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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Physiol.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Physiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Physiol.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">1664-042X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1637520</article-id>
<article-id pub-id-type="doi">10.3389/fphys.2025.1637520</article-id>
<article-version article-version-type="Version of Record" vocab="NISO-RP-8-2008"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Effects of three strength training methods on lower extremity strength, jump and sprint performance: a network meta-analysis</article-title>
<alt-title alt-title-type="left-running-head">Wang et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphys.2025.1637520">10.3389/fphys.2025.1637520</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Shaohui</given-names>
</name>
<xref ref-type="aff" rid="aff1"/>
<xref ref-type="author-notes" rid="fn001">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3027932"/>
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<contrib contrib-type="author">
<name>
<surname>Zhen</surname>
<given-names>Jie</given-names>
</name>
<xref ref-type="aff" rid="aff1"/>
<xref ref-type="author-notes" rid="fn001">
<sup>&#x2020;</sup>
</xref>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Xiao</surname>
<given-names>Tao</given-names>
</name>
<xref ref-type="aff" rid="aff1"/>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3083626"/>
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<aff id="aff1">
<institution>School of Physical Education (Main Campus), Zhengzhou University</institution>, <city>Zhengzhou</city>, <country country="CN">China</country>
</aff>
<author-notes>
<corresp id="c001">
<label>
<sup>&#x2a;</sup>
</label>Correspondence: Tao Xiao, <email xlink:href="xiaotao@zzu.edu.cn">xiaotao@zzu.edu.cn</email>
</corresp>
<fn fn-type="other" id="fn001">
<label>&#x2020;</label>
<p>ORCID: Jie Zhen, <ext-link ext-link-type="uri" xlink:href="https://orcid.org/0009-0004-2032-0180">orcid.org/0009-0004-2032-0180</ext-link>; Shaohui Wang, <ext-link ext-link-type="uri" xlink:href="https://orcid.org/0009-0002-3744-9154">orcid.org/0009-0002-3744-9154</ext-link>; Tao Xiao, <ext-link ext-link-type="uri" xlink:href="https://orcid.org/0009-0009-6719-6347">orcid.org/0009-0009-6719-6347</ext-link>
</p>
</fn>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2025-12-02">
<day>02</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1637520</elocation-id>
<history>
<date date-type="received">
<day>29</day>
<month>05</month>
<year>2025</year>
</date>
<date date-type="rev-recd">
<day>15</day>
<month>10</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>10</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Wang, Zhen and Xiao.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Wang, Zhen and Xiao</copyright-holder>
<license>
<ali:license_ref start_date="2025-12-02">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p>Weightlifting (WT) and Plyometric training (PT) may lead to comparable enhancements in strength, jump, and sprint performance. However, these two training modalities appear to differ significantly in their primary focus and underlying mechanisms.</p>
</sec>
<sec>
<title>Objective</title>
<p>Examining the differences between WT and PT in improving lower extremity sports performance.</p>
</sec>
<sec>
<title>Methods</title>
<p>A systematic search was conducted from five databases, including Web of Science, PubMed, Scopus, Elsevier, and Springer. Two authors developed specific inclusion and exclusion criteria to screen relevant literature based on the study objectives. The quality of the included studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. We conducted both direct comparisons and network meta-analysis on the eligible studies. The assumptions of similarity, homogeneity, and consistency within the Bayesian network were also confirmed.</p>
</sec>
<sec>
<title>Results</title>
<p>A total of 17 studies met the inclusion criteria, involving 394 participants. All studies were found to have a low or moderate risk of bias, with average score of 4.29. The Bayesian network meta-analysis showed no significant differences. According to the SUCRA rankings, TT was most likely to excel in squat jumps (SJ) (SUCRA &#x3d; 0.76) and maximum strength (SUCRA &#x3d; 0.95), WT for sprint (SUCRA &#x3d; 0.77), and PT for countermovement jumps (SUCRA &#x3d; 0.76). The tests of similarity, homogeneity and consistency of the network meta-analysis were also generally valid. The funnel plot and Egger regression tests indicated no publication bias.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>In summary, the WT programs are more effective at improving sprint performance by increasing power, while the PT programs improve jumping performance by improving the stretch-shortening cycle.</p>
</sec>
<sec>
<title>Systematic Review Registration</title>
<p>identifier CRD 420250540130.</p>
</sec>
</abstract>
<kwd-group>
<kwd>olympic weightlifting</kwd>
<kwd>plyometric training</kwd>
<kwd>stretch-shortening cycle</kwd>
<kwd>strength</kwd>
<kwd>jump</kwd>
<kwd>sprint</kwd>
</kwd-group>
<funding-group>
<funding-statement>The author(s) declare that no financial support was received for the research and/or publication of this article.</funding-statement>
</funding-group>
<counts>
<fig-count count="3"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="85"/>
<page-count count="14"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Exercise Physiology</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<label>1</label>
<title>Introduction</title>
<p>Lower extremity strength and power are foundational to athletic success across diverse sports, from explosive track and field events to dynamic team sports like basketball and soccer (<xref ref-type="bibr" rid="B55">Muehlbauer et al., 2015</xref>; <xref ref-type="bibr" rid="B67">Suchomel et al., 2016</xref>). These physical traits directly determine an athlete&#x2019;s capacity to sprint, jump, and change direction rapidly&#x2014;actions that often differentiate elite competitors (<xref ref-type="bibr" rid="B85">Young et al., 1995</xref>; <xref ref-type="bibr" rid="B9">Burnie et al., 2018</xref>; <xref ref-type="bibr" rid="B83">Young, 2006</xref>; <xref ref-type="bibr" rid="B78">Vosburg et al., 2022</xref>; <xref ref-type="bibr" rid="B56">Negra et al., 2020</xref>). Yet, despite widespread recognition of its importance, a critical question persists: What is the most effective training methodology to optimize lower-body power and translate it into measurable athletic outcomes?</p>
<p>Two dominant paradigms have emerged in strength and power training: weightlifting training (WT) and plyometric training (PT). Weightlifting exercises and their derivatives primarily emphasize the development of maximal strength and power through movements such as the snatch and clean and jerk, which involve lifting heavy loads with explosive actions (<xref ref-type="bibr" rid="B54">Morris et al., 2022</xref>; <xref ref-type="bibr" rid="B83">Young, 2006</xref>). This type of training enhances neuromuscular coordination, muscle hypertrophy, and the ability to generate force rapidly, making it particularly effective for athletes who require high levels of absolute strength and power (<xref ref-type="bibr" rid="B63">Simenz et al., 2005</xref>; <xref ref-type="bibr" rid="B22">Ebben, 2009</xref>). In contrast, PT focuses on improving the stretch-shortening cycle (SSC) efficiency, which is crucial for activities that involve rapid transitions from eccentric to concentric muscle actions, such as jumping and sprinting (<xref ref-type="bibr" rid="B52">Markovic et al., 2007</xref>; <xref ref-type="bibr" rid="B79">Watkins, 2009</xref>; <xref ref-type="bibr" rid="B6">Booth and Orr, 2016</xref>; <xref ref-type="bibr" rid="B47">Komi, 2000</xref>). Plyometric exercises, like depth jumps and bounding, aim to increase muscle-tendon stiffness and enhance the storage and release of elastic energy, thereby improving reactive strength and explosive performance (<xref ref-type="bibr" rid="B51">Markovic and Mikulic, 2010</xref>). While both modalities enhance power-related metrics, their mechanistic divergence&#x2014;WT&#x2019;s emphasis on absolute force versus PT&#x2019;s SSC efficiency&#x2014;suggests context-dependent efficacy (<xref ref-type="bibr" rid="B54">Morris et al., 2022</xref>; <xref ref-type="bibr" rid="B4">Berton et al., 2018</xref>). Determining the performance objectives under which WT or PT should be prioritized, and whether their benefits extend uniformly across key indicators such as vertical jump, sprint speed, and injury resilience, is essential for evidence-based training prescription.</p>
