Overload Injury of the Knees with Resistance-Exercise Overtraining: A Case Study

in Journal of Sport Rehabilitation
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Objective:

To report a joint-centered mechanism of performance decrements caused by overtraining.

Design:

Case study.

Setting:

Laboratory-induced overtraining.

Participants:

Eleven weight-trained men, 1 (subject A) with overload injury of the knees.

Intervention:

High-intensity squat resistance-exercise overtraining for 2 weeks.

Outcome Measures:

1RM lower-body strength, isokinetic and isometric knee-extension strength, and stimulated isometric knee-extension strength.

Results:

Subject A’s 1RM strength decreased 40.3 kg, and the other overtrained subjects (OT) exhibited significant (P < .05) 1RM decrements (x = –9.3 kg). Isokinetic knee-extension strength decreased for all subjects. For the OT group, voluntary isometric knee-extension strength did not change and stimulated isometric knee-extension strength decreased. Subject A exhibited increased values for both these variables.

Discussion:

These data indicate that muscle strength was attenuated for subject A only during dynamic activity. It is theorized that subject A exhibited a joint-centered overtraining syndrome, with afferent inhibition from the affected joints impairing dynamic strength.

Fry and Barnes are with Human Performance Laboratories at the University of Memphis, Memphis, TN 38152-4380. Kraemer is with the Human Performance Laboratory at Ball State University, Muncie, IN 47306-0280. Lynch is with the Athletic Training Program at Quincy University, Quincy, IL 62301-2699.

Journal of Sport Rehabilitation