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Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.<br />

BRIEF REVIEW<br />

STRENGTH TRAINING FOR THE WARFIGHTER<br />

WILLIAM J. KRAEMER 1,2 AND TUNDE K. SZIVAK 1<br />

1 <strong>Human</strong> Per<strong>for</strong>mance Laboratory, Department of Kinesiology; and 2 Department of Physiology and Neurobiology, University of<br />

Connecticut, Storrs, Connecticut<br />

ABSTRACT<br />

Kraemer, WJ and Szivak, TK. Strength <strong>training</strong> <strong>for</strong> <strong>the</strong><br />

<strong>warfighter</strong>. J Strength Cond Res 26(7): S107–S118, 2012—<br />

Optimizing <strong>strength</strong> <strong>training</strong> <strong>for</strong> <strong>the</strong> <strong>warfighter</strong> is challenged<br />

by past <strong>training</strong> philosophies that no longer serve <strong>the</strong><br />

modern <strong>warfighter</strong> facing <strong>the</strong> “anaerobic battlefield.” Training<br />

approaches <strong>for</strong> integration of <strong>strength</strong> with o<strong>the</strong>r needed<br />

physical capabilities have been shown to require a periodization<br />

model that has <strong>the</strong> flexibility <strong>for</strong> changes and is able to<br />

adapt to ever-changing circumstances affecting <strong>the</strong> quality of<br />

workouts. Additionally, sequencing of workouts to limit overreaching<br />

and development of over<strong>training</strong> syndromes that end<br />

in loss of duty time and injury are paramount to long-term<br />

success. Allowing adequate time <strong>for</strong> rest and recovery and<br />

recognizing <strong>the</strong> negative influences of extreme exercise programs<br />

and excessive endurance <strong>training</strong> will be vital in moving<br />

physical <strong>training</strong> programs into a more modern perspective as<br />

used by elite <strong>strength</strong>-power anaerobic athletes in sports<br />

today. Because <strong>the</strong> <strong>warfighter</strong> is an elite athlete, it is time that<br />

<strong>training</strong> approaches that are scientifically based are updated<br />

within <strong>the</strong> military to match <strong>the</strong> functional demands of modern<br />

warfare and are given greater credence and value at <strong>the</strong> command<br />

levels. A needs analysis, development of periodized<br />

<strong>training</strong> modules, and individualization of programs are<br />

needed to optimize <strong>the</strong> <strong>strength</strong> of <strong>the</strong> modern <strong>warfighter</strong>.<br />

We now have <strong>the</strong> knowledge, professional coaches and nonprofit<br />

organization certifications with continuing education<br />

units, and modern <strong>training</strong> technology to allow this to happen.<br />

Ultimately, it only takes command decisions and implementation<br />

to make this possible.<br />

KEY WORDS <strong>strength</strong> <strong>training</strong>, military, periodization, resistance<br />

<strong>training</strong>, tactical<br />

Address Correspondence to William J. Kraemer, william.kraemer@uconn.<br />

edu.<br />

26(7)/S107–S118<br />

Journal of Strength and Conditioning Research<br />

Ó 2012 National Strength and Conditioning Association<br />

INTRODUCTION<br />

Conditioning programs that address maximal<br />

<strong>strength</strong> and power are increasingly being recognized<br />

as potentially important components of<br />

military fitness (34). Historically, and even today,<br />

<strong>the</strong> focus of conditioning in <strong>the</strong> military has been on aerobictype<br />

endurance <strong>training</strong>. Part of this arises out of <strong>the</strong> ease of<br />

implementation of such programs and <strong>the</strong> simplicity of <strong>the</strong><br />

exercise prescription when <strong>training</strong> large numbers of soldiers<br />

during a physical <strong>training</strong> period. Additionally, physical <strong>training</strong><br />

has often been geared toward per<strong>for</strong>mance on aerobic<br />

components of annual physical fitness tests, ra<strong>the</strong>r than on<br />

real-world mission requirements. However, because recognizing<br />

and adequately addressing <strong>the</strong> demands on <strong>the</strong> <strong>warfighter</strong><br />

is an ever-evolving challenge due to <strong>the</strong> diversity of physical,<br />

psychological, and environmental factors faced on <strong>the</strong> battlefront,<br />

<strong>the</strong> pivotal role of well-designed total conditioning<br />

programs is clearly apparent. There is no doubt that a <strong>warfighter</strong>’s<br />

maximal <strong>strength</strong> and power will dictate <strong>the</strong> magnitude<br />

of <strong>for</strong>ce and power in submaximal high-intensity<br />

endurance per<strong>for</strong>mances, literally translating into better<br />

per<strong>for</strong>mance on <strong>the</strong> modern-day battlefield.<br />

Progressive heavy resistance <strong>training</strong> remains <strong>the</strong> primary<br />

modality to improve an athlete’s maximal <strong>strength</strong> and power.<br />

With this comes <strong>the</strong> need <strong>for</strong> resistance <strong>training</strong> equipment<br />

and facilities to implement properly designed programs.<br />

Although weight rooms and conditioning facilities are found<br />

on almost every base, <strong>the</strong> size of <strong>the</strong> facilities and sophistication<br />

of <strong>the</strong> equipment may not meet <strong>the</strong> requirement to train<br />

every soldier. Although soldiers in <strong>the</strong> United States assigned<br />

to specialized units (i.e., Special Operations Forces) now<br />

have access to <strong>strength</strong> and conditioning facilities under<br />

<strong>the</strong> Tactical <strong>Human</strong> Optimization, Rapid Rehabilitation,<br />

and Reconditioning (THOR3) program, <strong>the</strong>se same resources<br />

are not available to conventional military units, limiting<br />

<strong>the</strong> type of <strong>training</strong> that can be conducted with large numbers<br />

(e.g., 100+) of soldiers. Fur<strong>the</strong>rmore, <strong>the</strong> need exists <strong>for</strong><br />

properly educated, trained, and certified professionals within<br />

each unit to effectively implement specialized programs<br />

needed <strong>for</strong> <strong>the</strong> different military occupational skill sets and<br />

to identify <strong>the</strong> differential demands of each individual soldier<br />

that must be addressed <strong>for</strong> optimal progression and physical<br />

development. Herein have evolved <strong>the</strong> historical conflicts<br />

surrounding military physical <strong>training</strong>, as concepts such as<br />

individualization, sophisticated equipment, and <strong>training</strong><br />

VOLUME 26 | SUPPLEMENT 7 | JULY 2012 | S107


Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.<br />

Strength Training<br />

facilities are not only resource and time intensive but also<br />

simultaneously philosophically challenging.<br />

Out of this vacuum of understanding of optimal resistance<br />

<strong>training</strong> programs have evolved competing influences such as<br />

commercial fitness programs that have extensive advertising<br />

campaigns that play on <strong>the</strong> <strong>warfighter</strong>’s tough mentality and<br />

<strong>the</strong> ever-present need to cut fat and get “ripped” to meet <strong>the</strong><br />

military’s body composition requirements (2). Fur<strong>the</strong>rmore,<br />

<strong>the</strong>se programs are randomly administered and not individualized<br />

or put into <strong>the</strong> context of o<strong>the</strong>r physical and psychological<br />

demands placed on <strong>the</strong> <strong>warfighter</strong>. However,<br />

promises of quick results cannot be ignored as a key factor<br />

in <strong>the</strong> success of <strong>the</strong>se programs in attracting <strong>the</strong> <strong>warfighter</strong>’s<br />

attention, including commander and junior leaders at <strong>the</strong><br />

company, platoon, and squad levels. Although <strong>the</strong>se commercial<br />

programs have value, <strong>the</strong>y do not incorporate workouts<br />

within a progressive, periodized model; a method that<br />

has been well established as an effective means of <strong>training</strong><br />

athletes <strong>for</strong> optimal per<strong>for</strong>mance while mitigating <strong>the</strong> risk of<br />

injury and nonfunctional overreaching or over<strong>training</strong>.<br />

At present, although more hires of National Strength and<br />

Conditioning Association Certified Strength and Conditioning<br />

Specialists are being made each year in <strong>the</strong> U.S. military,<br />

physical <strong>training</strong> programs in most typical units are designed<br />

by junior leaders at <strong>the</strong> company, platoon, and squad levels.<br />

They rely on <strong>the</strong>ir own personal experience with <strong>training</strong>,<br />

muscle magazines, or commercial fitness programs without<br />

input from a properly educated and certified professional. In<br />

addition, military leaders are often influenced by lay fitness<br />

publications that may not represent cutting edge research in<br />

<strong>the</strong> field of exercise science. Owing to <strong>the</strong> large numbers of<br />

soldiers to be trained (e.g., 100+), limited time and facilities,<br />

<strong>the</strong> result is that most fitness programs are based on local<br />

muscular endurance, calis<strong>the</strong>nics, and running as <strong>the</strong> primary<br />

<strong>for</strong>ms of physical <strong>training</strong>. In addition, many commercial<br />

entities attract soldiers during off duty hours, and this<br />

can add additional stress to an already demanding <strong>training</strong><br />

schedule that includes unit physical <strong>training</strong> (2). The cumulative<br />

stress of both mission demands and extensive physical<br />

<strong>training</strong> can contribute to injury and nonfunctional overreaching<br />

concerns when a lack of individualization and<br />

periodized <strong>training</strong> needed <strong>for</strong> rest and recovery is missing<br />

from <strong>the</strong> <strong>training</strong> schedule equation.<br />

CHALLENGES FOR RESISTANCE TRAINING IN<br />

THE MILITARY<br />

The primary objective of any resistance <strong>training</strong> program is<br />

to improve physical per<strong>for</strong>mance and prevent injury by<br />

<strong>strength</strong>ening muscles and <strong>the</strong> associated connective tissues<br />

