Resistance training (RT) is a nonpharmacological complement to cancer treatments due to its effectiveness in attenuating sarcopenia, cardiotoxicity, fatigue, and emotional disorders common in oncology patients. To adequately program and evaluate the acute or long-term effects of this type of training, a proper evaluation of the patients’ strength levels is necessary. Strength evaluations traditionally applied to this population required reaching muscle or technical failure, which could increase their discomfort levels, risk of injury, or other complications associated with the disease. In this regard, this manuscript described different dynamic and isometric evaluations recommended to accurately and safely evaluate the strength of the oncology population. Concerning dynamic evaluations, the velocity based method is recommended to determine the capacity of the patient to apply force against maximal (i.e., 1 repetition maximum) and submaximal loads. The sit-to-stand or vertical jump tests are also proposed as alternatives to evaluate dynamic strength using body weight. For isometric assessments, the knee extension and handgrip tests could complement dynamic evaluations or replace them for patients with very low strength levels. Besides describing in depth the aforementioned evaluations, the current review proposes important methodological aspects to ensure their accurate, reliable, and safe implementation.

Developing safe and effective exercise training programs requires the application of abundant training variables and the implementation of appropriate progression for each variable. Importantly, the outcomes of each training program are the product of these variables and their progression, so practitioners are keen to select methodologies and overload strategies that effectively support their target training outcomes. One such training variable is mechanical loading, which describes the forces of gravity, resistance, and muscle contraction and how these forces affect musculoskeletal adaptations. Numerous research articles and texts have been published regarding mechanical loading and its effects on exercise adaptations; however, these findings can be arduous to organize, which requires additional time investment by professionals. Developing a succinct system is critical because practitioners face clients and patients with a wide range of physical skills and challenges, and having an easily referenced loading guide may assist them in designing appropriate strength and conditioning or rehabilitation programs. Thus, the purpose of this review is to define and describe the mechanical loading continuum and its individual components to better assist the practitioner in identifying appropriate exercise modes and progression strategies.

The Certified Performance and Sport Scientist (CPSS) specializes in the application of scientific processes to improve individual and team athletic performance and decrease injury risk. The CPSS may be either a generalist, working across the breadth of scientific disciplines, or a specialist practitioner, who has training and/or applied experiences predominantly within one or more specific scientific discipline area(s) relevant to sport science and sports performance.

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Colorado Springs, CO – MAJ Donald Bigham and Mark Stephenson named the 2017 TSAC-Facilitator and TSAC-Practitioners of the Year at NSCA’s TSAC Annual Training April 3-6, 2017 in Orlando, FL.

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