Weight Training Safety

ExRx.net > Weight Training > Information

Resistance Training for the Reduction of Sports Injury

Fleck and Falkel (1986) state:

"Proper technique and completion of a full range of motion is paramount to prevent injury to connective tissue, muscle, and joint capsules. The exercises also should be conducted in a manner that stimulates the actual athletic activity as specifically as possible. This may require modifying the equipment, starting position and/or speed of contraction. Sets and repetitions should accommodate the needs of the particular athletic activities with emphasis on improvement in muscular strength, muscular endurance, or muscular power. As in any weight training session, warm-up is essential before a session, even if the resistance training activity will only involve a relatively light load. Finally, flexibility exercises need to be instituted along with the strength training in order to keep the optimal functional range of motion throughout the exercise."


Olympic-style Weightlifts

Weight Lifting Injuries

Rhea (2003) suggests there is no practical difference in injury rate between using free weights or machines in healthy adults.

Requa RK, DeAvilla LN, Garrick JG. (1993) Injuries in recreational adult fitness activities. Am J Sports Med, 21(3):461-7.

Injuries sustained during weightlifting training and weightlifting competition are substantially lower than injuries incurred from other sports such as football, gymnastics, or basketball.

Stone MH (1990). Muscle conditioning and muscle injuries. Med Sci Sports Exerc. 22(4):457-462.

In college football players, time lost from injuries during weight training amounted to 1% of the time lost from injuries during football participation.

Zemper ED (1990). Four-year study of weight-room injuries in a national sample of college football teams. N atl Strength Cond Assoc J. 12(3):32-34.


Injury Potential of Weight Training

Weight training injury rates are low.

    • General Population (Powell et al. 1998)
    • Athletes (Hamill 1994, Zemper 1990)

Free weights do not produce more injuries, compared to machines (Ralph et al. 1993).

Weightlifting injuries are lower than those sustained in other sports (Hamill 1994, Stone 1990, Stone et al. 1993).

Sports Injury Rates (Hamill 1994)

Sport

Injuries (per 100 hours)

Soccer (school age) 6.20
UK Rugby 1.92
USA Basketball 0.03
UK Cross Country 0.37
Squash 0.10
US Football 0.10
Badminton 0.05
USA Gymnastics 0.044
USA Powerlifting 0.0027
USA Volleyball 0.0013
USA Tennis 0.001
Weight Training 0.0035 (85,733 hrs)
Weightlifting 0.0017 (168,551 hrs)
Clean & Jerk


Knee Stability

Closed-chain exercises like leg presses and squats can improve knee stability. The stresses placed upon the joints and muscles during closed- chained movements are more functional and offer more natural stresses on the body as compared to open-chain exercises like leg extensions. See Hamstring Weakness

Peterson, J.A, Bryant, C.X., Understanding Closed Chained Exercise, The Fitness Handbook, 2, 125-130, 1995.


Upright Row Safety

Barbell Upright RowA shoulder width grip is suggested when performing the upright row. The greater internal rotation required for a close grip upright row decreases the subacromial space (area between the greater tubercle of the humerus and acromioclavicular joint). This may potentially impinge the supraspinatus tendon and the subacromial bursa (a protective sac of fluid cushioning the bone from the tendon). A wider grip allows for more space between the shoulder joint and the head of the humerus allowing for more clearance of the underlying structures. For the same reason, when performing a one arm upright row, keep the elbow pointing directly to the side, instead of angling it slightly to the front. Shoulders should be kept back since scapula protraction can decrease width of subacromical space, possibly increasing risk of subacromical impingement (Solem-Bertift E, et al. 1993). An upright posture with chest high and shoulders back, bar kept close to the body, and a medium to slightly wide grip can facilitate a more ideal shoulder posture.

The subacromial space as well as other biomechanical and biometric factors vary from person to person so some individuals may be more prone to complications while others report no problems performing the narrower grip upright row. Also see Over Generalizations.


Sample Split Program Design Flaws

Triceps overuse, possible Anterior Deltoid overuse
  • Day 1: Chest
  • Day 2: Shoulder Press
  • Day 3: Triceps
Supraspinatus overuse
Shoulder Biceps tendinitis or bursitis
Forearm Flexor overuse resulting in medial epicondylitis

Header presents potential risk of program design, particularly if other risk factors are present. See Adaption Criteria and Overtraining. Also see Lower Back Exercises, Recuperation & Program Design and suggested full body and split programs templates.


Weight Training for Cardiac Patients

Previously, cardiac patients were cautioned against strength training for fear that exertional blood pressure elevation would lead to arrhythmia, or myocardial ischemia. Rehabilitation thus consisted of mostly aerobic exercise. Multiple studies have shown that not only is this false, but that resistance training, as compared to aerobic training not only improved strength and cardiovascular endurance, but also had fewer cardiovascular complications of angina, arrhythmia, ischemia, or blood pressure abnormalities. Moreover the patients achieved significant muscle strength to return to their occupational and leisure activities.

McCartney N. Role of resistance training in heart disease. Medicine and Science in Sports and Exercise 1998; 30(10): s396-s401.

Benjamini Y, Rubenstein JJ, Zaichowsky LD, Crim MC. Effects of high intensity strength training on quality of life parameters in cardiac rehabilitation patients. American Journal of Cardiology 1997;80(7):841-846.

Daub WD, Knapik GP, Black WR. Strength training after myocardial infarction. Journal of Cardiopulmonary Rehabilitation 1996;16:100-108.

Stewart KJ. Resistive training effects on strength and cardiovascular endurance in cardiac and coronary prone patients. Medicine and Science in Sports and Medicine 1989;21(6):678-682.

Also see weight training for older adults.


Main Menu | Exercise Safety | Youth Weight Training | Dangerous Exercises | Weight Training Safety Q&A

Physical Overtraining | Weight Training Titles | Injury & Prevention Titles