(25). Improvement in physical per<strong>for</strong>mance requires a careful<br />

examination of <strong>the</strong> demands of a sport or particular position<br />

or in this case <strong>the</strong> demands of <strong>the</strong> soldier’s given military<br />

occupational specialty. Thus, <strong>the</strong> basic goals <strong>for</strong> any resistance<br />

<strong>training</strong> program are to improve maximal <strong>strength</strong><br />

and power because <strong>the</strong>se are <strong>the</strong> basic hallmarks of neuromuscular<br />

fitness. It is upon <strong>the</strong>se two fundamental pillars of<br />

neuromuscular fitness that one can <strong>the</strong>n extend and expand<br />

physical capabilities to include local muscular endurance and<br />

task specific per<strong>for</strong>mances.<br />

To optimally design a resistance <strong>training</strong> program,<br />

a trained professional is needed to assess <strong>the</strong> per<strong>for</strong>mance<br />

requirements of <strong>the</strong> particular occupational specialty and<br />

overlay it with <strong>the</strong> current capabilities of <strong>the</strong> individual<br />

<strong>warfighter</strong> (6). Additionally, once <strong>the</strong> program is designed,<br />

implementation does demand proper instruction on exercise<br />

techniques, spotting, and monitoring of <strong>the</strong> physiological<br />

demands placed on <strong>the</strong> soldier during different workouts<br />

incorporated in a properly periodized program. Ideally,<br />

although not currently employed, unit <strong>training</strong> time must<br />

be allocated <strong>for</strong> teaching advanced exercise techniques<br />

(e.g., exercises used in a program: squat, deadlift, power<br />

clean). Educational aspects of a program are also needed<br />

in <strong>the</strong> areas of nutrition, sleep, alcohol, and smoking, which<br />

can all impact physical development and recovery. Here<br />

again, commercial shortcuts <strong>for</strong> needed equipment, supervision,<br />

professional background, nutritional supplements and a<br />

growing increase in excessive tobacco and alcohol use all<br />

make <strong>for</strong> dramatic challenges in optimizing a resistance<br />

<strong>training</strong> program <strong>for</strong> <strong>the</strong> <strong>warfighter</strong>.<br />

Once <strong>the</strong> basic core physical capabilities of <strong>strength</strong> and<br />

power development have been addressed, one can <strong>the</strong>n<br />

develop program variations that build upon <strong>the</strong>se fundamentals<br />

and fur<strong>the</strong>r address per<strong>for</strong>mance characteristics needed<br />

<strong>for</strong> a given military occupational specialty. However, programs<br />

that start with <strong>the</strong> specifics and ignore <strong>the</strong> basic core<br />

elements of <strong>strength</strong> and power limit optimal development<br />

over time and set <strong>the</strong> stage <strong>for</strong> injury. The fundamental<br />

principles of proper progressive overload, specificity, and<br />

periodization cannot be ignored in any program that seeks<br />

to optimally prepare <strong>the</strong> individual <strong>warfighter</strong> <strong>for</strong> <strong>the</strong><br />

physical demands of <strong>the</strong>ir occupational specialty (25).<br />

THE PHYSIOLOGICAL BASIS OF STRENGTH AND<br />

POWER DEVELOPMENT<br />

To understand exercise at its most fundamental levels and<br />

how <strong>the</strong> external demands of any exercise interact with <strong>the</strong><br />

neuromuscular system, it is important to understand <strong>the</strong><br />

concept of “size principle.” This is paramount <strong>for</strong> understanding<br />

maximal <strong>strength</strong> and power development because too<br />

often exercise is not defined in careful enough terms to be<br />

effective <strong>for</strong> <strong>the</strong> intended outcome. Thus, it is important to<br />

develop a basic understanding of <strong>the</strong> underlying physiology at<br />

work when one exercises or trains <strong>the</strong> neuromuscular system.<br />

Size Principle<br />

The term was coined by Professor Elwood Henneman of<br />

Harvard University who made a series of his own initial<br />

observations in <strong>the</strong> late 1950s and by <strong>the</strong> late 1970s solidified<br />

<strong>the</strong> basic concept that governs motor unit recruitment, “<strong>the</strong><br />

size principle (4,9).” It is <strong>the</strong> fundamental principle that is<br />

S108<br />

<strong>the</strong><br />

TM<br />

Journal of Strength and Conditioning Research


Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.<br />

<strong>the</strong><br />

TM<br />

Journal of Strength and Conditioning Research<br />

| www.nsca.com<br />

paramount in understanding <strong>the</strong> seminal basis of exercise<br />

and even more important in understanding resistance exercise<br />

and <strong>training</strong>.<br />

To produce more and more <strong>for</strong>ce in a muscle, <strong>the</strong>re is<br />

a demand <strong>for</strong> <strong>the</strong> orderly recruitment of more and more<br />

motor units (i.e., <strong>the</strong> alpha motor neuron and its associated<br />

muscle fibers). Thus, <strong>the</strong> size principle dictates that lower<br />

amounts of <strong>for</strong>ce require fewer motor units than higher<br />

amounts of <strong>for</strong>ce. With resistance <strong>training</strong>, it is <strong>the</strong> amount<br />

of resistance used in an exercise that dictates how many<br />

motor units in that muscle are needed to move <strong>the</strong> weight in<br />

<strong>the</strong> desired pattern of a lift. In practical terms, <strong>the</strong> importance<br />

of this principle is stunning and often times not<br />

appreciated! The amount of muscle that is trained by an<br />

exercise is directly related to <strong>the</strong> amount of <strong>the</strong> external<br />

resistance that is used. Strikingly, many workouts do not<br />

train all of <strong>the</strong> available motor units. Thus, <strong>the</strong> basic core<br />

concept of specificity of <strong>training</strong> is based in motor unit<br />

recruitment and thus <strong>the</strong> size principle! If proper loading of<br />

<strong>the</strong> musculature is not addressed in a total conditioning<br />

program, unused (nonactivated) muscle tissue remains<br />

essentially untrained. Thus, although every motor unit does<br />

not need to be and should not be trained in every workout,<br />

using only part of one’s motor unit array in an exercise<br />

<strong>training</strong> program limits <strong>the</strong> optimization of <strong>training</strong>. There<strong>for</strong>e,<br />

<strong>the</strong> need exists <strong>for</strong> a resistance <strong>training</strong> program that<br />

consists of different loading and metabolic <strong>training</strong> workouts<br />

sequenced in a periodized approach to be a part of every<br />

total conditioning program in <strong>the</strong> military.<br />

Going back to <strong>the</strong> basics, each motor unit can be<br />

composed of different numbers of muscle fibers and also<br />

different sizes of muscle fibers leading to <strong>the</strong> principle of<br />

recruitment by a type of “sizing effect.” In addition, each<br />

muscle can be of a different fiber type profile. The average<br />

person presents an array of 40–60 to 60–40% type 1 or type 2<br />

muscle fibers in <strong>the</strong>ir muscles (31). However, some muscle<br />

such as postural muscles (e.g., abdominal) are dominated by<br />

type 1 muscle fibers due to functional needs. Additionally,<br />

a different array of motor units that is beyond typical ranges<br />

can be seen in elite athletes, such as <strong>the</strong> high percentage of<br />

type 1 fibers in elite marathon runners or <strong>the</strong> higher percentages<br />

of type 2 muscle fibers in elite sprinters’ locomotor<br />

muscles, giving <strong>the</strong>m <strong>the</strong> obvious genetic advantage <strong>for</strong> oxidative<br />

capacity and speed, respectively. Some individuals<br />

have a low number of muscle fibers that can dictate <strong>the</strong><br />

amount of lean tissue mass <strong>the</strong>y can develop (e.g., a marathon<br />

runner or some women’s upper body musculature).<br />

Muscle size is dictated by <strong>the</strong> number and type of motor<br />

units present in a given muscle, which has implications <strong>for</strong><br />

<strong>the</strong> magnitude of <strong>strength</strong> and power development (i.e.,<br />

some women and men have fewer muscle fibers in <strong>the</strong>ir<br />

upper body musculature, thus limiting <strong>the</strong> magnitude of<br />

upper body <strong>strength</strong>). Thus, <strong>the</strong> inherent body structure<br />

and capabilities are determined by muscle fiber number<br />

and type and impact physical per<strong>for</strong>mance. However,<br />

regardless of individual genetic differences, everyone can<br />

benefit from a progressive heavy resistance <strong>training</strong> program<br />

to optimize <strong>strength</strong> and power capabilities.<br />

Dramatically important <strong>for</strong> commanders and not clear<br />

enough to many responsible <strong>for</strong> <strong>the</strong> physical <strong>training</strong> of<br />

soldiers is that, if one only trains with light weights, <strong>the</strong>n<br />

only a small amount of <strong>the</strong> motor unit pool is recruited to<br />

meet <strong>the</strong> demands of <strong>the</strong> workout protocol. Again this<br />

means that many motor units (and <strong>the</strong>ir muscle fibers) are<br />

not trained despite <strong>the</strong> perception of intense exercise with<br />

rigorous high repetition resistance <strong>training</strong> or long duration<br />

endurance <strong>training</strong>. The only o<strong>the</strong>r way such motor units<br />

can be activated is by <strong>the</strong> depletion of metabolic substrate<br />

