Resistance training (RT) is a highly popular physical activity, that can over time elicit profound
improvements in physical function (i.e. neuromuscular strength and power) and is thus widely
recommended for competitive athletes, prevention and rehabilitation of injury and illness, as well as
healthy ageing. An accurate understanding of the physiological adaptations responsible for improved
function is important to refine RT and optimise the adaptations that ensue. This perspective highlights
a range of evidence and theory within four strands to demonstrate that muscle growth, part of the normal
physiological adaptation to more than a few weeks of regular RT, contributes to the strength gains that
occur after training.
This paper was accepted for publication in the journal Medicine and Science in Sports and Exercise and the definitive published version is available at https://doi.org/10.1249/MSS.0000000000002732