Sundling 1 Review of Sumo and Conventional Deadlift Forms Review of Sumo and Conventional Deadlift Forms: Which is Best Suited for Who Based on Biological Standards? Matthew Sundling Presentation College Sundling 2 Review of Sumo and Conventional Deadlift Forms Abstract: The goal of this review and study is to determine the best and most optimal stance to be used by different people, from the top powerlifters to the common gym goer, to best produce the results desired for the use of the deadlift. The author of this review is an avid deadlifter as well as a powerlifter associated with a national federation. He has tried his best to not allow any bias to come into play while both reviewing studies and conducting his own. He currently uses conventional stance in his own training but has previously used sumo stance in his training a well. There are many myths surrounding the deadlift in the world of fitness, athletics, and on the internet. Many are based on personal experience and this review aims to dispel some of said rumors. At the beginning of this review, the author polled members of a Facebook group named Powerlifting motivational Chat. Within this poll study, the following responses were made and 7 of each were pulled at random to show different and randomized statistics from experienced lifters. Lifters were asked to respond to the poll with their stance, age, height, weight, sex, and deadlift 1RM. However, participants could exclude information at their own discretion and no names were recorded for participants' privacy. *Units are in the metric system. *N/A represents non provided information *The missing 4% were from incorrectly replied poll answers. SUMO Deadlifters= 22% CONVENTIONAL Deadlifters= 74% Sundling 3 Review of Sumo and Conventional Deadlift Forms AGE/HEIGHT/WEIGHT/SEX/DEADLIFT AGE/HEIGHT/WEIGHT/SEX/DEADLIFT 28 178cm 97kg Male 235kg 42 177.8cm 136.07kg Male 303.9kg 16 170cm 69kg Male 210kg 21 167.64cm N/A Female 82.1kg 41 167cm 99kg Male 175kg 28 180cm N/A Male 330kg 28 170.18cm 110kg Male 300kg 27 183cm 108kg Male 270kg 47 154.94cm 79.83kg Female 167.37kg 44 162.56cm N/A Female 232.69kg 26 175.26cm N/A Female 205kg 38 188cm N/A Male 233kg 19 167.64 N/A Male 210.92kg 39 165.1cm 88.45kg Male 165.56kg Although there are limitations to this study, and the major one being the data was self-reported, one thing that stands out about the totals is that there are higher numbers throughout the sumo lifters numbers that were randomly selected. The other standout that also shows is that conventional lifters hold the highest two totals. This data could be sued to help a prospective lifter decide where they might want to be in their training and help them determine what stance they want to train to reach certain numbers. Sundling 4 Review of Sumo and Conventional Deadlift Forms Introductory to the deadlift: The deadlift is a common, but strenuous, exercise used to train the posterior support chain in the human body, as stated by Dan Ketchum and Reviewed by Andra Picincu, CN, CPT (Ketchum, 2022). The lift itself is used by many to help work muscles not target in many isolated exercises, as the deadlift is a compound movement that requires multiple individual muscles and groupings to work in sequence to move the barbell off the ground. “When performed with loads equivalent to a 5-repetition maximum (5RM) or heavier, it is considered a good test of overall strength. The deadlift and a number of its variations require and involve dynamic force generation in the muscles around the ankle, knee, and hip joints and significant static and stabilizing actions around the spine and shoulder girdle” (Ronai, 2022). The deadlift helps to work the entire bodies strength as well as multiple muscle groups. Muscles used in Deadlifting: The main focus of the deadlift is to generate the most power possible within the hamstrings and create tension to leverage the bar off of the ground. This tension is what creates enough force to move the weight from the “starting” position to the “locked out” position. The uses of muscles/groupings include (from bottom up): ● The feet ● The ankle ● The calves Sundling 5 Review of Sumo and Conventional Deadlift Forms ● The knee ● The quadriceps (For flexion of knee) ● The hamstrings ● The hip abductors and adductors ● The spinal muscles ● The rotator cuffs ● The biceps/Triceps ● The traps ● The neck With the list being so long on muscles used it can stated that the deadlift has one of the most beneficial lifts available to lifters of all experience levels. The use of these muscles is important in the day-to-day life of every individual, but are neglected in some because of the basis of risk reward ratio. The use of different stances associated with deadlifting helps to mitigate that risk. Benefits of Deadlifting: Beyond what is stated in the opening, deadlifts present many benefits that outweigh the negative connotations they carry. As stated by Paul Rogers, an established personal trainer, the deadlifts can build muscle mass, boost the metabolism of the lifter, build their functional fitness, and help to correct posture in some cases (Rogers, 2022). Many lifters see these results due to the mass use of the muscles listed above in the form mass gain and muscular definition. Many believe that the deadlift just has strength improvement as a marker of improvement, but muscular definition comes hand in hand with it. Sundling 6 Review of Sumo and Conventional Deadlift Forms The different Styles of Deadlift: The deadlift can be performed in many different ways. The main types of deadlifts are Romanian, Stiff Leg, Conventional, Sumo, and Trap-bar, with deficit deadlifts being an addition to any of the forms (Luna., Dominick, 2022). The main focus of this review is to address the decision process between performing the deadlift with either the Conventional stance or the Sumo stance. “The coordinated effort required to perform the deadlift, and its variations, places a large amount of stress on the musculoskeletal system and drives adaptation. The deadlift is a