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12.05.2017 | Systematic Review | Ausgabe 11/2017

The Impact of Resistance Training on Swimming Performance: A Systematic Review

Zeitschrift:: Sports Medicine > Ausgabe 11/2017

Autoren:: Emmet Crowley, Andrew J. Harrison, Mark Lyons

Abstract

Background

The majority of propulsive forces in swimming are produced from the upper body, with strong correlations between upper body strength and sprint performance. There are significant gaps in the literature relating to the impact of resistance training on swimming performance, specifically the transfer to swimming performance.

Objective

The aims of this systematic literature review are to (1) explore the transfer of resistance-training modalities to swimming performance, and (2) examine the effects of resistance training on technical aspects of swimming.

Methods

Four online databases were searched with the following inclusion criteria: (1) journal articles with outcome measures related to swimming performance, and (2) competitive swimmers participating in a structured resistance-training programme. Exclusion criteria were (1) participants with a mean age <16 years; (2) untrained, novice, masters and paraplegic swimmers; (3) triathletes and waterpolo players; (4) swimmers with injuries or illness; and (5) studies of starts and turns specifically. Data were extracted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and the Physiotherapy Evidence Database (PEDro) scale was applied.

Results

For optimal transfer, specific, low-volume, high-velocity/force resistance-training programmes are optimal. Stroke length is best achieved through resistance training with low repetitions at a high velocity/force. Resisted swims are the most appropriate training modality for improving stroke rate.

Conclusion

Future research is needed with respect to the effects of long-term resistance-training interventions on both technical parameters of swimming and overall swimming performance. The results of such work will be highly informative for the scientific community, coaches and athletes.

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Wakayoshi K, D’Acquisto J, Cappaert J, et al. Relationship between metabolic parameters and stroking technique characteristics in front crawl. In: Troup JP, Hollander AP, Strasse D, Trappe SW, Cappaert JM, Trappe TA, editors. Biomechanics and medicine in swimming VII. London: Taylor & Francis; 1996. p. 152–8.

Girold S, Calmels P, Maurin D, et al. Assisted and resisted sprint training in swimming. J Strength Cond Res. 2006;20(3):547–54. PubMed

Wakayoshi K, D’Acquisto L, Cappaert J, et al. Relationship between oxygen uptake, stroke rate and swimming velocity in competitive swimming. Int J Sports Med. 1995;16(01):19–23. PubMedCrossRef

González-Boto R, Salguero A, Tuero C, et al. Monitoring the effects of training load changes on stress and recovery in swimmers. J Physiol Biochem. 2008;64(1):19–26. PubMedCrossRef

Aspenes ST, Karlsen T. Exercise-training intervention studies in competitive swimming. Sports Med. 2012;42(6):527–43. PubMedCrossRef

Morouço PG, Marinho DA, Amaro NM, et al. Effects of dry-land strength training on swimming performance: a brief review. J Hum Sport Exerc. 2012;7(2):553–9. CrossRef

Aspenes S, Kjendlie P-L, Hoff J, et al. Combined strength and endurance training in competitive swimmers. J Sport Sci Med. 2009;8(3):357–65.

Garrido N, Marinho DA, Reis VM, et al. Does combined dry land strength and aerobic training inhibit performance of young competitive swimmers. J Sport Sci Med. 2010;9(2):300–10.

Saltin B, Gollnick P. Skeletal muscle adaptability: significance for metabolism and performance. In: Peachey LD, Adrain RH, Geiger SR, editors. Handbook of Physiology. Baltimore: Williams and Wilkins; 1983. p. 555–631.

10.

Newton RU, Cormie P, Cardinale M. Principles of athletic training. In: Cardinale M, Newton R, Nosaka K, editors. Strength and conditioning: biological principles and practical applications. Oxford: Wiley-Blackwell; 2011. p. 255–70.

11.

Haff GG, Nimphius S. Training principles for power. J Strength Cond Res. 2012;34(6):2–12. CrossRef

12.

Goodwin JE, Cleather DJ. The biomechanical principles underpinning strength and conditioning. In: Jefferys I, Moody J, editors. Strength and conditioning for sports performance. Oxon: Routledge; 2016. p. 62–5.

13.

Suchomel TJ, Nimphius S, Stone MH. The importance of muscular strength in athletic performance. Sports Med. 2016;46(10):1–31. CrossRef

14.

Sharp RL, Troup JP, Costill DL. Relationship between power and sprint freestyle swimming. Med Sci Sports Exerc. 1981;14(1):53–6. CrossRef

15.