<p>Existing comparative analyses on the efficacy of different training modalities are largely inconclusive, hindering clear guidance for practitioners. For instance, earlier reviews such as those by (<xref ref-type="bibr" rid="B3">Arabatzi et al., 2010</xref>; <xref ref-type="bibr" rid="B34">Hackett et al., 2016</xref>) concluded that WT and PT did not demonstrate significant differences in improving jumping performance. Early meta-analyses, such as that by (<xref ref-type="bibr" rid="B4">Berton et al., 2018</xref>), while reporting advantages of WT over traditional resistance training (TT) for countermovement jump (CMJ) height, also found no significant differences between WT and PT. However, these conclusions were constrained by narrow outcome measures (e.g., CMJ alone) and limited sample sizes (<italic>n</italic> &#x3d; 7 studies), failing to account for sport-specific demands or multi-dimensional performance metrics. Subsequent work by (<xref ref-type="bibr" rid="B54">Morris et al., 2022</xref>) expanded the evidence base, corroborating WT&#x2019;s advantages over TT while reaffirming WT-PT equivalence&#x2014;yet critical gaps persist. The robustness of these findings requires rigorous evaluation against a broader spectrum of athletic tasks, and methodological limitations in prior syntheses may obscure nuanced differences between WT and PT. Notably, conventional pairwise meta-analyses struggle to resolve these questions due to fragmented direct comparisons and heterogeneous study designs.</p>
<p>This uncertainty underscores the need for an analytical framework capable of synthesizing direct and indirect evidence across diverse interventions. Network meta - analysis (NMA) presents a powerful solution to overcome the limitations of traditional pairwise comparisons. NMA combines both direct and indirect evidence from multiple interventions within a unified analytical framework, enabling a more comprehensive comparison of different training methods. This approach allows for a more accurate estimation of the relative effectiveness of WT and PT, even when direct head - to - head comparisons are scarce. By synthesizing data from a broader range of studies, NMA can offer valuable insights into the comparative advantages of these training modalities for enhancing lower - body power and athletic performance. The primary aim of this study is to use network meta - analysis to systematically compare the effectiveness of weightlifting training and plyometric training in terms of lower - body power and athletic performance. Specifically, this study intends to: (1) Assess the relative impact of WT and PT on key measures of lower extremity power, such as vertical jump height, and sprint performance. (2) Investigate the differences in the emphases of three training modalities in enhancing sports performance. (3) Provide evidence-based recommendations for integrating WT and PT into sports training programs. By resolving longstanding controversies in strength programming, this analysis seeks to empower coaches, athletes, and sports scientists with data-driven insights for optimizing lower-body power development.</p>
</sec>
<sec sec-type="methods" id="s2">
<label>2</label>
<title>Methods</title>
<p>This systematic review and network meta-analysis has been designed and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020 statement), the extended PRISMA statement for Network Meta-Analyses, and the Cochrane Handbook for Systematic Reviews of Interventions (<xref ref-type="bibr" rid="B59">Page et al., 2021</xref>; <xref ref-type="bibr" rid="B62">Shuster, 2011</xref>). The completed PRISMA 2020 checklist is available in <xref ref-type="sec" rid="s11">Supplementary Material S1</xref>
<italic>.</italic> The protocol was previously registered in the international database of systematic reviews PROSPERO (ID: CRD420250540130, in April 2024).</p>
<sec id="s2-1">
<label>2.1</label>
<title>Search strategy</title>
<p>A thorough literature search was carried out across multiple databases, namely Web of Science, PubMed (Pubmed Central), Scopus, Elsevier, and Springer. The search imposed no constraint on the publication date; however, it was confined to articles published in English. To pinpoint relevant studies, Boolean search logic was utilized, with specific search terms crafted around weightlifting training, plyometric training, traditional resistance training, and performance outcomes. The supplementary material holds a detailed account of the search strategy. Subsequently, two researchers independently went through the titles and abstracts of the identified studies to assess their relevance. Full - text versions of studies that appeared eligible were obtained and evaluated against the pre - set inclusion criteria. In cases where the two reviewers disagreed, discussions were held to iron out the differences.</p>
</sec>
<sec id="s2-2">
<label>2.2</label>
<title>Eligibility criteria</title>
<p>Inclusion criteria for the literature were established based on the PICOS (Participants, Interventions, Comparators, Outcomes, and Study Design) guidelines. Studies involving healthy male or female participants were selected without restrictions on publication dates.</p>
<p>The participants included in this systematic review were individuals who maintained good health throughout the experimental process, with no restrictions on ethnicity, nationality, or sex. Age restrictions are limited to early adulthood (18&#x2013;30 years old). Studies were excluded if they involved participants with chronic diseases or if they included animal subjects, which were identified and removed during the title and abstract screening phase.</p>
<p>Studies must have compared at least two of the following training modalities: weightlifting training (WT), traditional resistance training (TT), or plyometric training (PT). The intervention period was required to be a minimum of 6 weeks, with at least two training session per week, totaling at least twelve sessions.</p>
<p>The control group performed resistance training or the same regular interventions as the intervention group. For the network meta-analysis, we defined comparison groups based on the interventions studied. In this network, TT was designated as the reference treatment to allow for the quantification of relative treatment effects between PT, WT, and TT. Studies included in the network either compared one of these interventions against TT, or compared PT directly against WT.</p>
<p>Studies were required to report on at least one performance measure, including lower-limb maximum strength (1RM squat), jumping performance (squat jump, countermovement jump), or sprint performance (short-distance sprint).</p>
<p>Only randomized controlled trials (RCTs) published in English were included. For studies based on the same sample, only one article was included to avoid duplication.</p>
<p>Exclusion criteria included duplicate publications, insufficient data availability despite attempts to contact authors, and studies with significant methodological flaws or poor testing protocols. Studies failing to meet the minimum quality standard of 3 points on the PEDro scale.</p>