base for all other ground-based lifts (e.g., cleans, snatches, and their variations) as well as many tactical agility tests (e.g., dummy drags, equipment lifting, patient loading, etc.). Proper execution of the deadlift, and the ability to stabilize the trunk and spine while exerting maximal effort is a skill that can help tactical personnel and the general population avoid injury” (Wenning, 2014). Each form of the deadlift has one goal, to work on the strength needed for the day-to-day activities for every individual, regardless of experience. The first of the stances, Conventional, is conducted in a similar manner to common actions taken on by an individual throughout their day-to-day life. “In the conventional technique the lifter has a much narrower stance with arms passing outside the legs” (McGuigan, 1996). This approach is most represented when initially starting training and the first form to be taught (in most part) because of its simpler and straightforward approach. Although it is the simpler form to teach and learn, it comes with its risks. The risk comes with the position of the trunk of the body. With the Conventional stance, the trunk is less upright and is at more of an angle to engage a hinging action at the hips, with the hamstrings being at a more engaged and extended position to draw tension to lift the bar (Escamilla, 2001). The risk is Minimized through proper form and use of cues to lift the weight in a proper ROM. Kevin Farely states that with the Sundling 7 Review of Sumo and Conventional Deadlift Forms Conventional stance, a strength base needs to be built up in the lower trunk, even more so, in some cases, than in the counterpart stance (Farley, 1995). The second stance being examined is Sumo. “In the Sumo stvle the lifter stands with feet wide apart and grips the barbell with the arms passing between the legs” (McGuigan, 1996). This style is mainly used by more experienced lifters, but is also applied to lifters who may have inclinations towards deadlifting being dangerous, as they see the ROM (Range of Motion) being less and therefore less opportunity to be injured during the lift. With data presented in an article in Strength and Conditioning Journal “The authors report that the decrease in L4/L5 torque during the sumo DL represents a significant safety advantage for athletes involved in strength training” (Bird, 2010) the use of this particular stance can be seen as safer. Any stress to the back has implicit danger, whether it comes from lifting, walking, sleeping, or simply just existing, so taking proper steps to factor in risk is necessary when deciding which stance is more optimal for its applications. Added to this is the statement made by Mike Dewar ``If your quads lack the gusto to break the bar off the ground, you’re likely to compensate by changing your torso angle or make some other unwanted adjustment. As such, the quads play a key factor in ensuring the lift starts off on the right foot” (Dewar, 2022). Making changes in the stance that are improper are what leads to injuries especially in Sumo. As McGuigan states, both forms of deadlift are used in competition and in strength training. They also both serve a purpose in both rehabilitation training and athletic performance, which makes understanding both form purposes very important. Practical Uses for the Deadlift in Training: As many lifts do, deadlifts have implications inside and outside of the weight room. Unlike squats, which has an overall application to work the legs, create stringer “quick twitch Sundling 8 Review of Sumo and Conventional Deadlift Forms and slow twitch” muscles, and are the counterpart to deadlifts use of the hamstrings, the deadlift focuses on the ability to apply strength: “The deadlift possesses several unique mechanical characteristics that can improve functional strength and movement efficiency and thus the performance of many different physical tasks. The mechanical characteristics of the deadlift, include the ability to recruit significant muscle groups, at high contraction rates.33 Also, the deadlift possesses a favorable kinetic profile that allows for continued acceleration through a significant portion of the lift, which is vital for power development” (Del Vecchio, 2018). The applied ability to generate power and as Del Vecchio says, perform physical tasks, is what sets the deadlift apart for its use in training. Deadlifting also finds its applications in both strength training and powerlifting. The study produced by McGuigan shows the difference in stance as it is applied to powerlifting. In the Del Vecchio’s piece, the importance of strength training and rehabilitation. Which Stance is Better: With the similarities between both muscle groups used and the findings in most research, it is hard to say one form stands out over the other. With that being said, the ultimate decision comes down to many factors such as age, anatomical make up, and preference. The decision to lift either Conventional or Sumo should come down to the lifter’s choice and/or the preference of the trainer and team working with the lifter. The impact of body composition and genetic makeup/markers does play an impact, but it is minimal in the overall scheme of deciding which stances to perform, preferences come from the comfortability and ability of the lifter. Sundling 9 Review of Sumo and Conventional Deadlift Forms Analysis of Hip Rotation Pertaining to Deadlift Stance: Different anatomical markers set up the decision on which stance is better for each individual lifter. The importance of hip rotation in lifting is drawn to the relation it has with lower body strength and specifically to deadlifting, the ability to drive with the lower trunk. In a study conducted for the Journal of Clinical Biomechanics, the authors found that “Measures of left and right side yielded significant effects for Muscle, Classification Group × Muscle, Classification Group × Position, Muscle Group × Position, and Classification Group × Muscle × Position” (Cibulka, 2010). This finding, which