F(1,52) = 23, p=0.001, F(1,52) = 30, p=0.001, F(1,52) = 65, p=0.001 respectively).
Height (F(1,52) = 4.150, p=0.047) had a significant effect on MAX but no statistically
significant effect on SI and AVG (F(1,52) = 0.042, p=0838 and F(1,52) = 0.235, p=0.630
respectively). Age did not have a statistically significant effect on SI, AVG and MAX
(F(1,52) = 3.064, p=0.086, F(1,52) = 2.472, p=0.122 and F(1,52) = 0.702, p=0.406
respectively). ROM had a significant effect on SI (F(1,52) = 10.313, p=0.002) but no
significant effect on AVG and MAX (F(1,52) = 0.390, p=0.535 and F(1,52) = 0.739,
p=0.394 respectively).
A one-way ANCOVA test revealed no statistically significant group effects
between NCPL and CPL for SI,AVG and MAX (F(1,14) = 0.163, p=0.0.693, F(1,14) =
1.616, p=0.224, F(1,14) = 0.983, p=0.338) when controlling for belt use, PED use, use
of LBex, primary deadlift stance, primary squat bar position, squat 1RM and deadlift
1RM. The covariate that had a statistically significant effect on SI, AVG and MAX for
the NCPL and CPL groups was deadlift 1RM (F(1,14) = 13.5, p=0.003, F(1,14) = 16,
p=0.001 and F(1,14) = 4.73, p=0.047 respectively). Belt use, PED use, use of LBex,
primary deadlift stance, primary squat bar position and squat 1RM did not have a
statistically significant effect on SI (F(1,14) = 0.199, p=0.663, F(1,14) = 0.621, p=0.444,
F(1,14) = 0.020, p=0.889, F(1,14) = 0.040, p=0.843, F(1,14) = 0.292, p=0.597, F(1,14) =
3.618, p=0.078 respectively), AVG (F(1,14) = 0.824, p=0.379, F(1,14) = 0.213, p=0.652,
F(1,14) = 0.055, p=0.818, F(1,14) = 0.666, p=0.428, F(1,14) = 0.220, p=0.646 and F(1,14) =
0.512, p=0.486 respectively) and MAX (F(1,14) = 0.045, p=0.835, F(1,14) = 0.001,
p=0.971, F(1,14) = 0.036, p=0.853, F(1,14) = 2.006, p=0.179, F(1,14) = 0.366, p=0.555,
F(1,14) = 0.359, p=0.558 respectively).
DISCUSSION
The present study investigated ILEX strength in competitive and non-competitive
powerlifters, as well as recreationally trained males. There were no significant
differences in ILEX strength amongst either group of powerlifters or recreationally
trained males despite the differences in habitual prior training. An interesting finding
is that both competitive and non-competitive powerlifters were significantly heavier
than the recreationally trained participants. When comparing ILEX strength in the 3
groups, the only covariate that had a significant effect on ILEX strength was
bodyweight, which suggests that the powerlifting groups were actually relatively
weaker than the recreationally trained participants considering that they both had
significantly greater body mass.
The results of this study are supported by previous research from Fisher et al. (9)
who found that progressively training the RDL did not increase ILEX strength, despite
increasing 1RM RDL strength. The absence of a pelvic restraint may explain why the
powerlifters’ ILEX strength values were no greater than recreationally trained males.
The absence of a pelvic restraint may also explain why the competitive powerlifters’
ILEX strength values were no different than the non-competitive powerlifters despite
using exercises that are designed target the lower back musculature. The deadlift
1RM strength of the powerlifters showed to have significant effect on the SI, AVG
and MAX values for the powerlifting groups but since there was no difference
between the powerlifter groups and the recreationally trained participants it was
probably as a result of stronger individuals being able to score higher on the ILEX
strength test. Previous research has suggested that it is necessary for the pelvis to
be stabilized in order for the lumbar extensors to be effectively activated and thus
properly strengthened (23,5). Powerlifters often perform the deadlift and squat (as
well as their derivatives) which are known to elicit significant EMG amplitudes in the
lumbar extensors (8,13,4) with high frequency, volume, and load (26),. However, this
does not seem to improve ILEX strength. If the powerlifts significantly contributed to
ILEX strength it would be expected for competitive and non-competitive powerlifters
to have significantly higher SI, AVG and MAX values than recreationally trained
males. Indeed, it might also be expected that ILEX strength would be higher in
powerlifters, particularly those who are competitive, if ILEX was a key determinant of
powerlifting performance. Neither appears to be the case.