</sec>
<sec id="s2-3">
<label>2.3</label>
<title>Data extraction</title>
<p>Adhering to the PRISMA guidelines for literature selection and data extraction, the data collection form is based on the extraction form modified from the &#x201c;Cochrane Handbook for Systematic Reviews of Interventions&#x201d; (<xref ref-type="bibr" rid="B42">Higgins et al., 2019</xref>). Extracted data included: (1) Basic study information (first author, year of publication). (2) Participant demographics (gender, age, sample size, subject identity). (3) Intervention details (training methods, frequency, load, duration, number of sessions). (4) Outcome measures (1RM squat, squat jump, countermovement jump, sprint). During the process of data extraction, data from all intervention groups is obtained. In instances where direct acquisition of data is not feasible, methodologies such as GetData Graph Digitizer and Cochrane data conversion tools are employed to ensure uniform integration of the data. To maintain rigor, literature lacking crucial data that cannot be converted or that does not meet the established criteria is excluded directly. For the same intervention measures within the same literature, a combined treatment is applied.</p>
</sec>
<sec id="s2-4">
<label>2.4</label>
<title>Methodological quality and publication bias</title>
<p>The methodological quality of the included studies was assessed using the Physiotherapy Evidence Database (PEDro) scale, which evaluates external validity (Item 1) and internal validity (Items 2&#x2013;9), as well as the adequacy of statistical information (Items 10&#x2013;11). Each criterion met scores 1 point, with a maximum possible score of 10 (excluding Item 1). Studies scoring 6&#x2013;10 were considered high quality, 4-5 moderate quality, and &#x2264;3 low quality. Two authors independently evaluated the methodological quality of each study, with discrepancies resolved through discussion and consultation.</p>
<p>Publication bias was assessed using Egger&#x2019;s regression test and funnel plot asymmetry adjustments (<xref ref-type="bibr" rid="B23">Egger et al., 1997</xref>).</p>
</sec>
<sec id="s2-5">
<label>2.5</label>
<title>Statistical analysis</title>
<p>The Bayesian network meta-analysis model was chosen for its ability to rank interventions based on posterior probabilities. This approach overcomes the limitations of frequentist methods, which estimate parameters by iteratively maximizing the likelihood function. Such methods can lead to instability and biased results. In contrast, the Bayesian model is more flexible and is currently the preferred method in evidence-based research.</p>
<p>The analysis was conducted using R (version 4.3.3 with the gemtc package) and Stata (MP 18). Given the different measurement methods for the outcome indicators, a random effects model was chosen to minimize heterogeneity and determine the overall effect of the training interventions on the outcomes, including 1RM, SJ, CMJ, and SP.</p>
<p>To objectively and accurately reflect the relative effects of the three intervention methods and to exclude the influence of the conventional training control group on effect sizes, direct comparisons were made between the three interventions. The pre- and post-training changes in the experimental and control groups were used to calculate the standardized mean difference (SMD) and its 95% confidence interval (CI) for pooling effect sizes. Heterogeneity was assessed I<sup>2</sup> statistic (low &#x3c;25%, moderate 25%&#x2013;50%, high &#x3e;50%). Statistical significance was set at p &#x3c; 0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<label>3</label>
<title>Results</title>
<p>A total of 3,187 references were initially searched from five databases, and an additional eight articles were obtained from reference sources. Duplicates were removed using the &#x201c;Find Duplicate References&#x201d; feature in EndNote, resulting in 853 unique papers. After screening titles, abstracts, and full texts, 86 articles were selected for further review. In the end, 17 pieces of literature were selected after a thorough full-text review (<xref ref-type="bibr" rid="B3">Arabatzi et al., 2010</xref>; <xref ref-type="bibr" rid="B2">Arabatzi and Kellis, 2012</xref>; <xref ref-type="bibr" rid="B5">Berton et al., 2022</xref>; <xref ref-type="bibr" rid="B7">Boraczy&#x144;ski et al., 2023</xref>; <xref ref-type="bibr" rid="B14">Ciacci and Bartolomei, 2018</xref>; <xref ref-type="bibr" rid="B39">Hawkins et al., 2009</xref>; <xref ref-type="bibr" rid="B41">Helland et al., 2017</xref>; <xref ref-type="bibr" rid="B43">Hoffman et al., 2004</xref>; <xref ref-type="bibr" rid="B44">Ita and Guntoro, 2018</xref>; <xref ref-type="bibr" rid="B49">MacDonald et al., 2012</xref>; <xref ref-type="bibr" rid="B57">Oranchuk et al., 2019</xref>; <xref ref-type="bibr" rid="B60">Ribeiro et al., 2020</xref>; <xref ref-type="bibr" rid="B68">Teo et al., 2016</xref>; <xref ref-type="bibr" rid="B75">Tricoli et al., 2005</xref>; <xref ref-type="bibr" rid="B77">Vissing et al., 2008</xref>; <xref ref-type="bibr" rid="B81">Whitehead et al., 2018</xref>; <xref ref-type="bibr" rid="B82">Wilson et al., 1993</xref>). The flow diagram of the literature is presented in <xref ref-type="fig" rid="F1">Figure 1</xref>.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Flow diagram of literature screening and selection for the network meta-analysis.</p>
</caption>
<graphic xlink:href="fphys-16-1637520-g001.tif">
<alt-text content-type="machine-generated">Flowchart of the study selection process. From previous studies, 114 studies were included, with 7 reports. In the identification of new studies, 3,187 records were found, excluding 2,334 for duplication and other reasons. A total of 853 records were screened. From these, 772 were excluded, 86 reports sought, and 55 not retrieved. Thirty-seven reports were assessed, with 20 excluded for various reasons, resulting in no new studies included. Overall, 17 studies were included in the final review.</alt-text>
</graphic>
</fig>
<sec id="s3-1">
<label>3.1</label>
<title>Characteristics of study</title>
<p>Ultimately, 17 studies were included in the analysis, comprising 15 two-arm trials and 2 three-arm trials. Among the 17 studies, there were a total of 394 participants distributed across 12 plyometric training groups (<italic>n</italic> &#x3d; 134), 13 traditional resistance training groups (<italic>n</italic> &#x3d; 142), and 11 Olympic weightlifting training groups (<italic>n</italic> &#x3d; 118). The age range of participants was 18&#x2013;30 years. The fundamental characteristics of the literature are presented in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Basic Characteristics of Subjects and Training Interventions.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Study(first author/years)</th>
<th align="left">Intervention</th>
<th align="left">Age</th>
<th align="left">n</th>
<th align="left">Sex</th>
<th align="left">Exercise</th>
<th align="left">Frequency (times/weeks)</th>
<th align="left">Sessions</th>
<th align="left">Volume (sets &#xd7; reps)</th>
<th align="left">Outcome</th>
<th align="left">Scores (PEDro)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">
<xref ref-type="bibr" rid="B3">Arabatzi et al., 2010</xref>
</td>
<td align="left">PT</td>
<td align="left">20.3</td>
<td align="left">9</td>
<td align="left">male</td>
<td align="left">double-leg hurdle hops, alternated single-leg hurdle hops, double-leg hops, half-squat</td>
<td align="left">3/8</td>
<td align="left">24</td>
<td align="left">1-2w: 4 &#xd7; 6 68cm 3.15m 3-4w: 6 &#xd7; 6 74cm 3.15m 5-8w: 6 &#xd7; 6 74cm 2.7m</td>
<td align="left">SJ, CMJ</td>
<td align="left">4</td>
</tr>
<tr>
<td align="left"/>
<td align="left">WT</td>
<td align="left">20.3</td>