may not directly focus on deadlift, does play a factor in the way that the hips and different offsetting conditions will affect the choice of stance. If an individual is less likely to rotate their hips, they mind Sumo stance to be a harder approach on deadlifting. As the study interprets its findings, “the results suggest that difference in muscle strength of the hip rotators is dependent upon the position that the hip rotator muscle is tested and the type of hip rotation symmetry or asymmetry present” (Cibulka, 2010). With the information provided about trunk strength being important for the deadlift, this finding supports the stance that hip rotation is an important factor in deciding deadlift stance. In another study done in the Journal of Strength and Conditioning Research, deadlift and hip position is tied together in how it affects the lifter’s ability to activate hamstrings and their ability to generate power. In the study, the participants were asked to attempt a stiff legged deadlift (Conventional and Sumo) in 6 different hip positions, see figure 1 below. Sundling 10 Review of Sumo and Conventional Deadlift Forms Figure 1. Demonstrating Hip position markers for study done in study. (Kawama, 2021 The study by Kawama had findings relevant and in conjunction to the separate study done by Cibulka. “A significant interaction of muscle × hip joint position was found for the pooled RMS-EMG in the concentric phase (p < 0.001, partial η2 = 0.563, statistical power = 0.999 and The RMS-EMG of ST was not significantly different among IN20, NT, EX20, and EX40 (p = 0.051, partial η2 = 0.179, statistical power = 0.634). The RMS-EMG of SM was significantly higher in IN20 than that in EX40 (p = 0.004, 95% CI: 1.2–7.3, d = 0.407, difference = 4.3%).” (Kawama, 2021). What these findings state is that the activation of the hamstrings varied across the different rotational positions, but the numbers themselves are very minor in the overall difference between stances. However, this data does present a justifiable difference that if a lifter uses a narrower stance, there will be a higher activation and output in the hamstrings due to hip position and rotation. The study continues with data pertinent to the adductors/abductors. “ Although no significant interaction of muscle × hip joint position was found for the pooled RMS-EMG in the concentric phase (p = 0.792, partial η2 = 0.031, statistical power = 0.140), there was a significant main effect of hip joint position (p = 0.001, partial η2 = 0.434, statistical power = 0.972). The Sundling 11 Review of Sumo and Conventional Deadlift Forms post hoc analysis showed that the RMS-EMG in ABD was significantly higher than that in NT for BFlh (p = 0.015, 95% CI: 0.9–8.4, d = 0.320, difference = 4.6%), ST (p = 0.047, 95% CI: 0.0–7.5, d = 0.444, difference = 3.8%), and SM (p = 0.005, 95% CI: 1.2–6.6, d = 0.367, difference = 3.9%)” (Kawama, 2021). This data presents a lot of information and that data sets out that Sumo style deadlifts produce more force through the adductors/abductors by having a more defined rotation of the hips and lover trunk. Finally, the study touches on adduction/abductions one more time stating “There was no significant interaction of muscle × hip joint position (p = 0.650, partial η2 = 0.046, statistical power = 0.191) or significant main effect of hip joint position (p = 0.672, partial η2 = 0.030, statistical power = 0.1080 for the pooled RMS-EMG in the eccentric phase” (Kawama, 2021). The overall consensus of the study is that hip rotation creates stronger use on the abductors/adductors when the stance is closer to or at the Sumo style width. The narrower the stance, the more draw on the hamstrings is produced. As stated in article by Christopher Hole, “During heavy lifting or just squatting in general the knees can collapse in – it’s a pretty common problem if you’re fatiguing yourself by doing too many reps or adding too much weight. Strengthening the muscles of the hip, though, can prevent this from happening. Without adequate control in that area we can’t maintain function through the hip and the muscles can pull us into the wrong position” (Hole, 2022). This importance of hip rotation and control is what drives the knees and the lower trunk as a whole to be able to drive the weight up off of the ground. His statement does present the introduction of squatting into the frame of analysis, but this is common practice in training sciences and research, as the two lifts work in complementary fashion to one another. Sundling 12 Review of Sumo and Conventional Deadlift Forms What all of this data and input says to a lifter looking at deciding what the most optimal stance would be is that if the lifter has weaker hamstrings or less ability to create activation in them, they should use the Sumo style approach to create the proper leverage needed to lift the bar effectively. The study also presents the notion that placing a more external rotation and a medium level abduction stage will create more power to lift the bar. The conjunction of the study and Holes statement about training gives a better insight into how the difference in hip control and strength will benefit the lifters, and that this same information can better help a lifter choose their proper stance to program. How Hip Strength Impacts Deadlift: Hip strength is at the core of deadlifting principles. The lower trunk is mainly supported by the pelvis and most of the posterior chain connects to the hips in some fashion. As stated by Vidar Andersen “Strong and powerful hip extensor muscles are essential for sport performance, activities of daily living, and injury prevention” (Andersen, 2018). In Andersen's study, the importance of hip strength is tested. The study shares the results as: “…the biceps femoris activation was 28% higher in the barbell deadlift compared with the hex bar deadlift (p < 0.001) and 20% higher in the barbell deadlift compared with the hip thrust (p = 0.005)… The biceps femoris activation was higher in the lower part of the movement for