Lateral ankle sprains are one of the most common injuries sustained during sport or physical activity. Up to 40% of individuals can develop chronic lateral ankle instability (CLAI) after a lateral ankle sprain. CLAI occurs when functional or mechanical insufficiencies of the lateral ankle ligamentous complex persist. The purpose of this article is to identify characteristics of CLAI and describe strength and conditioning strategies that can be used to treat lateral ankle ligamentous injuries, preventing them from progressing on to CLAI.

This review analyzes relevant variables involved in acute interference effects of concurrent training (CT) sessions of aerobic exercise followed by strength exercises. The aerobic exercise intensity, mode, volume, duration of recovery interval between exercises, muscle groups involved, and utilization of ergogenic aids are the variables identified in this review. High-intensity interval aerobic exercises result in more pronounced negative effects on strength-endurance exercise but not in maximal strength. Cycling results in more negative effects on strength endurance performance exercise than running. A 4-hour to 8-hour recovery interval seems to be enough to avoid interference on strength-endurance performance. Reduction in strength-endurance performance is located in muscle groups involved in both exercises. Low aerobic exercise volume (3 km) with; 18 minutes of duration does not diminish strength endurance, whereas higher volumes (5 and 7 km) with ;30 and ;42 minutes of duration, respectively, generate impairments. Caffeine, carbohydrate, and beta-alanine are not able to revert the deleterious effect on strength-endurance performance, whereas creatine and capsaicin analog supplementation are. Thus, these variables must be taken into consideration to prescribe and organize a CT session. This information may help coaches to organize exercise sessions that minimize or avoid the impairment in strength performance after aerobic exercises.

The CSPS Online Practice Questions were developed by NSCA and are representative of the nature, scope, and difficulty of an actual CSPS exam.

Mark Stephenson explains the systems of stress response for tactical personnel and the cognitive influence on decision-making and reaction time.