Bridging the Gap from Rehab to Performance

Exercise is increasingly recognized as an effective, nonpharmacological approach for managing both acute and chronic pain. However, accurate pain assessment methods tailored to different exercise settings and populations are essential. This review evaluates existing pain assessment techniques, highlighting self-report measures such as the Visual Analog Scale and Numerical Rating Scale, as well as quantitative measures, such as Pressure Pain Threshold and Conditioned Pain Modulation. These techniques provide valuable insights into the neurophysiological mechanisms behind pain reduction. Although exercise commonly produces a temporary reduction in pain sensitivity known as exercise-induced hypoalgesia (EIH), the effectiveness of this response depends on various factors, such as exercise intensity, psychological state, and pre-existing pain conditions. In addition, exercise itself can sometimes lead to short-term discomfort due to muscle fatigue or delayed-onset muscle soreness. This review offers strength and conditioning providers, as well as researchers, a clear framework for (a) selecting appropriate pain assessment tools, (b) designing research protocols, and (c) customizing exercise interventions for specific populations and pain conditions. By examining self-report and quantitative assessment techniques, along with considerations for data analysis and practical application, this review helps strength and conditioning professionals interpret the literature surrounding EIH and apply practical pain monitoring strategies to guide training and recovery in various populations.

Tactical 2019

TAT22

The purpose of this article is to show athletes and coaches how plantar fasciitis is diagnosed, treated, and transitioned back to athletic training for the athlete.

This excerpt from NSCA’s Essentials of Personal Training discusses the importance of education on proper running surfaces, appropriate footwear, and the benefits of cross-training in addressing overuse of the knee.

Tactical 2019

The purpose of this meta-analysis was to synthesize the literature and provide a robust estimate of the correlations between lower-body, multijoint, isometric and dynamic neuromuscular assessment variables and snatch (SN) and clean and jerk (C&J) performance in competitive weightlifters. A comprehensive search through 3 electronic databases (PubMed, SPORTDiscus, and Web of Science) returned 12 studies that met the inclusion criteria. Meta-analyses were performed on Pearson’s correlations between SN and C&J performance and 15 variables from 5 neuromuscular assessments— countermovement jump (CMJ), squat jump (SJ), isometric midthigh pull (IMTP), back squat (BS), and front squat (FS) one repetition maximum (1RM). The FS and BS 1RM exhibited nearly perfect correlations (r 5 0.93 to 0.94), whereas the IMTP peak force exhibited very large correlations (r 5 0.83 to 0.85). The IMTP force at 250 ms exhibited very large correlations (r 5 0.77 to 0.78), and the CMJ and SJ peak power exhibited very large to nearly perfect correlations (r 5 0.88 to 0.92). These findings illustrate the importance of lower-body maximal and time-limited force-producing capabilities in weightlifters. Moreover, each assessment offers at least one variable that exhibits a correlation of .0.70. Therefore, these assessments may be used to gauge weightlifting performance potential.

This article provides strength and conditioning coaches with strategies to address hip mobility limitations that may lead to lumbar spine and femoral acetabular issues.