(i.e., glycogen) but in this type of recruitment, high <strong>for</strong>ce or<br />

power is not part of <strong>the</strong> external <strong>for</strong>ce demand and even<br />

with high numbers of repetitions (e.g., .125 repetitions)<br />

<strong>strength</strong> is only minimally developed (1). This is especially<br />

a concern in exercises that are <strong>for</strong> large muscle groups that<br />

contain large numbers of motor units (e.g., squat or deadlift).<br />

Even more alarming are <strong>the</strong> o<strong>the</strong>r systems that are left untrained<br />

because it is a fact that adaptations in ligaments,<br />

tendons, and bone are only realized by <strong>the</strong> translation of<br />

<strong>for</strong>ces placed on muscle. Light resistances (e.g., high repetition<br />

maximums [RMs] or <strong>training</strong> percentages of 20% of<br />

1RM or lower) are less effective in <strong>training</strong> <strong>the</strong> total mass<br />

of muscle and connective tissue. Thus, this has a direct influence<br />

on <strong>the</strong> role that resistance <strong>training</strong> can play in injury<br />

prevention if such tissues are not fully trained in an exercise<br />

program. Additionally, light resistances (e.g., 25–30RM) will<br />

not result in <strong>the</strong> hypertrophy of even <strong>the</strong> type 1 motor units<br />

that are used (3,29). This is because <strong>the</strong> high electrical<br />

impulses (hertz) needed <strong>for</strong> hypertrophy and which are<br />

seen with <strong>the</strong> neural activation and electrical discharge of<br />

<strong>the</strong> motor neurons recruited when using heavier loads (e.g.,<br />

8–11RM, 3–5RM, or 90% of 1RM or greater) do not exist<br />

when using light resistances (e.g., .20RM)!<br />

Ano<strong>the</strong>r staggering omission by many in <strong>the</strong>ir understanding<br />

of exercise is that motor unit activation dictates <strong>the</strong><br />

physiological demands placed on <strong>the</strong> body. Basic to exercise<br />

physiology, it must be clear that <strong>the</strong> number of motor units<br />

recruited in a specific manner will dictate <strong>the</strong> amount of<br />

involvement of various physiological systems (e.g., metabolic,<br />

endocrine, autocrine, immunological) needed to support<br />

this specific recruitment pattern. This fact is often times<br />

missed when exercise demands are discussed. Thus, <strong>the</strong><br />

contribution of a given system will be related to <strong>the</strong> motor<br />

unit recruitment pattern from <strong>the</strong> long-term repetitive use of<br />

type 1 motor units in long duration endurance exercise to<br />

<strong>the</strong> brief high-intensity heavy resistance <strong>training</strong> loads used<br />

when per<strong>for</strong>ming 5 sets of 2 repetitions at 95% of 1RM. The<br />

physiological stress of each workout will be dictated by <strong>the</strong><br />

specific demands imposed and <strong>training</strong> adaptations will<br />

follow <strong>the</strong> coined term of <strong>the</strong> specific adaptations to imposed<br />

demands (SAID) principle. Metabolic homeostasis and damage<br />

and repair requirements are all dictated by <strong>the</strong> demands<br />

VOLUME 26 | SUPPLEMENT 7 | JULY 2012 | S109


Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.<br />

Strength Training<br />

placed on <strong>the</strong> body <strong>for</strong> specific patterns of motor unit<br />

recruitment and in this process both <strong>the</strong> motor units and<br />

associated physiological systems are trained with repetitive<br />

exposure to <strong>the</strong> stimuli.<br />

Figure 1 overviews this important concept of motor unit<br />

recruitment in <strong>the</strong> translation of “size principle” to resistance<br />

exercise. Although resistance exercises should not be per<strong>for</strong>med<br />

to failure because of joint stress and potential <strong>for</strong> injury<br />

resulting from technique failure, <strong>the</strong> figure shows that <strong>the</strong><br />

amount of load used impacts <strong>the</strong> level of motor unit recruitment<br />

seen (i.e., a greater percentage of 1RM used in an exercise<br />

recruits a greater number of motor units), going up <strong>the</strong><br />

recruitment order in an orderly fashion from low to high<br />

threshold motor units (4). The same process occurs even<br />

when <strong>the</strong> available motor units are small or composed of<br />

primarily type 1 endurance type fibers as seen in <strong>the</strong> abdominals<br />

or hand musculature. Differences between large and small<br />

muscles are related to <strong>the</strong> amount of rate coding needed to<br />

achieve maximal voluntary contraction levels. Interestingly,<br />

even with eccentric actions such orderly recruitments continue<br />

to exist. When both high-intensity aerobic endurance<br />

and <strong>strength</strong>-power programs are used simultaneously one<br />

can see a problem with exercise compatibility in which type<br />

1 motor units and <strong>the</strong>ir muscle fibers make no changes in<br />

cross-sectional area with heavy resistance <strong>training</strong> and<br />

improvement in anaerobic power is also nullified (18). Thus,<br />

integration of <strong>training</strong> so as not to create ineffective programs<br />

is also a part of optimal program design and implementation.<br />

ACUTE PROGRAM VARIABLE DOMAINS<br />

Since 1983, <strong>the</strong> acute program variables have been overviewed<br />

many times, and each variable really represents<br />

a cluster of many different variables that were derived from<br />

Figure 1. A diagrammatic view of <strong>the</strong> motor units in a muscle. Each filled in circle represents a different type and size<br />

of motor unit with larger circles depicting more muscle fibers in a given motor unit and <strong>the</strong> different color depicting <strong>the</strong><br />

motor unit containing different fibers (type 1 or type 2). The dashed circle represents a potential group of motor units<br />

that are affected if trained with both high-intensity aerobic and <strong>strength</strong> and power exercise workouts (compatibility).<br />

a multivariate cluster analysis of features that were reported<br />

to be part of workouts in different weight <strong>training</strong> programs<br />

over <strong>the</strong> past millennium. Never<strong>the</strong>less, <strong>the</strong>y still provide<br />

a quantifiable profile of a given resistance <strong>training</strong> workout.<br />

Owing to <strong>the</strong> fact that modern <strong>training</strong> technology using<br />

periodized programs uses a wide variety of different workout<br />

combinations to address <strong>the</strong> different physiological needs<br />

of <strong>the</strong> individual, such a domain paradigm is helpful in<br />

analyzing <strong>the</strong> effectiveness of a given workout (6).<br />

Be<strong>for</strong>e any exercise prescription process, a “needs analysis”<br />

has to be undertaken to determine <strong>the</strong> biomechanical specificity<br />

<strong>for</strong> <strong>the</strong> movement patterns to be trained, <strong>the</strong> metabolic<br />

demands, and <strong>the</strong> potential sites of injury that need to be<br />

addressed to limit injury or “prehabilitate” movement patterns<br />

that will be under <strong>the</strong> most stress (6). The functional needs of<br />

<strong>the</strong> soldier, given <strong>the</strong>ir particular military occupational specialty,<br />

must be matched as well to create a conditioning program<br />

focused on what has been termed <strong>the</strong> “anaerobic<br />

battlefield.” This approach is likely <strong>the</strong> most important perspective<br />

to have to reduce <strong>the</strong> heavy reliance upon long distance<br />

endurance <strong>training</strong>, which is ineffective in <strong>training</strong> <strong>strength</strong> and<br />

power, as <strong>the</strong> core component of military fitness programs.<br />

Choice of Exercise<br />

To meet <strong>the</strong> specific demands of <strong>the</strong> soldier’s occupational<br />

specialty, a need exists <strong>for</strong> what might be called standard<br />

“closed chain” structural exercises such as squats, box lifts,<br />

pulls, etc. Normative lifts that address <strong>the</strong> symmetry around<br />

each joint (e.g., push and pull) and use both upper and lower<br />

body musculature are paramount <strong>for</strong> muscle balance (25).<br />

Including both unilateral and bilateral exercises in a program<br />

also allows <strong>for</strong> equity of development of musculature on<br />

both sides of <strong>the</strong> body. Employing both concentric and<br />

eccentric muscle actions is also<br />

vital <strong>for</strong> optimal <strong>training</strong> and<br />

results in longer maintenance<br />

of adaptations with de<strong>training</strong><br />

or minimal <strong>training</strong> stimuli (5).<br />

The use of free weights as <strong>the</strong><br />

dominant modality in a program<br />

better influences multidirectional<br />

control of external<br />

resistances likely to be experienced<br />

in <strong>the</strong> natural environment<br />

and helps develop<br />

balance under load and stability<br />

with movement. Important<br />

to <strong>the</strong> exercise choice is that<br />

equipment “fit” is appropriate<br />

so that full range of motion<br />

and optimal per<strong>for</strong>mance of<br />

<strong>the</strong> exercise can be achieved.<br />

The choice of exercise will dictate<br />

what angles are trained<br />

and in what manner, because<br />

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<strong>the</strong>se mediate <strong>the</strong> resistances used and <strong>the</strong> motor unit recruitment<br />

that results. The exercise choice dictates <strong>the</strong> primary<br />

mechanical (i.e., movement) patterns that <strong>the</strong> body<br />

will experience, which are <strong>the</strong>n influenced by <strong>the</strong> o<strong>the</strong>r acute<br />

program variables. Thus, <strong>the</strong> choices made within <strong>the</strong> acute<br />

program variable paradigm are what define <strong>the</strong> workout.<br />

Order of Exercise<br />

The order of exercises in a workout will dictate <strong>the</strong> resistance<br />

load that can be used and <strong>the</strong> quality of <strong>the</strong> motor unit<br />

recruitment. Typically, large muscle group exercises are placed<br />

at <strong>the</strong> beginning of a workout to allow <strong>the</strong> greatest amount of<br />

resistance to be used. One can <strong>the</strong>n progress to smaller and<br />

smaller muscle group exercises where <strong>the</strong> order is not as<br />

impactful on <strong>the</strong> resistance used (30). A host of different exercise<br />

order combinations have been used from circuit weight<br />

<strong>training</strong> protocols (e.g., arm <strong>the</strong>n leg or arm-arm <strong>the</strong>n legleg)<br />

to complex <strong>training</strong> that endeavors to optimize recruitment<br />

of one set of motor units by stimulating ano<strong>the</strong>r (e.g.,<br />

heavy 5RM squats be<strong>for</strong>e maximal vertical plyometric<br />

jumps <strong>for</strong> power). The order of <strong>the</strong> exercises in a workout<br />

should not be random but ra<strong>the</strong>r should have a planned<br />

purpose, dictated by <strong>the</strong> specific goals of <strong>the</strong> <strong>training</strong> program<br />

