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

Quiz CATD 0.2

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.

Reed Wainwright | Strength, Conditioning, and the Law: A Conversation on Professional Standards

Podcast

Do you know your legal blind spots? Attorney and former collegiate strength coach Reed Wainwright explores how legal expertise reinforces professional standards in strength and conditioning. Wainwright has been instrumental in developing NSCA resources that help professionals mitigate the inherent risks associated with athletics. He highlights key areas — such as facility safety, equipment management, and emergency preparedness — that help coaches effectively advocate for their athletes and protect their careers. Emphasizing professionalism, Wainwright notes, "the more professional we act, the more professional we're perceived.” He underscores why enhancing public perception is crucial for improving compensation, overcoming stereotypes, and supporting long-term field growth. Wainwright also reflects on how his precise, methodical approach as a strength coach has translated seamlessly into his legal practice. Discover actionable strategies to help minimize risk, stay protected, and elevate the strength and conditioning profession. Contact with Reed via email at reed@wainwrightattorney.com and on LinkedIn: @reed-wainwright | Find Eric on Instagram: @ericmcmahoncscs and LinkedIn: @ericmcmahoncscs Review the NSCA Strength and Conditioning Professional Standards and Guidelines (PDF) to identify liability risks, improve safety, and enhance program quality. Watch Wainwright’s session, What's Our Standard of Care?, and its implications on liability from the 2017 NSCA Coaches Conference. Stream Wainwright’s free Legal Considerations series on NSCA TV for guidance spanning participation screening to emergency planning. View Wainwright’s session, Standards in Strength and Conditioning, on the NSCA YouTube channel for more insights, including case examples.

Coaches Professional Development

Integration of Visual Flash Reflex Technology for Collegiate Strength and Conditioning Professionals in Agility Training Programs for Collegiate Baseball Players

Other Members Only

This article in NSCA Coach explores the role of agility training in college baseball. Learn more on sports performance and exercise science online at NSCA.com

Coaches Exercise Science Exercise Technique Program design Testing and Evaluation Client Consultation|Assessment Sport Specific Stimuli College Baseball Sport Performance Technologies Running Drills Sprinting Agility training

A Framework for Workplace Health Programs in Public Safety

June 24, 2025

Article Members Only

This article from TSAC 76 provides health program frameworks to enhance the well-being of public safety personnel. Visit us online to learn more about tactical fitness and performance.

TSAC Facilitators Exercise Science Program design Organization and Administration Testing and Evaluation Client Consultation|Assessment Basic Pathophysiology and Science of Health Status or Condition and Disorder or Disease Professional Development Company Health Policy Workplace Culture health assessment Healthy Lifestyle CDC Health Intervention Health Program Employee benefits

Illinois State Clinic

Event

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.

GLP-1 Medications – What Personal Trainers Need to Know

Other Members Only

This Personal Trainers Quarterly article explains why personal trainers should understand how GLP-1 medications work. Visit NSCA online to read more on health science and fitness news.

Personal trainers Exercise Science Nutrition Program design Testing and Evaluation Client Consultation|Assessment Safety Basic Pathophysiology and Science of Health Status or Condition and Disorder or Disease Diet Medications Pharmaceuticals Weight Loss Lifestyle Medication Hormones GLP-1 Obesity

NSCA Announces 2025 Career and Service Awards

Article

The National Strength and Conditioning Association (NSCA) is proud to announce the recipients of the organization’s 2024 Career and Service Awards. Given annually, the distinguished Career Awards honor individuals who have made significant contributions to the strength and conditioning community throughout their careers.

Alice Read | How Do We Build Sustainable Pathways in Strength and Conditioning?

Podcast

How do you build a sustainable high-performance culture despite yearly assistant coach rotations and demanding schedules? Alice Read, Assistant Athletic Director for Sport Performance at Vassar College, shares expertise from managing 29 teams and 600 student-athletes while continuously "riding the rollercoaster" of Division III scheduling. Read explores strategies for maintaining program continuity, including matching assistant coaches to sports based on strengths and growth areas. She emphasizes advocating for daily staff lifts to test and refine programs firsthand. In a full-circle moment, Read, once an NSCA Foundation Assistantship Recipient, now serves on the committee awarding these opportunities, demonstrating the value of early professional involvement. She also discusses collaborative problem solving within the Liberty League Strength and Conditioning Committee and explains how the College Coaches Professional Development Group (PDG) provided boots-on-the-ground guidance for the 2024 NSCA Strategic Plan. Tune in for actionable insights on mentorship, collaboration, and longevity in collegiate strength and conditioning. Connect with Alice via email at aread@vassar.edu and on Instagram: @ajpr3 and @vassar_strong | Find Eric on Instagram: @ericmcmahoncscs and LinkedIn: @ericmcmahoncscs

Coaches Professional Development

Exercise Progressions for Resuming Strength Training Following Posterior-Chain Muscle Injury

June 13, 2025

Article Members Only

NSCA Coach 11.4 shares how strength training of the posterior chain in athletes can reduce injury risk and aid rehabilitation. Visit us online to read more about exercise research.

Coaches Exercise Science Exercise Technique Program design Testing and Evaluation Client Consultation|Assessment Fitness progression Concentric Contraction Eccentric Movement Pre-Injury Strength Training Range of Motion Muscle Recovery RDL Training Program

Pennsylvania State Clinic

Event

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.

TSAC Report - Military Column - January 2025

June 10, 2025

Article Members Only

This article in TSAC Report 76, explores fitness testing methods in military training spaces. Visit NSCA online to read more on tactical populations, and performance training

TSAC Facilitators Exercise Science Program design Testing and Evaluation Client Consultation|Assessment Safety Emergency Procedures Professional Development Performance Screening Military Training Injury Mitigation Musculoskeletal Injury Force Plate Technologies Functional Movement Screening Fitness Test

Improving Functional Activities of Daily Living in Senior Populations

June 6, 2025

Article Members Only

This article in PTQ 11.4 shares content on exercise programs for seniors. Visit NSCA online to read articles on fitness news, personal training and more.

Personal trainers Exercise Science Exercise Technique Program design Testing and Evaluation Basic Pathophysiology and Science of Health Status or Condition and Disorder or Disease Dexterity Fitness Program ADLs Vitality Sarcopenia Mobility Seniors

Tennessee State Clinic

Event

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.

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