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

Quiz

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.

2021 Award Winners

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Congratulations to the 2021 NSCA Award Winners!

NSCA Announces 2025 Career and Service Awards

June 19, 2025

Article

The National Strength and Conditioning Association (NSCA) is proud to announce the recipients of the organization’s 2024 Career and Service Awards. Given annually, the distinguished Career Awards honor individuals who have made significant contributions to the strength and conditioning community throughout their careers.

NSCA Announces 2025 Election Results

July 19, 2025

Article

The National Strength and Conditioning Association (NSCA) announces the results of its 2025 Elections, as selected by NSCA Members

NSCA Foundation

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The NSCA Foundation advances education, research, and coaching in strength and conditioning. Explore scholarships, grants, and other support for NSCA Members.

NSCA History

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The National Strength and Conditioning Association was founded in 1978 with 76 strength coaches from across the country with the common desire to network, collaborate and unify the profession of strength and conditioning. Since its inception, the NSCA has grown to nearly 30,000 members in 72 countries and become the leader in the research and education of strength and conditioning professionals. Take a tour of the NSCA’s past and learn more about how it became the institution that it is today.
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