the barbell deadlift compared with the hip thrust (48%, p < 0.001) and for the hex bar deadlift compared with the hip thrust (26%, p = 0.049). Furthermore, the biceps femoris activation in the upper part of the movement was 39% higher for the barbell deadlift compared with the hex bar deadlift (p = 0.001) and 34% higher for the hip thrust compared with the Sundling 13 Review of Sumo and Conventional Deadlift Forms hex bar deadlift (p = 0.002)… There were similar lifting times for the exercises: barbell deadlift: 2.28 ± 0.91 seconds, hex bar deadlift: 1.98 ± 0.59 seconds, hip thrust: 2.02 ± 0.55 seconds” (Andersen, 2018) What this data represents is the ability to have more activation using barbell deadlift, in the case of this review, the Sumo and Conventional forms, than using other types of hip strengthening exercises. With that being stated, Conventional and Sumo deadlifts have different outputs for strength values, but they also create better activation than their hex bar counterparts. Factor Played by Load differences in Deadlift Forms: In a study done for the Journal of Strength and Conditioning Research one of the main focuses of measurement was the average concentric velocity. The study tested both Conventional deadlift (CV) and Sumo deadlift (SD) while also testing back squat and front squat. In Figure 2 below, the results are shown in both lifts with their ACVs being the main focus of testing of Sundling 14 Review of Sumo and Conventional Deadlift Forms power generated, as this pertains to the lifting of the ground. Figure 2 from “Kinematic Differences Between the Front and Back Squat and Conventional and Sumo Deadlift” regarding the different outputs for lifters tested for CD and SD values. The numbers presented in Figure 2 show that over the different forms of load based on single rep maxes and the diminishing percentages, that higher valued ACVs occurred at lower ranged loaded reps and at higher range loaded reps the numbers began to fall. The data represents this same change across both the SD and the CD. Furthermore, the impact of change occurred more for Sumo lifters from the 30%-80% than the Conventional lifters, but as the percentages increased past that range, to the 80%-100% range, the Conventional lifters began to Sundling 15 Review of Sumo and Conventional Deadlift Forms see a more significant loss in ACV. What this data represents is that as the load is increased higher and higher, the speed in which a lifter can correctly drive the bar off of the ground begins to decrease more and more. For the Sumo lifters, they begin to see the benefits of their form through the higher loads as they can lifter with “more ease” versus the Conventional lifters. As the author states about their findings, “Greater LD was observed for the CD compared with the SD at all loads. Greater ACV was observed at some submaximal loads (40–49%, 70–79%, and 80–89% 1RM) for the CD compared with the SD” (Kasovic, 2019) In another study done on velocity by Ricardo Morán-Navarro, the results narrowed down the proper load specific to deadlift to produce the most velocity without the limitations of deadlift stance. “The load that maximized the power output was identified at ∼60% 1RM. In contrast to what was observed in velocity, power outcomes showed poor predictive capacity to estimate %1RM. Hence, the use of velocity-based equations is advisable to monitor athletes’ performance and adjust the training load in the deadlift exercise” (Morán-Navarro, 2020). The combination of the findings in the study by Kasovic, the load of deadlifting will help in determining which stance is better suited for an individual lifter based on the amount they are able to lift at a certain velocity in each stance. For a separate study done by Justin Blantik, the approach of finding load was done through peak power produced. As the authors state “The purpose of this investigation was to examine how load would affect peak power (PP) of the bar, body and system (bar + body) during the deadlift” (Blantik, 2014). In the Figure 3 below, the data shows inverse data as the studies mentioned before, with power being directly opposite of the ACV put out in a deadlift. Sundling 16 Review of Sumo and Conventional Deadlift Forms Figure 3 from “Effect of Load on Peak Power of the Bar, Body and System during the Deadlift” (Blantik, 2014) The study also presents the same correlation between load and ACV through another set of data, as shown below in figure 4. Figure 4 from “Effect of Load on Peak Power of the Bar, Body and System during the Deadlift” (Blantik, 2014). Sundling 17 Review of Sumo and Conventional Deadlift Forms This data reinforces the idea that with higher weight loaded on the bar, the less velocity a lifter will have, meaning more time under tension. If this is too uncomfortable for a lifter, their best option in their scenario would be to reduce the ROM, by implementing Sumo stance, however, the tests themselves do not specify if Sumo or Conventional is best suited for deadlifts. The general consensus for these studies is that the biggest impact on deadlift training is the load and velocity and optimizing that load velocity relationship comes through the deadlift stance and comfortability of the lifter in that stance. Impact of Race and Its Impact on Body Composition: Although race itself does not play a large impact on the decision made for deadlifting stance, there is an impact it plays on anthropometric details in the lifters that are engaging in the deadlift in their programs. In a study done on the comparison of body composition between white adult Americans versus black Americans, authors set out to find the difference in “normative aging, black and white participants are highly educated with similar, non-impoverished income levels, offering a unique opportunity to assess racial differences in performance in the absence of socioeconomic burden” (Schaffer, 2020). This study does not specifically reference the impact played on deadlifts, but rather it analyzes the overall performance and anthropometrics