Costill D, Rayfield F, Kirwan J, et al. A computer based system for the measurement of force and power during front crawl swimming. J Swim Res. 1986;2(1):16–9.

16.

Tanaka H, Costill DL, Thomas R, et al. Dry-land resistance training for competitive swimming. Med Sci Sports Exerc. 1993;25(8):952–9. PubMedCrossRef

17.

Tanaka H, Swensen T. Impact of resistance training on endurance performance. Sports Med. 1998;25(3):191–200. PubMedCrossRef

18.

Girold S, Maurin D, Dugué B, et al. Effects of dry-land vs. resisted-and assisted-sprint exercises on swimming sprint performances. J Strength Cond Res. 2007;21(2):599–605. PubMed

19.

Trappe SW, Pearson DR. Effects of weight assisted dry-land strength training on swimming performance. J Strength Cond Res. 1994;8(4):209–13.

20.

Smith DJ, Norris SR, Hogg JM. Performance evaluation of swimmers. Sports Med. 2002;32(9):539–54. PubMedCrossRef

21.

Toussaint HM, Beek PJ. Biomechanics of competitive front crawl swimming. Sports Med. 1992;13(1):8–24. PubMedCrossRef

22.

Hollander AP, de Groot G, van Ingen Schenau GJ, et al. Contribution of the legs to propulsion in front crawl swimming. In: Ungerechts BE, Wilke K, Reischle K, editors. Swimming science V. International Series of Sport Sciences, vol. 18. Champaign: Human Kinetics; 1988. p. 39–44.

23.

Bucher W. The influence of the leg kick and the arm stroke on the total speed during the crawl stroke. In: Lewillie L, Clarys JP, editors. Swimming II. Balitimore: University Park Press; 1975. p. 180–7.

24.

Deschodt V, Arsac L, Rouard A. Relative contribution of arms and legs in humans to propulsion in 25-m sprint front-crawl swimming. Eur J Appl Physiol Occup Physiol. 1999;80(3):192–9. PubMedCrossRef

25.

Zamparo P, Pendergast D, Mollendorf J, et al. An energy balance of front crawl. Eur J Appl Physiol. 2005;94(1–2):134–44. PubMedCrossRef

26.

Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264–9. PubMedCrossRef

27.

Maher CG, Sherrington C, Herbert RD, et al. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83(8):713–21. PubMed

28.

Roberts AJ, Termin B, Reilly M, et al. Effectiveness of biokinetic training on swimming performance in collegiate swimmers. J Swim Res. 1991;7(3):5–11.

29.

Song H-S, Park D-H, Jung D-S. The effect of periodized strength training application on the Korea national team. Int J Appl Sports Sci. 2009;21(2):122–45.

30.

Manning J, Dooly-Manning C, Terrell D, et al. Effects of a power circuit weight training programme on power production and performance. J Swim Res. 1986;2(1):24–9.

31.

Strass D. Effects of maximal strength training on sprint performance of competitive swimmers. In: Ungerechts B, Wilke K, Reischle K, editors. Swimming science. V International Series on Sport Sciences, vol. 18. Champaign: Human Kinetics; 1988. p. 149–56.

32.

Girold S, Jalab C, Bernard O, et al. Dry-land strength training vs. electrical stimulation in sprint swimming performance. J Strength Cond Res. 2012;26(2):497–505. PubMedCrossRef

33.

Weston M, Hibbs AE, Thompson KG. Isolated core training improves sprint performance in national-level junior swimmers. Int J Sports Physiol Perform. 2015;10(2):204–10. PubMedCrossRef

34.

Konstantaki M, Winter E, Swaine I. Effects of arms-only swimming training on performance, movement economy, and aerobic power. Int J Sports Physiol Perform. 2008;3(3):294–304. PubMedCrossRef

35.

Dragunas AJ, Dickey JP, Nolte VW. The effect of drag suit training on 50-m freestyle performance. J Strength Cond Res. 2012;26(4):989–94. PubMedCrossRef

36.

Toussaint HM, Vervoorn K. Effects of specific high resistance training in the water on competitive swimmers. Int J Sports Med. 1990;11(03):228–33. PubMedCrossRef

37.

Fry AC, Kraemer WJ. Physical performance characteristics of American collegiate football players. J Strength Cond Res. 1991;5(3):126–38.

38.