<td align="left">9</td>
<td align="left">male</td>
<td align="left">power clean, snatch, clean and jerk, high pull</td>
<td align="left"/>
<td align="left"/>
<td align="left">1-2w: 4 &#xd7; 4 75%1RM 3-4w: 4 &#xd7; 6 80%1RM 5-8w: 4 &#xd7; 4 80%-90%1RM</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B2">Arabatzi and Kellis, 2012</xref>
</td>
<td align="left">WT</td>
<td align="left">20.3</td>
<td align="left">9</td>
<td align="left">male</td>
<td align="left">power clean, snatch, clean and jerk, high pull</td>
<td align="left">3/8</td>
<td align="left">24</td>
<td align="left">1-2w: 4 &#xd7; 4 75%1RM 3-4w: 4 &#xd7; 6 80%1RM 5-8w: 4 &#xd7; 4 80%-90%1RM</td>
<td align="left">SJ, CMJ</td>
<td align="left">4</td>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left">20.3</td>
<td align="left">9</td>
<td align="left">male</td>
<td align="left">leg press, leg curl, leg extension, half-squat</td>
<td align="left"/>
<td align="left"/>
<td align="left">1-2w: 4 &#xd7; 4 75%1RM 3-4w: 4 &#xd7; 6 80%1RM 5-8w: 4 &#xd7; 4 80%-90%1RM</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B5">Berton et al., 2022</xref>
</td>
<td align="left">PT</td>
<td align="left">23.9</td>
<td align="left">15</td>
<td align="left">male</td>
<td align="left">bounce drop, jump double-leg, hurdle hops, horizontal jumps</td>
<td align="left">2/8</td>
<td align="left">16</td>
<td align="left">1-4w: 4 &#xd7; 6/4 &#xd7; 4/3 &#xd7; 3 5-8w: 5 &#xd7; 6/5 &#xd7; 4/3 &#xd7; 3&#x2b;1 &#xd7; 2</td>
<td align="left">SJ, CMJ</td>
<td align="left">5</td>
</tr>
<tr>
<td align="left"/>
<td align="left">WT</td>
<td align="left">24.1</td>
<td align="left">15</td>
<td align="left">male</td>
<td align="left">high pull from the knee, power clean from the knee, mid-thigh clean pull</td>
<td align="left"/>
<td align="left"/>
<td align="left">1-4w: 5 &#xd7; 5/5 &#xd7; 5/4 &#xd7; 5 5-8w: 6 &#xd7; 5/6 &#xd7; 5/5 &#xd7; 5</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B7">Boraczy&#x144;ski et al., 2023</xref>
</td>
<td align="left">PT</td>
<td align="left">22.5</td>
<td align="left">15</td>
<td align="left">male</td>
<td align="left">leg lifts, plank kicks, leg flexes, leg kicks</td>
<td align="left">2/8</td>
<td align="left">16</td>
<td align="left">1w: 2 &#xd7; 8/2 &#xd7; 8/2 &#xd7; 15/2 &#xd7; 15 2-7w: 3-4 &#xd7; 6-12 8w: 6 &#xd7; 7</td>
<td align="left">SJ, CMJ,<break/>1RMsquat,<break/>T10,30</td>
<td align="left">4</td>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left">22.1</td>
<td align="left">15</td>
<td align="left">male</td>
<td align="left">half-squat, leg press, leg curl, leg extension lunges calf raises</td>
<td align="left"/>
<td align="left"/>
<td align="left">1-3w: 3 &#xd7; 10 80%1RM 4-6w: 3 &#xd7; 8 85%1RM 7-8w: 3 &#xd7; 6 90%1RM</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B14">Ciacci and Bartolomei, 2018</xref>
</td>
<td align="left">WT</td>
<td align="left">24.3</td>
<td align="left">10</td>
<td align="left">male</td>
<td align="left">power clean</td>
<td align="left">2/16</td>
<td align="left">32</td>
<td align="left">4 &#xd7; 8</td>
<td align="left">SJ, CMJ,</td>
<td align="left">4</td>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left">20.1</td>
<td align="left">12</td>
<td align="left">male</td>
<td align="left">half-squat</td>
<td align="left"/>
<td align="left"/>
<td align="left">4 &#xd7; 8</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B39">Hawkins et al., 2009</xref>
</td>
<td align="left">PT</td>
<td align="left">21.5</td>
<td align="left">10</td>
<td align="left">male</td>
<td align="left">jumps in place, squat jumps, a-skips, single-leg hops, double-leg hops</td>
<td align="left">3/8</td>
<td align="left">24</td>
<td align="left">1-4w: 3 &#xd7; 3-10 5-8w: 3 &#xd7; 5-15</td>
<td align="left">SJ, CMJ,<break/>1RMsquat</td>
<td align="left">5</td>
</tr>
<tr>
<td align="left"/>
<td align="left">WT</td>
<td align="left"/>
<td align="left">10</td>
<td align="left">male</td>
<td align="left">hang clean, high pull, power push(front), snatch balance, front squats</td>
<td align="left"/>
<td align="left"/>
<td align="left">1-4w: 3 &#xd7; 5-8 5-8w: 3 &#xd7; 2-6</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left"/>
<td align="left">9</td>
<td align="left">male</td>
<td align="left">squat, lunges</td>
<td align="left"/>
<td align="left"/>
<td align="left">1-4w: 3 &#xd7; 6-10 5-8w: 3 &#xd7; 4-8</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B41">Helland et al., 2017</xref>
</td>
<td align="left">WT</td>
<td align="left">20</td>
<td align="left">13</td>
<td align="left">male/<break/>female</td>
<td align="left">power clean, snatch, front squats, clean and jerk</td>
<td align="left">2-3/8</td>
<td align="left">21</td>
<td align="left">2-5 &#xd7; 5RM</td>
<td align="left">SJ, CMJ,<break/>1RMsquat,<break/>T30</td>
<td align="left">5</td>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left">20</td>
<td align="left">13</td>
<td align="left">male/<break/>female</td>
<td align="left">squat, lunges</td>
<td align="left"/>
<td align="left"/>
<td align="left">2-3 &#xd7; 5RM</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B43">Hoffman et al., 2004</xref>
</td>
<td align="left">WT</td>
<td align="left">19.3</td>
<td align="left">10</td>
<td align="left">male</td>
<td align="left">clean (floor), clean pulls (above knee), push jerks, snatch pulls (floor), snatch pulls (above knee)</td>
<td align="left">4 &#xd7; 15</td>
<td align="left">60</td>
<td align="left">1-5w: 2-4 &#xd7; 8 10RM 6-10w: 4-5 &#xd7; 5-8RM 11-15w: 3-5 &#xd7; 3-6RM</td>
<td align="left">1RMsquat</td>
<td align="left">5</td>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left">18.9</td>
<td align="left">10</td>
<td align="left">male</td>
<td align="left">squat, dead lift, leg extensions, leg curls, standing calf raises</td>
<td align="left"/>
<td align="left"/>
<td align="left">1-5w: 3-4 &#xd7; 8-10RM 6-10w: 3-4 &#xd7; 6-8RM 11-15w: 3-5 &#xd7; 4-6RM</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B44">Ita and Guntoro, 2018</xref>
</td>
<td align="left">PT</td>
<td align="left">21.3</td>
<td align="left">15</td>
<td align="left">male</td>
<td align="left">skipping, rope jump, low jump and short stride, hops and jumping, jumping in top bench or rope</td>
<td align="left">6 &#xd7; 6</td>
<td align="left">36</td>
<td align="left"/>
<td align="left">T30</td>
<td align="left">4</td>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left">21.3</td>
<td align="left">15</td>
<td align="left">male</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="left">2-5 &#xd7; 2-5 75%-90%1RM</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B49">MacDonald et al., 2012</xref>
</td>
<td align="left">PT</td>
<td align="left">20.6</td>
<td align="left">11</td>
<td align="left">male</td>
<td align="left">drop jump, box jump, lateral jump</td>
<td align="left">2 &#xd7; 6</td>
<td align="left">12</td>
<td align="left"/>
<td align="left">1RMsquat</td>
<td align="left">3</td>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left">22</td>
<td align="left">9</td>
<td align="left">male</td>
<td align="left">squat, dead lift, standing calf raise</td>
<td align="left"/>
<td align="left"/>
<td align="left">3 &#xd7; 3-6 75%-90%1RM</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B57">Oranchuk et al., 2019</xref>
</td>
<td align="left">WT</td>
<td align="left">19.6</td>
<td align="left">9</td>
<td align="left">male/<break/>female</td>
<td align="left">high pull, squat, clean and jerk</td>
<td align="left">2/10</td>
<td align="left">20</td>
<td align="left">4 &#xd7; 5-12 60%-75%1RM</td>
<td align="left">SJ, CMJ</td>
<td align="left">4</td>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left"/>
<td align="left">9</td>
<td align="left">male/<break/>female</td>
<td align="left">squat, glute ham raise, trap-bar jump squat</td>
<td align="left"/>
<td align="left"/>
<td align="left">4 &#xd7; 5-12 60%-75%1RM</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B60">Ribeiro et al., 2020</xref>