Despite the fact that powerlifters evidently do not exhibit greater ILEX strength
than recreationally trained males, something which might question its importance for
powerlifting performance, previous data has shown that ILEX training can increase
RDL 1RM strength. The RDL is not specifically used in powerlifting, though it is
sometimes used as an accessory lift in training, yet it may be beneficial for future
research to investigate the effect of ILEX training on powerlifting performance.
Powerlifters could potentially benefit from ILEX training both in terms of performance
as well as in the form of injury prevention. Lower back injuries are common among
powerlifters (1,21) and ILEX training is an effective tool in strengthening the lumbar
extensors and potentially preventing lower back injuries (1,25). Future research could
focus on investigating the effect of adding ILEX training to the training of powerlifters
as it could potentially have great implications for improving powerlifting performance
and possibly preventing injury. It would be useful to see whether adding ILEX training
to a powerlifting program would yield greater increases in deadlift and squat strength
than just training the squat and deadlift. Future research could also attempt to
compare ILEX strength between powerlifters and strongman competitors to further
examine whether ILEX strength can be improved without a restrained pelvis.
The data of this study support existing data on ILEX strength demonstrating the
need for pelvic restraint in order to effectively condition the lumbar extensors (24).
However, evidently some unrestrained approaches may have the potential to impact
the lumbar extensors. Edinborough et al. (5) found that a single set of kettlebell
swings was able to effectively fatigue the lumbar extensors regardless of pelvic
restraint. Investigating the relationship between free weight exercises such as the
kettlebell, or indeed powerlifting style training, and ILEX strength would be useful in
finding more cost-effective and accessible solutions for conditioning the lumbar
extensors.
The limitations of the present study should be noted. Firstly, this study was cross
sectional in design, partly due to the difficulty in recruiting competitive powerlifters to
participate in a training intervention study. Often competitive populations are
reluctant to forgo their existing training in lieu of performing that prescribed by
investigators in a study. Further, though the RECT group was free from low back
pain, this was not an exclusion criteria for the CPL and NCPL groups as doing so
would have considerably affected the ability to recruit these populations. No
participants in the CPL and NCPL groups were suffering from current low back
injuries, yet the lack of differences may have been impacted by prior lumbar injuries
in the CPL and NCPL groups. Lastly, CPL and NCPL participants were significantly
heavier and had a smaller ROM that the RECT participants. This may have impacted
strength comparisons particularly as a reduced ROM will impact calculation of the SI
(area under the torque curve). Descriptively, SI was lowest in the NCPL and CPL
groups, yet AVG and MAX values, were higher. Despite these differences though,
when controlled for as covariates, there were still no significant differences amongst
the three groups for any strength measure. Another limitation that must be noted is
that powerlifting participants were not asked to provide the specific exercises they
used to target the lower back musculature. Despite the absence of differences in
ILEX strength between the NCPL and CPL group, it would have been insightful to
know which exercises powerlifters utilized to target the lower back musculature.
In conclusion, the present data shows that ILEX strength does not differ between
competitive and non-competitive powerlifters, and recreationally trained males. This
suggests that powerlifting style training likely does not impact upon ILEX strength,
despite the use of multi-joint exercises that heavily involve the posterior chain
musculature. This also suggests that LEX strength may have little importance for
powerlifting performance. However, future work should employ training interventions
to both examine the impact of powerlifting style training upon ILEX strength, as well
as the effects of increasing ILEX strength upon powerlifting performance.
Practical Applications:
There is currently little evidence showing that progressively increasing strength in
the powerlifts, especially the squat and deadlift, will increase lumbar extensor
strength. Further, research suggests that most forms of training that do not restrain
the pelvis likely are sub-optimal for conditioning the lumbar extensors. As such,
though effective in developing strength in the specific lifts, coaches and exercise
professionals should at present not prescribe nor promote the squat and deadlift, as
well as their derivatives, as effective exercises to strengthen the lumbar extensors. It
is unclear the exact impact that specifically training the lumbar extensors has upon
powerlifting performance itself. However, if a goal is to specifically target and attempt
to strengthen the lumbar extensors, powerlifters may benefit from including specific
ILEX training. Powerlifters may also benefit from including kettlebell swings to their
training but further research is required to properly understand the effect kettlebell
swings may have on lumbar extensor strength.
REFERENCES
1. Aasa, U., Svartholm, I., Andersson, F. and Berglund, L. Injuries among
weightlifters and powerlifters: a systematic review. Br J Sports Med, 51(4): 211-
219, 2016.
2. Baechle, T. and Earle, R. Essentials of strength training and conditioning.
Champaign: Human Kinetics, 2008.
3. Cholewicki, J., McGill, S. and Norman, R. Lumbar spine loads during the lifting of
extremely heavy weights. Med. Sci. Sports Exerc, 23(10): 1179-1186, 1991.
