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Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

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Page 1: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Resistance Training ProgramsResistance Training Programs

Chapter 14

Page 2: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

ObjectivesObjectives

• Define resistance training principles

• Review how and why resistance training should be performed

• Design, evaluate, and implement resistance training programs

• Evaluate clients’ resistance training needs and progress

Page 3: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

The history and science behind resistance trainingThe history and science behind resistance training

• Thomas Delorme

• A. L. Watkins

• Patrick O’Shea

• Richard Berger

• Bob Hoffman

• Joe and Ben Weider

• ACSM’s Medicine and Science in Sports and Exercise

• NSCA’s Journal of Strength and Conditioning Research

Page 4: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

General resistance training principlesGeneral resistance training principles

• Resistance exercise: single training session

• Resistance training: overall program

• General principles:

– Specificity of training

– SAID principle

– Progressive overload

– Variation in training

– Prioritization of training

Page 5: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Program design processProgram design process

• Identifying specific variables that can be controlled to predict training outcomes is key to improved program design

• Sound decisions must be made based on factual understanding of resistance training, the needs of the sport or activity, individual training responses, and testing data

• Planning and changing the exercise prescription is vital for success

Page 6: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Program design: training potential Program design: training potential

• Clients who are relatively deconditioned will see great gains initially

• As training progresses, gains decrease

• Gains are linked to the client’s genetic potential

Page 7: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Program design: initial assessments Program design: initial assessments

• Needs analysis

• Intended time frame

• Targeted areas or muscle groups

• Health issues, musculoskeletal limitations, recent surgeries, chronic injuries, sites of pain, etc.

Page 8: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Program design: initial assessments (cont.)Program design: initial assessments (cont.)

• Learn about the client’s previous resistance exercise experience before designing a new program

• Conduct a baseline fitness assessment

– Initial determination of the level of the different fitness variables can help in the development of an effective training program

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Copyright © 2014 American College of Sports Medicine

Program design: follow-up assessments Program design: follow-up assessments • Keep records of your client’s progress

• Individualized training logs are a useful tool

• Reassess the client’s progress periodically

• Modify the program variables accordingly

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Copyright © 2014 American College of Sports Medicine

Program design: individualization Program design: individualization

• Modifications for client variability:

– Anatomical characteristics

– Needs

– Abilities

– Training adaptations

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Copyright © 2014 American College of Sports Medicine

Program design: client feedback Program design: client feedback

• Expressed verbally:

– Openly expressed

– Solicited by Personal Trainer

• Expressed physically:

– Physical signs of discomfort or pain

– Reduction in technique

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Copyright © 2014 American College of Sports Medicine

Program design: client feedback (cont.)Program design: client feedback (cont.)

• Of special concern is careful and proper progression, especially in beginners or those coming off injury or disease

• Too much exercise, too heavy of exercise, and/or accentuated eccentric exercise can lead to an excessive amount of muscle tissue damage and breakdown

– Concern with rhabdomyolysis

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Copyright © 2014 American College of Sports Medicine

Program design: client feedback (cont.)Program design: client feedback (cont.)

• Symptoms of delayed onset muscle soreness (DOMS) is a first sign that the individual has done too much too soon

– Swelling, pain, and soreness are classical signs of muscle tissue damage

Page 14: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Program design: client feedback (cont.)Program design: client feedback (cont.)

• Explain muscle group(s) the exercise is intended to target

• Watch for deterioration of technique—proper technique must always be a priority

Page 15: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Page 16: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Program design: setting and evaluating goalsProgram design: setting and evaluating goals• Need to individualize to client’s goals

• Goals:

– Obtainable

– Testable/measurable

• Time frame:

– Realistic

Page 17: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Program design: maintenance of training goals Program design: maintenance of training goals

• Capping:

– Value judgment of gains versus training time

– Leads to maintenance training program

• Decisions such as capping are part of the many types of decisions that must be made when monitoring the progress of resistance training programs

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Program design: unrealistic goals Program design: unrealistic goals

• Genetic limitations

• Lack of underlying scientific principles

• Unrealistic body image

• Lack of long-term commitment

• Ultimately, for both men and women, it is a question of whether the resistance training program used can stimulate the desired changes in their body

