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.

Early sport specialization involves physically immature children participating in intensive year-round training and/or competition for a single sport. The lack of sport exposure and diversification during the developmental years may underlie the increased risk of overuse injuries, blunting of motor skill development, psychosocial issues, overtraining syndrome, burnout, and potential dropout from sport. With increasing number of youth choosing, or being encouraged, to specialize at an early age, we aim to provide evidence based recommendations for the integration of strength and conditioning into the development programs of young athletes who participate in sports with a culture of early specialization. In addition to the principles of programming, strategies are provided relative to monitoring of growth, maturation, and training load to illustrate the potential complexities of attempting to optimize long-term athletic development in early specializing athletes.

Eccentric resistance training has been shown to elicit beneficial effects on performance and injury prevention in sports because of its specific muscular and neural adaptations. Within the different methods used to generate eccentric overload, flywheel eccentric training has gained interest in recent years because of its advantages over other methods such as its portability, the ample exercise variety it allows and its accommodated resistance. Only a limited number of studies that use flywheel devices provide enough evidence to support the presence of eccentric overload. There is limited guidance on the practical implementation of flywheel eccentric training in the current literature. In this article, we provide literature to support the use of flywheel eccentric training and present practical guidelines to develop exercises that allow eccentric overload.

Velocity-based training (VBT) is a contemporary method of resistance training that enables accurate and objective prescription of resistance training intensities and volumes. This review provides an applied framework for the theory and application of VBT. Specifically, this review gives detail on how to: use velocity to provide objective feedback, estimate strength, develop load-velocity profiles for accurate load prescription, and how to use statistics to monitor velocity. Furthermore, a discussion on the use of velocity loss thresholds, different methods of VBT prescription, and how VBT can be implemented within traditional programming models and microcycles is provided.

Multidirectional ground reaction forces (GRFs) and jump tests within baseball pitchers provide insight into athletic ability and coordination to produce lower-body force and power. Lower-body power is a biomechanical feature that denotes physiological capacity through dynamic and passive tissue stretch-shortening in transferring energy from the ground through the kinetic chain. Optimized lower-body power may lessen the magnitude of forces on the upper extremity. Insufficient lower-body power may create a greater risk of upper-body injury. Lower-body power and its relationship to ball velocity have been minimally investigated, yet some research points to a correlation between jumping ability and fastball velocity. Because pitching is unilateral, practitioners should consider unilateral jumps to determine the extent of bilateral asymmetry or stride to drive leg differences that can guide training to remediate deficiencies. The purposes of this brief review are to (a) examine factors that influence vertical jump performance among baseball players, (b) examine research on pitching multidirectional GRFs, and (c) examine literature concerning jump performances to baseball pitching performance. Collectively, this review can assist coaches and practitioners in lower-body power testing and training for baseball pitchers.

Erik Hernandez, Associate Director for Strength and Conditioning-Olympic Sports at the University of North Carolina, helps coaches simplify the rehabilitation process and shares ideas for return-to-play at the 2023 NSCA Coaches Conference.

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

Velocity-based training (VBT) is an increasingly popular programming strategy used by strength and conditioning professionals to develop their athlete’s ability to express force rapidly. To implement the varying forms of VBT effectively within their training regimes, strength and conditioning professionals need to understand the strengths and weaknesses of strategies, such as predicting 1 repetition maximum using the load-velocity profile, modulating training loads using the load-velocity profile, and controlling training volume using the magnitude of velocity-loss. The aim of this review was to highlight these strengths and weaknesses and then provide practical examples of when each programming strategy may be most effectively implemented.

Puberty is a critical period for young athletes, characterized by significant physical, psychological, and social changes. During puberty, young athletes experience the adolescent growth spurt at the same time as intensified training regimens, which can affect performance, injury risk, and overall health. Systematic training can improve physiological and performance outcomes, but the increased training volume and changes to the body during adolescence can also heighten the risk of injuries. This article discusses the injury risks associated with adolescent growth and provides comprehensive recommendations to mitigate these risks. Key recommendations include limiting training hours to the athlete’s age, monitoring growth and maturation to adjust training loads and content, and incorporating and modifying consistent strength and conditioning prescriptions. In addition, optimal nutrition, sleep, and interdisciplinary planning among coaches, parents, and stakeholders should be emphasized to support young athletes’ holistic development and well-being during the adolescent growth spurt.

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.