Resistance training for hypertrophy: effort close to failure + progressive overload
Colenso-Semple outlines that hypertrophy occurs when muscle protein synthesis exceeds breakdown over time. The primary driver is mechanical tension, which can be achieved across a wide range of loads: low‑load/high‑rep (20–30 reps) and high‑load/low‑rep (~5 reps) both produce equivalent hypertrophy when sets are taken close to failure. The old idea of a strict “strength–endurance continuum” (1–5 reps for strength, 8–12 for hypertrophy, 15+ for endurance) is outdated. She cites work from McMaster University showing that even 30‑rep sets are just as effective for muscle growth, provided the effort is high. She emphasizes that volume—total hard sets—should be increased progressively, not rigidly adhering to a fixed number from study averages.
Resistance exercise disrupts muscle fibers, activating satellite cells and mTOR pathway, leading to increased protein synthesis. Mechanical tension, not hormonal fluctuations, drives this process.
Colenso-Semple mentions that as a coach, she always used this principle for both men and women, and it never needed to be sex‑specific.
We need to do training that is challenging and so it needs to be close enough to failure... one to two repetitions shy of that. So we know we're getting a good stimulus to the muscle.