of the average individual under its parameters. The study does present ideas that help paint a better picture for what may influence someone on their stance based on genetic/ethnic presets. Two of the main focuses of the study were body composition and specific strength. The study states it determined body composition by “Body composition was assessed via whole-body dual-energy x-ray absorptiometry scans using a Prodigy scanner and software. Measures assessed included appendicular lean mass (ALM; kg) and percent fat mass. ALM is the Sundling 18 Review of Sumo and Conventional Deadlift Forms sum of lean mass from the left and right arms and legs, excluding bone mineral content. Percent fat mass was calculated as the total body fat mass divided by total body weight. In addition, total body weight (kg) was measured on a scale. BMI was calculated as measured total body weight divided by measured height squared (kg/m2). These body composition measures have been used in the BLSA and many other studies and are associated with physical performance. A study that assessed intraobserver reproducibility of dual-energy x-ray absorptiometry in younger adults reported high reproducibility for lean mass and fat mass measures (Intraclass correlation (ICC) > 0.992) (Schaffer, 20220. What this determines in relation to the importance of composition on deadlift is that body fat, lean mass, and BMI all are impactful on the composition of the body, and may or may not have adverse effects on a lifter's ability to lift either Sumo or Conventional. For the specific strength, the study stated its form of measurement as “Specific strength is frequently defined as a ratio of strength to lean mass. For this analysis, we used two measures of specific strength, quadricep peak torque at 30°/s divided by thigh cross-sectional area normalized by height squared (Quad30/TCSAht2) and grip strength divided by ALM adjusted for BMI (Grip/ALMBMI) . Quadricep peak torque was measured as the maximum of three trials of concentric knee extension strength at an angular velocity of 30°/s using the Kin-Com isokinetic dynamometer… The second measure, Grip/ALMBMI, is an alternate measure of specific strength, reflecting body composition adjusted muscle strength… Grip strength (kg) was measured via a Jamar hydraulic hand dynamometer. The maximum of three trials for either hand was used” (Schaffer, 20200. What this study does correlate to when it comes to deadlift stance and race is whether or not a genetic difference in body mass overall strength may impact the use of lower extremities, lower trunk, to find whether or not Sumo or Conventional fits the lifter more appropriately. Sundling 19 Review of Sumo and Conventional Deadlift Forms The results from this study did present results that may show a correlation to a benefit for black/African Americans, and more specifically the men of that race versus white adults. As stated by Jesse Belden for glyphhistory.com, “Because force produced by the muscles should be directly related to the weight that can be lifted, we should expect that the total weight lifted WT scale with lifter mass to the 2/3 power” (Belden, 2019). This correlation between body mass and ability to lift heavier comes into play with the study done by Schaffer by showing that a higher weight held by African-Americans should lead to the ability to lift higher weight. That combined with the study from Kasovic and Morán-Navarro should show an African-American should prefer to use the Sumo stance in order to have more output and generate more ACV on their deadlift. Since this study is not directly related to the use of deadlift stance, the data and results are simply correlational and up to speculation. What is true in regards to stance is that it comes down to what someone is comfortable with and what their body can perform to its best ability. Id genetic markers and dispositions affect that comfortability and power generating ability, then race will play an impacting role on stance. This is an area of very minor research and could change in years to come as the difference in deadlift stances and races of participants in studies becomes more sought out. Gender and its Role in Deadlift Stance Choice: At any given time in a gym setting, there will be a ratio of men to women. In training settings this stands true. As of 2020, that ratio is 50.5% of gym goers being women (IHRSA, 2020). This number represents the possibility for more women to participate in weightlifting, and more specifically, the deadlift. As so, the use of different forms in deadlift and the impact of gender is even more precedent. Sundling 20 Review of Sumo and Conventional Deadlift Forms A study on a mix of men and women performing the Conventional deadlift, represented by CDL in the study, gave insight onto power generation. The study states: “A significant main effect for load and sex was observed for average power output. However, no significant interaction was observed. When collapsed by sex, average power output was greatest at 60% 1-RM, with no difference observed between 30% and 90% 1-RM. Post hoc analysis on the main effect of sex demonstrated that men produced greater average power (698 ± 36 W) than women (336 ± 36 W; p = 0.001; ES = 3.36, Large) when collapsed across all loads. A significant load by sex interaction was observed in peak power (p = 0.016), average (p = 0.002), and peak (p = 0.001) velocity. Men produced significantly higher peak power output across all loads (p < 0.001; ES = 3.49, Large). Both men and women produced the highest peak power output at 60% 1-RM, with no difference between 30% and 90% 1-RM. Average velocity declined with the increase in load in both men and women with a higher average velocity observed at 30% 1-RM in men (p < 0.001; ES = 2.16, Large). Peak velocity declined in both men and women in a similar manner to average velocity with increasing loads. However, peak velocity was higher at both 30% (p = 0.002; ES = 1.80, Large) and 60% 1-RM (p = 0.052; ES = 0.94, Large) in men”(Jones, 2016). With