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Putting "Heavy" into Heavy Slow Resistance.
Scot Morrison1,2, Jill Cook3
1Physio Praxis PLLC, Vancouver, WA, USA. scot@physiopraxis.co.
Sports Medicine (Auckland, N.Z.)
|January 27, 2022
Summary
Heavy slow resistance (HSR) training shows promise for tendinopathy management. However, critical review reveals concerns regarding its implementation compared to exercise science principles, suggesting improvements for future research.
Area of Science:
- Sports Medicine
- Exercise Physiology
- Rehabilitation Science
Background:
- Tendinopathy management has evolved significantly with emerging research.
- Heavy slow resistance (HSR) training is a notable approach investigated in randomized controlled trials.
- Existing HSR protocols show promise but warrant critical examination.
Purpose of the Study:
- To critically evaluate the implementation of heavy slow resistance (HSR) protocols in tendinopathy management.
- To identify concerns regarding HSR protocol implementation in light of exercise science principles.
- To provide considerations for improving future exercise prescription in tendinopathy research.
Main Methods:
- Review of existing literature on tendinopathy management and HSR protocols.
- Comparative analysis of HSR implementation against fundamental exercise science principles.
- Identification of potential discrepancies and areas for improvement in HSR protocol design.
Main Results:
- While HSR shows promise, its practical application raises questions when assessed against established exercise science guidelines.
- Specific aspects of HSR protocol implementation may not align optimally with physiological principles of exercise.
- Concerns identified relate to the precise prescription and execution of HSR exercises.
Conclusions:
- Further refinement of HSR protocols is needed to ensure optimal efficacy and adherence to exercise science principles.
- Future research should focus on improving the scientific rigor of HSR exercise prescription for tendinopathy.
- Considerations outlined in this article aim to guide investigators in developing more robust HSR interventions.
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