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.

The CSPS Online Practice Questions were developed by NSCA and are representative of the nature, scope, and difficulty of an actual CSPS exam.

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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.

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.

Considering the great popularity of eccentric-based training, the purpose of this review is to first provide the scientific rationale for its use; second, summarize the eccentric-based training modalities that can be used; and finally, offer practical recommendations on how to implement eccentricbased modalities to enhance sports performance. The molecular and neural mechanisms underlying eccentric actions are partially distinct from those of concentric and isometric actions. During eccentric actions, theories suggest a strain-induced modulation of actin-myosin interactions at the crossbridge level, activation of structural protein titin, and winding of titin on actin. Eccentric acute physiological responses differ from concentric exercise responses, including variations in neuromuscular, metabolic, hormonal, and anabolic signaling. Eccentric training elicits greater improvements in muscle strength, power, and stretch-shortening cycle function compared with concentric-only or traditional resistance training. Therefore, eccentric-based training can lead to unique neuromuscular (e.g., improved coordination of motor units) and morphological (e.g., increased muscle fascicle length and enhanced distal cross-sectional area) adaptations that could play a key role in sport performance. Practitioners may implement eccentric exercises with external loads, fully eccentric-based exercises (e.g., Nordic hamstring curl), accentuated eccentric loading, flywheel resistance exercise, and plyometrics to develop specific physical adaptations in line with their goals. Eccentric work (e.g., for hamstrings) can be obtained during other exercises such as downhill running tasks, decelerations, and sprinting activities. Practitioners need to be aware that no single “silver bullet” training modality exists; consequently, practitioners should use a combination of eccentric-based training approaches with their athletes to obtain the desired adaptations.

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