4. Chulvi-Medrano, I., García-Massó, X., Colado, J., Pablos, C., de Moraes, J. and
Fuster, M. Deadlift Muscle Force and Activation Under Stable and Unstable
Conditions. J Strength Cond Res, 24(10): 2723-2730, 2010.
5. Conway, R., Behennah, J., Fisher, J., Osborne, N. and Steele, J. Associations
between Trunk Extension Endurance and Isolated Lumbar Extension Strength in
Both Asymptomatic Participants and Those with Chronic Low Back
Pain. Healthcare, 4(3): 70, 2016.
6. De Luca, C. The Use of Surface Electromyography in Biomechanics. J Appl
Biomech, 13(2): 135-163, 1997.
7. Driscoll, T., Jacklyn, G., Orchard, J., Passmore, E., Vos, T., Freedman, G., Lim,
S. and Punnett, L. The global burden of occupationally related low back pain:
estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis, 73(6):
975-981, 2014.
8. Escamilla, R., Francisco, A., Kayes, A., Speer, K. and Moorman, C. An
electromyographic analysis of sumo and conventional style deadlifts. Med. Sci.
Sports Exerc, 34(4): 682-688, 2002.
9. Fisher, J., Bruce-Low, S. and Smith, D. A randomized trial to consider the effect
of Romanian deadlift exercise on the development of lumbar extension
strength. Phys Ther Sport, 14(3): 139-145, 2013.
10. Fry, A., Smith, J. and Schilling, B. Effect of Knee Position on Hip and Knee
Torques During the Barbell Squat. J Strength Cond Res, 17(4): 629, 2003.
11. Graves, J., Pollock, M., Foster, D., Leggett, S., Carpenter, D., Vuoso, R. and
Jones, A. Effect of Training Frequency and Specificity on Isometric Lumbar
Extension Strength. Spine J., 15(6): 504-509, 1990.
12. Halperin, I. and Vigotsky, A. The mindmuscle connection in resistance training:
friend or foe?. Eur J Appl Physiol, 116(4): 863-864, 2016.
13. Hamlyn, N., Behm, D. and Young, W. Trunk Muscle Activation During Dynamic
Weight-Training Exercises and Isometric Instability Activities. J Strength Cond
Res, 21(4): 1108, 2007.
14. Joao, G., Evangelista, A., Gomes, J., Charro, M., Bocalini, D., Cardozo, D., da
Silva, D., Simao, R. and Junior, A. Effect of 16 Weeks of Periodized Resistance
Training on Strength Gains of Powerlifting Athletes. J Exerc Physiol Online,
17(3): 102-109, 2014.
15. Keogh, J. and Winwood, P. The Epidemiology of Injuries Across the Weight-
Training Sports. Sports Med, 47(3): 479-501, 2017.
16. Kingma, I., Faber, G., Suwarganda, E., Bruijnen, T., Peters, R. and van Dieën, J.
Effect of a Stiff Lifting Belt on Spine Compression During Lifting. Spine, 31(22):
833-839, 2006.
17. Mayer, J., Graves, J., Udermann, B. and Ploutz-Snyder, L. Development of
lumbar extension strength: Effect of pelvic stabilization during resistance
training. J Back Musculoskelet Rehabil, 16(1): 25-31, 2002.
18. Mayer, J., Mooney, V. and Dagenais, S. Evidence-informed management of
chronic low back pain with lumbar extensor strengthening exercises. Spine J,
8(1): 96-113, 2008.
19. Mortazavi, J., Zebardast, J. and Mirzashahi, B. Low Back Pain in Athletes. Asian
J Sports Med, 6(2): e24718, 2015.
20. Robinson, M., Cassisi, J., OʼConnor, P. and MacMillan, M. Lumbar iEMG During
Isotonic Exercise. J Spinal Disord Tech, 5(4): 8-15, 1992.
21. Siewe, J., Rudat, J., Röllinghoff, M., Schlegel, U., Eysel, P. and Michael, J.
Injuries and Overuse Syndromes in Powerlifting. Int J Sports Med, 32(09): 703-
711, 2011.
22. Smith, D., Bissell, G., Bruce-Low, S. and Wakefield, C. The effect of lumbar
extension training with and without pelvic stabilization on lumbar strength and low
back pain1. J Back Musculoskelet Rehabil, 24(4): 241-249, 2011.
23. Smith, D., Bruce-Low, S. and Bissel, G. Twenty years of specific, isolated lumbar
extension research: a review. J Orthop, 5(1), 2008.
24. Steele, J., Bruce-Low, S. and Smith, D. A review of the specificity of exercises
designed for conditioning the lumbar extensors. Br J Sports Med, 49(5): 291-297,
2013.
