An anterior cruciate ligament (ACL) tear is one of the most frequent injuries experienced by athletes of all levels. Because so many variables are at play, there is a great deal of controversy about how and why this occurs. In addition, there are various suggested appropriate steps to take to return to sport in the fastest and safest possible way. However, a major issue in injury recovery and return to sport practices is the lack of a gold-standard method or a consistent course of action that an athlete should undertake after suffering an ACL injury. Therefore, the purpose of this paper is to review the literature to determine evidence-based methods for return to sport after ACL reconstruction and provide practical recommendations to guide the process.

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Eccentric resistance training has been shown to elicit beneficial effects on performance and injury prevention in sports because of its specific muscular and neural adaptations. Within the different methods used to generate eccentric overload, flywheel eccentric training has gained interest in recent years because of its advantages over other methods such as its portability, the ample exercise variety it allows and its accommodated resistance. Only a limited number of studies that use flywheel devices provide enough evidence to support the presence of eccentric overload. There is limited guidance on the practical implementation of flywheel eccentric training in the current literature. In this article, we provide literature to support the use of flywheel eccentric training and present practical guidelines to develop exercises that allow eccentric overload.

Dietary supplement use is quite prevalent among bodybuilders to enhance their physiques for competition. Many of the dietary supplements used by these athletes are neither safe nor effective. Several reviews have been published detailing the efficacy of dietary supplements for athletes; however, none have been written specifically for bodybuilders and physique athletes. Therefore, the aim of this article is to provide an evidence-based review of the top 5 dietary supplements for bodybuilding competitors: creatine, caffeine, protein powders, free-form essential amino acids, and beta-alanine. This review will provide bodybuilders, coaches, and practitioners with information on each supplement’s mechanism of action, seasonal benefits, protocol for use, and special considerations to optimize supplement strategies for performance, physique, and overall competitive success.

Although fatigue is commonly experienced in many highly demanding occupations (e.g., military, first responders, etc.), it is poorly defined. Fatigue can strongly affect occupational performance by negatively influencing the ability to interact with the world by altering the capacity to think, move, feel, see, and speak. The first step in fatigue risk management strategies is to establish a context. The context of this narrative review is to specifically describe and discuss the 6 overarching types of occupational fatigue: cognitive, physical, burnout, emotional, visual, and vocal fatigue, and how each affects varying occupations. Furthermore, fatigue type can be influenced by several intrinsic factors, such as sleep deprivation, circadian alignment, ultradian process, sleep homeostasis, and health factors. Similarly, extrinsic factors influence fatigue, such as workload, shift work, and environmental issues. Understanding the types and contributors to occupational fatigue may help clarify the context of occupational fatigue and serve to guide future occupational fatigue management.

This continuing education opportunity explores a variety of topics as they pertain to running. 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). Articles 1. Running in Cold Weather: Exercise Performance and Cold Injury Risk 2. Running in the Heat: Performance Consequences and Strategies to Prepare for Hot-Weather Racing 3. Influence of Gait Retraining on Running Economy: A Review and Potential Applications 4. Stiffness in Running: A Narrative Integrative Review 5. Keeping Pace: A Practitioner-Focused Review of Pacing Strategies in Running 6. The Importance of the Foot and Ankle in Athletic Performance

Falls resulting from trips are a leading cause of injury and can sometimes result in death, especially in the older population. Numerous researchers have studied the biomechanical mechanisms that differentiate fallers from nonfallers and determined whether training can beneficially impact those outcomes. Exercise and task-specific interventions have demonstrated fewer falls after trips but can be costly and often require specialized equipment, making their applicability less practical. Qualified health and fitness practitioners can develop evidence-informed, exercise-based programs focusing on 3 components (balance training, task-specific training, and resistance exercise). Such programs may help to reduce fall risk in older adults based on previously documented studies identifying the biomechanical demands of a successful fall arrest after a trip perturbation. These multicomponent programs should include a safe task-specific training element that does not require specialized equipment.

Interest in investigating minimalist footwear (MF) has grown exponentially in recent years. This article systematically reviews the benefits of MF for physical fitness, biomechanical factors, and injury incidence in middle and long distance runners. A systematic review of PubMed and FECYT (Web of Sciences, CCC, DIIDW, KJD, MEDLINE, RSCI, and SCIELO) was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines before 26 April of 2022. From the 583 studies initially found, 23 were included in the qualitative synthesis. The use of MF induces improvements in running economy and stride frequency in middle and long distance races and reduces the oscillations of a runner’s center of gravity and support time. From a biomechanical viewpoint, MF enhances forefoot support and increases knee stability, leading to greater foot and ankle mobility. In addition, MF reduces impact load at the knee joint.

Various methods of eccentric training that aim to increase muscle mass or reduce ground contact time during a landing task have been extensively researched and practically examined. However, multiple methods to implement eccentric training currently exist; they differ in execution and intended training adaptions. There is a clear differentiation between an eccentric muscle action and an eccentric motion whereby a motion alludes to a downward movement of an exercise. The proposed eccentric motions are dissipating eccentrics, deceleration eccentrics, overcoming eccentrics, maximal eccentrics, and rebound eccentrics. These motions formulate into training methods and cues to allow practitioners to clearly differentiate the various eccentric training methods used in research and practice. This review proposes a new conceptual framework that clearly outlines the different forms of eccentric motions that fall into a desired eccentric training method.

Key performance indicators (KPIs) are commonplace in business and sport. They offer an objective means to link data and processes with performance outcomes. Yet, their application in sports performance, particularly team sports, is not without issue. Here, we review 4 key issues relating to KPI application in team sports; lack of a universal definition, complexity of performance, drifting from on-field performance goals with off-field targets, and agency issues across different key stakeholders. With these issues relating to sports performance KPIs in mind, we propose a complementary approach to help practitioners focus on implementing the conditions that create performance environments and opportunities for success in a complex sporting environment. Ongoing process trackers (OPTs) are quantifiable measures of the execution of behaviors and processes that create the environments, cultures, and conditions for successful performance outcomes. This approach equips sports science practitioners with key questions they can ask themselves and their team when starting to select and use OPTs in their program.