Muscle hypertrophy is an adaptive response to overload. Progressive resistance exercise (PRE) is thought to be among the best means to achieve hypertrophy in humans. While functional adaptations to PRE in muscles of humans are made in the clinic, it is difficult to evaluate hypertrophic responses and underlying mechanisms because the adaptations require many weeks or months before they become evident and there is a large variability in response to PRE among humans. In contrast, various animal models have been shown to induce rapid and extensive muscle hypertrophy and some models allow precise control of the exercise parameters. By examining the animal models of muscle hypertrophy and understanding the advantages and disadvantages of each, clinicians may be able to evaluate and use relevant data from these models to design new strategies for modification of PRE in humans. The purpose of this article is to review animal models that are currently used in basic research laboratories, discuss the hypertrophic and functional outcomes, and relate these to PRE used in the clinic. J Orthop Sports Phys Ther 2002;32:36-43. Key Words: muscle growth, muscle strength, overload, resistance training, skeletal muscle A n increase in muscle strength is a desirable outcome of many rehabilitation therapies. Strength gains are often a result of muscle hypertrophy, and progressive resistance exercise (PRE) is the primary mode of producing muscle hypertrophy in the rehabilitation setting. Several recent reviews have detailed the specifics of PRE in terms of modality, specificity of training, and outcomes, 23,43,44,51,61,62,64 and PRE has been shown to be beneficial as a therapeutic intervention in osteoporosis, 46 65 In this commentary, we will focus on the hypertrophic response of skeletal muscle to PRE.Physiological and cellular mechanisms of muscle hypertrophy have been reviewed extensively, 30,39,43,44 and molecular mechanisms that initiate and regulate muscle hypertrophy is a relatively new and rapidly expanding topic in the field of exercise science. 11,15,19,20,30 However, while the functional outcomes of PRE have been identified largely from human studies, much of the data used in deriving cellular and molecular mechanisms of muscle hypertrophy are drawn from studies using laboratory animals. Several different animal models for inducing muscle hypertrophy are used, and some produce outcomes that are similar to those of PRE in humans. By fully understanding the various animal models used, the clinician will be able to interpret muscle hypertrophy research results generated using laboratory animals. This information can be used by the clinician to evaluate current PRE programs and perhaps design new or modified strategies for implementing PRE. The ultimate goal is to optimize PRE in humans to acquire better functional outcomes in the clinic. The purpose of this article is to review animal models that are currently used in basic science laboratories for investigating skeletal muscle hypertrophy. Examples of recent research us...