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SCJ 48.1 Quantifying Pain: A Methodological Review of Pain Assessment in Exercise Science

Quiz CATD 0.2

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.

Core Development through the Use of Sled Training

April 2, 2016

Article

Using the sled closely mimics real-time sports performance movements and activities because of the horizontal resistance opposing the vertical movements typically seen in a weight room setting. This article highlights a variety of sled training exercises designed to target the core musculature.

Personal trainers Exercise Technique Program design personal training core training Sled training

TSAC Report – First Responder Research Column – October 2024 – Injury Mitigation among First Responders: An International Prospective

May 28, 2025

Article Members Only

TSAC Report 75, shares content on injury prevention exercises for first responders. Visit NSCA online to read articles on health science, tactical athlete and more.

TSAC Facilitators Exercise Science Program design Organization and Administration Testing and Evaluation Safety Emergency Procedures Physical Assessment Baseline Fitness LEO’s Occupational Injuries Aerobic Fitness Physical Fitness Firefighters

Boots on the Ground: Real-World Strength and Conditioning Implementation at the Battalion Level

March 26, 2021

Article Members Only

This article is from the perspective of the Battalion Commander, 1st Tank Battalion, in an effort to share with other TSAC-F what did and did not work while implementing the Marine Corps’ Force Fitness program.

TSAC Facilitators Program design Special Forces TSAC-F Marine Corps Foundational Movements Education

Passion in Coaching: The Importance of Having a “Sonic Boom”

April 1, 2016

Article Members Only

Passion, while imperative to training, must be paired with energy, enthusiasm, intention, and knowledge to truly make a difference and create your “sonic boom.” Being an effective strength and conditioning coach is a lifestyle, not a job, and with continued passion, you can affect many lives positively.

Coaches Organization and Administration Professional Development strength and conditioning coach Coaching profession NSCA Coach

The Gray Area of Programming Weightlifting Exercises

January 8, 2021

Article Members Only

The purpose of this article is to discuss the gray area that should be considered when it comes to implementing weightlifting exercises.

Coaches Exercise Technique Program design Weightlifting Lift Progressions Triple Extension Load Acceptance

Incorporating the Farmer’s Walk Exercise into Your Client’s Program

October 9, 2025

Article Members Only

This Personal Training Quarterly article reviews the farmer’s walk exercise and how to incorporate it safely into a client’s exercise program. Visit NSCA online to read more on fitness news and exercise research.

Personal trainers Exercise Science Exercise Technique Program design Testing and Evaluation Client Consultation|Assessment Professional Development Ground-Based Movement Core Stability Functional Strength Load Management Biomechanics Posture Resistance Training

The Importance of Creatine Timing for Muscle Size and Strength

September 15, 2023

Article Members Only

This article provides a discussion around the evidence on creatine timing and supplementation.

Personal trainers Nutrition Creatine Carbohydrates Timing Micronutrients

Nutrition Research Column – January 2025 – Does Creatine Monohydrate Help Optimize Occupational Performance Outcomes?

July 11, 2025

Article Members Only

This column from TSAC Report 76, examines the performance benefits of supplementing creatine monohydrate for tactical athletes. Visit NSCA online to learn about nutrition, and performance fitness.

TSAC Facilitators Exercise Science Nutrition Testing and Evaluation Client Consultation|Assessment Safety Basic Pathophysiology and Science of Health Status or Condition and Disorder or Disease Professional Development Protein Carbohydrates Tactical Personnel Athletic Performance Supplements Creatine Occupational Performance Nutrition

Maintaining Physique and Physical Fitness in Parenthood – A Guide for New Parents

August 6, 2025

Article

This Personal Training Quarterly article presents time-efficient fitness strategies to maintain physical and mental health during early parenthood. Visit NSCA online to read more on nutrition, health science, and fitness news.

Personal trainers Exercise Science Nutrition Exercise Technique Program design Testing and Evaluation Client Consultation|Assessment Professional Development Interval Training Fitness Routine Parenthood Hydration Healthy Eating Food Prep Meal Planning Nutrition

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