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.

This article provides the first academic history of the barbell back squat and its evolution from a bodyweight exercise in the 19th century to a loaded exercise used for a variety of purposes in the present age. In doing so, the article highlights three key drivers in the evolution of the back squat—changes in equipment, the diversification of strength sports, and scientific communication concerning the safety and efficacy of the movement. The goal of this article was not to provide a dry and irrelevant history but rather to stress the complexity of the squat’s prominence within fitness programs and the need to hold a nuanced view toward the “optimal” way to approach this movement. It examines how the movement evolved from being primarily done on the tips of one’s toes, to a loaded movement on tippy toes, to a flat-footed movement. By contextualizing the back squat’s history, this article challenges rigid notions of “correct” squatting technique and encourages a more nuanced understanding of exercise selection in strength and conditioning practice. It concludes by highlighting the importance of critically examining the social construction of knowledge in fitness and sport, and the value of historical perspective in informing contemporary training practices

This is the NSCA’s Coaching Podcast, where strength and conditioning coaches share their experience, lessons learned, and advice about how to thrive in a highly competitive profession.

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.

Firefighting is a profession that has the potential to be extremely demanding, both physically and mentally. More specifically, these tactical personnel must be physically fit to perform their occupational requirements, all while they are exposed to daily stressors. This is likely to include everything from physical strain and shift work to interrupted sleep and witnessing potentially traumatizing events. Failure to prepare and mitigate these occupational demands can have long-lasting implications to overall performance as well as health and wellness. Unfortunately, many of these elements often go unaddressed. As such, considerations for collaborative and overarching cross-disciplinary allied health teams should be made. Human performance optimization (HPO) is a model that has been successfully adopted by the U.S. military to enhance the overarching health, wellness, and performance of soldiers. This article proposes the utilization of a similar HPO model by providing a rationale for how it can be used to reduce premature morbidity and mortality, as well as increasing overall readiness and resilience within the firefighting profession.

In the last several decades in the United States, university athletic departments and professional sport teams began hiring sport scientists to support team operations. Many variations in sport science–related job titles and a variety of duties are apparent across the industry internationally. Therefore, the aims of this article were to (a) define sport scientist roles because they may be positioned in U.S. sport organizations, (b) demonstrate potential levels of application, (c) demonstrate how a sport science program helps establish a standard of care for the athlete, and (d) highlight overseas practices that establish professional competency for those in sport scientist roles. This discussion may be used to optimize organizational structures, enhance organizational dynamics within sport organizations, leagues, and systems, and used to develop, refine, or support certification and training programs in the United States. In addition to the discussion in this article, several job descriptions are provided as Supplemental Digital Content, http://links.lww. com/SCJ/A347. These resources may help decision makers construct job descriptions for their organizations.

From the 2023 NSCA Tactical Annual Training, Lee Margolis discusses the physiological outcomes of the body during periods of low glycogen availability in regard to military operations.

One resistance training variable that may be altered to achieve desired outcomes is the range of motion used in training. Generally, the strength and conditioning field has accepted that using a greater range of motion in strength training exercises results in more substantial muscle hypertrophy outcomes. However, this theory has proved to be inconsistently supported in the literature, and to date, no sufficient explanation exists to explain this phenomenon. This review article seeks to outline a novel approach for potentially describing the disparities seen in range of motion research with respect to hypertrophy outcomes by applying the unique length-tension curve of each muscle being examined. As will be discussed in the review, virtually all the results from range of motion studies in various muscles have corresponded to each muscle’s length-tension curve; muscles that are active on the descending limb of the curve appear to garner greater hypertrophy from using larger ranges of motion. Conversely, muscles that are not active on the descending limb exhibit similar adaptations despite alterations in range of motion. A novel hypothesis for applying this information to resistance training programs will be presented and discussed.