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Copyright © 2014 American College of Sports Medicine

Resistance training modalitiesResistance training modalities• Many training tools available

• Choice depends on:

– Client’s needs

– Client’s goals

– Client’s experiences

– Client’s limitations

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Copyright © 2014 American College of Sports Medicine

Resistance training modalities: variable-resistance devices Resistance training modalities: variable-resistance devices

• Changes in strength curve:

– Ascending

– Descending

– Bell shaped

• Lever arm, cam, or pulley arrangement

• Elastic bands

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Copyright © 2014 American College of Sports Medicine

Figure 14.3. Three basic strength curves exist for every exercise, with hybrids of them for certain movements.

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Resistance training modalities: dynamic constant external resistance devices

Resistance training modalities: dynamic constant external resistance devices

• Dynamic constant external resistance (DCER):

– Lifting (concentric) phase

– Lowering (eccentric) phase

• Types of devices: dumbbells, barbells, kettle bells, weight machines, medicine balls

Page 23: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Resistance training modalities: dynamic constant external resistance devices (cont.)

Resistance training modalities: dynamic constant external resistance devices (cont.)

• Free form exercises:

– Exercise stabilizing muscles

– Operate in multiple dimensions

– Almost unlimited range of motion

– Easily adaptable to individual

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Copyright © 2014 American College of Sports Medicine

Resistance training modalities: static resistance devicesResistance training modalities: static resistance devices• Muscular action that does not change muscle

length:

– Immovable apparatus

– Weak muscle group against strong

• Strength gains less than 5% per week related to:

– Action number

– Action duration

– Action strength (maximal or submaximal)

– Training frequency

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Copyright © 2014 American College of Sports Medicine

Resistance training modalities: other resistance devices Resistance training modalities: other resistance devices • Isokinetic devices control speed for maximum

resistance:

– Friction

– Compressed air

– Pneumatics

– Hydraulics

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Copyright © 2014 American College of Sports Medicine

Machines vs. free-weight exercisesMachines vs. free-weight exercises

• Machines at comparative disadvantage:

– Do not fit all proportions

– Do not allow full range of motion

– Negate stabilizing muscles

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Copyright © 2014 American College of Sports Medicine

Machines vs. free-weight exercises (cont.)Machines vs. free-weight exercises (cont.)

– Allow greater independence

– Are less intimidating

– Do not allow power training

– Do allow body movements that free weights do not

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The needs analysisThe needs analysis

1. What is the main goal of the resistance training program?

2. What muscle groups need to be trained?

2.What are the basic energy sources (e.g., anaerobic, aerobic) that need to be trained?

3.What type of muscle action (e.g., isometric, eccentric actions) should be used?

4.What are the primary sites of injury for the particular sport or prior injury history of the individual?

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Resistance training goalsResistance training goals

• First question to ask a client relate to his/her main goal for resistance training

• Reviewing with client allows for discussion of realistic expectations and time commitments

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Biomechanical analysis to determine what muscles need to be trainedBiomechanical analysis to determine what muscles need to be trained• Specificity:

– The joint around which movement occurs

– The joint range of motion

– The pattern of resistance throughout the range of motion (ascending, descending, or bell-shaped)

– The pattern of limb velocity throughout the range of motion

– Types of muscle contraction (e.g., concentric, eccentric, or isometric)

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Transfer specificityTransfer specificity

• Each resistance exercise will have various amounts of transfer to other activities

• No conditioning activity has perfect transfer

• Optimal training program needs to maximize carryover to the target sport or activity

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Determining the energy sources used in the activity Determining the energy sources used in the activity

• ATP metabolism

• Anaerobic metabolism

• Aerobic metabolism

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Selecting a resistance modality Selecting a resistance modality

• Most resistance training programs use several types of muscle actions:

– Isometric

– Dynamic concentric

– Dynamic eccentric

– Isokinetic

Page 34: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Injury prevention exercises Injury prevention exercises

• Enhance strength and function of tissue to:

– Resist injury

– Recover faster

– Reduce extent of damage

• Prehabilitation:

– Prevent injury by training susceptible joints and muscles

– Prevent reinjury

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Copyright © 2014 American College of Sports Medicine

