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Effect of Strength Training on Biomechanical and Neuromuscular Variables in Distance Runners: A Systematic Review and Meta-Analysis

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Abstract

Background

Concurrent strength and endurance (CSE) training improves distance running performance more than endurance training alone, but the mechanisms underpinning this phenomenon are unclear. It has been hypothesised that biomechanical or neuromuscular adaptations are responsible for improvements in running performance; however, evidence on this topic has not been synthesised in a review.

Objective

To evaluate the effect of CSE training on biomechanical and neuromuscular variables in distance runners.

Methods

Seven electronic databases were searched from inception to November 2018 using key terms related to running and strength training. Studies were included if the following criteria were met: (1) population: ‘distance’ or ‘endurance’ runners of any training status; (2) intervention: CSE training; (3) comparator: running-only control group; (4) outcomes: at least one biomechanical or neuromuscular variable; and, (5) study design: randomised and non-randomised comparative training studies. Biomechanical and neuromuscular variables of interest included: (1) kinematic, kinetic or electromyography outcome measures captured during running; (2) lower body muscle force, strength or power outcome measures; and (3) lower body muscle–tendon stiffness outcome measures. Methodological quality and risk of bias for each study were assessed using the PEDro scale. The level of evidence for each variable was categorised according to the quantity and PEDro rating of the included studies. Between-group standardised mean differences (SMD) with 95% confidence intervals (95% CI) were calculated for studies and meta-analyses were performed to identify the pooled effect of CSE training on biomechanical and neuromuscular variables.

Results

The search resulted in 1578 potentially relevant articles, of which 25 met the inclusion criteria and were included. There was strong evidence that CSE training significantly increased knee flexion (SMD 0.89 [95% CI 0.48, 1.30], p < 0.001), ankle plantarflexion (SMD 0.74 [95% CI 0.21–1.26], p = 0.006) and squat (SMD 0.63 [95% CI 0.13, 1.12], p = 0.010) strength, but not jump height, more than endurance training alone. Moderate evidence also showed that CSE training significantly increased knee extension strength (SMD 0.69 [95% CI 0.29, 1.09], p < 0.001) more than endurance training alone. There was very limited evidence reporting changes in stride parameters and no studies examined changes in biomechanical and neuromuscular variables during running.

Conclusions

Concurrent strength and endurance training improves the force-generating capacity of the ankle plantarflexors, quadriceps, hamstrings and gluteal muscles. These muscles support and propel the centre of mass and accelerate the leg during running, but there is no evidence to suggest these adaptations transfer from strength exercises to running. There is a need for research that investigates changes in biomechanical and neuromuscular variables during running to elucidate the effect of CSE training on run performance in distance runners.

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Data Availability Statement

The datasets analysed during the current review are available in published articles (as referenced) or available from the corresponding author as indicated by ‘CORR’ in Table 1.

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Authors and Affiliations

  1. Centre for Sport Research, School of Exercise and Nutrition Sciences, Deakin University, 75 Pigdons rd, Waurn Ponds, VIC, 3216, Australia

    Danielle Trowell, Natalie Saunders, Aaron Fox & Jason Bonacci

  2. Movement Science, Australian Institute of Sport, Belconnen, ACT, Australia

    Danielle Trowell

  3. School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD, Australia

    Bill Vicenzino

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  1. Danielle Trowell
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  2. Bill Vicenzino
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Contributions

Danielle Trowell performed the database search and identified relevant articles, extracted and analysed data, and is the primary author of the manuscript. Jason Bonacci identified relevant articles, assessed articles for methodological quality and risk of bias, and contributed to the writing of the manuscript. Bill Vicenzino provided guidance on conducting meta-analyses using standardised mean differences and contributed to the writing of the manuscript. Natalie Saunders and Aaron Fox provided guidance and feedback on the manuscript.

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Correspondence to Jason Bonacci.

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Conflict of interests

Danielle Trowell, Bill Vicenzino, Natalie Saunders, Aaron Fox and Jason Bonacci declare that they have no conflicts of interest relevant to the content of this review.

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Trowell, D., Vicenzino, B., Saunders, N. et al. Effect of Strength Training on Biomechanical and Neuromuscular Variables in Distance Runners: A Systematic Review and Meta-Analysis. Sports Med 50, 133–150 (2020). https://doi.org/10.1007/s40279-019-01184-9

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