(i.e., <strong>training</strong> <strong>for</strong> maximal <strong>strength</strong> and power vs.<br />

<strong>training</strong> muscular endurance). Remember, fatigued motor<br />

units are not as effective in <strong>for</strong>ce and power production.<br />

Intensity/Load/Resistance Used<br />

Classic to <strong>the</strong> concept of resistance <strong>training</strong> is <strong>the</strong> amount of<br />

<strong>the</strong> external load to be lifted (6,25). Higher intensities have<br />

been associated with greater gains in <strong>strength</strong> (23). Again<br />

based on size principle, heavier loads are needed to recruit<br />

more motor units. The <strong>for</strong>ce velocity curve also impacts this<br />

discussion of <strong>the</strong> particular resistance choice to be made and<br />

<strong>the</strong>re<strong>for</strong>e also impacts <strong>the</strong> <strong>training</strong> of muscular power<br />

(10,15). The equation <strong>for</strong> muscular power is as follows:<br />

watts = <strong>for</strong>ce 3 distance O time. By spreading out this<br />

equation, one can see that both <strong>the</strong> <strong>for</strong>ce component and<br />

<strong>the</strong> velocity component need to be considered when <strong>training</strong><br />

<strong>strength</strong> and power. There is an interrelationship<br />

between <strong>for</strong>ce and power in that as <strong>the</strong> <strong>for</strong>ce component<br />

of <strong>the</strong> equation is increased so is power, but this is specific<br />

to <strong>the</strong> velocity <strong>the</strong> movement is trained at. Thus, periodized<br />

programs use a variety of workouts that train <strong>the</strong> entire<br />

<strong>for</strong>ce velocity curve to lift <strong>the</strong> whole curve up and to <strong>the</strong><br />

right <strong>for</strong> optimal <strong>training</strong> adaptations (Figure 2) (20,25).<br />

Number of Sets<br />

The number of sets acts as a “volume” dial on a workout.<br />

Although <strong>the</strong> repetitions per<strong>for</strong>med will be dictated by <strong>the</strong><br />

resistance load used, <strong>the</strong> number of sets will determine <strong>the</strong><br />

extent of exposure of activated motor units to a particular<br />

load (27,28). Although a topic of much debate arising out of<br />

commercial mythologies of <strong>the</strong> 1970s, it is now apparent that<br />

programs can use a variety of set schemes within a periodized<br />

program. However, single sets are really only used <strong>for</strong> higher<br />

Figure 2. The goal of most <strong>training</strong> is to use a variety of resistance loads<br />

that train <strong>the</strong> whole <strong>for</strong>ce velocity curve from heavy loads to explosive<br />

exercises with lighter loads moving <strong>the</strong> entire <strong>for</strong>ce velocity curve up and<br />

to <strong>the</strong> right in <strong>the</strong> concentric <strong>for</strong>ce velocity domain curves depicted.<br />

repetition <strong>training</strong> or <strong>for</strong> recovery workouts when a lower<br />

volume of total work is desired.<br />

Rest Between Sets and Exercises<br />

The amount of rest between sets and exercises becomes <strong>the</strong><br />

“metabolic dial” <strong>for</strong> a workout that must be carefully manipulated.<br />

Dialing up too much metabolic glycolytic intensity<br />

too quickly in a <strong>training</strong> program progression can lead to<br />

adverse symptomatology (e.g., nausea, dizziness, and vomiting)<br />

that is not indicative of a “good workout.”<br />

Although short rest workouts can be an effective component<br />

in a periodized <strong>training</strong> program, <strong>the</strong>y must be<br />

gradually integrated and properly progressed. This is based<br />

upon <strong>the</strong> development of <strong>the</strong> body’s buffering capacities<br />

which only takes about 1 or 2 workouts a week over an<br />

8-week period of time, so more frequent use of short rest<br />

workouts <strong>for</strong> this aspect of physiological adaptation is overkill<br />

and can lead to types of nonfunctional overreaching. The<br />

stress of short rest (#1 minute) is dramatic with epinephrine<br />

(adrenaline) increases that are 2–3 times higher than that<br />

seen in maximal treadmill exercise (12,13,17) (Figure 3). In<br />

addition, anabolic and catabolic hormones increase to support<br />

<strong>the</strong> dramatically high metabolic demands of <strong>the</strong> workout<br />

protocols (12,13).<br />

Such short rest workouts really require a rest day after <strong>the</strong><br />

workout or accumulation of physiological and psychological<br />

stress increases. It has been demonstrated that a 4-day<br />

workout plan with heavy day on Monday, metabolic day on<br />

Tuesday, rest Wednesday, <strong>strength</strong> and power on Thursday<br />

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Figure 3. Responses of catecholamines after a short rest, high-intensity exercise workout per<strong>for</strong>med by trained<br />

bodybuilders and powerlifters as control subjects could not make it through <strong>the</strong> workout (18). Increases at<br />

5 minutes after <strong>the</strong> workout, catecholamines were significantly higher by magnitudes compared with maximal<br />

treadmill exercise test results immediately after. With <strong>the</strong> exponential decay of catecholamines after <strong>the</strong> exercise,<br />

<strong>the</strong> magnitude of immediately postexercise concentrations were apparently dramatically higher. This workout<br />

protocol produced some of <strong>the</strong> highest lactate and catecholamine concentrations after exercise that have been<br />

reported in <strong>the</strong> literature. Thus, care must be taken when prescribing such exercise protocols and recovery allowed<br />

in subsequent workouts.<br />

and ano<strong>the</strong>r metabolic day on Friday can be completed<br />

along with sprint intervals on Monday and Thursday and<br />

40- to 45-minute endurance days on Tuesday and Friday<br />

using a split workout of running in <strong>the</strong> morning and lifting in<br />

<strong>the</strong> afternoon after about 6 hours of rest and proper nutrition<br />

(18). However, even here <strong>the</strong> price to be paid is a loss of<br />

adaptive increases in type 1 muscle fiber size and no anaerobic<br />

power increases after 3 months of <strong>training</strong>. This might<br />

be mitigated by reducing <strong>the</strong> oxidative stress by using only<br />

one sprint interval <strong>training</strong> day. Fur<strong>the</strong>rmore, even when<br />

short rest workouts can be tolerated, care must be taken to<br />

check and monitor exercise technique because its disintegration<br />

is more probable, resulting in excessive microtears and<br />

injury to tissue. Short rest workouts in <strong>the</strong> weight room and<br />

sprint interval <strong>training</strong> on <strong>the</strong> track (with high metabolic<br />

demands, high levels of oxidative stress, free radical <strong>for</strong>mation,<br />

and cortisol increases) must follow careful prescription so as<br />

not to create physiological distress conditions from too many<br />

stress stimuli hitting <strong>the</strong> body, thus creating an increased<br />

potential <strong>for</strong> overreaching conditions (7,32,33).<br />

The heavier <strong>the</strong> resistance, <strong>the</strong> longer <strong>the</strong> rest that is<br />

needed to optimally recruit motor units. Although so-called<br />

<strong>strength</strong>-endurance is an important fitness characteristic,<br />

one cannot lift <strong>the</strong> same absolute resistance with large<br />

muscle mass exercises with both short (1-minute) and long<br />

(5-minute) rest period lengths. Thus, one really is <strong>training</strong><br />

with relatively lighter loads when short rest period lengths<br />

are used; <strong>the</strong>re<strong>for</strong>e, if <strong>strength</strong><br />

is <strong>the</strong> primary target <strong>for</strong> improvement,<br />

longer rest periods<br />

are needed in a workout when<br />

attempting to lift heavy<br />

weights (e.g., $90% of 1RM).<br />

Table 1 overviews rest period<br />

lengths <strong>for</strong> different load<br />

requirements.<br />

EXERCISE COMPATIBILITY/<br />

CONCURRENT TRAINING<br />

Almost inherent in every military<br />

<strong>training</strong> program is <strong>the</strong><br />

challenge of <strong>training</strong> both aerobic<br />

and anaerobic metabolic<br />

systems. The motor units that<br />

are recruited to per<strong>for</strong>m both<br />

types of exercises (i.e., low and<br />

moderate threshold motor<br />

units) are <strong>the</strong> ones that are<br />

susceptible to <strong>the</strong> diverse opposing<br />

stimuli <strong>for</strong> physiological<br />

adaptation. High-intensity endurance<br />

<strong>training</strong> stimulates<br />

recruited motor units to optimize<br />

<strong>the</strong> size of <strong>the</strong>ir muscle<br />

fibers to increase oxidative capacity<br />

(typically type 1 slow twitch fibers) by reducing <strong>the</strong>ir<br />

size (i.e., cross-sectional area), what might be called exerciseinduced<br />

atrophy. Conversely, heavy resistance <strong>training</strong><br />

results in cellular signaling of recruited motor units (typically<br />

type 1 slow twitch and type 2 fast twitch fibers) to increase in<br />

size to produce more <strong>for</strong>ce. As noted previously, even if<br />

high-intensity <strong>training</strong> is optimized with rest, when both<br />

programs are per<strong>for</strong>med concurrently what has been shown<br />

TABLE 1. Rest period lengths with different<br />

resistance loads.<br />

Very very light: 1 min between exercises, increase<br />

to reduce stress if more than 1 set, or a higher<br />

number of<br />

exercises are used in a circuit protocol.<br />

Very light: 1–2 min between sets and exercises<br />

Moderate: 2–3 min between sets and exercises;<br />

high metabolic intensity progression to 1–2 min<br />

can be used with <strong>the</strong> understanding that this<br />

produces some of <strong>the</strong> highest metabolic stress<br />

responses in <strong>the</strong> weight room.<br />

Heavy: 4–5 min <strong>for</strong> handling <strong>the</strong> heaviest<br />

resistance loads.<br />

Very heavy: use of $5–7 min when maximal lifts are<br />

being per<strong>for</strong>med.<br />

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to happen is that type 1 fibers make no changes in <strong>the</strong>ir size,<br />

