Variable resistance training using elastic bands to enhance lower extremity strengthening

Abstract

Strengthening of the quadriceps is a central tenet of lower extremity rehabilitation, particularly after knee surgery. Quadriceps deficits after various knee procedures are well-documented. One method common to strength and conditioning circles is variable resistance training (VRT). VRT involves the use of heavy chains and elastic bands to facilitate gains in strength and power. Most of the application in strength training however has been on healthy, trained athletes. Sports physical therapists may use elastic bands for VRT to augment strength gains for the recovering athlete. The purpose of this manuscript is to provide a clinical suggestion for the use of VRT in athletic rehabilitation.

Level of evidence: 5.

Keywords: Eccentric training; power; strength training; variable resistance training.

Figures

Figure 1.

Start position in full hip and knee extension with maximum tension on the band on the Total Gym® (Total Gym, San Diego, CA), single leg example. Any body weight type leg press model would work.

Figure 2.

End of the eccentric/lowering phase using the band on the Total Gym®.

Figure 3.

Start position in full hip and knee extension with maximum tension on the band using the Magnum Fitness leg press (Magnum Fitness Systems, Milwaukee, WI), single leg example. Any leg press model would work.

Figure 4.

End of the eccentric/lowering phase using the band on the assisted squat machine, single leg example on Shuttle.