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(1,136 found)

Practical Methods for Strength Evaluation in Oncology Patients

Quiz

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.

Nutrition for Injury Prevention and Recovery

Quiz

From the 2024 NSCA’s Coaches Conference, Kelly Jones helps coaches with practical nutrition strategies to maximize physical and mental performance, as well as optimal recovery methods.

SCJ 47.5 Managing Fatigue in Team Sports: A Brief Review of Concurrent Training Effects Within the Microcycle

Quiz

Concurrent training (CT), which combines resistance exercise and energy systems conditioning, is the default approach to preparation in high-intensity intermittent (“stop and go”) team sports. This review provides an overview of CT, emphasizing its complexities and challenges in managing fatigue and optimizing performance. These complexities are specifically compounded by the variability in game demands across the season, where the presence of intensified and nonintensified competition periods necessitates a flexible and adaptive training approach. In this context, there are essential training variables to consider, including intensity, volume, session order, and recovery intervals between sessions. In addition, nontraining variables such as travel, sleep, and nutrition play a role in the fatigue experienced while training and competing. These variables interact to influence acute performance and training adaptations and can be strategically adjusted by strength and conditioning practitioners. The aim of this review is to provide a comprehensive understanding of fatigue management for practitioners in team sports, emphasizing the complexities and challenges of CT and offering simplified practical recommendations for adjusting training variables within any given microcycle.

SCJ 46.6 Practical Application of Respiratory Muscle Training in Endurance Sports

Quiz

Since traditional sport-specific training or exercise programs do not create enough stimulus to improve the function of the respiratory muscles, the rationale to introduce respiratory muscle training (RMT) emerged. RMT is associated with improved endurance performance and pulmonary function, and it reduced respiratory fatigue, perceived exertion, or breathlessness. The purpose of this article is to provide coaches with tools to select the appropriate form of RMT in the context of the athletes’ needs, using appropriate methods, techniques, devices, and testing protocols. The video abstract is presented in Supplemental Digital Content as SDC 1

Noncontact Knee Soft-Tissue Injury Prevention Considerations and Practical Applications for Netball Players

Quiz

Netball is a team sport played worldwide. High-risk landing events containing biomechanical potential for noncontact knee soft-tissue injury (STI) occur frequently. Subsequently, noncontact knee STI is common after knee abduction collapse during landing tasks. Lower-limb mobility, strength, balance, movement, and hop test characteristics (intrinsic, modifiable risk factors) are associated with high-risk landing biomechanics and noncontact knee STI events. Such risk factors should be considered in netball-specific noncontact knee STI prevention preparticipation screening. Corresponding training methods should be included as indicated in netball-specific multimodal noncontact knee STI prevention programs. This article provides insight into noncontact knee injury–related aspects of netball and gives detailed suggestions for injury prevention screening and programming.

Exercise Strategies for Parkinson Disease Management

Quiz

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.

SCJ 46.3 Time-Saving Versus Time-Efficient Training Terminology, Methods, and Prescription

Quiz

A common obstacle to achieving recommended physical activity and desired training goals is time. This is true for recreationally trained adults and athletes, particularly at the collegiate level, where greater restrictions on practice time and training are in place. One possible solution is to implement time-saving and time efficient training routines and methods that may limit the amount of time needed to attain desired physiological adaptations—by decreasing the time needed to train and/or by increasing the frequency with which brief workouts are completed throughout the week (e.g., “microdosing”). To provide the most optimal training stimulus, the correct method must be used. Unfortunately, numerous terms describe routines and methods discussed in the current body of available literature, many of which may seem similar and lead to confusion. The purpose of this article is to outline the similarities and differences of the numerous timesaving and time-efficient training routines and methods. Ultimately, this article synthesizes the current research into practical recommendations as programming options for strength and conditioning coaches and personal trainers. The information provided may also serve as a foundation for future research opportunities in time-saving and time-efficient training.

SCJ 43.1 Progressive Exercise Strategies to Mitigate Shoulder Injuries Among Weight-Training Participants

Quiz

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.

SCJ 45.6 Return to Sport After an Anterior Cruciate Ligament Tear: Bridging the Gap Between Research and Practice

Quiz

An anterior cruciate ligament (ACL) tear is one of the most frequent injuries experienced by athletes of all levels. Because so many variables are at play, there is a great deal of controversy about how and why this occurs. In addition, there are various suggested appropriate steps to take to return to sport in the fastest and safest possible way. However, a major issue in injury recovery and return to sport practices is the lack of a gold-standard method or a consistent course of action that an athlete should undertake after suffering an ACL injury. Therefore, the purpose of this paper is to review the literature to determine evidence-based methods for return to sport after ACL reconstruction and provide practical recommendations to guide the process.

SCJ 45.3 Strength Classification and Diagnosis: Not All Strength Is Created Equal

Quiz

Maximal force can be expressed across a range of conditions influenced by the external load and the time available to express force. As a result, several distinct and specific strength qualities exist. Conversely, some expressions of maximal force are similar and can be categorized as a single quality. Therefore, strength assessment systems must be sophisticated enough to isolate and measure each quality while minimizing redundant information. This article presents a contemporary, evidence-based and practical framework that reduces the many strength and speed-strength metrics into 5 distinct qualities. Alongside this, we present case examples of the application of strength diagnosis.
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