Periodization is defined as the planned manipulation of training variables (load, sets, and repetitions) in order to maximize training adaptations and to prevent the onset of overtraining syndrome. Periodization is one way for the sports physical therapist to approach the design of resistance training programs. 36, 37 Unfortunately, few studies have examined the effect of periodization approaches in adolescent athletic populations. 1 Unfortunately, most strength training research to date on program design has been conducted on healthy, trained and/or untrained adults, 1– 35 while only two studies have been loosely based on rehabilitation. A significant challenge for sports physical therapists is designing optimal training programs that facilitate neural and muscular adaptations while being mindful of biologic healing constraints and safety for the athlete. 1 These programs often follow a logical sequence to not only promote optimal healing, but also to restore peak performance. Sports physical therapists design programs that include several components including endurance, flexibility, proprioception/kinesthesia, balance, joint and soft tissue mobility, speed, and power.
Without proper strength development, these qualities cannot be optimized.
Strength is the foundation from which all other physical qualities of performance like power, speed, and agility, are developed. Restoration of strength is arguably the most vital aspect of a rehabilitation plan and is a central tenet of strength and conditioning programs.
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