The acute program variablesThe acute program variables

• The classical acute program variables are:

– choice of exercises

– order of exercises

– resistance and repetitions used

– number of sets for each exercise

– duration of rest period between sets and exercises

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Choice of exercises Choice of exercises

• Primary or assistance

• Multijoint or single-joint

• Single-joint or single-muscle group

• Bilateral or unilateral

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Order of exercises Order of exercises

1. Large muscle group before small muscle group exercises

2. Multijoint before single-joint exercises

3. Alternating push/pull exercises for total body sessions

4. Alternating upper/lower body exercises for total body sessions

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Order of exercises (cont.)Order of exercises (cont.)

5.Explosive/power type lifts (e.g., Olympic lifts) and plyometric exercises before basic strength and single-joint exercises

6.Exercises for priority weak areas before exercises for strong areas

7.Most intense to least intense (particularly when performing several exercises consecutively for the same muscle group)

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Resistance and repetitions used Resistance and repetitions used

• Repetition maximums (RM)

• Absolute resistance

• Percentage of 1 RM

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Number of days per week of training (frequency)Number of days per week of training (frequency)

• Depends on desired outcome, training status, competitive season (for athletes), and type of training session (full body or split routine)

• Health related: 2 to 3 days per week using a full body resistance training program

• Additional days may be needed for intermediate (4 to 5 days per week) or advanced (4 to 6 days per week)

Page 41: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

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Copyright © 2014 American College of Sports Medicine

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Copyright © 2014 American College of Sports Medicine

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Copyright © 2014 American College of Sports Medicine

Number of sets for each exercise Number of sets for each exercise

• Volume of exercise equation:

sets × reps × resistance

– Long-term progression

– Maintenance

• Multiple-set programs

• One-set programs

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Duration of rest period between sets and exercises Duration of rest period between sets and exercises

• Primary energy system (ATP) needs to be replenished

– The duration of the rest period significantly influences the metabolic, hormonal, and cardiovascular responses to a short-term bout of resistance exercise, as well as the performance of subsequent sets

• Long versus short rest

• Heavy versus moderate loading

• Effects of aging

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Duration of rest period between sets and exercises (cont.)Duration of rest period between sets and exercises (cont.)

• Rest periods can be characterized as:

– Very short rest periods—1 minute or shorter

– Short rest periods—1 to 2 minutes

– Moderate rest periods—2 to 3 minutes

– Long rest periods—3 to 4 minutes

– Very long rest periods—5 minutes or longer

Page 47: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Variation of acute program variablesVariation of acute program variables

• Variation addresses needed change in demands on neuromuscular system

• Light exercise can rest higher threshold motor units

• Motor recruitment follows the “size principle”

• Different loads can result in varying amounts and types of muscle tissue being used

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Muscle actions Muscle actions

• Muscles can produce force while performing one of three different actions:

– When sufficient force is produced to overcome the external load and shorten the muscle, the actions is termed concentric muscle action or contraction.

– If the muscle produces force but there is no change in length of the muscle, the action is termed isometric.

– Production of force while the muscle is lengthening (i.e., resisting the movement) is termed eccentric muscle action.

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True repetition and range of movement True repetition and range of movement

• Muscle actions involving joint movement are dynamic:

– Concentric phase

– Eccentric phase

• Importance of using entire range of motion

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Periodization of exercisePeriodization of exercise• Periodization—systematic changes in prescribed

volume and intensity during different phases of resistance training program:

– Hypertrophy

– Strength/power

– Peaking

– Recovery

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Periodization of exercise (cont.)Periodization of exercise (cont.)

