Lateral ankle sprains are one of the most common injuries sustained during sport or physical activity. Up to 40% of individuals can develop chronic lateral ankle instability (CLAI) after a lateral ankle sprain. CLAI occurs when functional or mechanical insufficiencies of the lateral ankle ligamentous complex persist. The purpose of this article is to identify characteristics of CLAI and describe strength and conditioning strategies that can be used to treat lateral ankle ligamentous injuries, preventing them from progressing on to CLAI.

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.

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.

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.

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Considering the great popularity of eccentric-based training, the purpose of this review is to first provide the scientific rationale for its use; second, summarize the eccentric-based training modalities that can be used; and finally, offer practical recommendations on how to implement eccentricbased modalities to enhance sports performance. The molecular and neural mechanisms underlying eccentric actions are partially distinct from those of concentric and isometric actions. During eccentric actions, theories suggest a strain-induced modulation of actin-myosin interactions at the crossbridge level, activation of structural protein titin, and winding of titin on actin. Eccentric acute physiological responses differ from concentric exercise responses, including variations in neuromuscular, metabolic, hormonal, and anabolic signaling. Eccentric training elicits greater improvements in muscle strength, power, and stretch-shortening cycle function compared with concentric-only or traditional resistance training. Therefore, eccentric-based training can lead to unique neuromuscular (e.g., improved coordination of motor units) and morphological (e.g., increased muscle fascicle length and enhanced distal cross-sectional area) adaptations that could play a key role in sport performance. Practitioners may implement eccentric exercises with external loads, fully eccentric-based exercises (e.g., Nordic hamstring curl), accentuated eccentric loading, flywheel resistance exercise, and plyometrics to develop specific physical adaptations in line with their goals. Eccentric work (e.g., for hamstrings) can be obtained during other exercises such as downhill running tasks, decelerations, and sprinting activities. Practitioners need to be aware that no single “silver bullet” training modality exists; consequently, practitioners should use a combination of eccentric-based training approaches with their athletes to obtain the desired adaptations.

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