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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.

Comparison of Muscle Adaptation to Blood Flow-Restricted Versus Traditional Resistance Training in Healthy Adults: A Brief Systematic Review and Meta-analysis

Quiz

The primary aim of this study was to systematically compare the effectiveness of blood flow restriction training (BFR) versus traditional resistance training (TRT) to improve muscle size in healthy adults. Secondary outcomes were improvements in muscle strength and endurance. We performed a systematic searchwithmeta-analysis. Using predetermined criteria, 541 unique articles were identified through databases and bibliographies. After screening titles, abstracts, and full texts, 20 articles were included in the review. All 20 articles evaluated muscle hypertrophy, 19 evaluated strength, and 1 evaluated endurance in response to BFR and TRT. Data from 10 articles were included in the meta-analysis. In the qualitative analysis, TRT and BFR increased muscle size without differences between conditions for at least 1 hypertrophy outcome in 13 studies, and TRT or BFR differentially improved hypertrophy in 5 studies. TRT and BFR increased strength without differences between conditions for at least 1 outcome in 15 studies, and TRT or BFR differentially improved strength in 9 studies. Results from the meta-analysis indicate no differences in muscle size (ES 5 0.045, 95% CI [20.278 to 0.367]) or strength (ES520.149, 95% CI [20.439 to 0.141]) improvements with BFR versus TRT. Practitioners can implement BFR training to increase muscle size and strength as appropriate, especially for training periods of 8 weeks or longer.

2023 Award Winners

December 5, 2022

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NSCA's Coaching Podcast | Season 6

Podcast

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.

Strength & Conditioning Track Powered by the NSCA | OAPHERD Convention

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Learn, participate and network with colleagues at (location) while earning CEUs. Hosted by the state, provincial and regional directors, this local event brings cutting-edge research and application to your backyard.

Tactical Strength and Conditioning Practitioners Course

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Built on scientific principles and evidence-based research, the NSCA’s Tactical Strength and Conditioning (TSAC) Practitioners Course is a foundational strength and conditioning program designed to provide tactical facilitators with the tools to decrease injury risk and increase longevity and effectiveness of tactical professionals.

Certification Overview

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NSCA certifications can help differentiate you from the competition while joining the ranks of some of the top experts in the industry. Learn about the strength and conditioning certifications offered by the NSCA.

Special Interest Groups

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Make the most of your membership by engaging with others through one or more Special Interest Groups (SIGs).

Articles & Videos

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Take advantage of the NSCA's library of career insights and tips from leaders in the field.

Position Statements

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Position statements are official statements of the NSCA on topics related to strength and conditioning and exercise science. All NSCA Position Statements are published in the Journal of Strength and Conditioning Research® and free to the public.
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