Modern online rehab and performance for runners

What lifting actually does for your running

Two sessions a week, for reasons that have nothing to do with looking strong. The evidence here is better than the evidence for most things runners spend money on.

The short answer

  • Across 24 studies of middle and long distance runners, adding strength training generally improved running economy by 2 to 8 percent, and improved time trial performance.
  • In the same review, maximal oxygen uptake and body composition were typically unaffected. Lifting did not make the runners heavier.
  • In a meta-analysis of 25 injury prevention trials, strength training was associated with roughly a third of the sports injuries, and overuse injuries were almost halved. Stretching showed no effect.
  • Two to three sessions a week is the dose the review recommends, and it takes months rather than weeks.
  • You are training the nervous system and the tendon, not the mirror. That is why it improves your running without changing your weight.

Most runners who avoid the gym do it for one of two reasons. Either they think the time would be better spent running, or they think lifting will make them heavier and therefore slower. The research answers both, and it answers them more clearly than it answers most questions in this field.

What it does to your running

Running economy is how much oxygen you need to hold a given pace. Improve it and the same pace costs you less, which is the same thing as being able to hold a faster one.

Two things in that are easy to skim past. The first is that the benefit does not come through the engine. Maximal oxygen uptake did not move. What improved was the cost of running at a given speed, which is a neuromuscular property rather than a cardiovascular one.

The second is the body composition line, which is the answer to the fear that keeps most runners out of the gym.

What it does to your injury risk

This is the part that matters more for most people reading this, and the evidence is stronger still.

Read as plain numbers: injuries around a third of the rate, overuse injuries almost halved, and stretching doing nothing measurable.

There is an honest limit on that. These were trials across many sports, not a runners-only analysis, and a relative risk from pooled trials is not a promise about you. What it does establish is the ranking. If you are choosing what to spend two hours a week on, strength has the strongest case of anything on the list, and stretching has the weakest.

Heavy, powerful, or fast

Muscles cannot produce maximum force and maximum speed at the same time. The faster a muscle shortens, the less force it can make. So training at one end of that relationship is a different job from training at the other.

The force velocity curve with three training points markedForce is on the upright axis and speed of movement along the bottom. The curve falls from high force at low speed to low force at high speed. Heavy sits near the top left, fast near the bottom right, and power in the middle.heavypowerfastforcespeed of movement
Force falls as the movement gets faster. Heavy lifting sits at the slow end, plyometrics at the fast end, and power in between. Improving your running usually needs more than one point on this curve, which is why the reviews describe a mixture rather than one method.

Heavy lifting builds the force end. Plyometrics, hopping and bounding train the fast end, which for a runner is the stretch and recoil that happens in the tendon every time the foot hits the ground. Blagrove's review found benefits across heavy resistance training, explosive resistance training and plyometric training, and recommended two to three sessions per week including a variety of these1.

What it looks like in practice

Two sessions a week, forty to sixty minutes, built around a small number of big movements rather than a long list of small ones. Squat or leg press, a hip hinge, a single leg movement, and calf work, which for runners is the one people most often leave out and most often need.

Heavy means heavy enough that the last repetition is genuinely hard. The reviews describe loads in the range you can lift roughly six to twelve times, not twenty.

Where strength is not the answer

Strength work is not a substitute for a load plan when something already hurts.

In the trial of runners with kneecap pain, adding an eight-week exercise programme to training-load education produced more knee extension strength but no more symptom improvement than the education alone4. The exercises worked, in the sense that they did what exercises do. They did not, over eight weeks, outperform getting the training right.

That is not an argument against strength work. It is an argument about order. Sort the load first, build capacity alongside it, and expect the capacity to pay off over months rather than weeks.

How long before it shows up

Blagrove's review found benefits from interventions of at least four weeks, but the larger and more reliable changes came from longer programmes, and the 40-week study kept improving at both the 20 and 40 week checks2,1.

So: a few weeks to feel stronger, a couple of months before it shows in your running, and a year before you are getting the full return. The runners who get nothing from strength training are almost always the ones who did eight weeks of it.

When to get help with it

Written by

Teis S. K., Bachelor in Physiotherapy, MSc in Musculoskeletal Physiotherapy

Physiotherapist and researcher in musculoskeletal health. Works only with runners at Pacer Rehab.

First published 16 Sep 2026. Updated 16 Sep 2026.

References

  1. Blagrove, R. C., Howatson, G., & Hayes, P. R. (2018). Effects of strength training on the physiological determinants of middle- and long-distance running performance: a systematic review. Sports Medicine, 48(5), 1117-1149. doi.org/10.1007/s40279-017-0835-7
  2. Beattie, K., Carson, B. P., Lyons, M., Rossiter, A., & Kenny, I. C. (2017). The effect of strength training on performance indicators in distance runners. Journal of Strength and Conditioning Research, 31(1), 9-23. doi.org/10.1519/JSC.0000000000001464
  3. Lauersen, J. B., Bertelsen, D. M., & Andersen, L. B. (2014). The effectiveness of exercise interventions to prevent sports injuries: a systematic review and meta-analysis of randomised controlled trials. British Journal of Sports Medicine, 48(11), 871-877. doi.org/10.1136/bjsports-2013-092538
  4. Esculier, J. F., Bouyer, L. J., Dubois, B., Fremont, P., Moore, L., McFadyen, B., & Roy, J. S. (2018). Is combining gait retraining or an exercise programme with education better than education alone in treating runners with patellofemoral pain? A randomised clinical trial. British Journal of Sports Medicine, 52(10), 659-666. doi.org/10.1136/bjsports-2016-096988
  5. Kakouris, N., Yener, N., & Fong, D. T. P. (2021). A systematic review of running-related musculoskeletal injuries in runners. Journal of Sport and Health Science, 10(5), 513-522. doi.org/10.1016/j.jshs.2021.04.001

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