</td>
<td align="left">PT</td>
<td align="left">18.6</td>
<td align="left">8</td>
<td align="left">male</td>
<td align="left">squats, lunges and submaximal jump actions.</td>
<td align="left">2/7</td>
<td align="left">12</td>
<td align="left">1-2w: 1-3 &#xd7; 8 3-6w: 2-3 &#xd7; 8-12 7-8w: 2-4 &#xd7; 6-12 9-12w: 2-4 &#xd7; 8-12</td>
<td align="left">SJ, CMJ</td>
<td align="left">4</td>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left">18.4</td>
<td align="left">8</td>
<td align="left">male</td>
<td align="left">half-squat, hip-thrust</td>
<td align="left"/>
<td align="left"/>
<td align="left">1-4w: 4 &#xd7; 8</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B68">Teo et al., 2016</xref>
</td>
<td align="left">PT</td>
<td align="left">24.2</td>
<td align="left">13</td>
<td align="left"/>
<td align="left">double leg jumps, depth jumps, half-squat</td>
<td align="left"/>
<td align="left"/>
<td align="left">1-3w: 4-8 &#xd7; 4-10 4-6w: 6-8 &#xd7; 4-12</td>
<td align="left">T5, 20</td>
<td align="left">5</td>
</tr>
<tr>
<td align="left"/>
<td align="left">WT</td>
<td align="left"/>
<td align="left">13</td>
<td align="left"/>
<td align="left">hang power clean, power snatch, half-squat</td>
<td align="left"/>
<td align="left"/>
<td align="left">1-3w: 4 &#xd7; 4-6 70%1RM 4-6w: 6 &#xd7; 4-6 70%1RM</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B75">Tricoli et al., 2005</xref>
</td>
<td align="left">PT</td>
<td align="left">22</td>
<td align="left">8</td>
<td align="left">male</td>
<td align="left">double-leg hurdle hops, alternated single-leg hurdle hops, single-leg hurdle hops, 40-cm drop jump, half-squat</td>
<td align="left">3/8</td>
<td align="left">24</td>
<td align="left">1-4w: 4-6 &#xd7; 4 5-8w: 6-10 &#xd7; 4</td>
<td align="left">SJ, CMJ,<break/>1RMsquat</td>
<td align="left">5</td>
</tr>
<tr>
<td align="left"/>
<td align="left">WT</td>
<td align="left">22</td>
<td align="left">7</td>
<td align="left">male</td>
<td align="left">power clean, high pull, clean and jerk, half-squat</td>
<td align="left"/>
<td align="left"/>
<td align="left">3-4 &#xd7; 4-6RM 4-6 &#xd7; 4-6RM</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B77">Vissing et al., 2008</xref>
</td>
<td align="left">PT</td>
<td align="left">25.1</td>
<td align="left">7</td>
<td align="left">male</td>
<td align="left">countermovement jumps, hurdle jumps, drop jump</td>
<td align="left">3/12</td>
<td align="left">36</td>
<td align="left">3-4 &#xd7; 8-12</td>
<td align="left">CMJ</td>
<td align="left">4</td>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left">25.1</td>
<td align="left">8</td>
<td align="left">male</td>
<td align="left">hamstring curl, knee extension, incline leg press</td>
<td align="left"/>
<td align="left"/>
<td align="left">3-5 &#xd7; 4-10</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B81">Whitehead et al., 2018</xref>
</td>
<td align="left">PT</td>
<td align="left">21.3</td>
<td align="left">10</td>
<td align="left">male</td>
<td align="left">leg lifts, leg kicks, skip hops, skips</td>
<td align="left">2/8</td>
<td align="left">16</td>
<td align="left">1-4 &#xd7; 4-20</td>
<td align="left">1RMsquat,T10</td>
<td align="left">4</td>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left"/>
<td align="left">10</td>
<td align="left">male</td>
<td align="left">squat, leg press, leg curl, lunges calf raises, extension</td>
<td align="left"/>
<td align="left"/>
<td align="left">3 &#xd7; 8-12</td>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B82">Wilson et al., 1993</xref>
</td>
<td align="left">PT</td>
<td align="left">22.1</td>
<td align="left">13</td>
<td align="left">male</td>
<td align="left">depth jump</td>
<td align="left">2/10</td>
<td align="left">20</td>
<td align="left">3-6 &#xd7; 6-10</td>
<td align="left">SJ, CMJ, T30</td>
<td align="left">4</td>
</tr>
<tr>
<td align="left"/>
<td align="left">WT</td>
<td align="left">23.7</td>
<td align="left">13</td>
<td align="left">male</td>
<td align="left">weighted jump squats</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="left">TT</td>
<td align="left">21.9</td>
<td align="left">15</td>
<td align="left">male</td>
<td align="left">squat</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>PT: plyometric training; WT: weightlifting training; TT: traditional resistance training; reps: repetitions; SJ: squat jump; CMJ: countermovement jump; 1RM: 1 repetition maximum. T5, 10, 20, 30 : 5, 10, 20, 30 meters sprint test.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3-2">
<label>3.2</label>
<title>Methodological quality and risk of bias</title>
<p>The methodological quality of the included studies was evaluated using the PEDro scale for physical therapy. Overall, the average PEDro score of 4.29 indicated that the included studies were of moderate quality as shown in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<p>Of the various methods used to assess publication bias, funnel plots are most frequently employed due to their straightforward nature; however, analyzing publication bias with funnel plots necessitates subjective interpretation to detect bias and cannot objectively describe symmetry within the graphical representation. Egger&#x2019;s tests and adjustments for asymmetry in funnel plots were utilized to assess publication bias. Funnel plot results suggested a generally symmetrical distribution, while Egger&#x2019;s regression test results indicated no significant publication bias with p &#x3e; 0.05, thus indicating the absence of publication bias. The findings from both the funnel plot and Egger&#x2019;s regression tests confirmed that publication bias was largely absent from the studies (<xref ref-type="bibr" rid="B23">Egger et al., 1997</xref>). See <xref ref-type="fig" rid="F2">Figure 2</xref>.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Funnel plot for various performance outcomes. Panels <bold>(a&#x2212;d)</bold> present the risk of bias results for squat jump, countermovement jump, maximal strength, and sprint, respectively.</p>
</caption>
<graphic xlink:href="fphys-16-1637520-g002.tif">
<alt-text content-type="machine-generated">Four funnel plots display standardized mean differences centered at comparison-specific effects with standard errors on the vertical axis. Figures (a) to (d) each feature Egger's test p-values of 0.46, 0.37, 0.33, and 0.87, respectively. Symbols represent different groups: Pt vs. Tt, Py vs. WT, and Tt vs. WT. Shaded areas indicate confidence intervals, and points are scattered symmetrically around the vertical line, suggesting no apparent publication bias.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-3">
<label>3.3</label>
<title>Meta-analysis</title>
<p>The outcome measures selected for the meta-analysis related to lower extremity strength performance were maximum strength, jumping ability, and sprinting ability. Lower limb maximum strength is a key indicator of athletes&#x2019; performance in both jumping and sprinting movements. The maximum strength measures included the highest weight achieved in one repetition of squat, half-squat, or leg press exercises. The short-distance sprints were defined by the time taken to complete sprints ranging from 5 to 30 m. Three types of standing vertical jump were assessed: squat jump, countermovement jump.</p>
<sec id="s3-3-1">
<label>3.3.1</label>
<title>Bayesian network meta-analysis</title>
<p>A network model was established for the network meta-analysis, which was then compiled using the Markov Chain Monte Carlo (MCMC) method. To ensure model convergence, we employed 20,000 pre-iterations and 50,000 actual iterations, a decision guided by established recommendations for MCMC analyses and preliminary checks demonstrating the stability of parameter estimates.</p>