type 2 muscle fibers get bigger, power is compromised,<br />

aerobic capacity is not affected, and <strong>strength</strong> might be<br />

reduced in magnitude (18). Thus, real care must be taken<br />

when adding high levels of aerobic <strong>training</strong> duration to<br />

a <strong>training</strong> program (e.g., 4- to 10-mile runs) because it will<br />

not help <strong>the</strong> soldier athlete and compromises anaerobic<br />

capabilities, which are vitally important <strong>for</strong> <strong>the</strong> anaerobic<br />

battlefield of <strong>the</strong> present. Examining <strong>the</strong> impact of different<br />

aerobic <strong>training</strong> programs, it was shown that when soldiers<br />

only ran and even with <strong>the</strong> use of interval <strong>training</strong>, no<br />

improvements in loaded rucksack carriage over 2 miles were<br />

observed (19). Thus, <strong>the</strong> addition of a periodized heavy resistance<br />

<strong>training</strong> program is vital to overall physical per<strong>for</strong>mance.<br />

Various low volume sprint interval type workouts<br />

are a better choice to enhance maximal oxygen consumption<br />

or aerobic capacity while limiting <strong>the</strong> effects on anaerobic<br />

per<strong>for</strong>mance capabilities. However, concerns exist if<br />

more than two such workouts are done in a week, and long<br />

distance running has to be reduced dramatically as well.<br />

Table 2 overviews some of <strong>the</strong> <strong>training</strong> effects of different<br />

program combinations.<br />

Ordering of Workouts<br />

Although a topic of much research, <strong>the</strong> order of workouts<br />

may turn out to be a vital consideration in <strong>the</strong> subsequent<br />

adaptations to exercise <strong>training</strong>. The basis of a workout<br />

sequence appears to be related to <strong>the</strong> time course of genetic<br />

and cell signaling. Preliminary research points to <strong>the</strong> concept<br />

that those motor units that are stimulated by resistance<br />

exercise have <strong>the</strong>ir anabolic signaling blunted in some<br />

manner when immediately or shortly <strong>the</strong>reafter followed<br />

by aerobic exercise. Thus, if a combined workout is used,<br />

per<strong>for</strong>ming an aerobic exercise first followed by resistance<br />

exercise may well help to establish a more anabolic environment<br />

during <strong>the</strong> repair process. Alternatively, as noted be<strong>for</strong>e,<br />

one might separate <strong>the</strong> workouts by 6 hours, with, <strong>for</strong><br />

example, a running workout being done in <strong>the</strong> morning and<br />

<strong>the</strong> lifting done in <strong>the</strong> afternoon. The underlying mediating<br />

mechanisms and definitive proof <strong>for</strong> <strong>the</strong> benefit of such<br />

ordering of workout modes remain experimental but<br />

TABLE 2. The effects of different <strong>training</strong> programs on muscle fiber cross-sectional area<br />

in <strong>the</strong> thigh’s vastus lateralis and o<strong>the</strong>r per<strong>for</strong>mance variables (18,19).*<br />

Type 1 Type 2 WG V_ O2 max 2 Mile run 2 Mile RS VJ<br />

Endurance only D NC NC I I NC NC<br />

Strength <strong>training</strong> only I I I NC NC I I<br />

Both <strong>training</strong> modes NC I NC I I I I<br />

*2-mile RS = 2-mile rucksack carry; WG = 30s Wingate test: peak and average power;<br />

VJ = countermovement vertical jump; D = decrease, NC = no change, I = increase.<br />

intuitively have some merit in <strong>the</strong> design of workouts done<br />

in combination. Workout sequencing within a single day has<br />

been a topic that from a practical perspective requires<br />

attention when designing <strong>training</strong> programs. Ultimately,<br />

a choice has to be made with <strong>the</strong> more prudent order of<br />

per<strong>for</strong>ming a workout with less oxidative and free radical<br />

stress (i.e., o<strong>the</strong>r <strong>for</strong>ms of conditioning focusing on continuous<br />

short rest sequences, ra<strong>the</strong>r than long duration endurance<br />

exercise) be<strong>for</strong>e per<strong>for</strong>ming a more anabolic workout.<br />

Periodization of Training<br />

The concept of linear and nonlinear periodization has been<br />

discussed at length over <strong>the</strong> years. More important to <strong>the</strong><br />

military is one corollary of periodization that is needed<br />

because of <strong>the</strong> dramatic challenges posed by competing<br />

mission schedules and differences in individual readiness to<br />

train (26). A number of features make <strong>the</strong> concept of “flexible<br />

nonlinear” periodization attractive not only to sport teams<br />

but to <strong>the</strong> military because of its rapid ability to alter a given<br />

workout on a given day (11). Flexible nonlinear periodization<br />

allows <strong>for</strong> a host of sequence orders while at times<br />

mimicking o<strong>the</strong>r periodization <strong>for</strong>mats if <strong>the</strong> conditions<br />

allow (22,24). Thus, blocks or traditional linear sequences<br />

can be used in different mesocycles if <strong>the</strong> <strong>warfighter</strong> is ready<br />

to train and <strong>the</strong> situation is appropriate. The basis <strong>for</strong> <strong>the</strong><br />

adaptability and <strong>the</strong>re<strong>for</strong>e success of flexible nonlinear programming<br />

lies in <strong>the</strong> concept that quality of <strong>training</strong> is more<br />

important than going through <strong>the</strong> motions. Planned nonlinear<br />

periodization, although effective, may take longer to<br />

stimulate change because of <strong>the</strong> potentially longer cycling<br />

required to get enough heavy resistance <strong>training</strong> days. Thus,<br />

<strong>the</strong> use of <strong>the</strong> flexible nonlinear approach allows more freedom<br />

to sequence workout days as needed in a mesocycle<br />

and defines <strong>the</strong> mesocycle dependent upon conditional<br />

needs, allowing <strong>for</strong> adaptability if <strong>the</strong> <strong>warfighter</strong> is not capable<br />

of <strong>the</strong> workout intensity, volume, or metabolic demands<br />

planned.<br />

The fundamental basis <strong>for</strong> nonlinear periodization is that<br />

one can have a different workout each day that provides<br />

a different physiological stimulus and recruitment of motor<br />

units. Additionally, one can use certain types of workouts to<br />

provide rest and recovery<br />

<strong>for</strong> motor units that are<br />

only passively going<br />

through <strong>the</strong> range of motion.<br />

Fur<strong>the</strong>rmore, <strong>the</strong> different<br />

types of workouts<br />

allow <strong>for</strong> variety without<br />

<strong>the</strong> noncalculated mix of<br />

exercises seen in extreme<br />

commercial programs. Finally,<br />

if one misses a workout<br />

because of mission<br />

requirements or illness,<br />

one can pick up <strong>the</strong> next<br />

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workout sequence easily, modify it and continue on. One is<br />

not anchored to a set pattern outside of <strong>the</strong> desired goal <strong>for</strong><br />

that mesocycle of 6–12 weeks. If <strong>the</strong> necessary workouts cannot<br />

be accomplished to meet <strong>the</strong> goals of a specific mesocycle,<br />

a new one is created to allow <strong>for</strong> continuation of<br />

<strong>training</strong>.<br />

The Flexible Nonlinear Program Approach<br />

For consistency, <strong>the</strong> terminology of <strong>the</strong> flexible nonlinear<br />

approach is similar to that of classic periodization. The<br />

biggest period of time being dealt with is a “macrocycle,”<br />

typically 12 months, <strong>the</strong> next phase is <strong>the</strong> “mesocycle,” which<br />

can range between 6 and 12 weeks and is mutable based on<br />

schedule. The smallest period of time is <strong>the</strong> “microcycle,”<br />

which is <strong>the</strong> unique aspect of nonlinear programs and this is<br />

1 day! Over a given mesocycle, a combination of workouts<br />

are planned to reflect <strong>the</strong> primary goal of <strong>the</strong> mesocycle, but<br />

workouts can differ more dramatically when compared with<br />

a typical week using more classic periodization models.<br />

Finally, workout decisions <strong>for</strong> a given day are made dependent<br />

upon <strong>the</strong> individual’s readiness to train and this is<br />

determined with simple tests be<strong>for</strong>e <strong>the</strong> workout or by<br />

comparing workout logs and prior workout per<strong>for</strong>mances<br />

(11). Again, <strong>the</strong> goal is to promote quality and also allow<br />

