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.

Accentuated eccentric loading (AEL) can be combined with lower-body power-based movements to acutely enhance them; however, currently, there are limited recommendations for this training method. AEL can enhance force and power metrics during its utilization with lower-body power based exercises. When using AEL, exercises should consist of jump squats and countermovement jumps with loading methods consisting of weight releasors or dumbbell hand release. Elastic bands can be used; however, more research is needed in this area. External loads ranging from 10–30% of body mass can be used. Future research needs to investigate increased eccentric and concentric loads when using AEL with power based movements.

Exercise is an effective tool for managing and treating type II diabetes (T2DM) and may be a useful component of a diabetes management program. Both short- or long-term exercise interventions can improve physical fitness, metabolic health, and cardiovascular function in individuals with poor glycemic control. Incorporating aerobic and resistance exercise as part of a comprehensive diabetes management plan can play a vital role in the fight against this chronic metabolic disease. Progression and individualized exercise programming are critical for an effective and enjoyable exercise experience in a gym setting. With respect to safety, exercise professionals should be aware of special considerations and potential complications persons with T2DM can experience when exercising.

The physiological response to breath holding includes bradycardia and peripheral vasoconstriction, which contrasts with that of exercise which includes tachycardia and peripheral vasodilation. This raises the question as to what the physiological response is to breath holding during exercise. During low-intensity exercise, the breath holding response of bradycardia and peripheral vasoconstriction prevails over the exercise response of tachycardia and peripheral vasodilation, but nevertheless the exercise may be sustained. Due to the lack of availability of extrinsic oxygen (O 2 ) from the atmosphere during breath holding, the energy demands can be met by increased reliance on intrinsic O 2 stores (i.e., O 2 that was in the body before the breath hold) via increased O 2 extraction at the muscle compared with exercise while breathing, or increased contributions from anaerobic energy systems. During high intensity exercise of short duration, the exercise response may prevail over the breath holding response due to the increased parasympathetic withdrawal and sympathetic drive of higher intensity exercise. If breath holding during high-intensity exercise was sustained for long enough, the breath holding response may eventually overcome the exercise response, although this may be difficult due to the inverse relationship between exercise intensity and breath hold duration.

Parkinson disease (PD) is a progressive and chronic neurodegenerative disorder that compromises both motor and nonmotor functions, ultimately leading to a decline in functional capacity and quality of life. Although the etiology of PD is multifaceted, exercise has shown promising effects in managing PD symptoms and enhancing patient well-being. Although aerobic and resistance exercise demonstrate benefits within this specific population, the exact application of these modalities varies and often differs depending on disease progression and the individual. Although individuals diagnosed with PD are encouraged to exercise, there is still a lack of information pertaining to how to successfully structure physical activity into their daily routine. There are also distinct barriers and motivators impacting their decision to engage in regular exercise. This manuscript offers practical recommendations and personalized exercise guidelines for exercise professionals, empowering them to optimize PD management through targeted exercise interventions. In addition, it offers current information on promoting exercise among patients with PD, specifically to enhance their functional outcomes.

An individual’s training status is a key factor used to determine the volume, the intensity, and the selection of exercises for resistance training prescription. Interestingly, there are no objective parameters to assess training status, so there is ambiguity in determining the appropriate volume and other resistance training variables in this regard. Thus, the objective of this study was to propose a strategy for classification and determination of resistance training status. The following five parameters were identified and used: (a) current uninterrupted training time, (b) time of detraining, (c) previous training experience, (d) exercise technique, and (e) strength level. Moreover, 4 classification levels are proposed: beginner, intermediate, advanced, and highly advanced, which are determined by the mean score of the parameters used. The proposed model represents an important advancement in training status classification and can be used as a valid tool for training prescription and for researchers to better characterize a sample and reproduce results under the same conditions in future studies.

This continuing education opportunity explores a variety of topics as they pertain to exercise technique. To earn your CEUs, it will be necessary to review several articles and pass a 50-question quiz. Please note: this quiz awards 1.0 CEU (10 contact hours). Articles include: 1) Exercise Technique: The Push Press 2) Exercise Technique: Snatch Balance 3) Technique of the Unilateral Dumbbell Wide Row 4) The Viking Press 5) Exercise Technique: Handstand Push-up 6) Exercise Technique: The Landmine Row

It is well known that moderate exercise during pregnancy benefits maternal and fetal well-being. The benefits of more vigorous exercise for pregnant women are less clear. The boundaries of safe exercise during pregnancy remain a matter for continued research, which is important to the growing number of female athletes who plan on becoming pregnant. The purpose of this article is to discuss the existing research related to the physiological concerns of the pregnant endurance athlete specifically. Because endurance training includes prolonged and repetitive exercise bouts at varying intensities, topics will include the effect of high-intensity exercise on uterine blood flow and thermoregulation, metabolic, and musculoskeletal changes in pregnancy.