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.

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.

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.

Congratulations to the 2020 NSCA Award Winners!

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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.