<strong>for</strong> recovery to reduce <strong>the</strong> potential <strong>for</strong> overreaching (leading<br />

to over<strong>training</strong> syndromes), which compromises <strong>the</strong><br />

soldier’s readiness and can result in a loss of duty time<br />

because of sickness or injury (21,33).<br />

The Workout Sequences<br />

Many different workout sequences are possible within <strong>the</strong><br />

construct of <strong>the</strong> flexible nonlinear approach, but this will<br />

depend upon <strong>the</strong> goal of a particular workout design with its<br />

combination of workout variables, how that particular<br />

TABLE 3. An example of a planned nonlinear periodization <strong>training</strong> program <strong>for</strong><br />

a 10-day cycle within a mesocycle that can be changed as needed to allow<br />

optimal <strong>training</strong>.*†<br />

Changes can be made based on <strong>the</strong> readiness <strong>for</strong> <strong>training</strong> <strong>for</strong> a particular workout.<br />

This protocol uses a 5-day rotation (a 7-day rotation, etc. can also be used).<br />

Monday<br />

Wednesday<br />

Light 1 set 12–15RM<br />

Very heavy <strong>for</strong> major exercises: 6 sets<br />

of 1–2RM<br />

Friday<br />

Monday<br />

Heavy 3 sets of 3–6RM Power day: 10 sets of 1–2 reps at 45%<br />

of 1RM<br />

Wednesday<br />

4 Sets of 8–10RM (metabolic<br />

<strong>training</strong>, with short rest)<br />

Endurance <strong>training</strong> is mixed in with care<br />

taken when using high glycogen<br />

depletion runs<br />

*RM = repetition maximum.<br />

†Endurance <strong>training</strong> must be integrated into <strong>the</strong> program in proper sequence order and<br />

with adequate rest.<br />

workout fits into <strong>the</strong> goal <strong>for</strong> <strong>the</strong> mesocycle and how it<br />

<strong>the</strong>n fits into <strong>the</strong> yearly or macrocycle <strong>training</strong> profile. In this<br />

process, not all soldiers will progress at <strong>the</strong> same rate, but<br />

general workout styles may be similar, unless a decrement<br />

is noticed in <strong>the</strong> workout per<strong>for</strong>mance on a given day,<br />

requiring a default move to a less stressful workout or rest.<br />

Table 3 shows a 10-day mesocycle with different combinations<br />

of workouts that can be chosen which create a continuum<br />

of intensity, volume and rest period length interactions<br />

within <strong>the</strong> range of chosen exercises. Within <strong>the</strong> mesocycle,<br />

<strong>the</strong> guiding principle is to address <strong>the</strong> overall goal <strong>for</strong> that<br />

mesocycle. One can alter it based on <strong>the</strong> capability of <strong>the</strong><br />

<strong>warfighter</strong> to per<strong>for</strong>m <strong>the</strong> workout schedule. In some cases,<br />

<strong>the</strong> array of workouts will include less variance, <strong>for</strong> example,<br />

Monday—heavy, Tuesday—heavy, Wednesday—rest from<br />

lifting, Thursday—power, and Friday—metabolic <strong>training</strong>. If<br />

a workout cannot be accomplished at <strong>the</strong> level needed, it can<br />

be switched out to a low volume recovery light workout or<br />

complete rest to avoid nonfunctional overreaching. Remember<br />

this is a <strong>training</strong> program approach to conditioning and<br />

<strong>the</strong> implementation is related to <strong>the</strong> situations that exist and<br />

<strong>the</strong> needed individualization <strong>for</strong> <strong>the</strong> <strong>warfighter</strong>, <strong>the</strong> military<br />

occupational specialty, and <strong>the</strong> unit demands.<br />

Mesocycle Plans<br />

Using <strong>the</strong> unit’s yearly <strong>training</strong> plan or modular scenarios <strong>for</strong><br />

Special Operations Forces (based around deployment<br />

cycles), one can create a basic plan based on <strong>the</strong> best available<br />

knowledge. Next <strong>the</strong> goal of <strong>the</strong> mesocycle <strong>for</strong> a given<br />

period of time is developed based on <strong>the</strong> types of individuals<br />

who will use <strong>the</strong> program. Thus, <strong>for</strong> a given unit, one may<br />

see 2 or 3 different mesocycle plans based on current fitness<br />

levels, injury history, experience with resistance <strong>training</strong> and<br />

mission operational tempo. This approach allows one to<br />

address what each soldier and<br />

unit needs while not overshooting<br />

<strong>the</strong>m with program<br />

workouts that cannot be per<strong>for</strong>med<br />

because of low fitness<br />

levels, lack of knowledge<br />

of exercise techniques, or more<br />

often, time constraints and<br />

competing unit <strong>training</strong><br />

demands. By modifying workouts<br />

within a given mesocycle<br />

to adapt to <strong>the</strong>se <strong>training</strong> limitations,<br />

injuries typically seen<br />

even with functional exercises<br />

(when per<strong>for</strong>med inappropriately)<br />

can be avoided.<br />

Once a planned cycle is<br />

created, it is <strong>the</strong>n challenged<br />

by <strong>the</strong> situational demands as<br />

to whe<strong>the</strong>r it can be accomplished.<br />

If it can be done, <strong>the</strong><br />

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plan moves <strong>for</strong>ward within a week or mesocycle. If a workout<br />

planned <strong>for</strong> a Monday cannot be done, it is replaced, and<br />

that workout is attempted <strong>for</strong> ano<strong>the</strong>r day within that same<br />

week. The key is to accomplish <strong>the</strong> planned workouts <strong>for</strong><br />

<strong>the</strong> week, but <strong>for</strong> a given day, an evaluation is made if <strong>the</strong><br />

particular workout can be done with <strong>the</strong> needed quality<br />

required <strong>for</strong> it to stimulate <strong>the</strong> needed adaptation in <strong>the</strong><br />

body (e.g., maximal power). If not, one does not want to<br />

just waste time with ineffective <strong>training</strong> stimuli so a<br />

different workout is per<strong>for</strong>med or rest is taken. For<br />

example, you have planned a plyometric <strong>training</strong> workout<br />

<strong>for</strong> power development and stability <strong>training</strong> on a Monday,<br />

but because of operational demands, <strong>the</strong> soldier<br />

cannotevenjumpto90%ofhisorherbestjump.One<br />

cannot just go through <strong>the</strong> motions as power <strong>training</strong><br />

must be done in a rested condition to see improvements in<br />

maximal per<strong>for</strong>mance development (e.g., you do not get<br />

faster running slow). At this point, you would default to<br />

ano<strong>the</strong>r workout while evaluating potential overreaching<br />

as velocity of movement and power are <strong>the</strong> first to go<br />

be<strong>for</strong>e <strong>strength</strong> in an overreaching condition. One might<br />

do a light resistance <strong>training</strong> day with low volume to allow<br />

<strong>for</strong> recovery yet still accomplish a workout <strong>for</strong> <strong>the</strong> given<br />

day. Although competitive athletes and <strong>warfighter</strong>s will<br />

not admit to being tired, <strong>the</strong> per<strong>for</strong>mance will dictate<br />

<strong>the</strong> actual condition, and it is up to <strong>the</strong> <strong>strength</strong> and<br />

conditioning professional to make <strong>the</strong> call and alter <strong>the</strong><br />

workout and its progression. One can make up <strong>the</strong> power<br />

workout somewhere else when optimal in that week’s<br />

cycle. Here is where <strong>the</strong> planned but flexible nature of this<br />

program approach shines. To coin an old U.S. Marine<br />

saying, “Improvise, adapt, and overcome.”<br />

The Microcycle<br />

In a nonlinear program design, <strong>the</strong> microcycle is a single<br />

<strong>training</strong> day. The workout is part of a mesocycle plan and <strong>the</strong>n<br />

with flexible nonlinear programming one attempts to adhere<br />

to <strong>the</strong> plan dependent upon <strong>the</strong> individual’s physical condition<br />

and whe<strong>the</strong>r <strong>the</strong> circumstances surrounding <strong>the</strong> day make <strong>the</strong><br />

plan untenable (e.g., power workout planned but a 10-mile<br />

roadmarchwas<strong>the</strong>surpriseof<strong>the</strong>morning).Thereareahost<br />

of different workouts that can be configured based on what<br />

<strong>the</strong> goals of <strong>the</strong> mesocycle are and what <strong>the</strong> weekly cycle will<br />

allow. Sometimes, this can mean a very short mesocycle of 6<br />

weeks because of influx and efflux of soldiers, which requires<br />

adaptability on <strong>the</strong> part of <strong>the</strong> <strong>strength</strong> and conditioning professional.<br />

One must work within <strong>the</strong> given timeframes, even<br />

when not ideal, to optimize <strong>the</strong> <strong>warfighter</strong>’s physical development<br />

from a neuromuscular perspective. Thus, workouts can<br />

vary in intensity, volume, and frequency and are <strong>the</strong>n fur<strong>the</strong>r<br />

defined by <strong>the</strong> o<strong>the</strong>r acute program variables.<br />