Hetzler RK, Stickley CD, Lundquist KM, et al. Reliability and accuracy of handheld stopwatches compared with electronic timing in measuring sprint performance. J Strength Cond Res. 2008;22(6):1969–76. PubMedCrossRef

39.

Pichon F, Chatard J-C, Martin A, et al. Electrical stimulation and swimming performance. Med Sci Sports Exerc. 1995;27(12):1671–6. PubMedCrossRef

40.

Maglischo E, Maglischo C, Zier D, et al. The effect of sprint-assisted and sprint-resisted swimming on stroke mechanics. J Swim Res. 1985;1(2):27–33.

41.

McGuigan MR, Winchester JB. The relationship between isometric and dynamic strength in college football players. J Sports Sci Med. 2008;7(1):101–5. PubMedPubMedCentral

42.

Bollens E, Annemans L, Vaes W, et al. Peripheral EMG comparison between fully tethered and free front crawl swimming. In: Ungerechts B, Wilke K, Reischle K, editors. Swimming science V. International Series of Sport Sciences, vol. 18. Champaign: Human Kinetics; 1988. p. 173–81.

43.

Morouço P, Keskinen KL, Vilas-Boas JP, et al. Relationship between tethered forces and the four swimming techniques performance. J Appl Biomech. 2011;27(2):161–9. PubMedCrossRef

44.

Shimonagata S, Taguchi M, Miura M. Effect of swimming power, swimming power endurance and dry-land power on 100 m freestyle performance. In: Chatard JC, editor. Biomechanics and medicine in swimming IX. Saint Etienne: University of Saint-Etienne; 2003. pp. 391–6.

45.

Clarys J. Hydrodynamics and electromyography: ergonomics aspects in aquatics. Appl Ergon. 1985;16(1):11–24. PubMedCrossRef

46.

Coyle EF, Feiring DC, Rotkis TC, et al. Specificity of power improvements through slow and fast isokinetic training. Appl Physiol. 1981;51:1437–42.

47.

Kanehisa H, Miyashita M. Specificty of velocity in strength training. Euro J Appl Physiol. 1983;52:104–6. CrossRef

48.

Sadowski J, Mastalerz A, Gromisz W, et al. Effectiveness of the power dry-land training programmes in youth swimmers. J Hum Kinet. 2012;32:77–86. PubMedPubMedCentralCrossRef

49.

Ramos Veliz R, Requena B, Suarez-Arrones L, et al. Effects of 18-week in-season heavy-resistance and power training on throwing velocity, strength, jumping, and maximal sprint swim performance of elite male water polo players. J Strength Cond Res. 2014;28(4):1007–14. PubMedCrossRef

50.

Gollnick PD. Relationship of strength and endurance with skeletal muscle structure and metabolic potential. Int J Sports Med. 1982;3:26–32. PubMedCrossRef

51.

Dingley AA, Pyne DB, Youngson J, et al. Effectiveness of a dry-land resistance training programme on strength, power, and swimming performance in paralympic swimmers. J Strength Cond Res. 2015;29(3):619–26. PubMedCrossRef

52.

Stewart AM, Hopkins WG. Seasonal training and performance of competitive swimmers. J Sports Sci. 2000;18(11):873–84. PubMedCrossRef

53.

Costill D. Training adaptations for optimal performance. In: Keskinen KL, Komi PV, Hollander AP, editors. Biomechanics and medicine in swimming VIII. Jyväskylä: University of Jyväskylä; 1999. p. 381–90.

54.

Delecluse C, Van Coppenolle H, Willems E, et al. Influence of high resistance and high velocity training on sprint performance. Med Sci Sports Exerc. 1995;27:1203–9. PubMedCrossRef

55.

Maglischo EW, Maglischo CW, Zier DJ, et al. The effect of sprint-assisted and sprint-ressisted swimming on stroke mechanics. J Swimming Res. 1985;1:27–33.

56.

Juárez Santos-García D, González-Ravé JM, Legaz Arrese A, et al. Acute effects of two resisted exercises on 25 m swimming performance. Isokinet Exerc Sci. 2013;21(1):29–35.

57.

De Villarreal ES, Suarez-Arrones L, Requena B, et al. Enhancing performance in professional water polo players: dryland training, in-water training, and combined training. J Strength Cond Res. 2015;29(4):1089–97. CrossRef

58.

Ribeiro J, Figueiredo P, Sousa A, et al. \(\dot{\rm{V}}\)O ₂ kinetics and metabolic contributions during full and upper body extreme swimming intensity. Eur J Appl Physiol. 2015;115(5):1117–24. PubMedCrossRef

59.

