K. Hakkinen et al., NEUROMUSCULAR ADAPTATIONS DURING BILATERAL VERSUS UNILATERAL STRENGTHTRAINING IN MIDDLE-AGED AND ELDERLY MEN AND WOMEN, Acta Physiologica Scandinavica, 158(1), 1996, pp. 77-88
Twelve middle-aged men and 12 middle-aged women in the 50-year-old age
group (M50; range 44-57 years; W50. 43-57), and 12 elderly men and 12
elderly women in the 70-year-old age group (M70; 59-75; W70: 62-75) v
olunteered as subjects in order to examine effects of 12-week progress
ive heavy resistance strength training on electromyographic activity (
EMG). muscle cross-sectional area (CSA) of the quadriceps femoris and
maximal concentric force in a one repetition maximum (1 RM) test of th
e knee extensor muscles. One half of the subjects in each group perfor
med the knee extension (and flexion) exercises only bilaterally (BIL).
while another hall performed the exercises only unilaterally (UNIL).
None of the subject groups demonstrated statistically significant chan
ges in any of the 1 RM values during the 2 week control period with no
training between week -2 and 0) preceding the actual experimental tra
ining. However. the 12-week training resulted in increases (P<0.05-0.0
01) in 1 RM values in each group so that the average relative increase
of 19+/-12% (P<0.001) in bilateral 1 RM in all BIL trained subjects w
as greater (P<0.05) than that of 13+/-8% (P<0.001) recorded for all UN
IL trained subjects. The average relative increases of 17+/-11% (P<0.0
01) and 14+/-14% (P<0.001) in unilateral 1 RM values of the right and
left leg in ail UNIL trained subjects were greater (P<0.05) than those
of 10+/-18% (P<0.001) and 11+/-11% (P<0.001) recorded for ail BIL tra
ined subjects, respectively. The relative average increase of 19+/-19%
(P<0.001) observed in the maximum averaged IEMG of both legs during t
he bilateral actions in ail BIL trained subjects was greater (P<0.05)
than that of 10+/-17% (P<0.05) recorded for all UNIL trained subjects,
The relative increases of 14+/-12% (P<0.001) and 11+/-6% (P<0.001) re
corded for the CSA in all BIL and UNIL trained subjects did not differ
significantly from each others. The present findings suggest that pro
gressive heavy resistance strength training leads to great increases i
n maximal dynamic strength of the trained subjects accompanied by both
considerable neural adaptations and muscular hypertrophy not only in
middle-aged but also in elderly men and women. Both bilateral and unil
ateral exercises are effective to produce functional and structural ad
aptations in the neuromuscular system, although the magnitude of funct
ional strength increase seems to be specific to the type of exercise u
sed, further supporting the principle of specificity in the design of
strength programmes.