<p>Model convergence was assessed using a combination of diagnostic tools. Trace plots and density plots (detailed in <xref ref-type="sec" rid="s11">Supplementary Material S5</xref>) showed stable fluctuations with good overlap after 20,000 iterations, and the bandwidth in density plots approached and remained stable near zero, indicating effective convergence and saturation. Additionally, the potential scale reduction factor (PSRF), which measures the extent to which the posterior variance has shrunk relative to the prior variance, was used to further confirm convergence.</p>
<p>Model fit was assessed using the posterior mean residual (Dbar) and Deviance Information Criterion (DIC) to evaluate the model&#x2019;s adequacy to the data.</p>
</sec>
<sec id="s3-3-2">
<label>3.3.2</label>
<title>Testing for consistency</title>
<p>To examine the consistency assumption, a node-splitting method was employed to test one of the foundational assumptions of the network meta-analysis, producing outputs comparing effect sizes using only direct evidence, only indirect evidence, and all evidence combined. Discrepancies between direct and indirect evidence were assessed by examining the p-value column; a p-value of &#x3c;0.05 for one or more comparisons indicates substantial inconsistencies within the network. A p-value of &#x3c;0.05 for one or more comparisons indicates significant inconsistencies within the network. Analysis of the output results revealed that all tests for inconsistencies were not statistically significant, indicating a high level of consistency, thereby confirming the validity of the consistency tests for the network meta-analysis. For detailed results, see <xref ref-type="sec" rid="s11">Supplementary Material S3</xref> for the inconsistency analysis outcomes.</p>
</sec>
<sec id="s3-3-3">
<label>3.3.3</label>
<title>Intervention comparisons</title>
<p>The Bayesian network model facilitated the merging of effect sizes from all studies, allowing for comparisons between PT and WT, using TT as the reference group. The results showed that among all outcome measures, only the maximum strength indicator displayed significance for traditional resistance training, with statistical relevance. Refer to <xref ref-type="fig" rid="F3">Figure 3</xref>.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Forest plot compared with TT.</p>
</caption>
<graphic xlink:href="fphys-16-1637520-g003.tif">
<alt-text content-type="machine-generated">Forest plot comparing outcomes with TT, displaying standardized mean differences (SMD) and confidence intervals for SJ, CMJ, RM, and SP across conditions d.TT.PT and d.TT.WT. Horizontal lines indicate confidence intervals, centered on squares representing SMDs. Values range from -1.5 to 1.5.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-3-4">
<label>3.3.4</label>
<title>SUCRA ranking</title>
<p>To identify the optimal intervention effects across different methodologies, SUCRA ranking probability analyses were conducted for each outcome measure, resulting in the creation of cumulative ranking charts. The outcomes of SJ, CMJ, and RM constituted positive effects, while the SP outcome was considered a negative effect, measured in seconds (s). The final outcomes revealed that TT yielded better improvements in squat jumps and maximum strength; PT showed more effectiveness for countermovement jump; and WT improves short-distance sprinting best. Specific rankings can be referenced in <xref ref-type="table" rid="T2">Table 2</xref>, which displays the SUCRA rankings.</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Probability of intervention ranking</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Probability Outcome</th>
<th align="left">PT</th>
<th align="left">TT</th>
<th align="left">WT</th>
<th align="left">Ranking</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">SJ</td>
<td align="left">0.1769</td>
<td align="left">0.7602</td>
<td align="left">0.5628</td>
<td align="left">TT&#x3e;WT&#x3e;PT</td>
</tr>
<tr>
<td align="left">CMJ</td>
<td align="left">0.6148</td>
<td align="left">0.5771</td>
<td align="left">0.3081</td>
<td align="left">PT&#x3e;TT&#x3e;WT</td>
</tr>
<tr>
<td align="left">RM</td>
<td align="left">0.4235</td>
<td align="left">0.9488</td>
<td align="left">0.1277</td>
<td align="left">TT&#x3e;PT&#x3e;WT</td>
</tr>
<tr>
<td align="left">SP</td>
<td align="left">0.3718</td>
<td align="left">0.3588</td>
<td align="left">0.7694</td>
<td align="left">WT&#x3e;PT&#x3e;TT</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec id="s3-4">
<label>3.4</label>
<title>Heterogeneity analysis</title>
<p>The outcomes of the heterogeneity analysis indicated that the <italic>I</italic>
<sup>
<italic>2</italic>
</sup> values for direct pairwise comparisons of the interventions across all outcome indicators were generally below 75%, thus reflecting low heterogeneity. Moreover, the network comparisons of the interventions also had an I<sup>2</sup> value generally below 75% and was less than that of the direct comparisons. Please refer to <xref ref-type="sec" rid="s11">Supplementary Material S4</xref>. for details on the heterogeneity analysis.</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<label>4</label>
<title>Discussion</title>
<p>This study aimed to investigate whether there are differences in the improvements of strength, jumping, and sprint between weightlifting training (WT) and plyometric training (PT). The network meta-analysis results indicated that WT has a greater advantage in improving sprint performance, traditional resistance training (TT) offers significant benefits in increasing maximal strength and squat jumps (SJ), and PT has a more pronounced effect on countermovement jump (CMJ) performance. However, these results were not statistically significant.</p>
<sec id="s4-1">
<label>4.1</label>
<title>Plyometric training for lower extremity strength</title>
<p>PT has been widely recognized for its ability to enhance lower extremity strength, power, and sprint performance through its unique physiological mechanisms. The core principle of PT lies in the stretch-shortening cycle (SSC), which involves a rapid eccentric (lengthening) phase followed by an immediate concentric (shortening) contraction (<xref ref-type="bibr" rid="B79">Watkins, 2009</xref>; <xref ref-type="bibr" rid="B51">Markovic and Mikulic, 2010</xref>; <xref ref-type="bibr" rid="B76">Turner and Jeffreys, 2010</xref>; <xref ref-type="bibr" rid="B73">Tomalka et al., 2020</xref>). This mechanism allows muscles and tendons to store elastic energy during the eccentric phase, which is then released during the concentric phase, resulting in a more powerful and efficient movement. The SSC is particularly effective in improving sprint performance due to its ability to enhance the rate of force development (RFD) and reduce ground contact time, both of which are critical for explosive movements such as sprinting and jumping.</p>
<p>Physiological adaptations induced by PT include increased tendon stiffness and muscle fiber hypertrophy, particularly in type IIa fibers, which are responsible for fast-twitch muscle contractions (<xref ref-type="bibr" rid="B47">Komi, 2000</xref>; <xref ref-type="bibr" rid="B53">Mero and Komi, 1986</xref>). Studies have shown that PT can lead to a 24.1% increase in tendon stiffness, which enhances the efficiency of force transmission from muscles to bones, thereby improving power output during explosive movements (<xref ref-type="bibr" rid="B26">Four&#xe9; et al., 2010</xref>). Additionally, PT has been shown to increase the cross-sectional area (CSA) of key lower extremity muscles, such as the quadriceps and hamstrings, by up to 10%, further contributing to improved strength and power (<xref ref-type="bibr" rid="B77">Vissing et al., 2008</xref>). These adaptations are particularly beneficial for sprint performance, as they allow athletes to generate greater force in a shorter amount of time, which is essential for rapid acceleration and high-speed running.</p>
