Patient guide · Running

Strength for runners: four lifts, twice a week

It will not make you heavy and it will not raise your VO2 max. What it does is make the same pace cost you less.

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What it does, and what it does not

Across the trials, runners who added strength work became between two and eight per cent more efficient at the same pace. In well trained runners that shows up in time trials, not only in the laboratory.

It does not raise your VO2 max. That has been looked at repeatedly and it does not move. The gain is in economy, which is what holding a pace costs you, and in how long you can hold it once you are tired.

And it does not make you heavier. Across programmes running from ten weeks to forty, body mass, fat mass and lean mass did not change while performance did. Nothing here raises your ceiling. It lowers what it costs to get near it.

The four lifts

Heavy squat, 3 to 5 sets of 3 to 6, at a weight where the sixth would be a struggle. Loads above eighty per cent were the only ones that improved economy across the whole range of speeds.

Single leg calf raise, 3 to 4 sets of 6 to 8, three seconds up and three down, off a step. The calf takes the highest forces in running. Add weight rather than repetitions.

Slow eccentric hamstring, twice a week, building from one set of 5 to three sets of 8. The one exercise here with a direct effect on injury, roughly halving hamstring injuries across sports.

Jumps and bounds, up to about 200 contacts a week across two sessions, starting at fifty. Helps most at paces up to about twelve kilometres an hour. Stop when the landings get noisy.

Two sessions a week was what the trials used. More was not better.

The test

The guide uses the single leg bridge hold. In healthy adults the average hold was about 65 seconds a side. Take that figure lightly. The spread around it is wide, and the people tested were young, mostly female and mostly students.

The two things worth watching are the difference between your two sides, and what your own number does over eight weeks. A change under about 25 seconds sits inside the margin of error, so do not chase small gains.

The honest part about injuries

You will have read that strength training cuts sports injuries to about a third. That number is real and it is not from runners. It comes from pooling football, handball and military trials.

When somebody pooled the trials in runners alone, nine studies and more than nineteen hundred people, the effect on injury risk did not reach significance. Seven of the nine were low quality.

So we are not going to tell you this prevents injuries. What it does is well established: you get more efficient, you hold pace longer when tired, and you get stronger without getting heavier. That is a good enough case on its own.

Try this first

  • Do the bridge test on both legs and write the two numbers down
  • Two sessions a week, on days you already run hard
  • Go heavy on the squat. Light and high repetition does not do it
  • Give it ten weeks before you judge whether it is working

Get it looked at if

  • Pain in a joint rather than muscle soreness, especially in one spot
  • Soreness that is still there four days later
  • One side far weaker than the other, and staying that way
  • Shin, heel or knee pain that is getting worse week on week
  • Any pain that makes you change how you run

What we would do

We measure what the leg can do rather than guess at it, so we are comparing your two sides with numbers instead of impressions. Then the programme is built on what we find and retested, because the trials that worked were all supervised ones.

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Related: Athlete testing and movement analysis · All patient guides · Our blog

This guide is general information about a common problem, not a diagnosis of yours. If something is not settling, or it does not match what is written here, come and get it looked at.