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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.

Integrating Anaerobic Speed Reserve, Intermittent Fitness Test, and Maximum Aerobic Speed Tests for Comprehensive Fitness Evaluation in Soccer

November 17, 2023

Article Members Only

This article aims to explain why integrating multiple tests such as Anaerobic Speed Reserve (ASR), Intermittent Fitness Test (IFT), and Maximum Aerobic Speed (MAS) can provide a comprehensive evaluation of soccer players’ fitness levels and help to design effective training programs tailored to their individual needs.

Coaches Program design Testing and Evaluation Soccer Fitness Intermittent Fitness Test Speed

Measurement and Evaluation in a Microdosed Training Program

January 6, 2023

Article Members Only

This article seeks to provide insight on a training method based around prescribing small amounts of training to achieve a large amount of physical improvements.

Coaches Program design Testing and Evaluation Needs Analysis Testing Basketball

NSCA’s Coaching Podcast, Episode 107: Carmen Colomer

Podcast

Carmen Colomer, Director of Sport Science for the Philadelphia 76ers National Basketball Association (NBA) team, talks to the NSCA Coaching and Sport Science Program Manager, Eric McMahon, about translating numbers into actions. Topics under discussion include periodizing athlete’s recovery in the NBA and how learning to code can help with data analysis and application. Find Carmen on Twitter: @CarmenColomer1 | Find Eric on Instagram: @ericmcmahoncscs or Twitter: @ericmcmahoncscs

Coaches Professional Development

Creatine Supplementation for Athletes

November 15, 2019

Article Members Only

The purpose of this article is to discuss creatine supplementation for athletes by addressing supplementation for athletic performance, recovery, cognition, brain function, safety, contraindications, and other special considerations.

Coaches Nutrition Creatine Supplementation Sports Nutrition Glycogen ATP PCr Creatine

Harnessing the Power of Beet Juice - Enhancing Athletic Performance through Dietary Nitrates

July 4, 2025

Article Members Only

This article from NSCA Coach explores how beet juice and nitrate supplements can enhance athletic performance. Learn more about nutrition and exercise physiology online at NSCA.com.

Exercise Science Nutrition Program design Testing and Evaluation Client Consultation|Assessment Basic Pathophysiology and Science of Health Status or Condition and Disorder or Disease Dietary Nitrates Beet Juice High-intensity exercise Recovery Endurance Athletic Performance Nutrition Supplements

Sport Performance and Heart Rate

July 10, 2020

Article

This article reviews the use of heart rate as a way to program cardiovascular exercise.

Personal trainers TSAC Facilitators Coaches Exercise Science Testing and Evaluation Heart Rate Range Karvonen Method Cardiovascular Exercise

Beyond the Pool – Improving Swimming Performance with Dryland Training

July 29, 2025

Article

This article in NSCA Coach shares a research-driven framework for dryland training in competitive swimming. Visit us online to learn more on sport performance and exercise science.

Coaches Exercise Science Exercise Technique Program design Testing and Evaluation Client Consultation|Assessment Safety Professional Development Competitive Swimming Power Exercises Balance Training Core Strength Rotational Strength Proprioceptive Training Dynamic Mobility Exercises Swimming Performance Dryland Training

Incorporating Training Load Monitoring into Fitness Programming: A Review of Practical Tools for Fitness Providers

October 8, 2018

Article Members Only

In recent years, performance and prevention strategies have grown to include monitoring training load (TL) to understand fatigue and the potential effects of fatigue on training adaptation and performance.

Personal trainers Testing and Evaluation Client Consultation|Assessment Training Load Monitoring Heart Rate Monitoring HRV

Physical Preparation for Academy Training Specific to Female Law Enforcement Recruits

February 18, 2022

Article Members Only

This article will detail example resistance training and aerobic conditioning sessions that could be used by a female recruit in the lead-up to their academy program.

TSAC Facilitators Program design Law Enforcement Recruits RPE Scale Tactical Strength and Conditioning

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