Training Optimization<br />

The importance of optimal <strong>training</strong> cannot be overstated.<br />

Elite athletes do not enter a competition and do well if <strong>the</strong>y<br />

are “overtrained” or have not tapered into an optimal phase<br />

of <strong>training</strong>. Although mission tempo is unpredictable, <strong>the</strong><br />

importance of not overshooting one’s ability to recover<br />

becomes even more important to optimize <strong>the</strong> mission. If<br />

one uses a program that has within a week hard runs and 6<br />

short rest metabolic resistance <strong>training</strong> workouts, <strong>the</strong>re is no<br />

way that recovery has been allowed and if a mission calls,<br />

physical fatigue and tissue damage will be less than optimal.<br />

Most likely soldiers will still be able to get <strong>the</strong> job done, but<br />

this is typically because of youth or <strong>the</strong> incredible toleration<br />

of pain and suffering <strong>the</strong> <strong>warfighter</strong> possesses, yet as <strong>the</strong> old<br />

commercial on TV about your car states, “pay me now or<br />

pay me later.” The body has an extraordinary capability to<br />

absorb physical <strong>training</strong> mistakes, but <strong>the</strong> concern is that <strong>the</strong><br />

additive nature of stress (i.e., dramatic increases in cortisol<br />

concentrations, increases in free radicals, immune suppression,<br />

and with excessive endurance <strong>training</strong> in men, reductions in<br />

normal testosterone concentrations) results in a reduction in<br />

<strong>the</strong> individual’s anabolic state, slows down tissue adaptations,<br />

and ultimately impacts neuromuscular function. Thus, from<br />

a resistance <strong>training</strong> program design perspective, it is important<br />

to understand how to get <strong>the</strong> most out of each <strong>training</strong> session<br />

while allowing <strong>for</strong> recovery of tissue (e.g., supercompensation),<br />

and recognizing that this is different from <strong>the</strong> athlete who can<br />

plan <strong>the</strong> logistics of a program with more certainty. It is vital <strong>for</strong><br />

a <strong>warfighter</strong>’s program to have recovery and restoration as<br />

hallmarks of each <strong>training</strong> week.<br />

WORKOUT STYLES<br />

A number of workout styles exist dependent upon different<br />

combinations of <strong>the</strong> intensity and volume interactions. As<br />

estimated by Fleck and Kraemer, an almost infinite number<br />

of workout styles can be created as every time you change an<br />

angle of an exercise you change <strong>the</strong> recruitment pattern; rest<br />

periods are variable from low rest, which places a greater<br />

metabolic challenge to long rest periods which are needed<br />

<strong>for</strong> optimal power and <strong>for</strong>ce production. Order effects (i.e.,<br />

complex <strong>training</strong> strategies) combined with <strong>the</strong> number of<br />

sets per<strong>for</strong>med determine <strong>the</strong> total amount of work being<br />

done in a workout or cycle. There<strong>for</strong>e, it is important to<br />

understand that <strong>the</strong> created workouts and <strong>the</strong>ir sequencing<br />

into a <strong>training</strong> program dictate <strong>the</strong> specific stimuli that will<br />

affect acute physiological demands, maladaptation or positive<br />

adaptation leading to <strong>the</strong> per<strong>for</strong>mance status.<br />

With <strong>the</strong> flexible nonlinear periodized approach, one has<br />

many workouts that can be incorporated into a plan <strong>for</strong> a 6-<br />

to 12-week mesocycle and <strong>the</strong>n used as appropriate over that<br />

cycle of <strong>training</strong>. Thus, choices are many, and this allows<br />

variety, yet <strong>the</strong> need <strong>for</strong> a clear goal <strong>for</strong> each mesocycle<br />

remains so that workouts can be optimized accordingly each<br />

day. There are several types of workouts that are frequently<br />

used and studied in <strong>the</strong> literature. The multiple numbers of<br />

exercises that can be used in <strong>the</strong>se workouts will dictate<br />

<strong>the</strong> musculature that is activated; <strong>the</strong>re<strong>for</strong>e, <strong>the</strong>se typical<br />

workouts are anchored by <strong>the</strong> intensity that is to be used.<br />

Resistance loads exist over a continuum and finite cutoffs are<br />

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really related to <strong>the</strong> broad spectrum of effects documented in<br />

various zones. It is also important to understand that RM<br />

zones and percentage of 1RM will lose <strong>the</strong>ir equity as <strong>the</strong> size<br />

of <strong>the</strong> muscle group changes, with larger muscle groups<br />

capable of more repetitions at a given percentage load and<br />

smaller muscle groups per<strong>for</strong>ming fewer repetitions with a<br />

given intensity. In addition, machines with fixed paths allow<br />

more repetitions to be per<strong>for</strong>med compared with free weights<br />

(e.g., 80% of 1RM in leg press ;22 reps, vs. squat ;10 reps).<br />

Thus RM zones of typically 3 repetitions are used <strong>for</strong><br />

many exercises and <strong>the</strong>n percentage of 1RM in many o<strong>the</strong>rs<br />

(e.g., power cleans, pulls), derived ei<strong>the</strong>r from testing or from<br />

prediction equations.<br />

Very Very Light Workouts<br />

This type of workout uses higher repetitions of .20RM up<br />

to 150RM and typically uses only 1 set in a few muscle group<br />

exercises. The goal of this type of workout as verified by<br />

research is to increase local muscular endurance. It primarily<br />

trains <strong>the</strong> type 1 slow twitch motor units and if more than<br />

one set is used places demands on <strong>the</strong>se motor units <strong>for</strong><br />

metabolic substrate as with any high volume workout. If<br />

done as a single set of 20–30RM with .1 minute rest between<br />

exercises, it can also be used a recovery workout<br />

allowing high threshold motor units to recover and repair.<br />

The key to this is that <strong>the</strong> workout does not produce high<br />

amounts of oxygen reactive species and free radicals in <strong>the</strong><br />

circulation as can happen if <strong>the</strong> metabolic intensity is<br />

ramped up with short rest periods and high volumes of<br />

work. So essentially <strong>the</strong>re are a host of workouts within this<br />

very, very light intensity domain, and <strong>the</strong> effect will be based<br />

on <strong>the</strong> rest periods used that dictate <strong>the</strong> metabolic demand<br />

and <strong>the</strong> number of sets that will impact <strong>the</strong> volume of work.<br />

Exercise technique can be seen to fail when such high repetition<br />

numbers are used in a set, and this can lead to increased<br />

microtears in tissue and injury. There<strong>for</strong>e,<br />

monitoring of technique and proper exercise choices are<br />

vital in <strong>the</strong>se workout styles. Thus, a recovery very, very light<br />

workout differs from high volume short rest workouts by<br />

rest period length and number of sets.<br />

Very-Light Workouts<br />

This is next in <strong>the</strong> line of intensities ranging from 12 to<br />

20RM. The intensity is increased, which indicates more<br />

motor units will be used to per<strong>for</strong>m <strong>the</strong> set. Again, this<br />

type of workout is directed toward again enhancing local<br />

muscular endurance but with heavier weights used at <strong>the</strong><br />

lower end of <strong>the</strong> continuum, <strong>strength</strong> development can also<br />

be observed albeit much less than with heavier resistances.<br />

Similar to <strong>the</strong> very very light workouts, <strong>the</strong>se workouts are<br />

physiologically put in <strong>the</strong> context of <strong>the</strong> number of exercises<br />

and sets that determine total work and rest period lengths<br />

that determine <strong>the</strong> metabolic demands. Also, we see here<br />

that because of fatigue that occurs with higher repetition<br />

number, choice of exercise and technique monitoring are<br />

vital concerns to limit <strong>the</strong> potential <strong>for</strong> injury. Here again,<br />

a wide continuum of workouts are possible, but one has to<br />

determine whe<strong>the</strong>r <strong>the</strong> goal is to use it <strong>for</strong> a recovery<br />

workout vs. as an intense local muscular endurance<br />

workout with elevated metabolic and recovery demands,<br />

as seen with <strong>the</strong> very very light workouts.<br />

Moderate Workouts<br />

These workouts dominate <strong>the</strong> field of resistance <strong>training</strong> as<br />

<strong>the</strong>y range in intensity from 8 to 12RM and have been<br />

widely used because of <strong>the</strong>ir ability to promote both <strong>strength</strong><br />

and muscle size improvements in untrained individuals.<br />

These workouts are again differentiated by <strong>the</strong> number of<br />

sets and exercises and <strong>the</strong> rest period lengths that dictate <strong>the</strong><br />

metabolic demands. This resistance intensity range has<br />

been shown to produce <strong>the</strong> highest level of stress of any of<br />

<strong>the</strong> workouts when rest period length is shortened to<br />

1–2 minutes between sets and exercises. This methodology<br />

grew out of <strong>the</strong> “cut phase” <strong>training</strong> approach typically seen<br />

in bodybuilders. When combined with longer rest and 8–10<br />

exercises, it has typically been <strong>the</strong> standard workout <strong>for</strong> most<br />

individuals starting a resistance <strong>training</strong> program. However,<br />

when used within <strong>the</strong> context of short rest <strong>training</strong>, it creates<br />

a dramatic combination of muscle tissue damage, free radical<br />

production, and <strong>the</strong> highest elevations in both anabolic and<br />

catabolic hormones and cytokines. Thus, sequencing of this<br />

workout with a rest day to allow <strong>for</strong> recovery is a vital aspect<br />

in avoiding overreaching implications. This is especially<br />

important <strong>for</strong> <strong>the</strong> <strong>warfighter</strong> so as not to compromise<br />

immediate mission readiness or cause loss of duty time<br />

because of excessive soreness or injury.<br />

Heavy Workouts<br />

These workouts use typically 3–6RM loads and are directed<br />

toward increasing muscular <strong>strength</strong> or maximal <strong>for</strong>ce production<br />

capabilities in a given exercise movement. Outside of<br />

individuals or muscles with predominately type 1 slow<br />

twitch muscle fibers, <strong>the</strong>se loads will recruit a predominant<br />

majority of <strong>the</strong> motor units available. Typically, large muscle<br />

group exercises (e.g., squats, leg presses, rows, pulls, cleans,<br />

bench press) are used <strong>for</strong> <strong>the</strong>se types of loading. Because<br />

fatigue will reduce <strong>the</strong> number of repetitions that can be<br />

per<strong>for</strong>med in a set with a heavy load, longer rest periods<br />

of .3 minutes are used. Because of <strong>the</strong> higher eccentric<br />

loading, a greater potential <strong>for</strong> muscle tissue damage exists;<br />

however, this type of <strong>training</strong> also provides a protective<br />

mechanism reducing muscle damage from eccentric<br />

mechanical stress exposure when <strong>the</strong> musculature is trained.<br />

