Institutional members access full text with Ovid®

Share this article on:

Effects of Four Weeks of Strength Training on the Corticomotoneuronal Pathway


Medicine & Science in Sports & Exercise: November 2017 - Volume 49 - Issue 11 - p 2286–2296
doi: 10.1249/MSS.0000000000001367
Applied Sciences

Purpose Neural adaptations to strength training have long been recognized, but knowledge of mechanisms remains incomplete. Using novel techniques and a design which limited experimental bias, this study examined if 4 wk of strength training alters voluntary activation and corticospinal transmission.

Methods Twenty-one subjects were randomized into strength training (n = 10; 7 females, 3 males; 23.5 ± 7.5 yr; mean ± SD) and control groups (n = 11; 2 females, 9 males; 23.0 ± 4.2 yr). Strength training involved 12 sessions of high-force isometric contractions of the elbow flexors. Before and after training, voluntary activation of the elbow flexors was assessed via transcranial magnetic stimulation. Also, for the first time, magnetic stimulation of corticospinal axons was used to examine spinal-level adaptations to training. The evoked responses, termed cervicomedullary motor-evoked potentials (CMEPs), were acquired in resting biceps brachii in three arm postures. Muscle adaptations were assessed via electrical stimulation of biceps.

Results Compared with the control group, the strength training group exhibited greater increases in maximal strength (12.8% ± 6.8% vs 0.0% ± 2.7%; P < 0.001), biceps electromyographic activity (27.8% ± 25.9% vs −5.2% ± 16.8%; P = 0.002), and voluntary activation (4.7% ± 3.9% raw change vs −0.1% ± 5.2%; P = 0.034). Biceps CMEPs in all arm postures were unchanged after training. Biceps twitch characteristics were also unchanged.

Conclusions Four weeks of isometric strength training of the elbow flexors increased muscle strength and voluntary activation, without a change in the muscle. The improvement in activation suggests that voluntary output from the cortex was better able to recruit motoneurons and/or increase their firing rates. The lack of change in CMEPs indicates that neither corticospinal transmission nor motoneuron excitability was affected by training.

Supplemental digital content is available in the text.

1Neuroscience Research Australia, Randwick, NSW, AUSTRALIA; 2School of Medical Sciences, University of New South Wales, Kensington, NSW, AUSTRALIA; 3School of Clinical Medicine, University of Queensland, St. Lucia, QLD, AUSTRALIA; 4Prince of Wales Clinical School, University of New South Wales, Kensington, NSW, AUSTRALIA; and 5School of Medical and Health Sciences, Edith Cowan University, Perth, WA, AUSTRALIA

Address for correspondence: James L. Nuzzo, Ph.D., Neuroscience Research Australia Barker Street Randwick, NSW 2031, Australia; E-mail:

Submitted for publication April 2017.

Accepted for publication July 2017.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (

© 2017 American College of Sports Medicine