by Bret Contreras March 01, 2022
Here is something I’ve been working on for the past several months. My hope is that this guide helps others determine the effectiveness of an exercise on their own, without having to rely on others’ opinions. Basically, this guide will teach you how to determine an exercise’s effectiveness using science-based common sense, numerical, and longitudinal clues. First, I will provide a link to a PDF of this blogpost. Second, I will provide a list of bullet points. Third, I will embed two YouTube videos that further explain the guide. The first video is by yours truly, and the second video is with the hilarious Dr. Mike Israetel and Jared Feathers. And fourth, I will embed a chart.
Please click on this link to download a PDF: The Exercise Efficiency Guide
Common Sense Clues |
Feel/Sensation (mind-muscle) |
Burn (metabolic stress) |
Pump (cell swelling) |
DOMS (delayed onset muscle soreness) |
Tension (can be visual or via palpation) |
Fiber directions/joint actions (functional anatomy) |
Physiques of lifters that prioritize the lift |
Discussions with lifters, coaches, & trainers |
Numerical Clues |
Wire & surface EMG or electromyography (mean, peak, integrated, decomposition, high-density multi-channel grid)– EMG is basically a voltage meter for muscles. Also, TMG or tensiomyography, MMG or mechanomyography, SMG or sonomyography (these last 3 aren’t common) |
fMRI (fluid shifts associated with metabolic activity…cell swelling due to metabolic stress or muscle damage) |
Ultrasound (acute thickness changes looks at cell swelling, SWE or shear wave elastography looks at stiffness) |
ECM and Z-Line disturbances (biopsy – looks at muscle damage) |
Lactate & other metabolites, glycogen depletion (markers of metabolic stress) |
Creatine kinase & myoglobulin (markers of muscle damage) |
Testosterone, free test, cortisol, hGH or human growth hormone, IGF-1 or insulin-like growth factor, MGF or mechano growth factor, etc. (hormones & peptides) |
ROM/strain (range of motion/stretch) |
Moment arms & pennation angle (measures of leverage & effective line of force) |
Force plate (force, power, RFD or rate of force development, impulse, work, etc.) |
Muscle active, passive, and total force-length curves (matching internal vs. external curves) |
Musculoskeletal modelling (intricate – requires software, force plates, markers, multiple cameras, etc.) |
Acute protein synthesis (biopsy) |
Intracellular signaling (mTOR, MAPK, AKT, calcium dependent pathways, p70S6K, etc.) |
PAPE (post activation performance enhancement) |
Longitudinal Clues |
Hypertrophy RCTs:· Girth (circumference)· US or ultrasound (thickness, CSA or cross-sectional area, volume w/software)· DEXA or dual energy x-ray absorptiometry (3 components; FFM or fat free mass, FM or fat mass, BMC or bone mineral content; can be segmental)· BIA or bioelectrical impedance analysis (3 components; body water, FFM, FM; can be segmental)· Bod Pod (2 components: FFM & FM)· Underwater weighing (2 components: FFM & FM)· Skinfold (2 components: FFM & FM)· CT or computed tomography scan (CSA, volume)· MRI or magnetic resonance image (CSA, volume)· Biopsy (individual fibers)· Skinfold w/girth (CSA)· 4-component models – combine above modalities |
Strength RCTs:· Isometric, concentric, or eccentric· Dynamometer, force plate, 1RM or 1-repetition maximum (also 3RM, 5RM, etc. used with a regression equation) |
Performance RCTs:· ADLs or activities of daily living (sit to stand, etc. – usually used with elderly)· Linear acceleration & top speed sprint· Vertical & horizontal jump· Lateral agility/COD or change of direction· Rotational power |
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