Rodríguez F, Lätt E, Jürimäe J, et al. VO ₂ kinetics in all-out arm stroke, leg kick and whole stroke front crawl 100-m swimming. Int J Sports Med. 2016;37(03):191–6. PubMed

60.

Morris KS, Osborne MA, Shephard ME, et al. Velocity, aerobic power and metabolic cost of whole body and arms only front crawl swimming at various stroke rates. Eur J Appl Physiol. 2016;116(5):1075–85. PubMedCrossRef

61.

McGowan CJ, Pyne DB, Raglin JS, et al. Current warm-up practices and contemporary issues faced by elite swimming coaches. J Strength Cond Res. 2016;30(12):3471–80. PubMedCrossRef

62.

Telles T, Barbosa AC, Campos MH, et al. Effect of hand paddles and parachute on the index of coordination of competitive crawl-strokers. J Sports Sci. 2011;29(4):431–8. PubMedCrossRef

63.

Clarys JP, Toussaint HM, Bollens E, et al. Muscular specificity and intensity in swimming against a mechanical resistance: surface EMG in MAD-and free swimming. In: Ungerechts BE, Reischle K, Wilke K, editors. Swimming V. Champaign: Human Kinetics; 1988. p. 191–9.

64.

Figueiredo P, Zamparo P, Sousa A, et al. An energy balance of the 200 m front crawl race. Eur J Appl Physiol. 2011;111(5):767–77. PubMedCrossRef

65.

Chatard JC, Mujika I. Training load and performance in swimming. In: Keskinen KL, Komi PV, Hollander AP, editors. Biomechanics and medicine in swimming VIII. Jyväskylä: University of Jyväskylä; 1999. p. 429–34

66.

Costill D, Sharp R, Troup J. Muscle strength: contributions to sprint swimming. Swim World. 1980;21:29–34.

67.

Craig AB, Skehan PL, Pawelczyk JA, et al. Velocity, stroke rate, and distance per stroke during elite swimming competition. Med Sci Sports Exerc. 1985;17(6):625–34. PubMedCrossRef

68.

Hay J, Guimaraes A, Grimston S. A quantitative look at swimming biomechanics. Swimming Technique. 1983;20(2):11–7.

69.

Craig AB, Pendergast DR. Relationships of stroke rate, distance per stroke, and velocity in competitive swimming. Med Sci Sports Exerc. 1979;11:278–83. CrossRef

70.

Schnitzler C, Seifert L, Chollet D. Arm coordination and performance level in the 400-m front crawl. Res Q Exerc Sport. 2011;82(1):1–8. PubMedCrossRef

71.

Laffite LP, Vilas-Boas JP, Demarle A, et al. Changes in physiological and stroke parameters during a maximal 400-m free swimming test in elite swimmers. Can J Appl Physiol. 2004;29(1):17–31. CrossRef

72.

Alberty M, Potdevin F, Dekerle J, et al. Changes in swimming technique during time to exhaustion at freely chosen and controlled stroke rates. J Sports Sci. 2008;26(11):1191–200. PubMedCrossRef

73.

Huot-Marchand F, Nesi X, Sidney M, et al. Is improvement in performance linked to higher stroke length values in top-level 100-m front crawl swimmers? J Hum Mov Stud. 2005;6(1):12–8.

74.

Deluzio KJ, Harrison AJ, Coffey N, et al. Analysis of biomechnical waveform data. In: Robertson DGE, Caldwell GE, Hamill J, Kamen G, Whittlesey SN, editors. Research methods in biomechanics. 2nd ed. Champaign: Human Kinetics; 2014. p. 317–37.

75.

Fernandes RJ, Marinho DA, Barbosa TM, et al. Is time limit at the minimum swimming velocity of VO ₂ max influenced by stroking parameters? Percept Mot Skills. 2006;103(1):67–75. PubMedCrossRef

76.

77.

Alberty M, Sidney M, Pelayo P, et al. Stroking characteristics during time to exhaustion tests. Med Sci Sports Exerc. 2009;41(3):637. PubMedCrossRef

78.

Marinho DA, Boas JPV, Keskinen KL, et al. Behaviour of the kinematic parameters during a time to exhaustion test at VO _2max in elite swimmers. J Hum Movement Stud. 2006;51:1–10.

79.

Keskinen KL, Komi PV. Stroking characteristics of front crawl swimming during exercise. J Appl Biomech. 1993;9(3):219–26. CrossRef

80.