• Phases:

– Macrocycle

– Mesocycle

– Microcycle

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Linear periodization Linear periodization

• Progressive increase in intensity originally evolved from training for single-peak events (e.g., track and field, weightlifting)

– Steady linear increase in intensity

– Volume of the training program decreases gradually in concert with an increase in intensity

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Copyright © 2014 American College of Sports Medicine

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Reverse linear programReverse linear program

• Follows tenants of linear periodization for volume and strength but in the reverse order

• May be of benefit when muscular endurance is the primary program outcome

Page 56: Copyright © 2014 American College of Sports Medicine Resistance Training Programs Chapter 14

Copyright © 2014 American College of Sports Medicine

Nonlinear periodized programs Nonlinear periodized programs

• Also called daily undulating periodizaiton (DUP)

• Maintains variation in training stimulus

• Variation in intensity and volume within each week

• Flexible and can accommodate to client schedules

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Unplanned/flexible nonlinear periodized programsUnplanned/flexible nonlinear periodized programs

• Overall plan is developed for a 12-week mesocycle but the actual day a given workout will be performed is based on the readiness to train

• Allows for only the most optimal workout that can be performed on a given day

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Progression from beginner to advancedProgression from beginner to advanced

• The level of fitness and resistance training experience may be the most important when designing a resistance training program

• Resistance exercise can place a large stress on the body, and certain exercises require a high level of technique to avoid injury

• Correct resistance exercise techniques

• Single sets versus multiple sets

• More technical exercises

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Client Interactions Client Interactions

• The relationship should be based on professionalism, trust, and openness

• Provide support

• Keep current on scientific information

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Client interactions: demonstration of proper lifting techniqueClient interactions: demonstration of proper lifting technique

• Provide a good visual representation of the lift in order to allow client to replicate the correct movement

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Client interactions: spotting in resistance exerciseClient interactions: spotting in resistance exercise

• Resistance training requires physical interaction

• Explain spotting procedures

• Always ask before touching the client

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Client interactions: know proper spotting technique Client interactions: know proper spotting technique

• Know proper exercise technique

• Know proper spotting technique

• Verify your strength or get help

• Know the number of repetitions intended

• Always be attentive at all times

• Stop the lifter for incorrect technique or broken form

• Know an action plan for serious injury

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Resistance exercisesResistance exercises

• A large number of exercises can be used in a program

• The following slides include some examples

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Figure 14.5. A. Back squat (thighs). Place the barbell on the back of the shoulders and grasp the barbell at the sides, with feet shoulder-width apart, toes slightly out. Dismount bar from rack. Descend until thighs are parallel to the floor and then extend the knees and hips until legs are straight, returning you to the starting position. Repeat for the appropriate number of repetitions. Keep the head forward with the chin level, back straight, and feet flat on the floor; keep equal distribution of weight throughout forefoot and heel and either squat within the power rack or have spotter(s).

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Figure 14.5. (Continued) B. Supine leg press (thighs). Lie flat on the sled with shoulders against the pad. Place the feet on the platform, making sure that they are securely on the base plate. Extend the hips and knees. Flex the hips and knees until the knees are just short of complete flexion and return to the starting position to complete the repetition. Keep the feet flat on the platform and do not lock the knees. A full ROM should be used; keep the knees in the same direction as the feet.

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Figure 14.5. (Continued) C. 45° leg press (thighs). Lie down on the machine with the back on the padded supports.

Place the feet on the platform. Grasp the handles on the side and release the weight. Lower the weight by flexing the hips

and knees until the hips are completely flexed and then extend the knees to complete the repetition. Make sure that the feet

are flat on the platform and the knees track over the feet.

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Figure 14.5. (Continued) D. Lunge (thighs, unilateral). Standing straight up with feet shoulder-width apart, stand

holding the dumbbells at the sides. Lunge forward with one leg at a time, keeping the hips in the middle of the two legs, with

the trailing knee just above the ground. Return to the standing position to complete the repetition and then repeat with the

opposite leg. Keep the back straight and chin level with the ground.

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Copyright © 2014 American College of Sports Medicine

Figure 14.5. (Continued) E. Leg extensions (thighs, bilateral or unilateral). Sit on the machine with the back straight against the back pad or seat and grasp the handles on the side of the machine. Place the legs under the padded lever, making sure that they are positioned just above the ankles. Most machines will allow adjusting the length of the lever. Lift the lever until the legs are almost straight and return to the starting position to complete the repetition. It is important not to “rip” the plates off the stack, as this can add stress to the knees. This exercise can be done with a single leg (unilateral) or with both legs (bilateral). Make sure that the knees are aligned with the machine's center of rotation.