data such as that presented in this study, in conjunction to Kasovics study, the idea can be presented that genders role in deadlifting might come in the form of women being weaker in deadlifting then men. However with the understanding that genetic differences between body mass between men and women, as stated by K M Flegal in a comparative study, “The range of BMI values that included 90% of healthy men and women was approximately 19.5-30 kg/m2 for men and 18-30 kg/m2 for women, with median values of approximately 24.5 kg/m2 for men and 21.5 kg/m2 for women” (Flegal, 2006), there will be different numbers relative to mass, as the earlier study stated “Mass moves mass.” The average deadlift record across 11 weight classes in the USAPL, the leading powerlifting federation in the USA, and affiliate to the IPF, comes to 223 kilograms, or 491.631 pounds (USPAL.com, 2022). This number helps to reinforce the idea that deadlift stance is a Sundling 21 Review of Sumo and Conventional Deadlift Forms preference with lifters as many men and women across lifting federations and gym goers use both stances to lift the heaviest weight possible. In a separate study conducted to “quantify the spinal alignment in the upper (thoracolumbar, T11-L2) and lower (lumbopelvic, L2-S2) lumbar spine during the deadlift exercise in male and female lifters” (Bengtsson, 2022), gender showed another correlational result for deadlifts. The authors stating the findings in a way that deems men and women on a more similar plane for the exercise, “Men and women adjust their spinal alignment in all three planes of movement when performing a deadlift and men seem to make greater adjustments from their standing habitual posture to start position in the sagittal plane” (Bengtsson, 2022). This similarity in deadlift posture and position of spine gives the notion that deadlift form isn’t necessarily different for the different genders, as they would just need to find the stance that is best suited to their comfort to find good form in their spine. Impact of height Another determining factor when it comes to deadlift stance is that of height, as it plays one of the biggest roles out of all genetic and biological markers for the lifter. In a study produced by Michael Hales, PhD, he states “A common statement that regularly circulates throughout the powerlifting community is ‘great deadlifters are born-not made.’ So, it is not uncommon for athletes to blame a less than optimum deadlift on poor genetics. This mind-set could certainly play a role in preventing competitors from striving to reach their peak in muscular strength” (Hales, 2010). The goal of the study was to determine what impact height truly plays on the overall output of powerlifters competing in the deadlift. One of the key takeaways from his findings was that of anatomical and height impacts on deadlift choice. He states “Many anatomical and physiological parameters, such as segmental lengths Sundling 22 Review of Sumo and Conventional Deadlift Forms and muscle fiber composition and number, are extremely difficult or impossible to alter. However, each lifter does have the ability to explore different lifting styles and implement a training program to accentuate their physiological and biomechanical characteristics” (Hale, 2010). Hales’ point made is at the heart of this review, that biological markers play a role in deadlift stance, but ultimately, it comes down to the overall comfortability and ability of the lifter using each stance. If someone finds Sumo more comfortable, they should use it and vice versa. He closes with “Through years of proper resistance training, the body will be capable of producing a more coordinated, synchronized, and possibly reordered muscle fiber firing pattern, which could contribute to maximizing muscle force production” (hales, 2010). Thus, reinforcing the idea that either stance is optimal for an individual regardless of certain markers. Conclusion: For deadlifting, there are not many forms of exercises that can mimic the results seen in its applications. From powerlifters to the average gym goer both styles can be implemented outside of their biological markers. Stated in an article by Timothy Piper, both styles can be used, but one can be overlooked by some lifters (Piper, 2001). Training correctly is simply what it comes down to in determining stance. As presented in the NSCA Basics of Strength and Conditioning Manual “Training adaptations for an individual will occur specifically to the muscle groups trained, the intensity of the exercise, the metabolic demands of the exercise, and/or specific movements and activities. In an attempt to perfect a specific skill or activity, you must perform that skill or activity with proper body mechanics to have correct technique” (Sands, 2012). This information serves well for the guide of new lifters and coaches. Sundling 23 Review of Sumo and Conventional Deadlift Forms With the correct form, comes the load bearing ability and accurate judging of what 1RMs will be. As Dave LeSuer concludes about his findings, using correct form to complete fatigue sets of work will lead to better and more accurately loaded lifts, regardless of exercise, but especially for deadlifts (LeSuer, 1997). Also leading any lifter of any experience to be able to adjust their stance to better suit this correlation of reps, form, and load. Additionally, the idea of comfortability plays its role, but that is based off the body’s composition. “The primary way that you want to decide whether to choose conventional or sumo deadlifting is based on which style you feel the ‘most comfortable’. The reason why you’ll feel more or less comfortable in one style over another is largely determined by the structure of your hip” (Silverberg, 2019). Hip rotation and position plays its role, and the lifter's opinion on that feeling is impacted by that in their decision on stances. The correlation between weight and height also would have to be considered for lifters deciding their stance. Powerlifting coach Norma Cheungs