From the 2021 Personal Training Virtual Conference, Andrea Leonard thoroughly details the impact of various cancer surgeries on muscle balance and range of motion and necessary program considerations. She also discusses the acute and chronic side-effects of cancer treatment and how they may affect exercise programming. Another area that is highlighted is lymphedema. She details the cancer-related risk factors and how it can be prevented and/or managed with proper exercise programming and progression.

This quiz assesses your knowledge of the content within the bench press module. You must achieve 10 correct responses. Your CEUs will recorded automatically in your NSCA record.

Canoe slalom requires technical ability, well-developed energetics, a high level of maximum force production, and range of movement to perform a variety of complex paddle stokes, while maneuvering through a challenging whitewater course. The strength and conditioning (S&C) coach should provide strategic direction across a network or department including S&C coaches working toward identified outcomes and measures. S&C coaches should collaborate with a multidisciplinary support team (i.e., sport coaches, physiotherapists, physiologists, etc.) to develop a technical framework. The technical framework may allow for development of training strategies that provide a clear breakdown of the outcomes, adaptations, exercises, and testing methods. The current article articulates this process related to a canoe slalom national performance program. You must pass this quiz (by answering at least 7 out of 10 questions correctly) to earn 0.2 CEU in Category D. Upon passing, your CEUs will be recorded automatically. You are given only ONE attempt per purchase to pass the quiz.

The physiological response to breath holding includes bradycardia and peripheral vasoconstriction, which contrasts with that of exercise which includes tachycardia and peripheral vasodilation. This raises the question as to what the physiological response is to breath holding during exercise. During low-intensity exercise, the breath holding response of bradycardia and peripheral vasoconstriction prevails over the exercise response of tachycardia and peripheral vasodilation, but nevertheless the exercise may be sustained. Due to the lack of availability of extrinsic oxygen (O 2 ) from the atmosphere during breath holding, the energy demands can be met by increased reliance on intrinsic O 2 stores (i.e., O 2 that was in the body before the breath hold) via increased O 2 extraction at the muscle compared with exercise while breathing, or increased contributions from anaerobic energy systems. During high intensity exercise of short duration, the exercise response may prevail over the breath holding response due to the increased parasympathetic withdrawal and sympathetic drive of higher intensity exercise. If breath holding during high-intensity exercise was sustained for long enough, the breath holding response may eventually overcome the exercise response, although this may be difficult due to the inverse relationship between exercise intensity and breath hold duration.

This continuing education opportunity explores a variety of topics as they pertain to exercise technique. To earn your CEUs, it will be necessary to review several articles and pass a 50-question quiz. Please note: this quiz awards 1.0 CEU (10 contact hours).

It is well known that moderate exercise during pregnancy benefits maternal and fetal well-being. The benefits of more vigorous exercise for pregnant women are less clear. The boundaries of safe exercise during pregnancy remain a matter for continued research, which is important to the growing number of female athletes who plan on becoming pregnant. The purpose of this article is to discuss the existing research related to the physiological concerns of the pregnant endurance athlete specifically. Because endurance training includes prolonged and repetitive exercise bouts at varying intensities, topics will include the effect of high-intensity exercise on uterine blood flow and thermoregulation, metabolic, and musculoskeletal changes in pregnancy.

Resistance training (RT) is a nonpharmacological complement to cancer treatments due to its effectiveness in attenuating sarcopenia, cardiotoxicity, fatigue, and emotional disorders common in oncology patients. To adequately program and evaluate the acute or long-term effects of this type of training, a proper evaluation of the patients’ strength levels is necessary. Strength evaluations traditionally applied to this population required reaching muscle or technical failure, which could increase their discomfort levels, risk of injury, or other complications associated with the disease. In this regard, this manuscript described different dynamic and isometric evaluations recommended to accurately and safely evaluate the strength of the oncology population. Concerning dynamic evaluations, the velocity based method is recommended to determine the capacity of the patient to apply force against maximal (i.e., 1 repetition maximum) and submaximal loads. The sit-to-stand or vertical jump tests are also proposed as alternatives to evaluate dynamic strength using body weight. For isometric assessments, the knee extension and handgrip tests could complement dynamic evaluations or replace them for patients with very low strength levels. Besides describing in depth the aforementioned evaluations, the current review proposes important methodological aspects to ensure their accurate, reliable, and safe implementation.