<p>The short ground contact time (&#x3c;250 ms) characteristic of PT exercises is another key factor that makes it particularly effective for improving sprint performance (<xref ref-type="bibr" rid="B50">Malisoux et al., 2006</xref>; <xref ref-type="bibr" rid="B79">Watkins, 2009</xref>; <xref ref-type="bibr" rid="B24">Flanagan and Comyns, 2008</xref>). During sprinting, the ability to quickly transition from the eccentric to the concentric phase of muscle contraction is crucial for maintaining high running speeds. PT training enhances this ability by improving neuromuscular coordination and increasing the stiffness of the lower extremity muscles and tendons, which reduces the time required to generate force during each stride (<xref ref-type="bibr" rid="B8">Bouguezzi et al., 2020</xref>). This is why PT is often more effective than other training modalities for improving sprint-related performance.</p>
<p>In terms of practical applications, PT should be tailored to the athlete&#x2019;s experience level and specific performance goals. For beginners, it is recommended to start with low-intensity exercises involving 40&#x2013;80 ground contacts per session, gradually progressing to higher intensities as the athlete becomes more experienced (<xref ref-type="bibr" rid="B45">Jensen and Ebben, 2005</xref>). Elite athletes, on the other hand, may benefit from high-intensity PT sessions involving 200&#x2013;400 ground contacts, as these can further enhance power output and sprint performance. Controversially, many studies have found that high-intensity plyometric training is highly susceptible to injury and fatigue (<xref ref-type="bibr" rid="B72">Tofas et al., 2008</xref>; <xref ref-type="bibr" rid="B21">Drinkwater et al., 2009</xref>; <xref ref-type="bibr" rid="B12">Chatzinikolaou et al., 2010</xref>). For instance, one study found that high-volume plyometric training (212 ground contacts) already severely impairs a muscle&#x2019;s ability to generate force and slow evoked contraction velocity, even if the athlete doesn&#x2019;t feel fatigued (<xref ref-type="bibr" rid="B21">Drinkwater et al., 2009</xref>). It is crucial to balance training intensity with adequate recovery, as excessive PT can lead to neuromuscular fatigue and muscle damage, particularly in type II fibers, which are highly susceptible to overtraining (<xref ref-type="bibr" rid="B48">Macaluso et al., 2012</xref>). In addition, an anonymous survey study showed that many practitioners routinely use significantly lower amounts of sessions than previously recommended in the literature (p &#x3c; 0.05) (<xref ref-type="bibr" rid="B80">Watkins et al., 2021</xref>). Thus, to align with the practical need for safe, effective PT programming (and address the nuance of volume prescription across athlete populations), training design must prioritize individualized volume adjustment (rather than a one-size-fits-all range) and integrated recovery strategies.</p>
<p>In summary, the physiological mechanisms underlying PT, particularly the SSC, make it highly effective for improving sprint performance by enhancing tendon stiffness, muscle fiber hypertrophy, and neuromuscular coordination. To optimize its benefits, PT should be implemented with careful consideration of the athlete&#x2019;s experience level and recovery needs, ensuring that training intensity is appropriately matched to the desired performance outcomes.</p>
</sec>
<sec id="s4-2">
<label>4.2</label>
<title>Weightlifting training for lower extremity strength</title>
<p>The weightlifting training methods, including the clean and jerk, snatch, and deadlift, facilitate the achievement of coordinated triple extension in the primary lower extremity joints (hip, knee, and ankle) during exercise. Weightlifting dates back to ancient China, Egypt, and Greece, and it wasn&#x2019;t until the 1950s that it found its application in foundational training for non-weightlifting athletes involved in team sports and athletics (<xref ref-type="bibr" rid="B15">Comfort et al., 2023</xref>; <xref ref-type="bibr" rid="B71">Todd, 2008</xref>; <xref ref-type="bibr" rid="B61">Shurley and Todd, 2012</xref>). Since that time, weightlifting-style training methods have been extensively applied in strength training. Fry&#x2019;s study revealed that weightlifters exhibit a greater proportion of type IIA fibers and a comparatively higher relative content of myosin heavy chain IIA sub than normal adults. Furthermore, weightlifting performance shows strong correlation with the percentage of type IIA fibers (r &#x3d; 0.94) and the area percentage of type IIA fibers (r &#x3d; 0.83) (<xref ref-type="bibr" rid="B30">Fry et al., 2003</xref>). Numerous cross-sectional studies have provided evidence that high-intensity training in weightlifters results in hypertrophy of type IIA fibers (<xref ref-type="bibr" rid="B30">Fry et al., 2003</xref>; <xref ref-type="bibr" rid="B69">Tesch et al., 1984</xref>). Longitudinal HIRE studies on non-weightlifters also indicate the potential conversion from IIX to IIA fiber types (<xref ref-type="bibr" rid="B27">Fry, 2004</xref>). Olympic weightlifting essentially relies on movements like the clean, jerk, snatch, and deadlift, stressing the quick movement and release of the, thus representing a dynamic and rapid form of training that allows athletes to generate substantial force and power in a brief timeframe; this dynamic and rapid training method effectively improves an athlete&#x2019;s explosive strength. Similarly, jumping involves quickly moving the body vertically and &#x2018;releasing&#x2019; it into the air. This attribute of weightlifting training overlaps with the biomechanics of sprinting and jumping. Extensive longitudinal studies and systematic evaluations have reported the efficacy of weightlifting training in enhancing athletic strength performance. In weightlifting training, the muscle rate of force development and power output are maximized, with numerous researchers discovering that weightlifting significantly enhances power during jumps (<xref ref-type="bibr" rid="B2">Arabatzi and Kellis, 2012</xref>; <xref ref-type="bibr" rid="B39">Hawkins et al., 2009</xref>; <xref ref-type="bibr" rid="B58">Ostrowski et al., 1997</xref>). Garhammer&#x2019;s study additionally identified similarities between the force-velocity loading profiles of weightlifting training and the movement patterns involved in jumping (<xref ref-type="bibr" rid="B32">Garhammer, 1993</xref>). Collectively, these findings suggest that weightlifting training can more effectively improve rapid muscle strength and power output to conventional training methods. Indeed, while weight training greatly enhances lower extremity performance, it also places significant demands on the flexibility of the hip, ankle, and upper limb joints due to its specific movement patterns. People with inadequate joint flexibility and insufficient technical proficiency may fail to experience training benefits, thereby raising their injury risk during exercise. Elite level weightlifters engage in high-intensity resistance exercises (HIRE, &#x2265;80% of 1RM) twice or more each day, accumulating 6-7 sessions a week (<xref ref-type="bibr" rid="B32">Garhammer, 1993</xref>; <xref ref-type="bibr" rid="B70">Thrush, 1995</xref>). In elite weightlifters, partitioning the predefined training volume into two sessions on the same day can markedly enhance muscle strength, hypertrophy, and maximal neural activation of the trained muscle groups (<xref ref-type="bibr" rid="B37">H&#xe4;kkinen and Kallinen, 1994</xref>; <xref ref-type="bibr" rid="B38">Hartman et al., 2007</xref>). Nevertheless, as most exercises executed by weightlifters revolve around competitive lifting and similar multi-joint activities, the same primary muscle groups experience extensive contractions during each training session. Existing evidence further suggests that repeated HIRE targeting the same muscle groups can result in sustained