Fernandes R, Vilas-Boas J. Time to exhaustion at the VO _2max velocity in swimming: a review. J Hum Kinet. 2012;32:121–34. PubMedPubMedCentralCrossRef

81.

Leveritt M, Abernethy PJ, Barry BK, et al. Concurrent strength and endurance training. A review. Sports Med. 1999;28(6):413–27. PubMedCrossRef

82.

Wilson JM, Marin PJ, Rhea MR, et al. Concurrent training: a meta-analysis examining interference of aerobic and resistance exercises. J Strength Cond Res. 2012;26(8):2293–307. PubMedCrossRef

83.

Hawley JA. Adaptations of skeletal muscle to prolonged, intense endurance training. Clin Exp Pharmacol Physiol. 2002;29(3):218–22. PubMedCrossRef

84.

Laursen PB, Jenkins DG. The scientific basis for high-intensity interval training. Sports Med. 2002;32(1):53–73. PubMedCrossRef

85.

Fyfe JJ, Bishop DJ, Stepto NK. Interference between concurrent resistance and endurance exercise: molecular bases and the role of individual training variables. Sports Med. 2014;44(6):743–62. PubMedCrossRef

86.

Cormie P, McGuigan MR, Newton RU. Developing maximal neuromuscular power. Sports Med. 2011;41(1):17–38. PubMedCrossRef

87.

Sale DG. Influence of exercise and training on motor unit activation. Exerc Sport Sci Rev. 1987;15:95–151. PubMedCrossRef

88.

Hawley JA. Molecular responses to strength and endurance training: are they incompatible? Appl Physiol Nutr Metab. 2009;34(3):355–61. PubMedCrossRef

89.

Coffey VG, Hawley JA. The molecular bases of training adaptation. Sports Med. 2007;37(9):737–63. PubMedCrossRef

90.

Ghosh HS, McBurney M, Robbins PD. SIRT1 negatively regulates the mammalian target of rapamycin. PLoS One. 2010;5(2):e9199. PubMedPubMedCentralCrossRef

91.

Donges CE, Burd NA, Duffield R, et al. Concurrent resistance and aerobic exercise stimulates both myofibrillar and mitochondrial protein synthesis in sedentary middle-aged men. J Appl Physiol. 2012;112(12):1992–2001. PubMedCrossRef

92.

Apro W, Wang L, Ponten M, et al. Resistance exercise induced mTORC1 signalling is not impaired by subsequent endurance exercise in human skeletal muscle. Am J Physiol Endocrinol Metab. 2013;305:22–32. CrossRef

93.

Wang L, Mascher H, Psilander N, et al. Resistance exercise enhances the molecular signalling of mitochondrial biogenesis induced by endurance exercise in human skeletal muscle. J Appl Physiol. 2011;111(5):1335–44. PubMedCrossRef

94.

Lundberg TR, Fernandez-Gonzalo R, Gustafsson T, et al. Aerobic exercise alters skeletal muscle molecular responses to resistance exercise. Med Sci Sports Exerc. 2012;44(9):1680–8. PubMedCrossRef

95.

Botonis PG, Toubekis AG, Platanou TI. Concurrent strength and interval endurance training in elite water polo players. J Strength Cond Res. 2016;30(1):126–33. PubMedCrossRef

96.

Coffey VG, Shield A, Canny BJ, et al. Interaction of contractile activity and training history on mRNA abundance in skeletal muscle from trained athletes. Am J Physiol Endocrinol Metab. 2006;290(5):E849–55. PubMedCrossRef

97.

Coffey VG, Zhong Z, Shield A, et al. Early signalling responses to divergent exercise stimuli in skeletal muscle from well-trained humans. FASEB J. 2006;20(1):190–2. PubMed

98.

Baar K. Using molecular biology to maximize concurrent training. Sports Med. 2014;44(2):117–25. PubMedCentralCrossRef

Titel: The Impact of Resistance Training on Swimming Performance: A Systematic Review
Autoren:: Emmet Crowley
Andrew J. Harrison
Mark Lyons
Publikationsdatum: 12.05.2017
DOI: https://doi.org/10.1007/s40279-017-0730-2
Verlag: Springer International Publishing
Zeitschrift: Sports Medicine
Ausgabe 11/2017
Print ISSN: 0112-1642
Elektronische ISSN: 1179-2035

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The Impact of Resistance Training on Swimming Performance: A Systematic Review

Abstract

Background

Objective

Methods

Results

Conclusion

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Background

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Conclusion

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