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.

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

In today’s digital era, nutritional information, and misinformation, is readily available for most people by media outlets, social media, and on-line streaming videos. Nutrition is of utmost interest because of its role in health, fitness, weight management, and athletic performance. Because of the public interest and information availability, qualified health care providers and exercise professionals can be an excellent source of evidence-based nutrition counseling for appropriate clients to improve overall health and athletic performance. The goal of this article is to provide a source of practitioner and client evidence-based education regarding nutritional strategies to improve athletic performance

NSCA has a network of volunteer leaders who direct NSCA’s efforts at the state and provincial level. NSCA’s Northeast Regional Coordinator provides oversight and training to local state and provincial directors. Members in the Northeast Region can connect at local and regional events as well as on Facebook to others in this area.

Blood pressure changes acutely during resistance exercise. Continuous, beat-by-beat assessment provides detailed temporal resolution of blood pressure profiles, through techniques including intra-arterial catheterization, photoplethysmography, or applanation tonometry. However, noncontinuous measurements may be conducted before and after resistance exercise through auscultatory sphygmomanometry or oscillometry. Blood pressures tend to increase across repetitions within sets, influenced by load magnitude, repetitions and sets performed, muscle mass recruited, and rest periods; the highest pressures result from multi-joint, large muscle group exercises. Evaluation of such factors may facilitate better understanding of blood pressure responses to acute resistance exercise and influence program design considerations relative to anticipated hemodynamic changes.

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.

This continuing education opportunity explores a variety of topics as they pertain to nutrition and supplement information. Articles 1) Betaine Supplementation: A Critical Review of Its Efficacy for Improving Muscle Strength, Power, and Body Composition 2) Energy and Macronutrient Considerations for Young Athletes 3) Evidence-Based Nutritional Strategies to Enhance Athletic Performance 4) Green Tea and Black Tea for Exercise Recovery: A Systematic Review 5) Understanding the Scientific Evidence and Regulatory State of the U.S. Dietary Supplement Industry: Considerations for Health and Fitness Practitioners

The implementation of long-term athletic development (LTAD) aims to improve health, physical activity, and performance of all youth. Contemporary LTAD models suggest that a broad range of physical and psychosocial competencies should be developed in youth, but few resources are available for coaches that describe “how” to achieve these outcomes. This article overviews a coaching session framework built around the following components: raise, activate, mobilize, prepare, activity, games, evaluate (RAMPAGE). The framework provides practitioners with information on what can be planned and delivered and when within a coaching session, across multiple ages and stages of development within multiple contexts (e.g., physical education and talent development).

Accentuated eccentric loading (AEL) can be combined with lower-body power-based movements to acutely enhance them; however, currently, there are limited recommendations for this training method. AEL can enhance force and power metrics during its utilization with lower-body power based exercises. When using AEL, exercises should consist of jump squats and countermovement jumps with loading methods consisting of weight releasors or dumbbell hand release. Elastic bands can be used; however, more research is needed in this area. External loads ranging from 10–30% of body mass can be used. Future research needs to investigate increased eccentric and concentric loads when using AEL with power based movements.

The demanding and hazardous nature of firefighting necessitates a fitness testing framework that directly addresses the unique physiological challenges of the profession. This paper sought to identify gaps in the current fitness testing and training environment that are focused on cardiovascular, respiratory, muscular endurance, and muscular strength components of fitness and to advocate for a targeted, occupation specific fitness testing approach that aligns with the physiological challenges firefighters face. Ultimately, implementation of these plans should reduce the risk of injury and death and improve operational efficiency.