suppression of critical synthetic metabolic mediators, prolonged inflammatory response, and decreased muscle performance (<xref ref-type="bibr" rid="B29">Fry et al., 1994b</xref>; <xref ref-type="bibr" rid="B28">Fry et al., 1994a</xref>; <xref ref-type="bibr" rid="B31">Fry et al., 2006</xref>; <xref ref-type="bibr" rid="B19">Crewther and Christian, 2010</xref>; <xref ref-type="bibr" rid="B20">Crewther et al., 2011</xref>). Compared to conventional resistance training, weightlifting may yield lower strength development; nevertheless, it demonstrates higher outputs in speed-strength performances in young athletes (<xref ref-type="bibr" rid="B11">Channell and Barfield, 2008</xref>). Moreover, the rate of force development (RFD) during weightlifting is considerably greater than that observed during squats (<xref ref-type="bibr" rid="B13">Chimera et al., 2004</xref>; <xref ref-type="bibr" rid="B33">Gruber et al., 2007</xref>; <xref ref-type="bibr" rid="B84">Young and Bilby, 1993</xref>). While there is no direct evidence suggesting adverse effects of weightlifting training on children or adolescents, there remains significant debate regarding its use among younger populations (<xref ref-type="bibr" rid="B65">Storey and Smith, 2012</xref>). Consequently, there is still a lack of well-defined physiological guidelines and age-appropriate weightlifting training recommendations.</p>
</sec>
<sec id="s4-3">
<label>4.3</label>
<title>Practical variations in lower extremity strength interventions among different training methods</title>
<p>Indeed, numerous studies suggest that traditional heavy resistance training primarily centers on maximizing muscle strength and muscle hypertrophy, which in turn enhances lower extremity performance, thus accounting for the substantial increases in maximal strength. On the other hand, weightlifting and plyometric training methods tend to reduce muscle hypertrophy due to their distinct movement patterns while focusing on enhancing lower extremity explosiveness (<xref ref-type="bibr" rid="B17">Cormie et al., 2011a</xref>; <xref ref-type="bibr" rid="B18">Cormie et al., 2011b</xref>; <xref ref-type="bibr" rid="B25">Folland and Williams, 2007</xref>; <xref ref-type="bibr" rid="B46">Komi, 1984</xref>). In exploring the impact of plyometric training, weightlifting training, and TT on performance improvement, the specificity of training methods must be addressed. Concerning training specificity, considerable evidence demonstrates that employing training methods analogous to the targeted movement patterns can result in greater transfer of training effects and subsequently yield better outcomes. Stone indicated that the SSC associated with plyometric training and the triple extension in weightlifting are evidently better aligned with the biomechanics of vertical jump performance (<xref ref-type="bibr" rid="B64">Stone et al., 2022</xref>). Additionally, many studies have confirmed the effectiveness of both plyometric training and weightlifting training in increasing power output (<xref ref-type="bibr" rid="B17">Cormie et al., 2011a</xref>; <xref ref-type="bibr" rid="B18">Cormie et al., 2011b</xref>; <xref ref-type="bibr" rid="B66">Suchomel et al., 2015</xref>). In addition, studies have revealed that weightlifting exercises and ultra-length exercises share similarities with the dynamics of jumping (including maximum strength and power, the timing to reach maximum strength and power, and relative strength and power) (<xref ref-type="bibr" rid="B10">Canavan et al., 1996</xref>; <xref ref-type="bibr" rid="B35">Haff et al., 2005</xref>; <xref ref-type="bibr" rid="B36">Haff et al., 2015</xref>). Although TT executes actions that resemble vertical jumps with similar hip, knee, and ankle extension movements, the application of higher loads (above 80% of 1RM) inevitably result in some loss of movement velocity (<xref ref-type="bibr" rid="B16">Cormie et al., 2007</xref>; <xref ref-type="bibr" rid="B40">Hedrick and Wada, 2008</xref>). Even under lower load conditions (45% 1RM), which are closer to practical movement speeds, TT displays a prominent deceleration phase. This deceleration phase is related to slower concentric velocities, diminished concentric forces, and decreased levels of muscle recruitment; these factors together result in a reduction in maximum power output. Another perspective argues that specificity in strength training is not a requirement; rather, an increase in muscle contractile strength will naturally enhance an athlete&#x2019;s jumping capability. Supporters of this theory believe that the effectiveness of plyometric training and weightlifting in improving vertical jump performance is due to their ability to enhance muscle contractile capacity (<xref ref-type="bibr" rid="B74">Toumi et al., 2004</xref>; <xref ref-type="bibr" rid="B1">Adams et al., 1992</xref>). To summarize, while weightlifting and plyometric training may show somewhat less effectiveness in enhancing maximum muscle strength relative to TT, they appear to be more beneficial in improving quick strength. It is advised to integrate weightlifting methods and plyometric training with TT in training regimens.</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s5">
<label>5</label>
<title>Conclusion</title>
<p>This meta-analysis examined the differences in the effects of two similar training methods on improving lower extremity performance. Our findings affirm the superiority of resistance training in improving maximal strength. However, we observed that weightlifting and its derivatives were more effective in improving sprint performance, while plyometric training was more effective in enhancing countermovement jump. This is because the biggest feature of the WT approach is power enhancement, whereas PT focuses more on stretch-shortening cycle improvement. Therefore, this study suggests that although weightlifting training WT and PT share many similarities, they have different emphases.</p>
<p>Finally, practitioners should integrate these strength training modalities to mutually enhance the training effect, e.g., PT training after resistance training or PT exercises before WT to enhance neuromuscular performance, and these combinations are already widely used.</p>
</sec>
</body>
<back>
<sec sec-type="author-contributions" id="s6">
<title>Author contributions</title>
<p>SW: Investigation, Writing &#x2013; original draft, Visualization, Software. JZ: Writing &#x2013; review &#x2013; editing, Data curation, Formal analysis. TX: Conceptualization, Writing &#x2013; review and editing, Funding acquisition, Supervision, Resources, Project administration.</p>
</sec>
<ack>
<title>Acknowledgements</title>
<p>The authors would like to extend their sincere gratitude to ZZU for providing the necessary resources and support that significantly enhanced our research efforts. Their contributions have been instrumental in achieving the outcomes of this work.</p>
</ack>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="s9">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="s11">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphys.2025.1637520/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphys.2025.1637520/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Supplementaryfile1.docx" id="SM1" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<fn-group>
<fn fn-type="custom" custom-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/310893/overview">Gudberg K. Jonsson</ext-link>, University of Iceland, Iceland</p>
</fn>
<fn fn-type="custom" custom-type="reviewed-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2029318/overview">Milos Petrovic</ext-link>, University of Iceland, Iceland</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2719292/overview">Soufiane Kaabi</ext-link>, Universit&#xe9; de Pau et des Pays de l&#x27;Adour, France</p>
</fn>
</fn-group>
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