Single-sport specialized training has led to an emerging risk of overuse injury and burnout. Here are nine things coaches and parents can do to minimize the risk of injury in youth athletes.

Combating Compensation: How Posture Can Impact Performance & Injury Prevention

In this Bridge video, Loren Landow, from Landow Performance, demonstrates exercises and techniques of various plyometric movements for anterior cruciate ligament (ACL) strength and injury prevention.

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.

From the 2022 NSCA’s Coaches Conference, Luke Bradford discusses injury prevention programming from a perspective of the structures of the body and the application of mechanics.

Spinal cord injury (SCI) is a result of disease or injury that results in the loss of sensory, motor, and autonomic function, or a combination of these functions below the level of injury. Research suggests that, along with medical treatment, exercise may aid in the maintaining of cardiovascular, muscular, and osteogenic health in individuals with an SCI. Practices, contraindications, special considerations, and general recommendations for whole-body cardiorespiratory and resistance exercise programming and progression for individuals with an SCI are discussed throughout.

Read the NSCA’s commitment to safer youth sports as we endorse Project Play’s ACL Pledge, advancing evidence-based education and training to reduce injury risk.

A significant number of resistance training injuries occur at the shoulder complex. However, there is a lack of research identifying predictive variables, which may increase the risk of these injuries. Certain exercises, such as those requiring the apprehension position (glenohumeral abduction with external rotation), have been investigated and found to be associated with shoulder pain and injury. However, there are additional exercises or positions that may also be associated with increased injury risk. The position of end-range glenohumeral extension, particularly as it pertains to a dip, is a vulnerable position that may have previously been overlooked.

Interlimb asymmetries have been recently investigated in athletic populations. However, the effects of training interventions on interlimb asymmetries have been scarcely examined. Therefore, the aim of this study was to determine the effects of training interventions on changes in interlimb asymmetries from pre- to post-training. Furthermore, to examine the effects of training programs on intervention groups compared with control groups. A database search was completed (MEDLINE, CINAHL, and SPORTDiscus). Eight studies were then included in the meta-analysis. Results showed small reductions in interlimb asymmetries in single-leg broad jump (SLBJ) and change of direction (COD) speed from pre- to post-training interventions, whereas moderate effects were found in single-leg countermovement jump (SLCMJ) and SL lateral jump. When comparing the training interventions with the control groups, results showed small effects in favor of the training groups for reducing interlimb asymmetries in SLBJ and large effects in SLCMJ and COD speed. Thus, training interventions can evoke small to moderate reductions in interlimb asymmetries from pre- to post-training programs. Strength training performed unilaterally or bilaterally may elicit these reductions. Furthermore, training interventions showed larger effects compared with the control groups in reducing interlimb asymmetries. However, further research is needed.