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Figure 14.5. (Continued) F. Leg curls (hamstrings, bilateral or unilateral). Lying face down, grab the support handles in

the front of the machine with the heels just beyond the edge of the lever pads. Lift the lever arm by flexing the knees until

they are straight. Return to the starting position to complete the repetition. Keep the body on the bench and focus on moving

only the legs. Many machines are angled so that the user is in a better position for the exercise movement, to reduce stress

on the lower back. Other forms of leg curls are standing and seated forms. This exercise can be done with a single leg

(unilateral) or with both legs (bilateral).

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Figure 14.5. (Continued) G. Vertical machine bench press (chest–triceps, bilateral). Sit on the seat, making sure that

the line of the grips is just below the chest. The bar line should be an inch above the chest. Grasp the handles with an

overhand grip and make sure that the feet are flat on the ground. Push the lever arm straight out until the elbows are

straight. Return to the starting position to complete one repetition.

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Figure 14.5. (Continued) H. Smith supine bench press (chest–triceps, bilateral). Lie flat on the bench with the upper chest under the bar, as shown in the bar position figure above. Place the feet flat on the floor unless the bench is too high, in which case put them flat on the bench. Keep the shoulders and hips on the bench at all times during the lift. Grasp the bar with elbows at 45° angles. Disengage the bar hooks from the smith machine. Lower the weight to the chest and then press the bar up until arms are extended to complete the repetition. When completed, rehook the bar to the machine.

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Figure 14.5. (Continued) I. Free weight supine bench press (chest–triceps, bilateral). Lie flat on the bench with the

upper chest under the bar, as shown in the bar position figure above. Place the feet flat on the floor unless the bench is too

high, in which case put them flat on the bench. Keep the shoulders and hips on the bench at all times during the lift. Grasp

the bar with elbows at 45° angles. Lower the weight to the chest and then press the bar up until the arms are extended to

complete the repetition. When completed, rerack the bar with a spotter's help.

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Figure 14.5. (Continued) J. Dumbbell bench press (chest–upper arms–triceps, unilateral). Start in a seated position on

the bench with a dumbbell in each hand resting on the lower thigh. Lift the weights to the shoulder and lie back on the bench

or have the spotter give you the dumbbells once you are in a position. Position the dumbbells to the side of the upper chest.

Press the dumbbells up until the arms are extended and then return to complete a repetition. When completed, return to the

seated position with the dumbbells on your thighs or have the spotter take the dumbbells. If heavy weights are used, two

spotters may be necessary.

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Figure 14.5. (Continued) K. Machine seated rows (upper back, bilateral). Take a seated position with the chest against the pad. Grasp the lever vertical handles with a vertical or horizontal overhand grip. Pull the lever back until the elbows are in line with the upper body and return to complete the repetition. Check the seat height so that the chest is directly in front of the lever handles, and check whether the client is pulling in a straight line parallel to the ground. The client can use an overhand grip as a variation to the movement, using the other horizontal handles.

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Figure 14.5. (Continued) L. Front lat pull-down (upper back, bilateral). Use a locked grip (thumb around the bar) and

grasp the cable bar with a wide grip. Sit with thighs under machine support. Proceed to pull down the bar to the upper chest.

Return to the starting position to complete the repetition.

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Figure 14.5. (Continued) M. Dumbbell arm curls (upper arm–biceps, unilateral). Take a seated position with two dumbbells held at the sides, with the palms facing in and the arms hanging straight down. Raise the dumbbells and rotate the forearm so that the palms face the shoulder. Lower to the original position to complete one repetition. One can also alternate one arm at a time.

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Figure 14.5. (Continued) N. Barbell arm curls (upper arm–biceps, bilateral). In the standing position with the feet

shoulder-width apart, grasp the straight barbell with an underhand grip and palms facing up. Raise the bar until the forearms

are vertical and then lower the bar to the starting position to complete a repetition. One can also perform this exercise with

an e-z bar with the palms facing inward.

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Figure 14.5. (Continued) O. Triceps push down (upper arm–triceps, bilateral). Stand in front of the lat pull station or high pulley station and take an overhand grasp on the bar with your elbows at the sides. Start at chest level and extend the arms down until straight and return to the starting position to complete the repetition. Position the hands above the bar prior to the push-down phase of the repetition. Other types of attachments also can be used (e.g., rope, v-bar).