Sports Medicine Broadcast

Sports Medicine Broadcast


Eccentric vs Tempo

March 01, 2023

Eccentric contractions have long been known to improve muscle hypertrophy. Ryan Collins joins Clayton Berrang to discuss Eccentrics vs Tempo training and how to implement both.


Eccentric vs tempo
Where in the timeline are the athletes?

Once they can move without bracing


Strength Deficit Eccentric training benefits

Supermaximal load and trying to move that through the eccentric motion


A load that can not move through the concentric movement


How would you recommend emphasizing eccentric training?


Tempo training is a safe place to start but it affects the muscle adaptations


Most ATs and PTs are probably already doing this.


EX: single leg squat – box progression – 


Reverse engineer sprinting

Brakes are going to be important to anything we move


But eccentric training offers so much more than just the brakes


Triphasic training


When do you transition from eccentric training?


Time of year and sports demands


Talk about the cycles for football

Summer is great for super maximal loads for the experienced lifters


Beginners lifted should be doing triphasic


The full stretch-shortening cycle would be in season


Tempo training is one of the easiest forms of progression for an athlete’s body


Most adaptations from the eccentric load


Increased reps give some adaptations


Tempo is the lowest ROI


Box squats example

Tempo training and progress through the tempo training


4×5 with a 3 sec – 4-5 and up to 8-second tempo


Now we use slightly heavier weight with about a 2-second tempo


5 – 7 – 10 – 12 reps progression


Progress through load


4×5 and increase the load over the next 4 weeks


How do we set up a supermaximal eccentric?

Rack setup with safety catches and partners or team lift it back up


We are looking at 5/10% above our maximal level


We can do 5 sets of 1


Is there a tempo in this eccentric?

Move it as slowly as possible


The nordic hamstring curl is an example


“What works works”


If you move slowly you will move slow, move fast to move fast”


Late RTP 6 months out ACL?

Overload plays in


Their body is avoiding positions needed for power due to injury.


Post activation potentiation

Bands are a great tool


Apply them in multiple planes of motion.


You can pull them into an overloaded position


Forward-backward lunge with the band


Clayton Berrang – Email cberraang@athleteth.com


Jeremy Jackson


Shawn Readyshawnreadyatc@gmail.com


Ray Olivorayolivo1@gmail.com


Dr. Mark Knoblauchmaknobla@Central.UH.EDU


Dr. Layci Harrisonlharris5@Central.UH.EDU


Bob MarleyBob.Marley@uth.tmc.edu


Dr. Josh Yellenjbyellen@central.uh.edu


These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.


MioTech – meeting all of your sports medicine supply needs


PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free


Donate and get some swag (like Patreon but for the school)


DragonflyMax – one-stop EMR


HOIST – no matter your reason for dehydration DRINK HOIST


MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.


Marc Pro – Use “THESMB” to recover better.