The primary aim of this study was to systematically compare the effectiveness of blood flow restriction training (BFR) versus traditional resistance training (TRT) to improve muscle size in healthy adults. Secondary outcomes were improvements in muscle strength and endurance. We performed a systematic searchwithmeta-analysis. Using predetermined criteria, 541 unique articles were identified through databases and bibliographies. After screening titles, abstracts, and full texts, 20 articles were included in the review. All 20 articles evaluated muscle hypertrophy, 19 evaluated strength, and 1 evaluated endurance in response to BFR and TRT. Data from 10 articles were included in the meta-analysis. In the qualitative analysis, TRT and BFR increased muscle size without differences between conditions for at least 1 hypertrophy outcome in 13 studies, and TRT or BFR differentially improved hypertrophy in 5 studies. TRT and BFR increased strength without differences between conditions for at least 1 outcome in 15 studies, and TRT or BFR differentially improved strength in 9 studies. Results from the meta-analysis indicate no differences in muscle size (ES 5 0.045, 95% CI [20.278 to 0.367]) or strength (ES520.149, 95% CI [20.439 to 0.141]) improvements with BFR versus TRT. Practitioners can implement BFR training to increase muscle size and strength as appropriate, especially for training periods of 8 weeks or longer.

Learn how diet and strength training in the absence of aerobic exercise can be used to improve body composition through simultaneous fat loss and muscle gain. In this session from the NSCA’s 2016 Personal Trainers Conference, Todd Miller demonstrates how to use body composition and metabolism measurements along with popular food tracking apps and activity monitors to design individualized diet and exercise strategies. CEUs available.

Nontraumatic shoulder disorders are prevalent among weight-training participants as a result of training patterns as well as adaptive shoulder joint and muscle characteristics. This article presents a progressive approach to exercises designed to mitigate well-known joint and muscle characteristics that have been associated with shoulder disorders. Using a progressive evidence based model, practical applications are presented that will guide sports medicine and strength training professionals in their ability to provide an evidence informed upper extremity weight-training program for both patients and clients.

Time-restricted eating (TRE) is an application of intermittent fasting where an individual consumes their calories in a specific eating window (e.g., 8 hours) followed by a prolonged fasting window (e.g., 16 hours). Several randomized controlled trials have analyzed the combined effect of resistance training (RT) and TRE on physical adaptations, including fat mass (FM) loss, fat-free mass (FFM) retention, hypertrophy, local muscular endurance, power, and strength. In this mini review, we highlight the methodology and results from these studies and conclude by providing practical application suggestions for fitness professionals striving to maximize RT + TRE with their clientele. Generally, RT + TRE leads to positive body composition changes, including FM loss and FFM retention, which culminates in improved body fat percentage. Similarly, RT + TRE consistently stimulates positive neuromuscular adaptations, such as increased hypertrophy, local muscular endurance, power, and strength. When positive changes are not observed, and when safely implemented, RT + TRE rarely confers negative effects on the abovementioned adaptations. In short, RT + TRE may be a beneficial dietary and exercise strategy to improve body composition and muscular fitness. However, there are several caveats for practitioners to consider, which are discussed at length in this article.

For many athletes, being agile is the end goal of physical performance training. It represents their capacity to change velocity and direction in response to the actions of their opponent and the opportunities and constraints of their environment. The aim of this article was to describe the pitch-based development of agility, focusing on 60–1808 turns. This ensures all turns have the demand of deceleration, turning, and reacceleration, requiring both outside leg turns (608) and inside leg turns (1808). To enable the effective coaching of these, coaches must understand movement mechanics and thus the fundamental principles that underpin good technique. Within agility training, a detailed appreciation of how the center of mass and base of support interact to affect the direction of force is fundamental to this. This understanding and the ensuing technical models ensure athletes have the best chance of executing the task optimally and ensure coaches can effectively instruct athletes and adapt drills accordingly.

A one-day, joint event presented alongside New England ACSM focusing on the mental science of strength.

The squat is one of the most widely used exercises in resistance training programs. The aim of this narrative review was to analyze the effect of the squat on lower-limb muscle hypertrophy. Briefly, the available literature indicates that the squat is an effective exercise for inducing hypertrophy of the quadriceps, mainly the vastii, but also the rectus femoris, although to a reduced magnitude. Multiple lines of evidence suggest little to no hamstring hypertrophy from the back squat. Although the gluteus maximus clearly participates mechanically in the back squat, few longitudinal studies exist on the topic. The limited evidence available on this topic suggests deeper squats may be more hypertrophic for the gluteus maximus, and that, squat depth beyond 908 of knee flexion may not provide further hypertrophy of the knee extensors. Despite the popularity of the many squat variations, there are still controversies surrounding their hypertrophic potential for lower-limb musculature. Further studies are needed to investigate the hypertrophic effects of different squat variations, as well as differences in hypertrophy because of squat depth, stance, barbell position, and different squat apparatuses/machines.

This review analyzes relevant variables involved in acute interference effects of concurrent training (CT) sessions of aerobic exercise followed by strength exercises. The aerobic exercise intensity, mode, volume, duration of recovery interval between exercises, muscle groups involved, and utilization of ergogenic aids are the variables identified in this review. High-intensity interval aerobic exercises result in more pronounced negative effects on strength-endurance exercise but not in maximal strength. Cycling results in more negative effects on strength endurance performance exercise than running. A 4-hour to 8-hour recovery interval seems to be enough to avoid interference on strength-endurance performance. Reduction in strength-endurance performance is located in muscle groups involved in both exercises. Low aerobic exercise volume (3 km) with; 18 minutes of duration does not diminish strength endurance, whereas higher volumes (5 and 7 km) with ;30 and ;42 minutes of duration, respectively, generate impairments. Caffeine, carbohydrate, and beta-alanine are not able to revert the deleterious effect on strength-endurance performance, whereas creatine and capsaicin analog supplementation are. Thus, these variables must be taken into consideration to prescribe and organize a CT session. This information may help coaches to organize exercise sessions that minimize or avoid the impairment in strength performance after aerobic exercises.

From the 2021 Personal Training Virtual Conference, Andrea Leonard thoroughly details the impact of various cancer surgeries on muscle balance and range of motion and necessary program considerations. She also discusses the acute and chronic side-effects of cancer treatment and how they may affect exercise programming. Another area that is highlighted is lymphedema. She details the cancer-related risk factors and how it can be prevented and/or managed with proper exercise programming and progression.

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.