position states this best: “There is an ideal deadlift stance width for your size, but there is not a formula to predict it. At the end of the day, it will require some trial and error when adjusting your stance or figuring out your stance. Choosing your best deadlift stance width is important but it is also important that good and safe technique is maintained as well. For younger or newer lifters, you will need to remember that as you go up in body weight, your deadlift stance width may increase too. Adjusting your deadlift stance width will require training to be somewhat submaximal so your technique can adapt to changes in technique” (Cheung, 2021). Understanding one's composition plays a role in their decision, but comfort, consistency, and training is what trumps all else in the final stages of developing a use of either Conventional or Sumo deadlift stance. Sundling 24 Review of Sumo and Conventional Deadlift Forms With all the data presented, one point that has to be addressed is what role does this play in both coaching and injury prevention. In a study by Chelsey Lawson, the statement is made that optimum can not always be presented by numbers by force (Lawson, 2021). So training under this information is not going to give coaches an accurate picture at what to do with their trainees. However, in a separate article by Bengtsson, pain management and form correction are important to deal with training a lifter and deciding their stance” (Bengtsson, 2018). Coaching may not come down to a perfect science, but the longevity and safety of the lifter is clearly the most optimal advice for coaches to better train their athletes. So, if the data presents one clear, definitive fact about Sumo versus Conventional stance deadlifts, it is that the lifter must decide what they feel they have the ability to do, and what they can possibly load with proper weight and force, according to their biological and anthropometric composition. From there it is all personal preference. Bibliography 1Faculty of Health and Sports Science. (n.d.). Effect of hip joint position on electromyographic activity... : The Journal of Strength & Conditioning Research. LWW. Retrieved November 27, 2022, from https://journals.lww.com/nsca-jscr/Fulltext/2021/02001/Effect_of_Hip_Joint_Position_on_ Electromyographic.6.aspx 1Faculty of Teacher Education and Sport. (n.d.). Electromyographic comparison of barbell deadlift, hex bar... : The Journal of Strength & Conditioning Research. LWW. Retrieved November 27, 2022, from Sundling 25 Review of Sumo and Conventional Deadlift Forms https://journals.lww.com/nsca-jscr/fulltext/2018/03000/Electromyographic_Comparison_of _Barbell_Deadlift,.1.aspx Andre, L. (2022, November 6). 87 Gym Membership Statistics You Must Learn: 2022 cost, demographics, and market share. Financesonline.com. Retrieved November 27, 2022, from https://financesonline.com/gym-membership-statistics/#:~:text=More%20than%20half%E 2%80%9450.5%25%E2%80%94,classes%20versus%2010%25%20of%20men. Basics of strength and Conditioning Manual. National Strength and Conditioning Association (NSCA). (n.d.). Retrieved November 27, 2022, from https://www.nsca.com/education/tools-and-resources/basics-of-strength-and-conditioningmanual/ Belden, J. (2019, June 4). How mass moves mass in weightlifting. GLYPH. Retrieved November 27, 2022, from http://www.glyphstory.com/2019/05/29/how-mass-moves-mass-in-weightlifting/#:~:text= As%20the%20lifter%20mass%20becomes,one%2Dfor%2Done%20return. Bengtsson, V., Aasa, U., Öhberg, F., & Berglund, L. (2022, November 8). Thoracolumbar and Lumbopelvic spinal alignment during the deadlift exercise: A comparison between men and women. DIVA. Retrieved November 27, 2022, from https://www.diva-portal.org/smash/record.jsf?pid=diva2%3A1709260&dswid=-1216 Blatnik, J. A., Goodman, C. L., Capps, C. R., Awelewa, O. O., Triplett, T. N., Erickson, T. M., & McBride, J. M. (2014, September 1). Effect of load on peak power of the bar, body and system during the deadlift. Journal of sports science & medicine. Retrieved November 27, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4126285/ Cheung, N. (2022, May 12). Choosing the best deadlift stance width for your size. PowerliftingTechnique.com. Retrieved November 27, 2022, from https://powerliftingtechnique.com/deadlift-stance-width/ Chiles Shaffer, N., Simonsick, E. M., Thorpe, R. J., & Studenski, S. A. (2020, March 9). The roles of body composition and specific strength in the relationship between race and physical performance in older adults. The journals of gerontology. Series A, Biological sciences and medical sciences. Retrieved November 27, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7062232/ Cholewa, J. M., Atalag, O., Zinchenko, A., Johnson, K., & Henselmans, M. (2019, August 1). Anthropometrical determinants of deadlift variant performance. Journal of sports science & medicine. Retrieved November 27, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6683626/ Cibulka, M., Strube, M., Meier, D., Selsor, M., Wheatley, C., Wilson, N. G., & Irrgang, J. (1970, January 1). Symmetrical and asymmetrical hip rotation and its relationship to hip rotator muscle strength.: Semantic scholar. Science Direct/Clinical Biomechanics. Retrieved November 27, 2022, from https://www.semanticscholar.org/paper/Symmetrical-and-asymmetrical-hip-rotation-and-its -Cibulka-Strube/a946b145e7998ef3e7e310d91a2091d0ffad2408 Computing, S. of. (n.d.). Analysis of USA Powerlifting Federation Data from January... : The Journal of Strength & Conditioning Research. LWW. Retrieved November 27, 2022, from https://journals.lww.com/nsca-jscr/Fulltext/2018/07000/Analysis_of_USA_Powerlifting_F ederation_Data_From.6.aspx Sundling 26 Review of Sumo and Conventional Deadlift Forms Departments of 1Community Medicine and Rehabilitation. (n.d.). Which patients with low back pain benefit from deadlift... : The Journal of Strength & Conditioning Research. LWW. Retrieved November 27, 2022, from https://journals.lww.com/nsca-jscr/Fulltext/2015/07000/Which_Patients_With_Low_Back_ Pain_Benefit_From.6.aspx Dewar, M. (2022, May 9). Sumo deadlift - proper form, muscles worked, and benefits. BarBend. Retrieved November 27, 2022, from https://barbend.com/sumo-deadlift/ Escamilla RF;Francisco AC;Kayes AV;Speer KP;Moorman CT; (n.d.). An electromyographic analysis of sumo and conventional style deadlifts. Medicine and science in sports and exercise. Retrieved November 27, 2022, from https://pubmed.ncbi.nlm.nih.gov/11932579/ Farley, K. (n.d.). Analysis of the Conventional Deadlift. Retrieved November 28, 2022, from https://paulogentil.com/pdf/K16.pdf Health, 1D. of. (n.d.). Kinematic analysis of the powerlifting style squat and the... : The Journal of Strength & Conditioning Research. LWW. Retrieved November 27, 2022, from https://journals.lww.com/nsca-jscr/Fulltext/2009/12000/Kinematic_Analysis_of_the_Powe rlifting_Style_Squat.21.aspx Health, D. of. (n.d.). Improving the deadlift: Understanding biomechanical... : Strength & Conditioning Journal. LWW. Retrieved November 27, 2022, from https://journals.lww.com/nsca-scj/fulltext/2010/08000/improving_the_deadlift__understan ding.4.aspx Jones, M. T., Jagim, A. R., Haff, G. G., Carr, P. J., Martin, J., & Oliver, J. M. (2016, August 5). Greater strength drives difference in power between sexes in the conventional deadlift exercise. MDPI. Retrieved November 27, 2022, from https://www.mdpi.com/2075-4663/4/3/43 Laboratories, 1E. and S. S. (n.d.). Exploring the deadlift : Strength & Conditioning Journal. LWW. Retrieved November 27, 2022, from https://journals.lww.com/nsca-scj/Fulltext/2010/04000/Exploring_the_Deadlift.4.aspx Lake, J., Duncan, F., Jackson, M., & Naworynsky, D. (2017, October 24). Effect of a hexagonal barbell on the mechanical demand of deadlift performance. MDPI. Retrieved November 27, 2022, from https://www.mdpi.com/2075-4663/5/4/82 Lawson, C, Mundy, P, Lyons, M & Duncan, MJ 2021, 'Optimal Loading for Force Production in the Straight Bar Deadlift: Force-Time Characteristics in Strength-Trained Adults', Journal of Strength and Conditioning Research, vol. 35, no. 6, pp. 1636-1641. https://dx.doi.org/10.1519/JSC.0000000000002942 LeSuer, D. A. (1997). The Accuracy of Predication Equations for Estimating 1-Rm Performance in the Bench Press, Squat, and Deadlift. Retrieved November 28, 2022, from https://paulogentil.com/pdf/The%20Effect%20of%20Abdominal%20Exercise%20on%20A bdominal%20Fat.pdf Lifting database. (n.d.). Retrieved November 27, 2022, from http://usapl.liftingdatabase.com/records-default?priority=0&recordtypeid=120545&categor yid=&weightclassid= Load-velocity relationship of the deadlift exercise. Taylor & Francis. (n.d.). Retrieved November 27, 2022, from https://www.tandfonline.com/doi/full/10.1080/17461391.2020.1785017?scroll=top&needA ccess=true Sundling 27 Review of Sumo and Conventional Deadlift Forms Luna, D. (2022, November 9). Muscles used to deadlift: 5 main muscle groups. Inspire US. Retrieved November 27, 2022, from https://www.inspireusafoundation.org/deadlift-muscles/ Martín-Fuentes, I., Oliva-Lozano, J. M., & Muyor, J. M. (2020, February 27). Electromyographic activity in deadlift exercise and its variants. A systematic review. PloS one. Retrieved November 27, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046193/ Matthew R. Wenning, M. S. (2014, April 1). The deadlift and its application to overall performance. National Strength and Conditioning Association (NSCA). Retrieved November 27, 2022, from https://www.nsca.com/education/articles/tsac-report/the-deadlift-and-its-application-to-ove rall-performance/ Michael W. Krzyzewski Human Performance Laboratory. (n.d.). A three-dimensional biomechanical analysis of SUMO and... : Medicine & Science in Sports & Exercise. LWW. Retrieved November 27, 2022, from https://journals.lww.com/acsm-msse/Fulltext/2000/07000/A_three_dimensional_biomecha nical_analysis_of_sumo.13.aspx Narrative review of injuries in powerlifting with special reference to ... (n.d.). Retrieved November 28, 2022, from https://bmjopensem.bmj.com/content/bmjosem/4/1/e000382.full.pdf Performance360. (2022, February 21). Conventional or sumo deadlift?: Performance360. Performance360 | Strength & Conditioning Gym. Retrieved November 27, 2022, from https://perform-360.com/conventional-sumo-deadlift/ Physical Education Department Western Illinois University. (n.d.). Variations of the deadlift : Strength & Conditioning Journal. LWW. Retrieved November 27, 2022, from https://journals.lww.com/nsca-scj/Citation/2001/06000/Variations_of_the_Deadlift.13.asp Rogers, P. (2022, July 29). How to do a deadlift: Proper form, variations, and common mistakes. Verywell Fit. Retrieved November 27, 2022, from https://www.verywellfit.com/how-to-do-the-deadlift-3498608 Ronai, P. (n.d.). The deadlift : ACSM's Health & Fitness Journal. LWW. Retrieved November 27, 2022, from https://journals.lww.com/acsm-healthfitness/Fulltext/2020/03000/The_Deadlift.9.aspx School of Health and Human Sciences. (n.d.). Shod vs. barefoot effects on force and power development... : The Journal of Strength & Conditioning Research. LWW. Retrieved November 27, 2022, from https://journals.lww.com/nsca-jscr/Fulltext/2018/06000/Shod_vs__Barefoot_Effects_on_F orce_and_Power.5.aspx Science, 1D. of E. (n.d.). Kinematic differences between the front and back squat and... : The Journal of Strength & Conditioning Research. LWW. Retrieved November 27, 2022, from https://journals.lww.com/nsca-jscr/Fulltext/2019/12000/Kinematic_Differences_Between_t he_Front_and_Back.2.aspx Silverberg, A. (2022, May 12). Conventional vs. Sumo Deadlift: Which one should you do? PowerliftingTechnique.com. Retrieved November 27, 2022, from https://powerliftingtechnique.com/conventional-vs-sumo-deadlift/ Sundling 28 Review of Sumo and Conventional Deadlift Forms Why is hip mobility important for squats and deadlifts? Christopher Hole Training. (n.d.). Retrieved November 27, 2022, from https://www.christopherholetraining.com/blog/importance-hip-mobility#:~:text=Hip%20m obility%20helps%20control%20what,though%2C%20can%20prevent%20this%20happeni ng.