25. Steele, J., Bruce-Low, S. and Smith, D. A reappraisal of the deconditioning
hypothesis in low back pain: review of evidence from a triumvirate of research
methods on specific lumbar extensor deconditioning. Curr Med Res Opin, 30(5):
865-911, 2014.
26. Swinton, P., Lloyd, R., Agouris, I. and Stewart, A. Contemporary Training
Practices in Elite British Powerlifters: Survey Results From an International
Competition. J Strength Cond Res, 23(2): 380-384, 2009.
27. Wisloff, U. Strong correlation of maximal squat strength with sprint performance
and vertical jump height in elite soccer players. British Journal of Sports
Medicine, 38(3): 285-288, 2004.
28. Wretenberg, P., Feng, Y. and Arborelius, U. High- and low-bar squatting
techniques during weight-training. Med. Sci. Sports Exerc, 28(2): 218-224, 1996.
29. Yavuz, H., Erdağ, D., Amca, A. and Aritan, S. Kinematic and EMG activities
during front and back squat variations in maximum loads. J Sports Sci, 33(10):
1058-1066, 2015.
ACKNOWLEDGEMENTS
There are no potential conflicts of interest that the authors of this study are
aware of. No funding was received in support of this study. The results of the
present study do not constitute endorsement of the product by the authors or
the NSCA.
FIGURE LEGEND
Figure 1 MedX Lumbar Extension Machine restrain system
FIGURE(S)
Figure 1 MedX Lumbar Extension Machine restrain system
TABLES
Table 1 - Participant Characteristics
Characteristic
NCPL (n = 10)
CPL (n = 13)
RECT (n = 36)
p value
Age (years)
24±3.5
31.9±7.6
25±6.5
0.003
Stature (cm)
179.2±4.8
173.4±5.5
178±5
0.008
Body mass (kg)
92.39±15.73
91.75±18.7
81.6±10
0.003
Range of motion (degrees)
64.80±8.5
61.85±8.2
71.33±2.7
0.001
Note: Results are mean ± SD
Table 2 - Powerlifting Characteristics
Group
PL Characteristic
NCPL (n=10)
CPL (n=13)
X2
p
Deadlift stance
Conventional
n=7
n=9
Sumo
n=3
n=4
Chi Squared Tests
0.002
0.968
Squat bar position
Low bar
n=6
n=10
High bar
n=4
n=3
Chi Squared Tests
0.765
0.382
Belt
Use a belt
n=4
n=12
Do not use a belt
n=6
n=1
Chi Squared Tests
7.304
0.007
PEDs
Use PEDs
n=3
n=1
Do not use PEDs
n=7
n=12
Chi Squared Tests
1.958
0.162
Lower back exercises
(LBex)
Use LBex
n=4
n=11
Do not use LBex
n=6
n=2
Chi Squared Tests
4.960
0.026
Table 3 Powerlifting Strength
Characteristic
NCPL (n =
10)
CPL (n = 13)
p value
Squat 1RM (kg)
177±14
215±12
0.051
Deadlift 1RM (kg)
204±12
232±11
0.108
Note: Results are marginal mean ± SE
Table 4 ILEX Strength
ILEX Strength
Measure
NCPL
CPL
RECT
p value
Strength index (N_m)
22864±1478.9
22850±1559.4
23801±836.7
0.824
Average torque (N_m)
345.8±21.09
344.9±22.24
361.6±11.93
0.757
Max torque (N_m)
472.8±24.17
451.7±25.49
485.6±13.67
0.572
Note: Results are marginal mean ± SE
... This may cause other extensor muscles such as the hamstrings, gluteus maximus, or thoracic erector spinae to be recruited, which would share the load with the lumbar erector spinae. In addition, when activated, hip extensors are dominant over lumbar extensors, which would decrease further the degree of activation of the erector spinae (Androulakis- Korakakis et al., 2018). In fact, other studies have observed that this oblique position produces less fatigue in the trunk extensor muscles compared to the conventional Biering-Sorensen test (Champagne, Descarreaux & Lafond, 2008), although this must be considered with caution, given the lack of correlation observed between isolated lumbar extensor strength and endurance during the Biering-Sorensen test (Conway et al., 2016). ...
... We chose these sample parameters to avoid possible variability resulting from gender differences in muscle activation, and to make our results more comparable to previous studies such as Vera-Garcia, Moreside & McGill (2010) which also focused only on women. Although previous studies have observed that muscular responses to different kinds of lumbar extension resistance training are similar in healthy males and females (Fisher et al., 2018), further studies would be required to check the effects of these maneuvers in male volunteers. ...
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