This is an important protective feature <strong>for</strong> <strong>the</strong> <strong>warfighter</strong><br />

because this enhances repair and recovery.<br />

Very Heavy Workouts<br />

These loads are skilled based in that <strong>the</strong>y range in <strong>the</strong> 1–2RM<br />

range and are used <strong>for</strong> direct determination of maximal<br />

<strong>strength</strong> and recruit all available motor units in muscle groups<br />

used to per<strong>for</strong>m <strong>the</strong> given exercise. Exercise technique is vital<br />

within any workout and is important here as well. In <strong>the</strong><br />

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competitive lifting world, one often hears <strong>the</strong> term “singles and<br />

doubles,” which is indicative of <strong>the</strong> maximal nature of such<br />

sets. Obviously, if more than one attempt is being made, <strong>the</strong><br />

rest period length used is long. This type of loading has<br />

been used with many types of pyramid loading schemes<br />

and also in strongman and strongwoman event <strong>training</strong>.<br />

Power Workouts<br />

Power workouts are designed to increase maximal power and<br />

functional capabilities. Essentially, power is part of every<br />

movement whe<strong>the</strong>r it is zero <strong>for</strong> isometric actions or very<br />

small <strong>for</strong> a 1RM or higher as <strong>the</strong> <strong>for</strong>ce decreases with its peak<br />

dependent upon <strong>the</strong> repetition range. The key has been to<br />

train <strong>the</strong> entire <strong>for</strong>ce velocity curve and that means per<strong>for</strong>ming<br />

workouts where maximal power can be produced at<br />

different intensities. It is important to understand that only<br />

gravity creates any deceleration on <strong>the</strong> movement; thus,<br />

exercise choices are vital. Hanging on to <strong>the</strong> bar in a bench<br />

press and moving a light weight up and down will not help<br />

power development because only deceleration is accentuated<br />

including neural inhibition to <strong>the</strong> prime movers. This is why<br />

Olympic type lifts, plyometrics, and medicine ball exercises<br />

have dominated <strong>the</strong>se types of workouts. As noted in<br />

plyometric recommendations <strong>for</strong> years, an athlete must be<br />

rested and <strong>the</strong>re is a need <strong>for</strong> maximal ef<strong>for</strong>t in each set with<br />

adequate recovery between sets to optimize one’s maximal<br />

power <strong>training</strong>. In addition, <strong>strength</strong> must be maintained. If<br />

power endurance is <strong>the</strong> goal, technique must be carefully<br />

monitored, and it must be realized that few if any changes<br />

will take place in maximal power development.<br />

Sex-Specific Implications<br />

Although a great deal of interest is now focused on sexneutral<br />

testing, it is apparent that women can achieve gains<br />

in physical development and physical per<strong>for</strong>mance as do<br />

men. The specific group of men and women who are being<br />

compared will dictate <strong>the</strong> comparative results (e.g., women<br />

who are highly weight trained athletes vs. average men).<br />

Research has established that resistance <strong>training</strong> and endurance<br />

<strong>training</strong> programs can be applied successfully <strong>for</strong> both<br />

men and women (8,14,16). Thus, from <strong>the</strong> untrained to <strong>the</strong><br />

trained, identical <strong>training</strong> adaptations can be observed<br />

among our female <strong>warfighter</strong>s in terms of neuromuscular<br />

adaptations and per<strong>for</strong>mance.<br />

WORKOUT INTERACTIONS<br />

Obviously, each workout, regardless of type, exists within<br />

<strong>the</strong> context of daily physical <strong>training</strong>. In addition, high<br />

mileage running is still a staple in <strong>the</strong> military despite much<br />

research on compatibility and potential over<strong>training</strong> syndromes<br />

related to excessive long distance endurance <strong>training</strong>.<br />

Long runs of 7–10 miles are still considered <strong>the</strong> norm,<br />

even though this type of <strong>training</strong> contradicts <strong>the</strong> actual physical<br />

demands placed on <strong>the</strong> <strong>warfighter</strong>. In recent years, <strong>the</strong><br />

increasingly anaerobic demands of <strong>the</strong> military profession<br />

have led to <strong>the</strong> ideal body type <strong>for</strong> male soldiers to favor<br />

that of a rugby player or American football linebacker, and<br />

<strong>for</strong> female soldiers, that of a volleyball or basketball player.<br />

This is a reflection of <strong>training</strong> adaptations which emphasize<br />

muscle size, <strong>strength</strong>, and power, with only needed cardiovascular<br />

support profiled. In <strong>the</strong> modern era of <strong>the</strong> “anaerobic<br />

battlefield,” one does not run into battle; ra<strong>the</strong>r, <strong>strength</strong>,<br />

power, and functional capabilities play vital roles in <strong>the</strong> <strong>warfighter</strong>’s<br />

success. Until this paradigm switch from <strong>the</strong> aerobic<br />

athlete to <strong>the</strong> anaerobic athlete is made, resolving conflicts in<br />

optimizing <strong>the</strong> <strong>training</strong> programs, mission readiness and recovery<br />

capabilities <strong>for</strong> <strong>the</strong> <strong>strength</strong> of <strong>the</strong> <strong>warfighter</strong> will<br />

continue to be a struggle.<br />

PRACTICAL APPLICATIONS<br />

The challenges <strong>for</strong> development of an optimal <strong>strength</strong><br />

<strong>training</strong> program <strong>for</strong> <strong>the</strong> <strong>warfighter</strong> have continued to evolve<br />

over <strong>the</strong> past 25 years. Although valiant attempts are being<br />

made within <strong>the</strong> military to move to a more modern<br />

approach to physical <strong>training</strong>, much of what is ingrained<br />

arises from a long history that is grounded in <strong>the</strong> old boxing<br />

concepts of <strong>training</strong> <strong>for</strong> “roadwork,” later solidified during<br />

<strong>the</strong> “aerobics” craze of <strong>the</strong> 1960s. A fast 10-mile run or<br />

completing a marathon is still viewed as a benchmark of<br />

military fitness as opposed to a 40-inch. vertical jump or<br />

a squat at 2.5 times body mass. The ultimate paradox is that<br />

<strong>the</strong>se per<strong>for</strong>mances are not compatible within <strong>the</strong> same<br />

<strong>training</strong> program and so one must choose what <strong>the</strong> modern<br />

<strong>warfighter</strong> will look like physically. The influence of <strong>the</strong> lay<br />

press and various commercial entities have also fur<strong>the</strong>r<br />

exacerbated fundamentals of workout design and <strong>training</strong>.<br />

Finally, <strong>the</strong> need <strong>for</strong> individualization of <strong>training</strong> and developing<br />

facilities and programs reflective of <strong>the</strong> elite athlete in<br />

<strong>strength</strong> and power sports befitting of <strong>the</strong> modern <strong>warfighter</strong><br />

is both a financial and logistical challenge—but worthy of <strong>the</strong><br />

ef<strong>for</strong>t. Wading though <strong>the</strong> myths of <strong>the</strong> past and present<br />

with <strong>the</strong> goal of creating an ideal <strong>training</strong> program that<br />

enhances <strong>strength</strong>, power, and functional capabilities using<br />

<strong>training</strong> technologies and methods that allow <strong>for</strong> <strong>the</strong> flexibility<br />

needed in a high operational tempo environment is<br />

a harrowing process. We have <strong>the</strong> technology and now <strong>the</strong><br />

certified professional <strong>strength</strong> and conditioning specialists to<br />

accomplish this mission, and with time, <strong>the</strong> physical <strong>training</strong><br />

program of <strong>the</strong> modern <strong>warfighter</strong> will accurately reflect <strong>the</strong><br />

mission requirements of each military occupational specialty,<br />

while maintaining resilience and long-term health and wellness<br />

<strong>for</strong> <strong>the</strong> individual.<br />

ACKNOWLEDGMENTS<br />

The authors thank our U.S. <strong>warfighter</strong>s around <strong>the</strong> world and<br />

<strong>the</strong>ir families <strong>for</strong> <strong>the</strong>ir service and sacrifices. The views,<br />

opinions, and findings contained in this report are those of<br />

<strong>the</strong> authors and should not be construed as an official U.S.<br />

Department of <strong>the</strong> Defense position, policy, or decision unless<br />

so designated by o<strong>the</strong>r official documentation.<br />

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REFERENCES<br />

1. Anderson, T and Kearney, JT. Effects of three resistance <strong>training</strong><br />

programs on muscular <strong>strength</strong> and absolute and relative endurance.<br />

Res Q Exerc Sport 53: 1–7, 1982.<br />

2. Bergeron, MF, Nindl, BC, Deuster, PA, Baumgartner, N, Kane, SF,<br />

Kraemer, WJ, Sexauer, LR, Thompson, WR, and O’Connor, FG.<br />

Consortium <strong>for</strong> Health and Military Per<strong>for</strong>mance and American<br />

College of Sports Medicine consensus paper on extreme<br />

conditioning programs in military personnel. Curr Sports Med Rep<br />

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